CH ALIS Patient Profile - CH ALIS Connect (R4) v1.0.0-ballot

CH ALIS Connect (R4), published by ALIS-Connect. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-alis-connect/ and changes regularly. See the Directory of published versions

Resource Profile: CH ALIS Patient Profile

Official URL: http://fhir.ch/ig/ch-alis-connect/StructureDefinition/ch-alis-connect-patient	Version: 1.0.0-ballot	Highlight text changes?
Active as of 2026-10-17		Computable Name: ChAlisPatient
Copyright/Legal: CC0-1.0

Base definition for the Patient resource in the context of ALIS-Connect.

Usages:

Refer to this Profile: CH ALIS ChargeItem Profile, CH ALIS Condition Profile and CH ALIS Encounter Profile

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Patient	C	0..*	CHCorePatient	CH ALIS Patient Constraints: ch-pat-1, ch-pat-2
Patient.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
Patient.Slices for extension.extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of the patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
Patient.Slices for extension.extension:citizenship	C	0..*	(Complex)	Information on nationality data (eCH: Staatsangehörigkeit/Nationalité) of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ch-pat-3
Patient.Slices for extension.extension:religion		0..1	CodeableConcept	Religion of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
Patient.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	This element is included in summaries.	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
Patient.Slices for identifier.identifier:EPR-SPID	This element is included in summaries.	0..*	EPRSPIDIdentifier	EPR-SPID Required Pattern: `{ "system" : "urn:oid:2.16.756.5.30.1.127.3.10.3" }`
Patient.Slices for identifier.identifier:AHVN13	This element is included in summaries.	0..*	AHVN13Identifier	AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points) Required Pattern: `{ "system" : "urn:oid:2.16.756.5.32" }`
Patient.Slices for identifier.identifier:LocalPid	This element is included in summaries.	0..1	Identifier	Local patient identifier(s) Required Pattern: `{ "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR" } ] } }`
Patient.Slices for identifier.identifier:LocalPid.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:LocalPid.system	This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:LocalPid.value	This element is included in summaries.	1..1	string	PatientID Example General: 123456
Patient.Slices for identifier.identifier:insuranceCardNumber	This element is included in summaries.	0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) Required Pattern: `{ "system" : "urn:oid:2.16.756.5.30.1.123.100.1.1.1" }`
Patient.active	This element is a modifier element. This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	This element is included in summaries.	0..1	CHCoreHumanName	A name associated with the patient
Patient.name.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| nickname \| anonymous \| old \| maiden Binding: NameUse (required): The use of a human name.
Patient.name.family	This element is included in summaries.	0..1	string	PatientName
Patient.name.family.Slices for extension				Content/Rules for all slices
Patient.name.family.Slices for extension.extension:ech11name		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (required)
Patient.name.given	This element is included in summaries.	0..1	string	PatientGivenName This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.given.Slices for extension				Content/Rules for all slices
Patient.name.given.Slices for extension.extension:ech11firstname		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (required)
Patient.Slices for telecom	This element is included in summaries.	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for telecom.telecom:All Slices				Content/Rules for all slices
Patient.Slices for telecom.telecom:All Slices.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Patient.Slices for telecom.telecom:All Slices.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:All Slices.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:email	This element is included in summaries.	0..*	CHCoreContactPointECH46Email	A contact detail for the individual
Patient.Slices for telecom.telecom:email.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email (no extensions allowed)
Patient.Slices for telecom.telecom:email.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:email.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:email.use.Slices for extension				Content/Rules for all slices
Patient.Slices for telecom.telecom:email.use.Slices for extension.extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
Patient.Slices for telecom.telecom:phone	This element is included in summaries.	0..*	CHCoreContactPointECH46Phone	A contact detail for the individual
Patient.Slices for telecom.telecom:phone.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone (no extensions allowed)
Patient.Slices for telecom.telecom:phone.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:phone.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:phone.use.Slices for extension				Content/Rules for all slices
Patient.Slices for telecom.telecom:phone.use.Slices for extension.extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
Patient.Slices for telecom.telecom:internet	This element is included in summaries.	0..*	CHCoreContactPointECH46Internet	A contact detail for the individual
Patient.Slices for telecom.telecom:internet.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url (no extensions allowed)
Patient.Slices for telecom.telecom:internet.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:internet.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:internet.use.Slices for extension				Content/Rules for all slices
Patient.Slices for telecom.telecom:internet.use.Slices for extension.extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
Patient.gender	This element is included in summaries.	0..1	code	PatientGender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	This element is included in summaries.	0..1	date	PatientBirthDate
Patient.deceased[x]	This element is a modifier element. This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship Constraints: pat-1
Patient.Slices for contact.contact:All Slices				Content/Rules for all slices
Patient.Slices for contact.contact:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.Slices for contact.contact:contact	C	0..1	BackboneElement	Contact data if it is not the address of the patient Constraints: pat-1
Patient.Slices for contact.contact:contact.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.Slices for contact.contact:contact.relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: `{ "coding" : [ { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11", "code" : "contactData" } ] }`
Patient.Slices for contact.contact:contact.address		1..1	CHCoreAddressECH10	Address for the contact person
Patient.Slices for contact.contact:nameOfParent	C	0..*	BackboneElement	Name of parent Constraints: pat-1
Patient.Slices for contact.contact:nameOfParent.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.Slices for contact.contact:nameOfParent.relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "PRN" } ] }`
Patient.Slices for contact.contact:nameOfParent.name		1..1	HumanName	A name associated with the contact person
Patient.link	This element is a modifier element. This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	This element is included in summaries.	1..1	Reference(Patient \| RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	This element is included in summaries.	1..1	code	replaced-by \| replaces \| refer \| seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:LocalPid.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:email.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:email.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:phone.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:phone.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:internet.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:internet.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.contact:contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact:nameOfParent.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-pat-1	warning	Patient	If one ore more human names are provided, at least one human name should have a family and a given name.	`name.where(family.exists() and given.exists()).count()>0 or name.empty()`
ch-pat-2	warning	Patient	gender 'unknown' is currently not used in Switzerland in eCH and the EPR	`gender.empty() or gender!='unknown'`
ch-pat-3	warning	Patient.extension:citizenship	ISO Country Alpha-2 or ISO Country Alpha-3 code	`((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))`
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
pat-1	error	Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent	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 CHCorePatient

