CH ELM (R4)
1.8.0-cibuild - ci-build
CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.8.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient | Version: 1.8.0-cibuild | |||
Active as of 2024-12-03 | Computable Name: ChElmPatient | |||
Copyright/Legal: CC0-1.0 |
This CH ELM base profile constrains the Patient resource for the purpose of laboratory orders and test reports.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ChLabPatient
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Patient | 0..* | ChLabPatient | CH ELM Patient This profile also imposes the profile Patient: Person | |
identifier | S | 0..1 | Identifier | An identifier for this patient |
Slices for identifier | Content/Rules for all slices | |||
identifier:EPR-SPID | 0..0 | |||
identifier:AHVN13 | S | 0..1 | AHVN13Identifier | OASI Number Switzerland |
identifier:LocalPid | 0..0 | |||
identifier:insuranceCardNumber | 0..0 | |||
identifier:IDN | S | 0..1 | IdnIdentifier | IDN Liechtenstein Required Pattern: At least the following |
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.438.10.20.10.10.1.2.1 | |
name | 1..1 | CHElmHumanName | Whether the personal data is transmitted by using initials, full name or a special combination is described under 'Guidance - Personal Data (Patient Name)' | |
family | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). Max Length:100 | |
given | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). Max Length:100 | |
Slices for telecom | Content/Rules for all slices | |||
telecom:phone | 0..1 | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone | |
value | 1..1 | string | The actual contact point details Example CH ELM: +41 79 999 55 66 Max Length:25 | |
gender | 1..1 | code | male | female | other | |
birthDate | C | 1..1 | date | The date of birth for the individual ch-elm-dateTime: At least the format YYYY-MM-DD is required. |
Slices for address | S | 0..1 | CHCoreAddress | An address expressed using postal conventions (as opposed to GPS or other location definition formats) Slice: Unordered, Open by value:use |
address:home | S | 0..1 | CHCoreAddress | Residential address |
use | 1..1 | code | home | work | temp | old | billing - purpose of this address Required Pattern: home | |
line | 0..1 | string | Street name, number, direction & P.O. Box etc. | |
Slices for extension | Content/Rules for all slices | |||
extension:streetName | 0..1 | ADXPStreetName(5.1.0) | streetName | |
value[x] | 1..1 | string | Value of extension Max Length:100 | |
extension:houseNumber | 0..1 | ADXPHouseNumber(5.1.0) | houseNumber | |
value[x] | 1..1 | string | Value of extension Max Length:10 | |
city | S | 0..1 | string | Name of city, town etc. Max Length:50 |
state | S | 0..1 | string | sub-unit of country. canton-abbreviation is expected for a Swiss or Liechtenstein address. |
postalCode | S | 0..1 | string | Postal code for area Max Length:10 |
country | S | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
extension | 1..* | Extension | Extension | |
Slices for extension | Content/Rules for all slices | |||
extension:countrycode | 1..1 | SC-coding | code for string | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
ch-elm-dateTime | error | Patient.birthDate | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Patient | C | 0..* | ChLabPatient | CH ELM Patient This profile also imposes the profile Patient: Person ch-pat-1: At least one HumanName with given and family name must be provided. ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
Slices for extension | Content/Rules for all slices | |||||||
placeOfBirth | 0..1 | CHCoreAddressEch11PlaceOfBirth | Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth | |||||
placeOfOrigin | 0..* | CHCoreAddressECH11PlaceOfOrigin | Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin | |||||
citizenship | C | 0..* | (Complex) | Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code | ||||
religion | 0..1 | CodeableConcept | Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred) | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | SΣ | 0..1 | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this | ||||
identifier:AHVN13 | S | 0..1 | AHVN13Identifier | OASI Number Switzerland Required Pattern: At least the following | ||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.32 | |||||
identifier:IDN | SΣ | 0..1 | IdnIdentifier | IDN Liechtenstein Required Pattern: At least the following | ||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.438.10.20.10.10.1.2.1 | |||||
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
name | C | 1..1 | CHElmHumanName | Whether the personal data is transmitted by using initials, full name or a special combination is described under 'Guidance - Personal Data (Patient Name)' ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
Slices for extension | Content/Rules for all slices | |||||||
vctcode | 0..1 | string | CH ELM Extension: VCT Code URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-ext-vct-code | |||||
hivcode | 0..1 | string | CH ELM Extension: HIV Code URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-ext-hiv-code | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | ||||
family | Σ | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). Max Length:100 | ||||
Slices for extension | Content/Rules for all slices | |||||||
ech11name | 0..1 | code | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (extensible) | |||||
dataabsentreason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
