# Patient (EU base) - HL7 Europe Base and Core FHIR IG v2.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Patient (EU base)**

## Resource Profile: Patient (EU base) 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/base/StructureDefinition/patient-eu | *Version*:2.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:PatientEu |
| **Copyright/Legal**: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | | |

 
This profile specifies how the HL7 FHIR Patient resource should be used for conveying commonly used concepts in the European context. 

### Sex and Gender extensions

#### Sex Parameters for Clinical Use

Sex Parameters for Clinical Use (SPCU) may be used in specific clinical contexts. However, there are cases where having a context-free categorisation of a patient can be useful. When using SPCU at a patient level, consider if any information is available suggesting that the patient is NOT male-typical or female-typical across all clinical contexts, then using specified as the patient-level SPCU is most appropriate.

#### Gender Identity

This represents an individual’s identity, ascertained by asking them what that identity is. The standard extension supports multiple gender identities, with relevant periods to account for a patient’s gender identity changing over time.

#### Pronouns

The pronouns to use when referring to an individual in verbal or written communication.

More details about these and other sex/gender related extensions can be found in the [HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1](https://hl7.org/xprod/ig/uv/gender-harmony/).

**Usages:**

* Derived from this Profile: [Patient (EU core)](StructureDefinition-patient-eu-core.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.eu.base|current/StructureDefinition/StructureDefinition-patient-eu.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-patient-eu.csv), [Excel](StructureDefinition-patient-eu.xlsx), [Schematron](StructureDefinition-patient-eu.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "patient-eu",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  }],
  "url" : "http://hl7.eu/fhir/base/StructureDefinition/patient-eu",
  "version" : "2.0.0",
  "name" : "PatientEu",
  "title" : "Patient (EU base)",
  "status" : "active",
  "date" : "2026-08-31T14:10:19+00:00",
  "publisher" : "HL7 Europe",
  "contact" : [{
    "name" : "HL7 Europe",
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.eu"
    }]
  }],
  "description" : "This profile specifies how the HL7 FHIR Patient resource should be used for conveying commonly used concepts in the European context.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "copyright" : "Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "loinc",
    "uri" : "http://loinc.org",
    "name" : "LOINC code for the element"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Patient",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Patient",
      "path" : "Patient"
    },
    {
      "id" : "Patient.extension",
      "path" : "Patient.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Patient.extension:birthPlace",
      "path" : "Patient.extension",
      "sliceName" : "birthPlace",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/patient-birthPlace"]
      }]
    },
    {
      "id" : "Patient.extension:birthPlace.value[x]",
      "path" : "Patient.extension.value[x]",
      "type" : [{
        "code" : "Address",
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/Address-eu"]
      }]
    },
    {
      "id" : "Patient.extension:sex-for-clinical-use",
      "path" : "Patient.extension",
      "sliceName" : "sex-for-clinical-use",
      "short" : "Sex for clinical use",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse"]
      }]
    },
    {
      "id" : "Patient.extension:gender-identity",
      "path" : "Patient.extension",
      "sliceName" : "gender-identity",
      "short" : "Gender identity",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/individual-genderIdentity"]
      }]
    },
    {
      "id" : "Patient.extension:pronouns",
      "path" : "Patient.extension",
      "sliceName" : "pronouns",
      "short" : "Pronouns",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/individual-pronouns"]
      }]
    },
    {
      "id" : "Patient.extension:patient-citizenship",
      "path" : "Patient.extension",
      "sliceName" : "patient-citizenship",
      "short" : "Citizenship",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/patient-citizenship"]
      }]
    },
    {
      "id" : "Patient.extension:patient-nationality",
      "path" : "Patient.extension",
      "sliceName" : "patient-nationality",
      "short" : "Nationality",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/patient-nationality"]
      }]
    },
    {
      "id" : "Patient.extension:birthTime",
      "path" : "Patient.extension",
      "sliceName" : "birthTime",
      "short" : "Birth time",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/patient-birthTime"]
      }]
    },
    {
      "id" : "Patient.identifier",
      "path" : "Patient.identifier",
      "short" : "Patient identifiers"
    },
    {
      "id" : "Patient.name",
      "path" : "Patient.name",
      "requirements" : "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.\r\nThe Alphabetic representation of the name SHALL be always provided"
    },
    {
      "id" : "Patient.name.text",
      "path" : "Patient.name.text",
      "short" : "Text representation of the full name.",
      "definition" : "Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element."
    },
    {
      "id" : "Patient.name.family",
      "path" : "Patient.name.family",
      "short" : "Family name.",
      "example" : [{
        "label" : "spanish",
        "valueString" : "Valero Iglesias"
      }]
    },
    {
      "id" : "Patient.name.given",
      "path" : "Patient.name.given",
      "comment" : "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to practical limitations. This element is not called \"first name\" since given names do not always come first."
    },
    {
      "id" : "Patient.telecom",
      "path" : "Patient.telecom",
      "short" : "A contact detail for the patient"
    },
    {
      "id" : "Patient.gender",
      "path" : "Patient.gender",
      "short" : "Administrative Gender"
    },
    {
      "id" : "Patient.birthDate",
      "path" : "Patient.birthDate",
      "comment" : "At least an estimated year should be provided as a guess if the real DOB is unknown. There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems)."
    },
    {
      "id" : "Patient.address",
      "path" : "Patient.address",
      "type" : [{
        "code" : "Address",
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/Address-eu"]
      }]
    },
    {
      "id" : "Patient.maritalStatus",
      "path" : "Patient.maritalStatus",
      "short" : "Marital status"
    },
    {
      "id" : "Patient.contact.relationship",
      "path" : "Patient.contact.relationship",
      "short" : "Contact relationship"
    },
    {
      "id" : "Patient.contact.name",
      "path" : "Patient.contact.name",
      "short" : "Contact name"
    },
    {
      "id" : "Patient.contact.telecom",
      "path" : "Patient.contact.telecom",
      "short" : "Contact details for the person"
    },
    {
      "id" : "Patient.contact.address",
      "path" : "Patient.contact.address",
      "short" : "Contact person address",
      "type" : [{
        "code" : "Address",
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/Address-eu"]
      }]
    },
    {
      "id" : "Patient.communication.language",
      "path" : "Patient.communication.language",
      "short" : "Communication language"
    },
    {
      "id" : "Patient.generalPractitioner",
      "path" : "Patient.generalPractitioner",
      "short" : "Patient's nominated primary care provider."
    }]
  }
}

```