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Patient	0..*	CHCorePatient	CH ALIS Patient
Patient.Slices for identifier			Content/Rules for all slices
Patient.Slices for identifier.identifier:LocalPid	0..1	Identifier	Local patient identifier(s)
Patient.Slices for identifier.identifier:LocalPid.value	1..1	string	PatientID
Patient.name	0..1	CHCoreHumanName	A name associated with the patient
Patient.name.family	0..1	string	PatientName
Patient.name.given	0..1	string	PatientGivenName
Patient.gender	0..1	code	PatientGender
Patient.birthDate	0..1	date	PatientBirthDate
Documentation for this format

Description & Constraints Filter:

Patient C 0..* CHCorePatient CH ALIS Patient
Constraints: ch-pat-1, ch-pat-2

Patient.id This element is included in summaries. 0..1 id Logical id of this artifact

Patient.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Patient.implicitRules This element is a modifier element. This element is included in summaries. 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

Patient.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Patient.contained 0..* Resource Contained, inline Resources

Patient.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.Slices for extension.extension:placeOfBirth 0..1 CHCoreAddressEch11PlaceOfBirth Place of birth of the patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth

Patient.Slices for extension.extension:placeOfOrigin 0..* CHCoreAddressECH11PlaceOfOrigin Place of origin(s) of the patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin

Patient.Slices for extension.extension:citizenship C 0..* (Complex) Information on nationality data (eCH: Staatsangehörigkeit/Nationalité) of the patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Constraints: ch-pat-3

Patient.Slices for extension.extension:religion 0..1 CodeableConcept Religion of the patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (preferred)

Patient.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Patient.Slices for identifier This element is included in summaries. 0..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this

identifier:EPR-SPID

0..*

EPRSPIDIdentifier

EPR-SPID

Required Pattern:

{
  "system" : "urn:oid:2.16.756.5.30.1.127.3.10.3"
}

identifier:AHVN13

0..*

AHVN13Identifier

AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern:

{
  "system" : "urn:oid:2.16.756.5.32"
}

identifier:LocalPid

0..1

Identifier

Local patient identifier(s)

Required Pattern:

{
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MR"
      }
    ]
  }
}

Patient.Slices for identifier.identifier:LocalPid.id 0..1 string Unique id for inter-element referencing

Patient.Slices for identifier.identifier:LocalPid.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for identifier.identifier:LocalPid.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

Patient.Slices for identifier.identifier:LocalPid.type This element is included in summaries. 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.

Patient.Slices for identifier.identifier:LocalPid.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

Patient.Slices for identifier.identifier:LocalPid.value This element is included in summaries. 1..1 string PatientID
Example General: 123456

Patient.Slices for identifier.identifier:LocalPid.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use

Patient.Slices for identifier.identifier:LocalPid.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)

identifier:insuranceCardNumber

0..*

VEKAIdentifier

Insurance card number of the patient (20 digits)

Required Pattern:

{
  "system" : "urn:oid:2.16.756.5.30.1.123.100.1.1.1"
}

Patient.active This element is a modifier element. This element is included in summaries. 0..1 boolean Whether this patient's record is in active use

Patient.name This element is included in summaries. 0..1 CHCoreHumanName A name associated with the patient

Patient.name.id 0..1 string Unique id for inter-element referencing

Patient.name.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.name.text This element is included in summaries. 0..1 string Text representation of the full name

Patient.name.family This element is included in summaries. 0..1 string PatientName

Patient.name.family.id 0..1 string xml:id (or equivalent in JSON)

Patient.name.family.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.name.family.Slices for extension.extension:ech11name 0..1 code Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name
Binding: eCH-011 NameDataTypes (required)

Patient.name.family.value 0..1 string Primitive value for string
Max Length:1048576

Patient.name.given This element is included in summaries. 0..1 string PatientGivenName
This repeating element order: Given Names appear in the correct order for presenting the name

Patient.name.given.id 0..1 string xml:id (or equivalent in JSON)

Patient.name.given.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.name.given.Slices for extension.extension:ech11firstname 0..1 code Extension
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname
Binding: eCH-011 FirstNameDataTypes (required)

Patient.name.given.value 0..1 string Primitive value for string
Max Length:1048576

Patient.name.prefix This element is included in summaries. 0..* string For a salutation use a prefix without the iso21090-EN-qualifier extension. For academical titles and legal status use the http://hl7.org/fhir/ExtensionDefinition/iso21090-EN-qualifier with the codes AC, LS.
This repeating element order: Prefixes appear in the correct order for presenting the name

Patient.name.prefix.id 0..1 string xml:id (or equivalent in JSON)

Patient.name.prefix.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.name.prefix.Slices for extension.extension:salutationandtitle 0..* code For academical titles and legal status use the http://hl7.org/fhir/ExtensionDefinition/iso21090-EN-qualifier with the codes AC, LS.
URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
Binding: EntityNamePartQualifier (required)

Patient.name.prefix.value 0..1 string Primitive value for string
Max Length:1048576

Patient.name.suffix This element is included in summaries. 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name

Patient.name.period This element is included in summaries. 0..1 Period Time period when name was/is in use

Patient.Slices for telecom This element is included in summaries. 0..* ContactPoint A contact detail for the individual
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Patient.Slices for telecom.telecom:All Slices Content/Rules for all slices