given | Σ | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). This repeating element order: Given Names appear in the correct order for presenting the name Max Length:100 | ||||
Slices for extension | Content/Rules for all slices | |||||||
ech11firstname | 0..1 | code | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (extensible) | |||||
dataabsentreason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
Slices for telecom | Σ | 0..* | ContactPoint | A contact detail for the individual Slice: Unordered, Open by value:system | ||||
telecom:email | C | 0..* | CHCoreContactPointECH46Email | CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. | ||||
telecom:phone | C | 0..1 | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. | ||||
system | ΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone | ||||
value | Σ | 1..1 | string | The actual contact point details Example CH ELM: +41 79 999 55 66 Max Length:25 | ||||
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
Slices for extension | Content/Rules for all slices | |||||||
phoneCategory | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible) | |||||
telecom:internet | C | 0..* | CHCoreContactPointECH46Internet | CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. | ||||
gender | Σ | 1..1 | code | male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
birthDate | ΣC | 1..1 | date | The date of birth for the individual ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||
deceased[x] | ?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||
deceasedBoolean | boolean | |||||||
deceasedDateTime | dateTime | |||||||
Slices for address | SC | 0..1 | CHCoreAddress | An address expressed using postal conventions (as opposed to GPS or other location definition formats) Slice: Unordered, Open by value:use ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
address:home | SC | 0..1 | CHCoreAddress | Residential address ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
use | ?!Σ | 1..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Required Pattern: home | ||||
line | Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
Slices for extension | Content/Rules for all slices | |||||||
addressLine1 | 0..1 | (Complex) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine1 | |||||
addressLine2 | 0..1 | (Complex) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine2 | |||||
street | 0..1 | (Complex) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: street | |||||
streetName | 0..1 | (Complex) | streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName" | |||||
value[x] | 1..1 | string | Value of extension Max Length:100 | |||||
houseNumber | 0..1 | (Complex) | houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber" | |||||
value[x] | 1..1 | string | Value of extension Max Length:10 | |||||
unitID | 0..1 | string | unitID, dwellingNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID | |||||
postOfficeBoxText | 0..1 | (Complex) | Postbox addresses need an postbox text and optional postbox number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: postOfficeBoxText | |||||
postOfficeBoxNumber | 0..1 | string | Optional postOfficeBoxNumber as a separate part of the postOfficeBoxText URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox | |||||
city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon Max Length:50 | ||||
Slices for extension | Content/Rules for all slices | |||||||
bfs | 0..1 | string | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-7-municipalityid | |||||
state | SΣ | 0..1 | string | sub-unit of country. canton-abbreviation is expected for a Swiss or Liechtenstein address. Binding: eCH-0007 Canton Abbreviation incl. FL (Fürstentum Liechtenstein) (example): Use these values for a Swiss or Liechtenstein address | ||||
postalCode | SΣ | 0..1 | string | Postal code for area Example General: 9132 Max Length:10 | ||||
country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
countrycode | C | 1..1 | Coding | code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding Binding Description (No ValueSet): (example): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc. ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code | ||||
Slices for contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
contact:All Slices | Content/Rules for all slices | |||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
contact:contact | C | 0..1 | BackboneElement | Contact data if it is not address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
relationship | 1..1 | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11 | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contactData | |||||
address | C | 1..1 | CHCoreAddressECH10 | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
contact:nameOfParent | C | 0..* | BackboneElement | Name of parent pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
relationship | 1..1 | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN | |||||
name | 1..1 | HumanName | A name associated with the contact person | |||||
Slices for communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred | |||||
communication:All Slices | Content/Rules for all slices | |||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
communication:languageOfCorrespondence | 0..1 | BackboneElement | Language of correspondence | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
preferred | 1..1 | boolean | Language preference indicator Fixed Value: true | |||||
