HL7 Europe Patient Summary
0.0.1-ci - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

Logical Model: SubjectPsEhn - Detailed Descriptions

Draft as of 2024-09-16

Definitions for the Subject logical model.

Guidance on how to interpret the contents of this table can be found here

0. Subject
Definition

Patient or Subject of care. Sections A1.1 and A1.2 of the eHN guideline.

ShortA1.1, A1.2 - Subject of care
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Subject.identification
Definition

A.1.1.1 National healthcare patient ID - Country ID, unique to the patient in that country. Example: ID for Portuguese patient

ShortA.1.1.1 National healthcare patient ID
Control1..1
TypeBackboneElement
4. Subject.identification.identifier
Definition

A.1.1.2 Family name/surname - The family name/surname/last name of the patient. This field can contain more than one element or multiple fields could be present.

ShortA.1.1.2 Family name/surname
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
6. Subject.identification.familyName
Definition

A.1.1.3 Given name� - The given name/first name of the patient (also known as forename or first name). This field can contain more than one element.��

ShortA.1.1.3 Given name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. Subject.identification.givenName
Definition

A.1.1.4 Date of birth� - The date of birth of the patient [ISO TS 22220]. As age of the patient might be important for correct interpretation of the test result values, complete date of birth should be provided. - Preferred system(s): Complete date, without time, following the ISO 8601�

ShortA.1.1.4 Date of birth
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. Subject.identification.dateOfBirth
Definition

A.1.1.5 Gender - This field must contain a recognised valid value for ""administrative gender"". If different, ""physiological gender"" should be communicated elsewhere. - Preferred system(s): HL7 Administrative Gender�

ShortA.1.1.5 Gender
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Subject.identification.gender
Definition

A.1.1.5 Country of affiliation - Name of country of affiliation - Preferred system(s): ISO 3166

ShortA.1.1.5 Country of affiliation
Control0..1
TypeCodeableConcept
14. Subject.identification.countryOfAffiliation
Definition

A.1.2.1 Patient address - Patient address

ShortA.1.2.1 Patient address
Control0..1
TypeCodeableConcept
16. Subject.telcomContact
Definition

Address

ShortAddress
Control0..*
TypeBackboneElement
18. Subject.telcomContact.address
Definition

A.1.2.1.1 Street - Example: Rua dos Campe�es

ShortA.1.2.1.1 Street
Control0..*
TypeBackboneElement
20. Subject.telcomContact.address.street
Definition

A.1.2.1.2 House number - Example: 246

ShortA.1.2.1.2 House number
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. Subject.telcomContact.address.houseNumber
Definition

A.1.2.1.3 City - Example: Porto

ShortA.1.2.1.3 City
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. Subject.telcomContact.address.city
Definition

A.1.2.1.4 Post code - Example: 4500

ShortA.1.2.1.4 Post code
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. Subject.telcomContact.address.postalCode
Definition

A.1.2.1.5 State or province - Example: Vila Nova de Gaia

ShortA.1.2.1.5 State or province
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. Subject.telcomContact.address.stateOrProvince
Definition

A.1.2.1.6 Country - Example: PT - Preferred system(s): ISO 3166

ShortA.1.2.1.6 Country
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. Subject.telcomContact.address.country
Definition

A.1.2.1.7 Telephone no. - Example: +351 20 7025 6161

ShortA.1.2.1.7 Telephone no.
Control0..1
TypeCodeableConcept
32. Subject.telcomContact.telephone
Definition

A.1.2.1.8 Email - Example: jens@bigsmile.eu

ShortA.1.2.1.8 Email
Control0..*
TypeContactPoint
34. Subject.telcomContact.email
Definition

A.1.2.2 Preferred HP to contact - This section can be repeated and linked to any specific information in the Patient Summary, for example a link between a rare disease problem (A.2.3.1) and the rare disease specialist responsible for the care of the individual patient (this section).

ShortA.1.2.2 Preferred HP to contact
Control0..*
TypeContactPoint
36. Subject.hpToContact
Definition

A.1.2.2.1 Name of the HP - Name of the Health Professional that has been treating or taking responsibility for the patient.