Patient.Slices for telecom.telecom:All Slices.id 0..1 string Unique id for inter-element referencing

Patient.Slices for telecom.telecom:All Slices.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:All Slices.system This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

Patient.Slices for telecom.telecom:All Slices.value This element is included in summaries. 1..1 string The actual contact point details

Patient.Slices for telecom.telecom:All Slices.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

Patient.Slices for telecom.telecom:All Slices.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)

Patient.Slices for telecom.telecom:All Slices.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use

Patient.Slices for telecom.telecom:email This element is included in summaries. 0..* CHCoreContactPointECH46Email A contact detail for the individual

Patient.Slices for telecom.telecom:email.id 0..1 string Unique id for inter-element referencing

Patient.Slices for telecom.telecom:email.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:email.system This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: email (no extensions allowed)

Patient.Slices for telecom.telecom:email.value This element is included in summaries. 1..1 string The actual contact point details

Patient.Slices for telecom.telecom:email.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

Patient.Slices for telecom.telecom:email.use.id 0..1 string xml:id (or equivalent in JSON)

Patient.Slices for telecom.telecom:email.use.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:email.use.Slices for extension Content/Rules for all slices

Patient.Slices for telecom.telecom:email.use.Slices for extension.extension:emailCategory 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory
Binding: eCH-0046 Email Category (extensible)

Patient.Slices for telecom.telecom:email.use.value 0..1 string Primitive value for code

Patient.Slices for telecom.telecom:email.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)

Patient.Slices for telecom.telecom:email.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use

Patient.Slices for telecom.telecom:email.period.id 0..1 string Unique id for inter-element referencing

Patient.Slices for telecom.telecom:email.period.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:email.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary

Patient.Slices for telecom.telecom:email.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing

Patient.Slices for telecom.telecom:phone This element is included in summaries. 0..* CHCoreContactPointECH46Phone A contact detail for the individual

Patient.Slices for telecom.telecom:phone.id 0..1 string Unique id for inter-element referencing

Patient.Slices for telecom.telecom:phone.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:phone.system This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: phone (no extensions allowed)

Patient.Slices for telecom.telecom:phone.value This element is included in summaries. 1..1 string The actual contact point details

Patient.Slices for telecom.telecom:phone.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

Patient.Slices for telecom.telecom:phone.use.id 0..1 string xml:id (or equivalent in JSON)

Patient.Slices for telecom.telecom:phone.use.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:phone.use.Slices for extension Content/Rules for all slices

Patient.Slices for telecom.telecom:phone.use.Slices for extension.extension:phoneCategory 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory
Binding: eCH-0046 Phone Category (extensible)

Patient.Slices for telecom.telecom:phone.use.value 0..1 string Primitive value for code

Patient.Slices for telecom.telecom:phone.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)

Patient.Slices for telecom.telecom:phone.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use

Patient.Slices for telecom.telecom:phone.period.id 0..1 string Unique id for inter-element referencing

Patient.Slices for telecom.telecom:phone.period.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:phone.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary

Patient.Slices for telecom.telecom:phone.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing

Patient.Slices for telecom.telecom:internet This element is included in summaries. 0..* CHCoreContactPointECH46Internet A contact detail for the individual

Patient.Slices for telecom.telecom:internet.id 0..1 string Unique id for inter-element referencing

Patient.Slices for telecom.telecom:internet.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:internet.system This element is included in summaries. C 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.
Fixed Value: url (no extensions allowed)

Patient.Slices for telecom.telecom:internet.value This element is included in summaries. 1..1 string The actual contact point details

Patient.Slices for telecom.telecom:internet.use This element is a modifier element. This element is included in summaries. 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

Patient.Slices for telecom.telecom:internet.use.id 0..1 string xml:id (or equivalent in JSON)