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Patient.identifier:LocalPid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Patient.name.use | required | NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard | ||||
Patient.telecom:phone.system | required | Fixed Value: phonehttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard | ||||
Patient.telecom:phone.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard | ||||
Patient.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.address:home.use | required | Pattern: homehttp://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard | ||||
Patient.address:home.line.extension:addressLine1.value[x]:valueCode | extensible | Fixed Value: addressLine1http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.line.extension:addressLine2.value[x]:valueCode | extensible | Fixed Value: addressLine2http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.line.extension:street.value[x]:valueCode | extensible | Fixed Value: streethttp://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.line.extension:postOfficeBoxText.value[x]:valueCode | extensible | Fixed Value: postOfficeBoxTexthttp://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.state | example | ECH007CantonFLAbbreviationhttp://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonflabbreviation | ||||
Patient.contact:contact.relationship | extensible | Pattern: contactDatahttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:nameOfParent.relationship | extensible | Pattern: PRNhttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.communication:languageOfCorrespondence.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-addr-1 | error | Patient.address:home.country.extension:countrycode | 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')) | |
ch-addr-2 | error | Patient.address, Patient.address:home, Patient.contact:contact.address | For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. : country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation'))) | |
ch-core-hm-1 | error | Patient.name | if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official') | |
ch-core-hm-2 | error | Patient.name | if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden')) | |
ch-core-hm-3 | error | Patient.name | ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count() | |
ch-core-hm-4 | error | Patient.name | ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count() | |
ch-elm-dateTime | error | Patient.birthDate | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
ch-pat-1 | error | Patient | At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty() | |
ch-pat-2 | warning | Patient | gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown' | |
ch-pat-3 | error | Patient.extension:citizenship | 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')) | |
cpt-2 | error | Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet | A system is required if a value is provided. : value.empty() or system.exists() | |
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
pat-1 | error | Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Patient | C | 0..* | ChLabPatient | CH ELM Patient This profile also imposes the profile Patient: Person ch-pat-1: At least one HumanName with given and family name must be provided. ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
placeOfBirth | 0..1 | CHCoreAddressEch11PlaceOfBirth | Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth | |||||
placeOfOrigin | 0..* | CHCoreAddressECH11PlaceOfOrigin | Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin | |||||
citizenship | C | 0..* | (Complex) | Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code | ||||
religion | 0..1 | CodeableConcept | Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred) | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | SΣ | 0..1 | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this | ||||
identifier:AHVN13 | S | 0..1 | AHVN13Identifier | OASI Number Switzerland Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.32 | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
identifier:IDN | SΣ | 0..1 | IdnIdentifier | IDN Liechtenstein Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
use | 0..1 | code | usual | official | temp | secondary | old (If known) | |||||
type | 0..1 | CodeableConcept | Description of identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.438.10.20.10.10.1.2.1 | |||||
value | 0..1 | string | The value that is unique | |||||
period | 0..1 | Period | Time period when id is/was valid for use | |||||
assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
name | C | 1..1 | CHElmHumanName | Whether the personal data is transmitted by using initials, full name or a special combination is described under 'Guidance - Personal Data (Patient Name)' ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
vctcode | 0..1 | string | CH ELM Extension: VCT Code URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-ext-vct-code | |||||
hivcode | 0..1 | string | CH ELM Extension: HIV Code URL: http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-ext-hiv-code | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. | ||||
text | Σ | 0..1 | string | Text representation of the full name | ||||
family | Σ | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). Max Length:100 | ||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ech11name | 0..1 | code | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (extensible) | |||||
dataabsentreason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