ShortA.1.2.2.1 Name of the HP
Control0..*
TypeBackboneElement
38. Subject.hpToContact.name
Definition

A.1.2.2.2 Role of the HP - Health professional role

ShortA.1.2.2.2 Role of the HP
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. Subject.hpToContact.role
Definition

A.1.2.2.3 HP Organisation - Health professional organisation

ShortA.1.2.2.3 HP Organisation
Control0..*
TypeCodeableConcept
42. Subject.hpToContact.organization
Definition

A.1.2.2.4 Telephone no. - Example: +45 20 7025 6161

ShortA.1.2.2.4 Telephone no.
Control0..*
TypeBackboneElement
44. Subject.hpToContact.telephone
Definition

A.1.2.2.5 Email - Email of the HP/legal organisation

ShortA.1.2.2.5 Email
Control0..*
TypeContactPoint
46. Subject.hpToContact.email
Definition

A.1.2.2.6 Network affiliation - The HP organization is affiliated with a European network, for example an ERN.

ShortA.1.2.2.6 Network affiliation
Control0..*
TypeContactPoint
48. Subject.hpToContact.affiliatedNetwork
Definition

A.1.2.2.7 Related with - Identify the entry or entries of this Patient Summary for which the health professional is the preferred contact.

ShortA.1.2.2.7 Related with
Control0..*
TypeBackboneElement
50. Subject.hpToContact.relatedWith
Definition

A.1.2.3 Contact person/ legal guardian - Role of the contact person: legal guardian, next of kin, other person to contact - Preferred system(s): HL7 RoleClass

ShortA.1.2.3 Contact person/ legal guardian
Control0..*
TypeReference
52. Subject.contactPerson
Definition

A.1.2.3.1 Role of that person - Relationship type with the patient (e.g. father, wife, daughter) HL7 RoleCode

ShortA.1.2.3.1 Role of that person
Control0..*
TypeBackboneElement
54. Subject.contactPerson.role
Definition

A.1.2.3.2 Relationship level - The first name of the contact person/guardian (Example: Peter). This field can contain more than one element.

ShortA.1.2.3.2 Relationship level
Control0..*
TypeCodeableConcept
56. Subject.contactPerson.relationship
Definition

A.1.2.3.3 Given name - The first name of the contact person/guardian (Example: Peter). This field can contain more than one element.

ShortA.1.2.3.3 Given name
Control0..*
TypeCodeableConcept
58. Subject.contactPerson.givenName
Definition

A.1.2.3.4 Family name/surname - This field can contain more than one element. Example: Espa�ol Smith

ShortA.1.2.3.4 Family name/surname
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. Subject.contactPerson.familyName
Definition

A.1.2.3.5 Telephone no. - Example: +45 20 7025 6161

ShortA.1.2.3.5 Telephone no.
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
62. Subject.contactPerson.telephone
Definition

A.1.2.3.6 Email - Email of the contact person/legal guardian

ShortA.1.2.3.6 Email
Control0..*
TypeContactPoint

Guidance on how to interpret the contents of this table can be found here

0. Subject
Definition

Patient or Subject of care. Sections A1.1 and A1.2 of the eHN guideline.

ShortA1.1, A1.2 - Subject of care
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Subject.identification
Definition

A.1.1.1 National healthcare patient ID - Country ID, unique to the patient in that country. Example: ID for Portuguese patient

ShortA.1.1.1 National healthcare patient ID
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Subject.identification.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Subject.identification.identifier
Definition

A.1.1.2 Family name/surname - The family name/surname/last name of the patient. This field can contain more than one element or multiple fields could be present.

ShortA.1.1.2 Family name/surname
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
8. Subject.identification.familyName
Definition

A.1.1.3 Given name� - The given name/first name of the patient (also known as forename or first name). This field can contain more than one element.��

ShortA.1.1.3 Given name
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. Subject.identification.givenName
Definition

A.1.1.4 Date of birth� - The date of birth of the patient [ISO TS 22220]. As age of the patient might be important for correct interpretation of the test result values, complete date of birth should be provided. - Preferred system(s): Complete date, without time, following the ISO 8601�

ShortA.1.1.4 Date of birth
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Subject.identification.dateOfBirth
Definition

A.1.1.5 Gender - This field must contain a recognised valid value for ""administrative gender"". If different, ""physiological gender"" should be communicated elsewhere. - Preferred system(s): HL7 Administrative Gender�

ShortA.1.1.5 Gender
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. Subject.identification.gender
Definition

A.1.1.5 Country of affiliation - Name of country of affiliation - Preferred system(s): ISO 3166