Patient.Slices for telecom.telecom:internet.use.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:internet.use.Slices for extension Content/Rules for all slices

Patient.Slices for telecom.telecom:internet.use.Slices for extension.extension:internetCategory 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory
Binding: eCH-0046 Internet Category (extensible)

Patient.Slices for telecom.telecom:internet.use.value 0..1 string Primitive value for code

Patient.Slices for telecom.telecom:internet.rank This element is included in summaries. 0..1 positiveInt Specify preferred order of use (1 = highest)

Patient.Slices for telecom.telecom:internet.period This element is included in summaries. 0..1 Period Time period when the contact point was/is in use

Patient.Slices for telecom.telecom:internet.period.id 0..1 string Unique id for inter-element referencing

Patient.Slices for telecom.telecom:internet.period.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for telecom.telecom:internet.period.start This element is included in summaries. C 0..1 dateTime Starting time with inclusive boundary

Patient.Slices for telecom.telecom:internet.period.end This element is included in summaries. C 0..1 dateTime End time with inclusive boundary, if not ongoing

Patient.gender This element is included in summaries. 0..1 code PatientGender
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

Patient.birthDate This element is included in summaries. 0..1 date PatientBirthDate

Patient.deceased[x] This element is a modifier element. This element is included in summaries. 0..1 Indicates if the individual is deceased or not

Patient.deceased[x].deceasedBoolean boolean

Patient.deceased[x].deceasedDateTime dateTime

Patient.address This element is included in summaries. 0..* CHCoreAddress An address for the individual

Patient.maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)

Patient.maritalStatus.id 0..1 string Unique id for inter-element referencing

Patient.maritalStatus.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.maritalStatus.Slices for extension.extension:maritalDataSeparation 0..1 CodeableConcept MaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type

Patient.maritalStatus.coding This element is included in summaries. 0..* Coding Code defined by a terminology system

Patient.maritalStatus.text This element is included in summaries. 0..1 string Plain text representation of the concept

Patient.multipleBirth[x] 0..1 Whether patient is part of a multiple birth

Patient.multipleBirth[x].multipleBirthBoolean boolean

Patient.multipleBirth[x].multipleBirthInteger integer

Patient.photo 0..* Attachment Image of the patient

Patient.Slices for contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
Constraints: pat-1

Patient.Slices for contact.contact:All Slices Content/Rules for all slices

Patient.Slices for contact.contact:All Slices.id 0..1 string Unique id for inter-element referencing

Patient.Slices for contact.contact:All Slices.extension 0..* Extension Additional content defined by implementations

Patient.Slices for contact.contact:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Patient.Slices for contact.contact:All Slices.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.

Patient.Slices for contact.contact:All Slices.name 0..1 HumanName A name associated with the contact person

Patient.Slices for contact.contact:All Slices.telecom 0..* ContactPoint A contact detail for the person

Patient.Slices for contact.contact:All Slices.address 0..1 Address Address for the contact person

Patient.Slices for contact.contact:All Slices.gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

Patient.Slices for contact.contact:All Slices.organization C 0..1 Reference(Organization) Organization that is associated with the contact

Patient.Slices for contact.contact:All Slices.period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient

Patient.Slices for contact.contact:contact C 0..1 BackboneElement Contact data if it is not the address of the patient
Constraints: pat-1

Patient.Slices for contact.contact:contact.id 0..1 string Unique id for inter-element referencing

Patient.Slices for contact.contact:contact.extension 0..* Extension Additional content defined by implementations

Patient.Slices for contact.contact:contact.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

relationship

1..1

CodeableConcept

The kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11",
      "code" : "contactData"
    }
  ]
}

Patient.Slices for contact.contact:contact.name 0..1 HumanName A name associated with the contact person

Patient.Slices for contact.contact:contact.address 1..1 CHCoreAddressECH10 Address for the contact person

Patient.Slices for contact.contact:contact.gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

