HL7 Europe Common Cancer Model, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/cancer-common/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Patient (CCM)

This informative profile defines how to represent Patient in FHIR for the purpose of the ECCDM. It is provided as future implementation-oriented content in this publication and is expected to evolve in subsequent iterations of this guide.

Usages:

• Refer to this Profile: Observation: Comorbidities
• Examples for this Profile: Patient/Patient1-Example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	PatientEu	Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.Slices for extension.extension:recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value		1..1	Extension	The recorded sex or gender property for the individual Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.url		1..1	uri	"value"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type		1..1	Extension	Type of recorded sex or gender. Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.url		1..1	uri	"type"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.value[x]		1..1	CodeableConcept	Value of extension Binding: Recorded Sex Or Gender Type (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.url		1..1	uri	"effectivePeriod"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.url		1..1	uri	"acquisitionDate"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.value[x]		1..1	dateTime	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source		0..1	Extension	The source of the Recorded Sex or Gender value.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.url		1..1	uri	"source"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.url		1..1	uri	"sourceDocument"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueReference			Reference(DocumentReference)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.url		1..1	uri	"sourceField"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.url		1..1	uri	"jurisdiction"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.value[x]		1..1	CodeableConcept	Value of extension Binding: Jurisdiction ValueSet (extensible)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment		0..1	Extension	Context or source information about the recorded sex or gender
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.url		1..1	uri	"comment"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.url		1..1	uri	"genderElementQualifier"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.value[x]		1..1	boolean	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.gender	Σ This element is included in summaries.	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	1..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:recordedSexOrGender.​extension:value.value[x]	Base	example	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📦2.0.0	THO v7.4
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📦1.0.0	THO v7.4
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
recordedSexOrGender-or-gender	error	Patient	If recordedSexOrGender extension is not present, gender shall be valued.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()

This structure is derived from PatientEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	PatientEu	Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Patient.Slices for extension.extension:recordedSexOrGender.extension		2..*	Extension	Extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value		1..1	Extension	The recorded sex or gender property for the individual Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type		1..1	Extension	Type of recorded sex or gender. Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
Patient.gender		0..1	code	Administrative gender
Patient.birthDate		1..1	date	The date of birth for the individual
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
recordedSexOrGender-or-gender	error	Patient	If recordedSexOrGender extension is not present, gender shall be valued.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	PatientEu	Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Patient.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.id		0..1	id	Unique id for inter-element referencing
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.Slices for extension.extension:recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Patient.Slices for extension.extension:recordedSexOrGender.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value		1..1	Extension	The recorded sex or gender property for the individual Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.url		1..1	uri	"value"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type		1..1	Extension	Type of recorded sex or gender. Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.url		1..1	uri	"type"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.value[x]		1..1	CodeableConcept	Value of extension Binding: Recorded Sex Or Gender Type (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.url		1..1	uri	"effectivePeriod"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.value[x]		0..1	Period	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.url		1..1	uri	"acquisitionDate"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.value[x]		1..1	dateTime	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source		0..1	Extension	The source of the Recorded Sex or Gender value.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.url		1..1	uri	"source"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.url		1..1	uri	"sourceDocument"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueReference			Reference(DocumentReference)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.url		1..1	uri	"sourceField"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.url		1..1	uri	"jurisdiction"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.value[x]		1..1	CodeableConcept	Value of extension Binding: Jurisdiction ValueSet (extensible)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment		0..1	Extension	Context or source information about the recorded sex or gender
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.url		1..1	uri	"comment"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.url		1..1	uri	"genderElementQualifier"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.value[x]		1..1	boolean	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.identifier	Σ This element is included in summaries.	0..*	Identifier	Patient identifiers
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	Σ This element is included in summaries.	0..*	HumanName	A name associated with the patient
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	Σ This element is included in summaries.	0..1	string	Text representation of the full name.
Patient.name.family	Σ This element is included in summaries.	0..1	string	Family name. Example spanish: Valero Iglesias
Patient.name.given	Σ This element is included in summaries.	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Patient.telecom	Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the patient
Patient.gender	Σ This element is included in summaries.	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	1..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	Σ This element is included in summaries.	0..*	AddressEu	An address for the individual
Patient.maritalStatus		0..1	CodeableConcept	Marital status Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo		0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.relationship		0..*	CodeableConcept	Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
Patient.contact.name		0..1	HumanName	Contact name
Patient.contact.telecom		0..*	ContactPoint	Contact details for the person
Patient.contact.address		0..1	AddressEu	Contact person address
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language		1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider.
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.extension:recordedSexOrGender.​extension:value.value[x]	Base	example	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📦2.0.0	THO v7.4
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📦1.0.0	THO v7.4
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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	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()
recordedSexOrGender-or-gender	error	Patient	If recordedSexOrGender extension is not present, gender shall be valued.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()

