HL7 Italia FHIR Implementation Guide (base), published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/base/ and changes regularly. See the Directory of published versions

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

Resource Profile: Patient - base ( Experimental )

Profilo base generico per Patient: descrive come rappresentare in FHIR alcune informazioni tipiche per il contesto Italiano.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

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	S	0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
valueAddress		1..1	AddressItBase	Indirizzo del luogo di Nascita
luogoNascitaCodeable		0..*	CodeableConcept	​Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: http://terminology.hl7.it/ValueSet/istat-luogoNascita (example)
cittadinanza		0..1	(Complex)	​Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: http://terminology.hl7.it/ValueSet/istat-cittadinanza (example)
professione		0..1	CodeableConcept	​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
titoloStudio		0..1	CodeableConcept	​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
Slices for identifier	S	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
type		0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
value	S	1..1	string	ID del paziente (e.g. Codice Fiscale)
identifier:codiceFiscale	S	0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo
identifier:anpr		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required)
identifier:codiceENI		0..*	Identifier	Codice ENI
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required)
identifier:codiceSTP		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required)
name	SC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
text	S	0..1	string	Text representation of the full name
family	S	0..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	ContactPoint	A contact detail for the individual
gender	S	0..1	code	male | female | other | unknown
birthDate	S	0..1	date	The date of birth for the individual
deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not
address	S	0..*	AddressItBase	Indirizzo fisico o postale
maritalStatus		0..1	CodeableConcept	​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (preferred)
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:luogoNascitaCodeable [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace]]	example	​http://terminology.hl7.it/ValueSet/istat-luogoNascita http://terminology.hl7.it/ValueSet/istat-luogoNascita
Patient.extension:cittadinanza [CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-citizenship]]	example	​http://terminology.hl7.it/ValueSet/istat-cittadinanza http://terminology.hl7.it/ValueSet/istat-cittadinanza
Patient.extension:professione [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-occupation-it]]	preferred	​http://terminology.hl7.it/ValueSet/istat-professione http://terminology.hl7.it/ValueSet/istat-professione
Patient.extension:titoloStudio [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-qualification-it]]	preferred	​http://terminology.hl7.it/ValueSet/istat-titoloStudio http://terminology.hl7.it/ValueSet/istat-titoloStudio
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.maritalStatus	preferred	​http://terminology.hl7.it/ValueSet/statoCivile http://terminology.hl7.it/ValueSet/statoCivile

Constraints

Id	Grade	Path(s)	Details	Requirements
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita ele-1: All FHIR elements must have a @value or children it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
professione		0..1	CodeableConcept	​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
titoloStudio		0..1	CodeableConcept	​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system ele-1: All FHIR elements must have a @value or children
identifier:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible) ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:codiceFiscale	SΣ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
identifier:anpr	Σ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale	Σ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
identifier:codiceSTP	Σ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name	SΣC	1..*	HumanName	A name associated with the patient ele-1: All FHIR elements must have a @value or children it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Text representation of the full name ele-1: All FHIR elements must have a @value or children
family	SΣ	0..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
birthDate	SΣ	0..1	date	The date of birth for the individual ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SC	0..*	AddressItBase	Indirizzo fisico o postale ele-1: All FHIR elements must have a @value or children it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (preferred) ele-1: All FHIR elements must have a @value or children
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider ele-1: All FHIR elements must have a @value or children
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider ele-1: All FHIR elements must have a @value or children
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
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	preferred	​http://terminology.hl7.it/ValueSet/statoCivile http://terminology.hl7.it/ValueSet/statoCivile
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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Name	Flags	Card.	Type	Description & Constraints
Patient	S	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
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita 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"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
titoloStudio		0..1	CodeableConcept	​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
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
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceFiscale	SΣ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:anpr	Σ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:idRegionale	Σ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceSTP	Σ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both 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	Ragione non valorizzazione elemento 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	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
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	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..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	SC	0..*	AddressItBase	Indirizzo fisico o postale it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (preferred)
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..*	CodeableConcept	The kind of relationship 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	Address	Address for the contact person
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
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary 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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceFiscale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
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	preferred	​http://terminology.hl7.it/ValueSet/statoCivile http://terminology.hl7.it/ValueSet/statoCivile
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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.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()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