value | 0..1 | string | Primitive value for string Max Length:1048576 | |||||
given | Σ | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). This repeating element order: Given Names appear in the correct order for presenting the name Max Length:100 | ||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
ech11firstname | 0..1 | code | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (extensible) | |||||
dataabsentreason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
value | 0..1 | string | Primitive value for string Max Length:1048576 | |||||
prefix | Σ | 0..* | string | 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. This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
salutationandtitle | 0..* | code | For academical titles and legal status use the http://hl7.org/fhir/ExtensionDefinition/iso21090-EN-qualifier with the codes AC, LS. URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier Binding: EntityNamePartQualifier (required) | |||||
value | 0..1 | string | Primitive value for string Max Length:1048576 | |||||
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
period | Σ | 0..1 | Period | Time period when name was/is in use | ||||
Slices for telecom | Σ | 0..* | ContactPoint | A contact detail for the individual Slice: Unordered, Open by value:system | ||||
telecom:email | C | 0..* | CHCoreContactPointECH46Email | CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. | ||||
telecom:phone | C | 0..1 | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | ΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone | ||||
value | Σ | 1..1 | string | The actual contact point details Example CH ELM: +41 79 999 55 66 Max Length:25 | ||||
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
phoneCategory | 0..1 | CodeableConcept | Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible) | |||||
value | 0..1 | string | Primitive value for code | |||||
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
start | ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
telecom:internet | C | 0..* | CHCoreContactPointECH46Internet | CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. | ||||
gender | Σ | 1..1 | code | male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
birthDate | ΣC | 1..1 | date | The date of birth for the individual ch-elm-dateTime: At least the format YYYY-MM-DD is required. | ||||
deceased[x] | ?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||
deceasedBoolean | boolean | |||||||
deceasedDateTime | dateTime | |||||||
Slices for address | SC | 0..1 | CHCoreAddress | An address expressed using postal conventions (as opposed to GPS or other location definition formats) Slice: Unordered, Open by value:use ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
address:home | SC | 0..1 | CHCoreAddress | Residential address ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 1..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Required Pattern: home | ||||
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
line | Σ | 0..1 | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
Slices for extension | 0..* | Extension | Extension Slice: Ordered, Open by value:url, value:value | |||||
addressLine1 | 0..1 | (Complex) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine1 | |||||
addressLine2 | 0..1 | (Complex) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine2 | |||||
street | 0..1 | (Complex) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: street | |||||
streetName | 0..1 | (Complex) | streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName" | |||||
value[x] | 1..1 | string | Value of extension Max Length:100 | |||||
houseNumber | 0..1 | (Complex) | houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber" | |||||
value[x] | 1..1 | string | Value of extension Max Length:10 | |||||
unitID | 0..1 | string | unitID, dwellingNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID | |||||
postOfficeBoxText | 0..1 | (Complex) | Postbox addresses need an postbox text and optional postbox number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype" | |||||
Slices for value[x] | 1..1 | code | Value of extension Slice: Unordered, Closed by type:$this | |||||
value[x]:valueCode | 1..1 | code | Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: postOfficeBoxText | |||||
postOfficeBoxNumber | 0..1 | string | Optional postOfficeBoxNumber as a separate part of the postOfficeBoxText URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox | |||||
value | 0..1 | string | Primitive value for string Max Length:1048576 | |||||
city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon Max Length:50 | ||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
bfs | 0..1 | string | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-7-municipalityid | |||||
value | 0..1 | string | Primitive value for string Max Length:1048576 | |||||
district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
state | SΣ | 0..1 | string | sub-unit of country. canton-abbreviation is expected for a Swiss or Liechtenstein address. Binding: eCH-0007 Canton Abbreviation incl. FL (Fürstentum Liechtenstein) (example): Use these values for a Swiss or Liechtenstein address | ||||
postalCode | SΣ | 0..1 | string | Postal code for area Example General: 9132 Max Length:10 | ||||
country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
countrycode | C | 1..1 | Coding | code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding Binding Description (No ValueSet): (example): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc. ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code | ||||
