HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build 150

HL7 Europe Hospital Discharge Report, 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/hdr/ and changes regularly. See the Directory of published versions

Logical Model: SubjectHdrEhn - Detailed Descriptions

Draft as of 2024-11-06

Definitions for the Subject logical model.

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

0. Subject
Definition

Hospital Discharge Report - Hospital Discharge Report subject data element - A.1.1 and A.1.2 eHN

ShortA.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Subject.subjectIdentification
Definition

Identification of the patient/subject

ShortA.1.1 - Identification of the patient/subject
Control1..1
TypeBackboneElement
4. Subject.subjectIdentification.given
Definition

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

ShortA.1.1.1 - Given name
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. Subject.subjectIdentification.family
Definition

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
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. Subject.subjectIdentification.birthDate
Definition

Complete date, following the ISO 8601.

ShortA.1.1.3 - Date of birth
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. Subject.subjectIdentification.identifier
Definition

An identifier of the patient that is unique within a defined scope. Example: National ID (birth number) for a Czech patient. Multiple identifiers could be provided

ShortA.1.1.4 - National healthcare patient ID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
12. Subject.subjectIdentification.nationality
Definition

Nationality of the patient.

ShortA.1.1.5 - Nationality
Control0..*
TypeCodeableConcept
14. Subject.subjectIdentification.gender
Definition

This field must contain a recognised valid value for "administrative gender". If different, "physiological gender" should be communicated elsewhere in the relevant clinical information section.

ShortA.1.1.6 - Gender
Control1..1
TypeCodeableConcept
16. Subject.subjectIdentification.countryOfAffiliation
Definition

Name of country of affiliation

ShortA.1.1.7 - Country of affiliation
Control0..1
TypeCodeableConcept
18. Subject.subjectContact
Definition

Patient/subject related contact information

ShortA.1.2 - Patient/subject related contact information
Control0..1
TypeBackboneElement
20. Subject.subjectContact.personalContact
Definition

Patient address

ShortA.1.2.1 - Patient address
Control0..1
TypeBackboneElement
22. Subject.subjectContact.personalContact.address
Definition

Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

ShortA.1.2.1.1 - Address
Control0..*
TypeAddress
24. Subject.subjectContact.personalContact.telecom
Definition

Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

ShortA.1.2.1.2 - Telecom
Control0..*
TypeContactPoint
26. Subject.subjectContact.preferredHP
Definition

Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).

ShortA.1.2.2 - Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).
Control0..*
TypeBackboneElement
28. Subject.subjectContact.preferredHP.identifier
Definition

An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.

ShortA.1.2.2.1 - Identifier of the HP
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
30. Subject.subjectContact.preferredHP.name
Definition

Name of the health professional that has been treating or taking responsibility for the patient.[the structure of the name will be the same as for the patient (given name, family name / surname)]

ShortA.1.2.2.2 - Name of the HP
Control1..1
TypeHumanName
32. Subject.subjectContact.preferredHP.role
Definition

Health professional role. Multiple roles could be provided.

ShortA.1.2.2.3 - Role of the HP
Control0..*
TypeCodeableConcept
34. Subject.subjectContact.preferredHP.organization
Definition

Health professional organisation

ShortA.1.2.2.4 - HP Organisation
Control0..1
TypeBackboneElement
36. Subject.subjectContact.preferredHP.address
Definition

Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

ShortA.1.2.2.5 - Address
Control0..1
TypeAddress
38. Subject.subjectContact.preferredHP.telecom
Definition

Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

ShortA.1.2.2.6 - Telecom
Control0..*
TypeContactPoint
40. Subject.subjectContact.contactPerson
Definition

Contact person/ legal guardian (multiple contacts could be provided)

ShortA.1.2.3 - Contact person/ legal guardian (multiple contacts could be provided)
Control0..*
TypeBackboneElement
42. Subject.subjectContact.contactPerson.role
Definition

Role of the contact person: legal guardian, next of kin, other person to contact.