Patient.Slices for contact.contact:contact.organization C 0..1 Reference(Organization) Organization that is associated with the contact

Patient.Slices for contact.contact:contact.period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient

Patient.Slices for contact.contact:nameOfParent C 0..* BackboneElement Name of parent
Constraints: pat-1

Patient.Slices for contact.contact:nameOfParent.id 0..1 string Unique id for inter-element referencing

Patient.Slices for contact.contact:nameOfParent.extension 0..* Extension Additional content defined by implementations

Patient.Slices for contact.contact:nameOfParent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

relationship

1..1

CodeableConcept

The kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
      "code" : "PRN"
    }
  ]
}

Patient.Slices for contact.contact:nameOfParent.name 1..1 HumanName A name associated with the contact person

Patient.Slices for contact.contact:nameOfParent.telecom 0..* ContactPoint A contact detail for the person

Patient.Slices for contact.contact:nameOfParent.address 0..1 Address Address for the contact person

Patient.Slices for contact.contact:nameOfParent.gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

Patient.Slices for contact.contact:nameOfParent.organization C 0..1 Reference(Organization) Organization that is associated with the contact

Patient.Slices for contact.contact:nameOfParent.period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient

Patient.communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health

Patient.communication.id 0..1 string Unique id for inter-element referencing

Patient.communication.extension 0..* Extension Additional content defined by implementations

Patient.communication.modifierExtension This element is a modifier element. This element is included in summaries. 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

Patient.communication.preferred 0..1 boolean Language preference indicator

Patient.generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider

Patient.managingOrganization This element is included in summaries. 0..1 Reference(Organization) Organization that is the custodian of the patient record

Patient.link This element is a modifier element. This element is included in summaries. 0..* BackboneElement Link to another patient resource that concerns the same actual person

Patient.link.id 0..1 string Unique id for inter-element referencing

Patient.link.extension 0..* Extension Additional content defined by implementations

Patient.link.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Patient.link.other This element is included in summaries. 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to

Patient.link.type This element is included in summaries. 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier:LocalPid.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:LocalPid.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:email.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:email.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:phone.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:phone.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:internet.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:internet.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	ChCoreMaritalStatus	📦3.4.0	CH Term v3.4
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.contact:contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact:contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.contact:nameOfParent.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact:nameOfParent.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-pat-1	warning	Patient	If one ore more human names are provided, at least one human name should have a family and a given name.	`name.where(family.exists() and given.exists()).count()>0 or name.empty()`
ch-pat-2	warning	Patient	gender 'unknown' is currently not used in Switzerland in eCH and the EPR	`gender.empty() or gender!='unknown'`
ch-pat-3	warning	Patient.extension:citizenship	ISO Country Alpha-2 or ISO Country Alpha-3 code	`((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))`
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
pat-1	error	Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent	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 CHCorePatient