ShortA.1.1.5 Country of affiliation
Control0..1
TypeCodeableConcept
16. Subject.identification.countryOfAffiliation
Definition

A.1.2.1 Patient address - Patient address

ShortA.1.2.1 Patient address
Control0..1
TypeCodeableConcept
18. Subject.telcomContact
Definition

Address

ShortAddress
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Subject.telcomContact.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. Subject.telcomContact.address
Definition

A.1.2.1.1 Street - Example: Rua dos Campe�es

ShortA.1.2.1.1 Street
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Subject.telcomContact.address.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. Subject.telcomContact.address.street
Definition

A.1.2.1.2 House number - Example: 246

ShortA.1.2.1.2 House number
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. Subject.telcomContact.address.houseNumber
Definition

A.1.2.1.3 City - Example: Porto

ShortA.1.2.1.3 City
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. Subject.telcomContact.address.city
Definition

A.1.2.1.4 Post code - Example: 4500

ShortA.1.2.1.4 Post code
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. Subject.telcomContact.address.postalCode
Definition

A.1.2.1.5 State or province - Example: Vila Nova de Gaia

ShortA.1.2.1.5 State or province
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. Subject.telcomContact.address.stateOrProvince
Definition

A.1.2.1.6 Country - Example: PT - Preferred system(s): ISO 3166

ShortA.1.2.1.6 Country
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. Subject.telcomContact.address.country
Definition

A.1.2.1.7 Telephone no. - Example: +351 20 7025 6161

ShortA.1.2.1.7 Telephone no.
Control0..1
TypeCodeableConcept
38. Subject.telcomContact.telephone
Definition

A.1.2.1.8 Email - Example: jens@bigsmile.eu

ShortA.1.2.1.8 Email
Control0..*
TypeContactPoint
40. Subject.telcomContact.email
Definition

A.1.2.2 Preferred HP to contact - This section can be repeated and linked to any specific information in the Patient Summary, for example a link between a rare disease problem (A.2.3.1) and the rare disease specialist responsible for the care of the individual patient (this section).

ShortA.1.2.2 Preferred HP to contact
Control0..*
TypeContactPoint
42. Subject.hpToContact
Definition

A.1.2.2.1 Name of the HP - Name of the Health Professional that has been treating or taking responsibility for the patient.

ShortA.1.2.2.1 Name of the HP
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Subject.hpToContact.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
46. Subject.hpToContact.name
Definition

A.1.2.2.2 Role of the HP - Health professional role

ShortA.1.2.2.2 Role of the HP
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. Subject.hpToContact.role
Definition

A.1.2.2.3 HP Organisation - Health professional organisation

ShortA.1.2.2.3 HP Organisation
Control0..*
TypeCodeableConcept
50. Subject.hpToContact.organization
Definition

A.1.2.2.4 Telephone no. - Example: +45 20 7025 6161

ShortA.1.2.2.4 Telephone no.
Control0..*
TypeBackboneElement
52. Subject.hpToContact.telephone
Definition

A.1.2.2.5 Email - Email of the HP/legal organisation

ShortA.1.2.2.5 Email
Control0..*
TypeContactPoint
54. Subject.hpToContact.email
Definition

A.1.2.2.6 Network affiliation - The HP organization is affiliated with a European network, for example an ERN.

ShortA.1.2.2.6 Network affiliation
Control0..*
TypeContactPoint
56. Subject.hpToContact.affiliatedNetwork
Definition

A.1.2.2.7 Related with - Identify the entry or entries of this Patient Summary for which the health professional is the preferred contact.

ShortA.1.2.2.7 Related with
Control0..*
TypeBackboneElement
58. Subject.hpToContact.relatedWith
Definition

A.1.2.3 Contact person/ legal guardian - Role of the contact person: legal guardian, next of kin, other person to contact - Preferred system(s): HL7 RoleClass

ShortA.1.2.3 Contact person/ legal guardian
Control0..*
TypeReference
60. Subject.contactPerson
Definition

A.1.2.3.1 Role of that person - Relationship type with the patient (e.g. father, wife, daughter) HL7 RoleCode

ShortA.1.2.3.1 Role of that person
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Subject.contactPerson.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. Subject.contactPerson.role
Definition

A.1.2.3.2 Relationship level - The first name of the contact person/guardian (Example: Peter). This field can contain more than one element.