ShortA.1.2.3.1 - Role of that person
Control0..*
TypeCodeableConcept
44. Subject.subjectContact.contactPerson.relationship
Definition

Relationship type with the patient (e.g. father, wife, daughter)

ShortA.1.2.3.2 - Relationship level
Control0..1
TypeCodeableConcept
46. Subject.subjectContact.contactPerson.given
Definition

Given name of the contact person/guardian . This field can contain more than one element.

ShortA.1.2.3.4 - Given name
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. Subject.subjectContact.contactPerson.family
Definition

Family name of the contact person. This field can contain more than one element [the structure of the name will be the same as for the patient (given name, family name / surname)]..

ShortA.1.2.3.5 - Family name/surname
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. Subject.subjectContact.contactPerson.address
Definition

Mailing, home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

ShortA.1.2.3.6 - Address
Control0..*
TypeAddress
52. Subject.subjectContact.contactPerson.telecom
Definition

Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

ShortA.1.2.3.7 - Telecom
Control0..*
TypeContactPoint
54. Subject.subjectContact.contactPerson.organization
Definition

Contact person organisation information.

ShortA.1.2.3.8 - Contact person organisation
Control0..1
TypeBackboneElement

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

0. Subject
Definition

Hospital Discharge Report - Hospital Discharge Report subject data element - A.1.1 and A.1.2 eHN

ShortA.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Subject.subjectIdentification
Definition

Identification of the patient/subject

ShortA.1.1 - Identification of the patient/subject
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Subject.subjectIdentification.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.subjectIdentification.given
Definition

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

ShortA.1.1.1 - Given name
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. Subject.subjectIdentification.family
Definition

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
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. Subject.subjectIdentification.birthDate
Definition

Complete date, following the ISO 8601.

ShortA.1.1.3 - Date of birth
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Subject.subjectIdentification.identifier
Definition

An identifier of the patient that is unique within a defined scope. Example: National ID (birth number) for a Czech patient. Multiple identifiers could be provided

ShortA.1.1.4 - National healthcare patient ID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
14. Subject.subjectIdentification.nationality
Definition

Nationality of the patient.

ShortA.1.1.5 - Nationality
Control0..*
TypeCodeableConcept
16. Subject.subjectIdentification.gender
Definition

This field must contain a recognised valid value for "administrative gender". If different, "physiological gender" should be communicated elsewhere in the relevant clinical information section.

ShortA.1.1.6 - Gender
Control1..1
TypeCodeableConcept
18. Subject.subjectIdentification.countryOfAffiliation
Definition

Name of country of affiliation

ShortA.1.1.7 - Country of affiliation
Control0..1
TypeCodeableConcept
20. Subject.subjectContact
Definition

Patient/subject related contact information

ShortA.1.2 - Patient/subject related contact information
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Subject.subjectContact.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())
24. Subject.subjectContact.personalContact
Definition

Patient address

ShortA.1.2.1 - Patient address
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Subject.subjectContact.personalContact.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())
28. Subject.subjectContact.personalContact.address
Definition

Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

ShortA.1.2.1.1 - Address
Control0..*
TypeAddress
30. Subject.subjectContact.personalContact.telecom
Definition

Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

ShortA.1.2.1.2 - Telecom
Control0..*
TypeContactPoint
32. Subject.subjectContact.preferredHP
Definition

Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).

ShortA.1.2.2 - Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Subject.subjectContact.preferredHP.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())
36. Subject.subjectContact.preferredHP.identifier
Definition

An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.

ShortA.1.2.2.1 - Identifier of the HP
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
38. Subject.subjectContact.preferredHP.name
Definition

Name of the health professional that has been treating or taking responsibility for the patient.[the structure of the name will be the same as for the patient (given name, family name / surname)]

ShortA.1.2.2.2 - Name of the HP
Control1..1
TypeHumanName
40. Subject.subjectContact.preferredHP.role
Definition

Health professional role. Multiple roles could be provided.