This structure is derived from PatientEu

Summary

Mandatory: 1 element(1 nested mandatory element)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	PatientEu	Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.Slices for extension.extension:recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value		1..1	Extension	The recorded sex or gender property for the individual Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.url		1..1	uri	"value"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type		1..1	Extension	Type of recorded sex or gender. Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.url		1..1	uri	"type"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.value[x]		1..1	CodeableConcept	Value of extension Binding: Recorded Sex Or Gender Type (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.url		1..1	uri	"effectivePeriod"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.url		1..1	uri	"acquisitionDate"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.value[x]		1..1	dateTime	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source		0..1	Extension	The source of the Recorded Sex or Gender value.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.url		1..1	uri	"source"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.url		1..1	uri	"sourceDocument"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueReference			Reference(DocumentReference)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.url		1..1	uri	"sourceField"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.url		1..1	uri	"jurisdiction"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.value[x]		1..1	CodeableConcept	Value of extension Binding: Jurisdiction ValueSet (extensible)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment		0..1	Extension	Context or source information about the recorded sex or gender
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.url		1..1	uri	"comment"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.url		1..1	uri	"genderElementQualifier"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.value[x]		1..1	boolean	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.gender	Σ This element is included in summaries.	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	1..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:recordedSexOrGender.​extension:value.value[x]	Base	example	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📦2.0.0	THO v7.4
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📦1.0.0	THO v7.4
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
recordedSexOrGender-or-gender	error	Patient	If recordedSexOrGender extension is not present, gender shall be valued.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()

Differential View

This structure is derived from PatientEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	PatientEu	Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Patient.Slices for extension.extension:recordedSexOrGender.extension		2..*	Extension	Extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value		1..1	Extension	The recorded sex or gender property for the individual Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type		1..1	Extension	Type of recorded sex or gender. Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
Patient.gender		0..1	code	Administrative gender
Patient.birthDate		1..1	date	The date of birth for the individual
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
recordedSexOrGender-or-gender	error	Patient	If recordedSexOrGender extension is not present, gender shall be valued.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	PatientEu	Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Patient.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.id		0..1	id	Unique id for inter-element referencing
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.Slices for extension.extension:recordedSexOrGender		0..*	(Complex)	A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Patient.Slices for extension.extension:recordedSexOrGender.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value		1..1	Extension	The recorded sex or gender property for the individual Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.url		1..1	uri	"value"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:value.value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type		1..1	Extension	Type of recorded sex or gender. Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.url		1..1	uri	"type"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:type.value[x]		1..1	CodeableConcept	Value of extension Binding: Recorded Sex Or Gender Type (example)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.url		1..1	uri	"effectivePeriod"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:effectivePeriod.value[x]		0..1	Period	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.url		1..1	uri	"acquisitionDate"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:acquisitionDate.value[x]		1..1	dateTime	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source		0..1	Extension	The source of the Recorded Sex or Gender value.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.url		1..1	uri	"source"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:source.value[x].valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.url		1..1	uri	"sourceDocument"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x]		1..1		Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueCodeableConcept			CodeableConcept
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceDocument.value[x].valueReference			Reference(DocumentReference)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.url		1..1	uri	"sourceField"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:sourceField.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.url		1..1	uri	"jurisdiction"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:jurisdiction.value[x]		1..1	CodeableConcept	Value of extension Binding: Jurisdiction ValueSet (extensible)
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment		0..1	Extension	Context or source information about the recorded sex or gender
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.url		1..1	uri	"comment"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:comment.value[x]		1..1	string	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element.
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.url		1..1	uri	"genderElementQualifier"
Patient.Slices for extension.extension:recordedSexOrGender.Slices for extension.extension:genderElementQualifier.value[x]		1..1	boolean	Value of extension
Patient.Slices for extension.extension:recordedSexOrGender.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.identifier	Σ This element is included in summaries.	0..*	Identifier	Patient identifiers
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	Σ This element is included in summaries.	0..*	HumanName	A name associated with the patient
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	Σ This element is included in summaries.	0..1	string	Text representation of the full name.
Patient.name.family	Σ This element is included in summaries.	0..1	string	Family name. Example spanish: Valero Iglesias
Patient.name.given	Σ This element is included in summaries.	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Patient.telecom	Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the patient
Patient.gender	Σ This element is included in summaries.	0..1	code	Administrative gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	1..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	Σ This element is included in summaries.	0..*	AddressEu	An address for the individual
Patient.maritalStatus		0..1	CodeableConcept	Marital status Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo		0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.relationship		0..*	CodeableConcept	Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
Patient.contact.name		0..1	HumanName	Contact name
Patient.contact.telecom		0..*	ContactPoint	Contact details for the person
Patient.contact.address		0..1	AddressEu	Contact person address
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language		1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider.
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.extension:recordedSexOrGender.​extension:value.value[x]	Base	example	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📦2.0.0	THO v7.4
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📦1.0.0	THO v7.4
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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	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()
recordedSexOrGender-or-gender	error	Patient	If recordedSexOrGender extension is not present, gender shall be valued.	extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()

This structure is derived from PatientEu

Summary

Mandatory: 1 element(1 nested mandatory element)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender

Maturity: 0