value | 0..1 | string | Primitive value for string Max Length:1048576 | |||||
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ChCoreMaritalStatus (extensible) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
maritalDataSeparation | 0..1 | CodeableConcept | MaritalData Separation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
multipleBirth[x] | 0..1 | Whether patient is part of a multiple birth | ||||||
multipleBirthBoolean | boolean | |||||||
multipleBirthInteger | integer | |||||||
photo | 0..* | Attachment | Image of the patient | |||||
Slices for contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
contact:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
relationship | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
name | 0..1 | HumanName | A name associated with the contact person | |||||
telecom | 0..* | ContactPoint | A contact detail for the person | |||||
address | 0..1 | Address | Address for the contact person | |||||
gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
contact:contact | C | 0..1 | BackboneElement | Contact data if it is not address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
relationship | 1..1 | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11 | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: contactData | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
name | 0..1 | HumanName | A name associated with the contact person | |||||
address | C | 1..1 | CHCoreAddressECH10 | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
contact:nameOfParent | C | 0..* | BackboneElement | Name of parent pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
relationship | 1..1 | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
name | 1..1 | HumanName | A name associated with the contact person | |||||
telecom | 0..* | ContactPoint | A contact detail for the person | |||||
address | 0..1 | Address | Address for the contact person | |||||
gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
Slices for communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred | |||||
communication:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
preferred | 0..1 | boolean | Language preference indicator | |||||
communication:languageOfCorrespondence | 0..1 | BackboneElement | Language of correspondence | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
preferred | 1..1 | boolean | Language preference indicator Fixed Value: true | |||||
generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | ||||
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Patient.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.identifier:LocalPid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Patient.identifier:LocalPid.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Patient.name.use | required | NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard | ||||
Patient.telecom:phone.system | required | Fixed Value: phonehttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard | ||||
Patient.telecom:phone.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard | ||||
Patient.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.address:home.use | required | Pattern: homehttp://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard | ||||
Patient.address:home.type | required | AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard | ||||
Patient.address:home.line.extension:addressLine1.value[x]:valueCode | extensible | Fixed Value: addressLine1http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.line.extension:addressLine2.value[x]:valueCode | extensible | Fixed Value: addressLine2http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.line.extension:street.value[x]:valueCode | extensible | Fixed Value: streethttp://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.line.extension:postOfficeBoxText.value[x]:valueCode | extensible | Fixed Value: postOfficeBoxTexthttp://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype | ||||
Patient.address:home.state | example | ECH007CantonFLAbbreviationhttp://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonflabbreviation | ||||
Patient.maritalStatus | extensible | ChCoreMaritalStatushttp://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus | ||||
Patient.contact.relationship | extensible | PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.contact:contact.relationship | extensible | Pattern: contactDatahttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.contact:nameOfParent.relationship | extensible | Pattern: PRNhttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:nameOfParent.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.communication:languageOfCorrespondence.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-addr-1 | error | Patient.address:home.country.extension:countrycode | 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')) | |
ch-addr-2 | error | Patient.address, Patient.address:home, Patient.contact:contact.address | For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. : country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation'))) | |
ch-core-hm-1 | error | Patient.name | if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official') | |
ch-core-hm-2 | error | Patient.name | if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden : family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden')) | |