ShortA.1.2.2.3 - Role of the HP
Control0..*
TypeCodeableConcept
42. Subject.subjectContact.preferredHP.organization
Definition

Health professional organisation

ShortA.1.2.2.4 - HP Organisation
Control0..1
TypeBackboneElement
44. Subject.subjectContact.preferredHP.address
Definition

Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

ShortA.1.2.2.5 - Address
Control0..1
TypeAddress
46. Subject.subjectContact.preferredHP.telecom
Definition

Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

ShortA.1.2.2.6 - Telecom
Control0..*
TypeContactPoint
48. Subject.subjectContact.contactPerson
Definition

Contact person/ legal guardian (multiple contacts could be provided)

ShortA.1.2.3 - Contact person/ legal guardian (multiple contacts could be provided)
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Subject.subjectContact.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())
52. Subject.subjectContact.contactPerson.role
Definition

Role of the contact person: legal guardian, next of kin, other person to contact.

ShortA.1.2.3.1 - Role of that person
Control0..*
TypeCodeableConcept
54. Subject.subjectContact.contactPerson.relationship
Definition

Relationship type with the patient (e.g. father, wife, daughter)

ShortA.1.2.3.2 - Relationship level
Control0..1
TypeCodeableConcept
56. Subject.subjectContact.contactPerson.given
Definition

Given name of the contact person/guardian . This field can contain more than one element.

ShortA.1.2.3.4 - Given name
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. Subject.subjectContact.contactPerson.family
Definition

Family name of the contact person. This field can contain more than one element [the structure of the name will be the same as for the patient (given name, family name / surname)]..

ShortA.1.2.3.5 - Family name/surname
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. Subject.subjectContact.contactPerson.address
Definition

Mailing, home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

ShortA.1.2.3.6 - Address
Control0..*
TypeAddress
62. Subject.subjectContact.contactPerson.telecom
Definition

Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

ShortA.1.2.3.7 - Telecom
Control0..*
TypeContactPoint
64. Subject.subjectContact.contactPerson.organization
Definition

Contact person organisation information.

ShortA.1.2.3.8 - Contact person organisation
Control0..1
TypeBackboneElement

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

0. Subject
Definition

Hospital Discharge Report - Hospital Discharge Report subject data element - A.1.1 and A.1.2 eHN

ShortA.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Subject.subjectIdentification
Definition

Identification of the patient/subject

ShortA.1.1 - Identification of the patient/subject
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Subject.subjectIdentification.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.subjectIdentification.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.subjectIdentification.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Subject.subjectIdentification.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.subjectIdentification.given
    Definition

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

    ShortA.1.1.1 - Given name
    Control1..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. Subject.subjectIdentification.family
    Definition

    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
    Control1..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    14. Subject.subjectIdentification.birthDate
    Definition

    Complete date, following the ISO 8601.

    ShortA.1.1.3 - Date of birth
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. Subject.subjectIdentification.identifier
    Definition

    An identifier of the patient that is unique within a defined scope. Example: National ID (birth number) for a Czech patient. Multiple identifiers could be provided

    ShortA.1.1.4 - National healthcare patient ID
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..*
    TypeIdentifier
    18. Subject.subjectIdentification.nationality
    Definition

    Nationality of the patient.

    ShortA.1.1.5 - Nationality
    Control0..*
    TypeCodeableConcept
    20. Subject.subjectIdentification.gender
    Definition

    This field must contain a recognised valid value for "administrative gender". If different, "physiological gender" should be communicated elsewhere in the relevant clinical information section.