This structure is derived from Patient

Summary

Mandatory: 1 element(7 nested mandatory elements)
Must-Support: 21 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Address - base (http://hl7.it/fhir/StructureDefinition/Address-it-base)
• PractitionerRole - MMG/PLS (http://hl7.it/fhir/StructureDefinition/PractitionerRole-it-mmg)
• Practitioner - base (http://hl7.it/fhir/StructureDefinition/Practitioner-it-base)
• Organization - Operatore sanitario/socio sanitario (http://hl7.it/fhir/StructureDefinition/Organization-it-hcp)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/StructureDefinition/recordCertification
• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.it/fhir/StructureDefinition/patient-occupation-it
• http://hl7.it/fhir/StructureDefinition/patient-qualification-it
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier
• The element 1 is sliced based on the value of Patient.generalPractitioner

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
valueAddress		1..1	AddressItBase	Indirizzo del luogo di Nascita
luogoNascitaCodeable		0..*	CodeableConcept	​Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: http://terminology.hl7.it/ValueSet/istat-luogoNascita (example)
cittadinanza		0..1	(Complex)	​Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: http://terminology.hl7.it/ValueSet/istat-cittadinanza (example)
professione		0..1	CodeableConcept	​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
titoloStudio		0..1	CodeableConcept	​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
Slices for identifier	S	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
type		0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
value	S	1..1	string	ID del paziente (e.g. Codice Fiscale)
identifier:codiceFiscale	S	0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo
identifier:anpr		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required)
identifier:codiceENI		0..*	Identifier	Codice ENI
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required)
identifier:codiceSTP		0..*	Identifier	An identifier for this patient
system	S	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required)
name	SC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
text	S	0..1	string	Text representation of the full name
family	S	0..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	ContactPoint	A contact detail for the individual
gender	S	0..1	code	male | female | other | unknown
birthDate	S	0..1	date	The date of birth for the individual
deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not
address	S	0..*	AddressItBase	Indirizzo fisico o postale
maritalStatus		0..1	CodeableConcept	​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (preferred)
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:luogoNascitaCodeable [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace]]	example	​http://terminology.hl7.it/ValueSet/istat-luogoNascita http://terminology.hl7.it/ValueSet/istat-luogoNascita
Patient.extension:cittadinanza [CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-citizenship]]	example	​http://terminology.hl7.it/ValueSet/istat-cittadinanza http://terminology.hl7.it/ValueSet/istat-cittadinanza
Patient.extension:professione [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-occupation-it]]	preferred	​http://terminology.hl7.it/ValueSet/istat-professione http://terminology.hl7.it/ValueSet/istat-professione
Patient.extension:titoloStudio [CanonicalType[http://hl7.it/fhir/StructureDefinition/patient-qualification-it]]	preferred	​http://terminology.hl7.it/ValueSet/istat-titoloStudio http://terminology.hl7.it/ValueSet/istat-titoloStudio
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
Patient.maritalStatus	preferred	​http://terminology.hl7.it/ValueSet/statoCivile http://terminology.hl7.it/ValueSet/statoCivile