ShortA.1.2.3.2 Relationship level
Control0..*
TypeCodeableConcept
66. Subject.contactPerson.relationship
Definition

A.1.2.3.3 Given name - The first name of the contact person/guardian (Example: Peter). This field can contain more than one element.

ShortA.1.2.3.3 Given name
Control0..*
TypeCodeableConcept
68. Subject.contactPerson.givenName
Definition

A.1.2.3.4 Family name/surname - This field can contain more than one element. Example: Espa�ol Smith

ShortA.1.2.3.4 Family name/surname
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
70. Subject.contactPerson.familyName
Definition

A.1.2.3.5 Telephone no. - Example: +45 20 7025 6161

ShortA.1.2.3.5 Telephone no.
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
72. Subject.contactPerson.telephone
Definition

A.1.2.3.6 Email - Email of the contact person/legal guardian

ShortA.1.2.3.6 Email
Control0..*
TypeContactPoint

Guidance on how to interpret the contents of this table can be found here

0. Subject
Definition

Patient or Subject of care. Sections A1.1 and A1.2 of the eHN guideline.

ShortA1.1, A1.2 - Subject of care
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Subject.identification
Definition

A.1.1.1 National healthcare patient ID - Country ID, unique to the patient in that country. Example: ID for Portuguese patient

ShortA.1.1.1 National healthcare patient ID
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Subject.identification.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. Subject.identification.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Subject.identification.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Subject.identification.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Subject.identification.identifier
    Definition

    A.1.1.2 Family name/surname - The family name/surname/last name of the patient. This field can contain more than one element or multiple fields could be present.

    ShortA.1.1.2 Family name/surname
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    12. Subject.identification.familyName
    Definition

    A.1.1.3 Given name� - The given name/first name of the patient (also known as forename or first name). This field can contain more than one element.��

    ShortA.1.1.3 Given name
    Control0..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    14. Subject.identification.givenName
    Definition

    A.1.1.4 Date of birth� - The date of birth of the patient [ISO TS 22220]. As age of the patient might be important for correct interpretation of the test result values, complete date of birth should be provided. - Preferred system(s): Complete date, without time, following the ISO 8601�

    ShortA.1.1.4 Date of birth
    Control0..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. Subject.identification.dateOfBirth
    Definition

    A.1.1.5 Gender - This field must contain a recognised valid value for ""administrative gender"". If different, ""physiological gender"" should be communicated elsewhere. - Preferred system(s): HL7 Administrative Gender�

    ShortA.1.1.5 Gender
    Control0..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    18. Subject.identification.gender
    Definition

    A.1.1.5 Country of affiliation - Name of country of affiliation - Preferred system(s): ISO 3166

    ShortA.1.1.5 Country of affiliation
    Control0..1
    TypeCodeableConcept
    20. Subject.identification.countryOfAffiliation
    Definition

    A.1.2.1 Patient address - Patient address

    ShortA.1.2.1 Patient address
    Control0..1
    TypeCodeableConcept
    22. Subject.telcomContact
    Definition

    Address

    ShortAddress
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Subject.telcomContact.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    26. Subject.telcomContact.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Subject.telcomContact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 28. Subject.telcomContact.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      30. Subject.telcomContact.address
      Definition

      A.1.2.1.1 Street - Example: Rua dos Campe�es

      ShortA.1.2.1.1 Street
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Subject.telcomContact.address.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      34. Subject.telcomContact.address.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Subject.telcomContact.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 36. Subject.telcomContact.address.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        38. Subject.telcomContact.address.street
        Definition

        A.1.2.1.2 House number - Example: 246

        ShortA.1.2.1.2 House number
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        40. Subject.telcomContact.address.houseNumber
        Definition

        A.1.2.1.3 City - Example: Porto

        ShortA.1.2.1.3 City
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        42. Subject.telcomContact.address.city
        Definition

        A.1.2.1.4 Post code - Example: 4500

        ShortA.1.2.1.4 Post code
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        44. Subject.telcomContact.address.postalCode
        Definition

        A.1.2.1.5 State or province - Example: Vila Nova de Gaia

        ShortA.1.2.1.5 State or province
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        46. Subject.telcomContact.address.stateOrProvince
        Definition

        A.1.2.1.6 Country - Example: PT - Preferred system(s): ISO 3166

        ShortA.1.2.1.6 Country
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        48. Subject.telcomContact.address.country
        Definition