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Patient	C	0..*	CHCorePatient	CH ALIS Patient Constraints: ch-pat-1, ch-pat-2
Patient.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth	Place of birth of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
Patient.Slices for extension.extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin	Place of origin(s) of the patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
Patient.Slices for extension.extension:citizenship	C	0..*	(Complex)	Information on nationality data (eCH: Staatsangehörigkeit/Nationalité) of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ch-pat-3
Patient.Slices for extension.extension:religion		0..1	CodeableConcept	Religion of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
Patient.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	This element is included in summaries.	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
Patient.Slices for identifier.identifier:EPR-SPID	This element is included in summaries.	0..*	EPRSPIDIdentifier	EPR-SPID Required Pattern: `{ "system" : "urn:oid:2.16.756.5.30.1.127.3.10.3" }`
Patient.Slices for identifier.identifier:AHVN13	This element is included in summaries.	0..*	AHVN13Identifier	AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points) Required Pattern: `{ "system" : "urn:oid:2.16.756.5.32" }`
Patient.Slices for identifier.identifier:LocalPid	This element is included in summaries.	0..1	Identifier	Local patient identifier(s) Required Pattern: `{ "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR" } ] } }`
Patient.Slices for identifier.identifier:LocalPid.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:LocalPid.system	This element is included in summaries.	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:LocalPid.value	This element is included in summaries.	1..1	string	PatientID Example General: 123456
Patient.Slices for identifier.identifier:insuranceCardNumber	This element is included in summaries.	0..*	VEKAIdentifier	Insurance card number of the patient (20 digits) Required Pattern: `{ "system" : "urn:oid:2.16.756.5.30.1.123.100.1.1.1" }`
Patient.active	This element is a modifier element. This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	This element is included in summaries.	0..1	CHCoreHumanName	A name associated with the patient
Patient.name.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| nickname \| anonymous \| old \| maiden Binding: NameUse (required): The use of a human name.
Patient.name.family	This element is included in summaries.	0..1	string	PatientName
Patient.name.family.Slices for extension				Content/Rules for all slices
Patient.name.family.Slices for extension.extension:ech11name		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (required)
Patient.name.given	This element is included in summaries.	0..1	string	PatientGivenName This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.given.Slices for extension				Content/Rules for all slices
Patient.name.given.Slices for extension.extension:ech11firstname		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (required)
Patient.Slices for telecom	This element is included in summaries.	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for telecom.telecom:All Slices				Content/Rules for all slices
Patient.Slices for telecom.telecom:All Slices.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Patient.Slices for telecom.telecom:All Slices.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:All Slices.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:email	This element is included in summaries.	0..*	CHCoreContactPointECH46Email	A contact detail for the individual
Patient.Slices for telecom.telecom:email.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email (no extensions allowed)
Patient.Slices for telecom.telecom:email.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:email.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:email.use.Slices for extension				Content/Rules for all slices
Patient.Slices for telecom.telecom:email.use.Slices for extension.extension:emailCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-emailcategory Binding: eCH-0046 Email Category (extensible)
Patient.Slices for telecom.telecom:phone	This element is included in summaries.	0..*	CHCoreContactPointECH46Phone	A contact detail for the individual
Patient.Slices for telecom.telecom:phone.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone (no extensions allowed)
Patient.Slices for telecom.telecom:phone.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:phone.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:phone.use.Slices for extension				Content/Rules for all slices
Patient.Slices for telecom.telecom:phone.use.Slices for extension.extension:phoneCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-phonecategory Binding: eCH-0046 Phone Category (extensible)
Patient.Slices for telecom.telecom:internet	This element is included in summaries.	0..*	CHCoreContactPointECH46Internet	A contact detail for the individual
Patient.Slices for telecom.telecom:internet.system	This element is included in summaries. C	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url (no extensions allowed)
Patient.Slices for telecom.telecom:internet.value	This element is included in summaries.	1..1	string	The actual contact point details
Patient.Slices for telecom.telecom:internet.use	This element is a modifier element. This element is included in summaries.	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Patient.Slices for telecom.telecom:internet.use.Slices for extension				Content/Rules for all slices
Patient.Slices for telecom.telecom:internet.use.Slices for extension.extension:internetCategory		0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-46-internetcategory Binding: eCH-0046 Internet Category (extensible)
Patient.gender	This element is included in summaries.	0..1	code	PatientGender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	This element is included in summaries.	0..1	date	PatientBirthDate
Patient.deceased[x]	This element is a modifier element. This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship Constraints: pat-1
Patient.Slices for contact.contact:All Slices				Content/Rules for all slices
Patient.Slices for contact.contact:All Slices.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.Slices for contact.contact:contact	C	0..1	BackboneElement	Contact data if it is not the address of the patient Constraints: pat-1
Patient.Slices for contact.contact:contact.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.Slices for contact.contact:contact.relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: `{ "coding" : [ { "system" : "http://fhir.ch/ig/ch-core/CodeSystem/ech-11", "code" : "contactData" } ] }`
Patient.Slices for contact.contact:contact.address		1..1	CHCoreAddressECH10	Address for the contact person
Patient.Slices for contact.contact:nameOfParent	C	0..*	BackboneElement	Name of parent Constraints: pat-1
Patient.Slices for contact.contact:nameOfParent.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.Slices for contact.contact:nameOfParent.relationship		1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "PRN" } ] }`
Patient.Slices for contact.contact:nameOfParent.name		1..1	HumanName	A name associated with the contact person
Patient.link	This element is a modifier element. This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	This element is included in summaries.	1..1	Reference(Patient \| RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	This element is included in summaries.	1..1	code	replaced-by \| replaces \| refer \| seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:LocalPid.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:email.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:email.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:phone.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:phone.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.telecom:internet.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom:internet.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.contact:contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact:nameOfParent.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-pat-1	warning	Patient	If one ore more human names are provided, at least one human name should have a family and a given name.	`name.where(family.exists() and given.exists()).count()>0 or name.empty()`
ch-pat-2	warning	Patient	gender 'unknown' is currently not used in Switzerland in eCH and the EPR	`gender.empty() or gender!='unknown'`
ch-pat-3	warning	Patient.extension:citizenship	ISO Country Alpha-2 or ISO Country Alpha-3 code	`((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))`
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	ALL extensions	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`
pat-1	error	Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent	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()`

