0.1.0 - ci-build

RuCoreIG, published by HL7 FHIR Россия. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-ru/RuCoreIG/ and changes regularly. See the Directory of published versions

Resource Profile: Core Patient Payer (Пациент - плательщик)

Official URL: https://fhir.ru/ig/core/StructureDefinition/core-patient-payer Version: 0.1.0
Active as of 2024-09-01 Computable Name: Core_Patient_Payer

Пациент – плательщик, передача ИНН обязательна

Usage:

Formal Views of Profile Content

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

This structure is derived from Core_Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Core_Patient
... identifier 1..* Identifier An identifier for this patient
... Slices for identifier Content/Rules for all slices
.... identifier:INN 1..1 Identifier Государственный идентификационный номер налогоплательщика (ИНН)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Core_Patient Information about an individual or animal receiving health care services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier:birthCertificate Σ 0..1 Identifier Государственное свидетельство о рождении
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/birth-certificate
.... identifier:INN Σ 1..1 Identifier Государственный идентификационный номер налогоплательщика (ИНН)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TAX
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/inn
.... identifier:SNILS Σ 0..1 Identifier Страховой номер индивидуального лицевого счёта, СНИЛС — уникальный номер индивидуального лицевого счёта застрахованного лица в системе обязательного пенсионного страхования
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SB
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/snils
.... identifier:passportRF Σ 0..1 Identifier Паспорт гражданина Российской Федерации
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/passport-RF
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier:birthCertificate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:birthCertificate.typerequiredPattern: 6
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.identifier:INN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:INN.typeextensiblePattern: TAX
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:SNILS.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:SNILS.typeextensiblePattern: SB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:passportRF.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:passportRF.typerequiredPattern: 1
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.3.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Core_Patient Information about an individual or animal receiving health care services
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier:birthCertificate Σ 0..1 Identifier Государственное свидетельство о рождении
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/birth-certificate
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INN Σ 1..1 Identifier Государственный идентификационный номер налогоплательщика (ИНН)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TAX
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/inn
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:SNILS Σ 0..1 Identifier Страховой номер индивидуального лицевого счёта, СНИЛС — уникальный номер индивидуального лицевого счёта застрахованного лица в системе обязательного пенсионного страхования
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SB
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/snils
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:passportRF Σ 0..1 Identifier Паспорт гражданина Российской Федерации
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/passport-RF
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name Σ 0..* HumanName ФИО пациента
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code Тип имени пациента. Рекомендуемое значение: official
Binding: NameUse (required)
.... text Σ 0..1 string Text representation of the full name
.... family Σ 0..1 string Фамилия пациента
.... given Σ 0..* string Имя и отчество пациента. Первым должно идти имя, вторым - отчество
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ 0..1 Period Time period when name was/is in use
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code Пол пациента. Используются позиции: male | female | unknown. Other - не используется для совместимости со Справочником НСИМЗ Пол пациента
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ 0..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address 0..* Core_Address Адрес пациента
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
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 0..* CodeableConcept The kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address Address for the contact person
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): IETF language tag

Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(Organization) Organization that is the custodian of the patient record
... link ?!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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.identifier:birthCertificate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:birthCertificate.typerequiredPattern: 6
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.identifier:INN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:INN.typeextensiblePattern: TAX
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:SNILS.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:SNILS.typeextensiblePattern: SB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:passportRF.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:passportRF.typerequiredPattern: 1
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.3.0
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0
from the FHIR Standard
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.3.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
dom-r4bwarningPatient.containedContaining new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
: ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL 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 Core_Patient

Summary

Mandatory: 2 elements

Differential View

This structure is derived from Core_Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Core_Patient
... identifier 1..* Identifier An identifier for this patient
... Slices for identifier Content/Rules for all slices
.... identifier:INN 1..1 Identifier Государственный идентификационный номер налогоплательщика (ИНН)

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Core_Patient Information about an individual or animal receiving health care services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier:birthCertificate Σ 0..1 Identifier Государственное свидетельство о рождении
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/birth-certificate
.... identifier:INN Σ 1..1 Identifier Государственный идентификационный номер налогоплательщика (ИНН)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TAX
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/inn
.... identifier:SNILS Σ 0..1 Identifier Страховой номер индивидуального лицевого счёта, СНИЛС — уникальный номер индивидуального лицевого счёта застрахованного лица в системе обязательного пенсионного страхования
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SB
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/snils
.... identifier:passportRF Σ 0..1 Identifier Паспорт гражданина Российской Федерации
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/passport-RF
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier:birthCertificate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:birthCertificate.typerequiredPattern: 6
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.identifier:INN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:INN.typeextensiblePattern: TAX
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:SNILS.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:SNILS.typeextensiblePattern: SB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:passportRF.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:passportRF.typerequiredPattern: 1
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.3.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Core_Patient Information about an individual or animal receiving health care services
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier:birthCertificate Σ 0..1 Identifier Государственное свидетельство о рождении
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/birth-certificate
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INN Σ 1..1 Identifier Государственный идентификационный номер налогоплательщика (ИНН)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: TAX
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/inn
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:SNILS Σ 0..1 Identifier Страховой номер индивидуального лицевого счёта, СНИЛС — уникальный номер индивидуального лицевого счёта застрахованного лица в системе обязательного пенсионного страхования
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по Fixed value: http://terminology.hl7.org/CodeSystem/v2-0203
Binding: Identifier Type Codes (extensible)
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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SB
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/snils
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:passportRF Σ 0..1 Identifier Паспорт гражданина Российской Федерации
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
..... type Σ 1..1 CodeableConcept Тип идентификатора, кодируется по НСИ
Binding: Core ValueSet NSI identity documents (Документы удостоверяющие личность) (required)
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: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-identity-document
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1
....... 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
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: http://fhir.ru/core/systems/passport-RF
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name Σ 0..* HumanName ФИО пациента
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code Тип имени пациента. Рекомендуемое значение: official
Binding: NameUse (required)
.... text Σ 0..1 string Text representation of the full name
.... family Σ 0..1 string Фамилия пациента
.... given Σ 0..* string Имя и отчество пациента. Первым должно идти имя, вторым - отчество
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ 0..1 Period Time period when name was/is in use
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code Пол пациента. Используются позиции: male | female | unknown. Other - не используется для совместимости со Справочником НСИМЗ Пол пациента
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ 0..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address 0..* Core_Address Адрес пациента
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
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 0..* CodeableConcept The kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address Address for the contact person
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): IETF language tag

Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(Organization) Organization that is the custodian of the patient record
... link ?!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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.identifier:birthCertificate.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:birthCertificate.typerequiredPattern: 6
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.identifier:INN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:INN.typeextensiblePattern: TAX
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:SNILS.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:SNILS.typeextensiblePattern: SB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:passportRF.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.3.0
from the FHIR Standard
Patient.identifier:passportRF.typerequiredPattern: 1
https://fhir.ru/ig/core/ValueSet/core-vs-nsi-identity-documents
from this IG
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.3.0
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0
from the FHIR Standard
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.3.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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.exists() and ('#'+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(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
dom-r4bwarningPatient.containedContaining new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
: ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL 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 Core_Patient

Summary

Mandatory: 2 elements

 

Other representations of profile: CSV, Excel, Schematron