ch-core-hm-3 | error | Patient.name | ch-ext-ech-11-name can only be put on a family name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count() | |
ch-core-hm-4 | error | Patient.name | ch-ext-ech-11-firstname can only be put on a given name : descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count() | |
ch-elm-dateTime | error | Patient.birthDate | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 | |
ch-pat-1 | error | Patient | At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty() | |
ch-pat-2 | warning | Patient | gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown' | |
ch-pat-3 | error | Patient.extension:citizenship | 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')) | |
cpt-2 | error | Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet | A system is required if a value is provided. : value.empty() or system.exists() | |
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
pat-1 | error | Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
This structure is derived from ChLabPatient
Summary
Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 9 elements
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ChLabPatient
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Patient | 0..* | ChLabPatient | CH ELM Patient This profile also imposes the profile Patient: Person | |
identifier | S | 0..1 | Identifier | An identifier for this patient |
Slices for identifier | Content/Rules for all slices | |||
identifier:EPR-SPID | 0..0 | |||
identifier:AHVN13 | S | 0..1 | AHVN13Identifier | OASI Number Switzerland |
identifier:LocalPid | 0..0 | |||
identifier:insuranceCardNumber | 0..0 | |||
identifier:IDN | S | 0..1 | IdnIdentifier | IDN Liechtenstein Required Pattern: At least the following |
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.438.10.20.10.10.1.2.1 | |
name | 1..1 | CHElmHumanName | Whether the personal data is transmitted by using initials, full name or a special combination is described under 'Guidance - Personal Data (Patient Name)' | |
family | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). Max Length:100 | |
given | 1..1 | string | masked when using HIV/VCT-extensions (see IG guidance). Max Length:100 | |
Slices for telecom | Content/Rules for all slices | |||
telecom:phone | 0..1 | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone | |
value | 1..1 | string | The actual contact point details Example CH ELM: +41 79 999 55 66 Max Length:25 | |
gender | 1..1 | code | male | female | other | |
birthDate | C | 1..1 | date | The date of birth for the individual ch-elm-dateTime: At least the format YYYY-MM-DD is required. |
Slices for address | S | 0..1 | CHCoreAddress | An address expressed using postal conventions (as opposed to GPS or other location definition formats) Slice: Unordered, Open by value:use |
address:home | S | 0..1 | CHCoreAddress | Residential address |
use | 1..1 | code | home | work | temp | old | billing - purpose of this address Required Pattern: home | |
line | 0..1 | string | Street name, number, direction & P.O. Box etc. | |
Slices for extension | Content/Rules for all slices | |||
extension:streetName | 0..1 | ADXPStreetName(5.1.0) | streetName | |
value[x] | 1..1 | string | Value of extension Max Length:100 | |
extension:houseNumber | 0..1 | ADXPHouseNumber(5.1.0) | houseNumber | |
value[x] | 1..1 | string | Value of extension Max Length:10 | |
city | S | 0..1 | string | Name of city, town etc. Max Length:50 |
state | S | 0..1 | string | sub-unit of country. canton-abbreviation is expected for a Swiss or Liechtenstein address. |
postalCode | S | 0..1 | string | Postal code for area Max Length:10 |
country | S | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
extension | 1..* | Extension | Extension | |
Slices for extension | Content/Rules for all slices | |||
extension:countrycode | 1..1 | SC-coding | code for string | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
ch-elm-dateTime | error | Patient.birthDate | At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10 |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Patient | C | 0..* | ChLabPatient | CH ELM Patient This profile also imposes the profile Patient: Person ch-pat-1: At least one HumanName with given and family name must be provided. ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
placeOfBirth | 0..1 | CHCoreAddressEch11PlaceOfBirth | Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth | |
placeOfOrigin | 0..* | CHCoreAddressECH11PlaceOfOrigin | Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin | |
citizenship | C | 0..* | (Complex) | Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code |
religion | 0..1 | CodeableConcept | Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred) | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
Slices for identifier | SΣ | 0..1 | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this |
identifier:AHVN13 | S | 0..1 | AHVN13Identifier | OASI Number Switzerland Required Pattern: At least the following |
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.32 | |
identifier:IDN | SΣ | 0..1 | IdnIdentifier | IDN Liechtenstein Required Pattern: At least the following |
system | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.438.10.20.10.10.1.2.1 | |
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use |
name | C | 1..1 | CHElmHumanName | Whether the personal data is transmitted by using initials, full name or a special combination is described under 'Guidance - Personal Data (Patient Name)' ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use at |