Differential View

This structure is derived from CHCorePatient

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Patient	0..*	CHCorePatient	CH ALIS Patient
Patient.Slices for identifier			Content/Rules for all slices
Patient.Slices for identifier.identifier:LocalPid	0..1	Identifier	Local patient identifier(s)
Patient.Slices for identifier.identifier:LocalPid.value	1..1	string	PatientID
Patient.name	0..1	CHCoreHumanName	A name associated with the patient
Patient.name.family	0..1	string	PatientName
Patient.name.given	0..1	string	PatientGivenName
Patient.gender	0..1	code	PatientGender
Patient.birthDate	0..1	date	PatientBirthDate
Documentation for this format

Snapshot ViewView

Description & Constraints Filter:

Patient C 0..* CHCorePatient CH ALIS Patient
Constraints: ch-pat-1, ch-pat-2

Patient.id This element is included in summaries. 0..1 id Logical id of this artifact

Patient.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Patient.implicitRules This element is a modifier element. This element is included in summaries. 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

Patient.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Patient.contained 0..* Resource Contained, inline Resources

Patient.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Patient.Slices for extension.extension:religion 0..1 CodeableConcept Religion of the patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (preferred)

Patient.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Patient.Slices for identifier This element is included in summaries. 0..* Identifier An identifier for this patient
Slice: Unordered, Open by value:$this

identifier:EPR-SPID

0..*

EPRSPIDIdentifier

EPR-SPID

Required Pattern:

{
  "system" : "urn:oid:2.16.756.5.30.1.127.3.10.3"
}

identifier:AHVN13

0..*

AHVN13Identifier

AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern:

{
  "system" : "urn:oid:2.16.756.5.32"
}

identifier:LocalPid

0..1

Identifier

Local patient identifier(s)

Required Pattern:

{
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MR"
      }
    ]
  }
}

Patient.Slices for identifier.identifier:LocalPid.id 0..1 string Unique id for inter-element referencing

Patient.Slices for identifier.identifier:LocalPid.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Patient.Slices for identifier.identifier:LocalPid.value This element is included in summaries. 1..1 string PatientID
Example General: 123456

Patient.Slices for identifier.identifier:LocalPid.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use

Patient.Slices for identifier.identifier:LocalPid.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)

identifier:insuranceCardNumber

0..*

VEKAIdentifier

Insurance card number of the patient (20 digits)

Required Pattern:

{
  "system" : "urn:oid:2.16.756.5.30.1.123.100.1.1.1"
}