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

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

Resource Profile: Patient (HDR)

This profile defines how to represent a human Patient in HL7 FHIR for the purpose of this guide. When the ips-pat-1 invariant is satisfied (Patient.name.given, Patient.name.family or Patient.name.text SHALL be present) then this profile complies with the IPS patient profile.

Usage:

• Use this Resource Profile: Bundle (HDR)
• Refer to this Resource Profile: Allergy Intolerance (EU PS), Composition (HDR), Encounter (HDR) and Flag (EU PS)

Formal Views of Profile Content

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

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient			Patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
value[x]		1..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
identifier		0..*	Identifier	Patient identifiers
name	C	1..*	HumanNameEu	Name of a human - parts and usage eu-pat-1: given, family, text or a data-absent-reason extension SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Reason for not providing the name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
text		0..1	string	Text representation of the full name.
family		0..1	string	Family name Example spanish: Valero Iglesias
given		0..*	string	Given names. Includes middle names
telecom		0..*	ContactPoint	A contact detail for the patient
gender		0..1	code	Administrative Gender
birthDate		1..1	date	The date of birth for the individual
address		0..*	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
contact
relationship		0..*	CodeableConceptIPS(2.0.0)	Relationship between a patient and a contact person for that patient
address		0..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated care provider
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Patient identifiers
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	C	1..*	HumanNameEu	Name of a human - parts and usage eu-pat-1: given, family, text or a data-absent-reason extension SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Reason for not providing the name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	Σ	0..1	string	Family name Example spanish name: Valero Iglesias Example spanish: Valero Iglesias
Slices for extension				Content/Rules for all slices
fathersFamily		0..*	string	Portion of family name derived from father URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family Example spanish name: Valero
mothersFamily		0..*	string	Portion of family name derived from mother URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family Example spanish name: Iglesias
given	Σ	0..*	string	Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Example spanish name: Borja
telecom	Σ	0..*	ContactPoint	A contact detail for the patient
gender	Σ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated care provider
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Patient identifiers
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	C	1..*	HumanNameEu	Name of a human - parts and usage eu-pat-1: given, family, text or a data-absent-reason extension SHALL be present
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
name-absent-reason		0..*	code	Reason for not providing the name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	Σ	0..1	string	Family name Example spanish name: Valero Iglesias Example spanish: Valero Iglesias
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
fathersFamily		0..*	string	Portion of family name derived from father URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family Example spanish name: Valero
mothersFamily		0..*	string	Portion of family name derived from mother URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family Example spanish name: Iglesias
value		0..1	string	Primitive value for string Max Length: 1048576
given	Σ	0..*	string	Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Example spanish name: Borja
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the patient
gender	Σ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConceptIPS(2.0.0)	Relationship between a patient and a contact person for that patient Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Address (EU) (http://hl7.eu/fhir/laboratory/StructureDefinition/Address-eu)
• HumanName (Eu) (http://hl7.eu/fhir/laboratory/StructureDefinition/HumanName-eu)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.org/fhir/StructureDefinition/patient-nationality
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Maturity: 1

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient			Patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
value[x]		1..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
identifier		0..*	Identifier	Patient identifiers
name	C	1..*	HumanNameEu	Name of a human - parts and usage eu-pat-1: given, family, text or a data-absent-reason extension SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Reason for not providing the name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
text		0..1	string	Text representation of the full name.
family		0..1	string	Family name Example spanish: Valero Iglesias
given		0..*	string	Given names. Includes middle names
telecom		0..*	ContactPoint	A contact detail for the patient
gender		0..1	code	Administrative Gender
birthDate		1..1	date	The date of birth for the individual
address		0..*	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
contact
relationship		0..*	CodeableConceptIPS(2.0.0)	Relationship between a patient and a contact person for that patient
address		0..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated care provider
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Patient identifiers
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	C	1..*	HumanNameEu	Name of a human - parts and usage eu-pat-1: given, family, text or a data-absent-reason extension SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Reason for not providing the name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	Σ	0..1	string	Family name Example spanish name: Valero Iglesias Example spanish: Valero Iglesias
Slices for extension				Content/Rules for all slices
fathersFamily		0..*	string	Portion of family name derived from father URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family Example spanish name: Valero
mothersFamily		0..*	string	Portion of family name derived from mother URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family Example spanish name: Iglesias
given	Σ	0..*	string	Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Example spanish name: Borja
telecom	Σ	0..*	ContactPoint	A contact detail for the patient
gender	Σ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated care provider
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
sex-for-clinical-use		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
patient-citizenship		0..*	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Patient identifiers
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	C	1..*	HumanNameEu	Name of a human - parts and usage eu-pat-1: given, family, text or a data-absent-reason extension SHALL be present
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
name-absent-reason		0..*	code	Reason for not providing the name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	Σ	0..1	string	Family name Example spanish name: Valero Iglesias Example spanish: Valero Iglesias
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
fathersFamily		0..*	string	Portion of family name derived from father URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family Example spanish name: Valero
mothersFamily		0..*	string	Portion of family name derived from mother URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family Example spanish name: Iglesias
value		0..1	string	Primitive value for string Max Length: 1048576
given	Σ	0..*	string	Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Example spanish name: Borja
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the patient
gender	Σ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConceptIPS(2.0.0)	Relationship between a patient and a contact person for that patient Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	AddressEu	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present : family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Address (EU) (http://hl7.eu/fhir/laboratory/StructureDefinition/Address-eu)
• HumanName (Eu) (http://hl7.eu/fhir/laboratory/StructureDefinition/HumanName-eu)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.org/fhir/StructureDefinition/patient-nationality
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Maturity: 1

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