        A.1.2.1.7 Telephone no. - Example: +351 20 7025 6161

        ShortA.1.2.1.7 Telephone no.
        Control0..1
        TypeCodeableConcept
        50. Subject.telcomContact.telephone
        Definition

        A.1.2.1.8 Email - Example: jens@bigsmile.eu

        ShortA.1.2.1.8 Email
        Control0..*
        TypeContactPoint
        52. Subject.telcomContact.email
        Definition

        A.1.2.2 Preferred HP to contact - This section can be repeated and linked to any specific information in the Patient Summary, for example a link between a rare disease problem (A.2.3.1) and the rare disease specialist responsible for the care of the individual patient (this section).

        ShortA.1.2.2 Preferred HP to contact
        Control0..*
        TypeContactPoint
        54. Subject.hpToContact
        Definition

        A.1.2.2.1 Name of the HP - Name of the Health Professional that has been treating or taking responsibility for the patient.

        ShortA.1.2.2.1 Name of the HP
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. Subject.hpToContact.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        58. Subject.hpToContact.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Subject.hpToContact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 60. Subject.hpToContact.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          62. Subject.hpToContact.name
          Definition

          A.1.2.2.2 Role of the HP - Health professional role

          ShortA.1.2.2.2 Role of the HP
          Control0..*
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          64. Subject.hpToContact.role
          Definition

          A.1.2.2.3 HP Organisation - Health professional organisation

          ShortA.1.2.2.3 HP Organisation
          Control0..*
          TypeCodeableConcept
          66. Subject.hpToContact.organization
          Definition

          A.1.2.2.4 Telephone no. - Example: +45 20 7025 6161

          ShortA.1.2.2.4 Telephone no.
          Control0..*
          TypeBackboneElement
          68. Subject.hpToContact.telephone
          Definition

          A.1.2.2.5 Email - Email of the HP/legal organisation

          ShortA.1.2.2.5 Email
          Control0..*
          TypeContactPoint
          70. Subject.hpToContact.email
          Definition

          A.1.2.2.6 Network affiliation - The HP organization is affiliated with a European network, for example an ERN.

          ShortA.1.2.2.6 Network affiliation
          Control0..*
          TypeContactPoint
          72. Subject.hpToContact.affiliatedNetwork
          Definition

          A.1.2.2.7 Related with - Identify the entry or entries of this Patient Summary for which the health professional is the preferred contact.

          ShortA.1.2.2.7 Related with
          Control0..*
          TypeBackboneElement
          74. Subject.hpToContact.relatedWith
          Definition

          A.1.2.3 Contact person/ legal guardian - Role of the contact person: legal guardian, next of kin, other person to contact - Preferred system(s): HL7 RoleClass

          ShortA.1.2.3 Contact person/ legal guardian
          Control0..*
          TypeReference
          76. Subject.contactPerson
          Definition

          A.1.2.3.1 Role of that person - Relationship type with the patient (e.g. father, wife, daughter) HL7 RoleCode

          ShortA.1.2.3.1 Role of that person
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. Subject.contactPerson.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          80. Subject.contactPerson.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Subject.contactPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 82. Subject.contactPerson.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            84. Subject.contactPerson.role
            Definition

            A.1.2.3.2 Relationship level - The first name of the contact person/guardian (Example: Peter). This field can contain more than one element.

            ShortA.1.2.3.2 Relationship level
            Control0..*
            TypeCodeableConcept
            86. Subject.contactPerson.relationship
            Definition

            A.1.2.3.3 Given name - The first name of the contact person/guardian (Example: Peter). This field can contain more than one element.

            ShortA.1.2.3.3 Given name
            Control0..*
            TypeCodeableConcept
            88. Subject.contactPerson.givenName
            Definition

            A.1.2.3.4 Family name/surname - This field can contain more than one element. Example: Espa�ol Smith

            ShortA.1.2.3.4 Family name/surname
            Control0..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            90. Subject.contactPerson.familyName
            Definition

            A.1.2.3.5 Telephone no. - Example: +45 20 7025 6161

            ShortA.1.2.3.5 Telephone no.
            Control0..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            92. Subject.contactPerson.telephone
            Definition

            A.1.2.3.6 Email - Email of the contact person/legal guardian

            ShortA.1.2.3.6 Email
            Control0..*
            TypeContactPoint