    ShortA.1.1.6 - Gender
    Control1..1
    TypeCodeableConcept
    22. Subject.subjectIdentification.countryOfAffiliation
    Definition

    Name of country of affiliation

    ShortA.1.1.7 - Country of affiliation
    Control0..1
    TypeCodeableConcept
    24. Subject.subjectContact
    Definition

    Patient/subject related contact information

    ShortA.1.2 - Patient/subject related contact information
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Subject.subjectContact.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
    28. Subject.subjectContact.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.subjectContact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 30. Subject.subjectContact.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())
      32. Subject.subjectContact.personalContact
      Definition

      Patient address

      ShortA.1.2.1 - Patient address
      Control0..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Subject.subjectContact.personalContact.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
      36. Subject.subjectContact.personalContact.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.subjectContact.personalContact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 38. Subject.subjectContact.personalContact.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())
        40. Subject.subjectContact.personalContact.address
        Definition

        Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

        ShortA.1.2.1.1 - Address
        Control0..*
        TypeAddress
        42. Subject.subjectContact.personalContact.telecom
        Definition

        Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

        ShortA.1.2.1.2 - Telecom
        Control0..*
        TypeContactPoint
        44. Subject.subjectContact.preferredHP
        Definition

        Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).

        ShortA.1.2.2 - Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Subject.subjectContact.preferredHP.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
        48. Subject.subjectContact.preferredHP.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.subjectContact.preferredHP.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 50. Subject.subjectContact.preferredHP.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())
          52. Subject.subjectContact.preferredHP.identifier
          Definition

          An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.

          ShortA.1.2.2.1 - Identifier of the HP
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          54. Subject.subjectContact.preferredHP.name
          Definition

          Name of the health professional that has been treating or taking responsibility for the patient.[the structure of the name will be the same as for the patient (given name, family name / surname)]

          ShortA.1.2.2.2 - Name of the HP
          Control1..1
          TypeHumanName
          56. Subject.subjectContact.preferredHP.role
          Definition

          Health professional role. Multiple roles could be provided.

          ShortA.1.2.2.3 - Role of the HP
          Control0..*
          TypeCodeableConcept
          58. Subject.subjectContact.preferredHP.organization
          Definition

          Health professional organisation

          ShortA.1.2.2.4 - HP Organisation
          Control0..1
          TypeBackboneElement
          60. Subject.subjectContact.preferredHP.address
          Definition

          Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

          ShortA.1.2.2.5 - Address
          Control0..1
          TypeAddress
          62. Subject.subjectContact.preferredHP.telecom
          Definition

          Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

          ShortA.1.2.2.6 - Telecom
          Control0..*
          TypeContactPoint
          64. Subject.subjectContact.contactPerson
          Definition

          Contact person/ legal guardian (multiple contacts could be provided)

          ShortA.1.2.3 - Contact person/ legal guardian (multiple contacts could be provided)
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. Subject.subjectContact.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
          68. Subject.subjectContact.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.subjectContact.contactPerson.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 70. Subject.subjectContact.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())
            72. Subject.subjectContact.contactPerson.role
            Definition

            Role of the contact person: legal guardian, next of kin, other person to contact.

            ShortA.1.2.3.1 - Role of that person
            Control0..*
            TypeCodeableConcept
            74. Subject.subjectContact.contactPerson.relationship
            Definition

            Relationship type with the patient (e.g. father, wife, daughter)

            ShortA.1.2.3.2 - Relationship level
            Control0..1
            TypeCodeableConcept
            76. Subject.subjectContact.contactPerson.given
            Definition

            Given name of the contact person/guardian . This field can contain more than one element.

            ShortA.1.2.3.4 - Given name
            Control1..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            78. Subject.subjectContact.contactPerson.family
            Definition

            Family name of the contact person. This field can contain more than one element [the structure of the name will be the same as for the patient (given name, family name / surname)]..

            ShortA.1.2.3.5 - Family name/surname
            Control1..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            80. Subject.subjectContact.contactPerson.address
            Definition

            Mailing, home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

            ShortA.1.2.3.6 - Address
            Control0..*
            TypeAddress
            82. Subject.subjectContact.contactPerson.telecom
            Definition

            Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

            ShortA.1.2.3.7 - Telecom
            Control0..*
            TypeContactPoint
            84. Subject.subjectContact.contactPerson.organization
            Definition

            Contact person organisation information.

            ShortA.1.2.3.8 - Contact person organisation
            Control0..1
            TypeBackboneElement