Constraints

Id	Grade	Path(s)	Details	Requirements
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita ele-1: All FHIR elements must have a @value or children it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
professione		0..1	CodeableConcept	​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
titoloStudio		0..1	CodeableConcept	​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system ele-1: All FHIR elements must have a @value or children
identifier:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible) ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:codiceFiscale	SΣ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
identifier:anpr	Σ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale	Σ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
identifier:codiceSTP	Σ	0..*	Identifier	An identifier for this patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name	SΣC	1..*	HumanName	A name associated with the patient ele-1: All FHIR elements must have a @value or children it-pat-1: Patient.name.given or Patient.name.family or both SHALL be present
Slices for extension				Content/Rules for all slices
name-absent-reason		0..*	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Text representation of the full name ele-1: All FHIR elements must have a @value or children
family	SΣ	0..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
birthDate	SΣ	0..1	date	The date of birth for the individual ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SC	0..*	AddressItBase	Indirizzo fisico o postale ele-1: All FHIR elements must have a @value or children it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (preferred) ele-1: All FHIR elements must have a @value or children
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider ele-1: All FHIR elements must have a @value or children
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider ele-1: All FHIR elements must have a @value or children
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
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	preferred	​http://terminology.hl7.it/ValueSet/statoCivile http://terminology.hl7.it/ValueSet/statoCivile
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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	S	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
certificazione		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
luogoNascita		0..1	(Complex)	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita 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"
Slices for value[x]		1..1	Address	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueAddress	C	1..1	AddressItBase	Indirizzo del luogo di Nascita it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
luogoNascitaCodeable		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
cittadinanza		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
professione		0..1	CodeableConcept	​Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: http://terminology.hl7.it/ValueSet/istat-professione (example)
titoloStudio		0..1	CodeableConcept	​Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: http://terminology.hl7.it/ValueSet/istat-titoloStudio (example)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
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
certificazioneId		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	​Description of identifier Binding: http://terminology.hl7.it/ValueSet/tipoIdentificatore (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	ID del paziente (e.g. Codice Fiscale) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceFiscale	SΣ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	SΣC	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:anpr	Σ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:idRegionale	Σ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idRegionali (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceENI	Σ	0..*	Identifier	Codice ENI
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idEni (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:codiceSTP	Σ	0..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	​The namespace for the identifier value Binding: http://terminology.hl7.it/ValueSet/uri-idStp (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient it-pat-1: Patient.name.given or Patient.name.family or both 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	Ragione non valorizzazione elemento 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	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname')
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
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	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..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	SC	0..*	AddressItBase	Indirizzo fisico o postale it-address-official: Se Address rappresenta la residenza allora city e line devono essere inclusi Example Completo: {"line":["Via dei Ciliegi 15"],"city":"Artimino","state":"PO","postalCode":"59015","country":"IT"}
maritalStatus		0..1	CodeableConcept	​Marital (civil) status of a patient Binding: http://terminology.hl7.it/ValueSet/statoCivile (preferred)
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..*	CodeableConcept	The kind of relationship 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	Address	Address for the contact person
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
Slices for generalPractitioner	S	0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0..*	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0..*	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0..*	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary 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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	​http://terminology.hl7.it/ValueSet/tipoIdentificatore http://terminology.hl7.it/ValueSet/tipoIdentificatore
Patient.identifier:codiceFiscale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceFiscale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:anpr.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:anpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:idRegionale.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:idRegionale.system	required	​http://terminology.hl7.it/ValueSet/uri-idRegionali http://terminology.hl7.it/ValueSet/uri-idRegionali
Patient.identifier:codiceENI.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceENI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceENI.system	required	​http://terminology.hl7.it/ValueSet/uri-idEni http://terminology.hl7.it/ValueSet/uri-idEni
Patient.identifier:codiceSTP.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:codiceSTP.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:codiceSTP.system	required	​http://terminology.hl7.it/ValueSet/uri-idStp http://terminology.hl7.it/ValueSet/uri-idStp
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	preferred	​http://terminology.hl7.it/ValueSet/statoCivile http://terminology.hl7.it/ValueSet/statoCivile
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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
it-address-official	error	Patient.extension:luogoNascita.value[x]:valueAddress, Patient.address	Se Address rappresenta la residenza allora city e line devono essere inclusi : extension.where(url = 'http://hl7.org/fhir/StructureDefinition/address-official').valueBoolean.where(true).empty() or ( line.exists() and city.exists() )
it-pat-1	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.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()
pat-id-cf-1	error	Patient.identifier:codiceFiscale.value	Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')

This structure is derived from Patient

Summary

Mandatory: 1 element(7 nested mandatory elements)
Must-Support: 21 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Address - base (http://hl7.it/fhir/StructureDefinition/Address-it-base)
• PractitionerRole - MMG/PLS (http://hl7.it/fhir/StructureDefinition/PractitionerRole-it-mmg)
• Practitioner - base (http://hl7.it/fhir/StructureDefinition/Practitioner-it-base)
• Organization - Operatore sanitario/socio sanitario (http://hl7.it/fhir/StructureDefinition/Organization-it-hcp)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/StructureDefinition/recordCertification
• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace
• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• http://hl7.it/fhir/StructureDefinition/patient-occupation-it
• http://hl7.it/fhir/StructureDefinition/patient-qualification-it
• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier
• The element 1 is sliced based on the value of Patient.generalPractitioner