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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CH EPREG Patient: Mother

This profile constrains the Patient resource to represent the pregnant individual within the context of the pregnancy passport.

Usage:

• Use this Resource Profile: CH EPREG Document
• Refer to this Resource Profile: CH EPREG Composition, CH EPREG Encounter: Pregnancy Visit, CH EPREG Observation: Pregnancy Progress and CH EPREG Observation: Results Laboratory

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR(6.0.0-ballot-ci-build)	CH EPREG Patient: Mother 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 ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
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
extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth(6.0.0-ballot-ci-build)	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin(6.0.0-ballot-ci-build)	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:citizenship	C	0..*	(Complex)	Citizenship(s) of patient 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 ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
extension:religion		0..1	CodeableConcept	Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:pronoun		0..1	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns 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	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
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	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:insuranceCardNumber	Σ	0..*	VEKAIdentifier(6.0.0-ballot-ci-build)	Insurance card number of the patient (20 digits) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
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	SΣ	1..*	CHCoreHumanName(6.0.0-ballot-ci-build)	A name associated with the patient ele-1: All FHIR elements must have a @value or children
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	Σ	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:ech11name		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
given	Σ	1..*	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
Slices for extension				Content/Rules for all slices
extension:ech11firstname		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
prefix	Σ	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. ele-1: All FHIR elements must have a @value or children This repeating element order: Prefixes appear in the correct order for presenting the name
Slices for extension				Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for telecom	SΣ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
telecom:email	SΣ	0..*	CHCoreContactPointECH46Email(6.0.0-ballot-ci-build)	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
telecom:phone	SΣ	0..*	CHCoreContactPointECH46Phone(6.0.0-ballot-ci-build)	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet(6.0.0-ballot-ci-build)	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: url
value	Σ	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') 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	1..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	SΣ	0..*	CHCoreAddress(6.0.0-ballot-ci-build)	An address for the individual ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Slices for extension				Content/Rules for all slices
extension:addressLine1		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype 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://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: addressLine1
extension:addressLine2		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype 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://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: addressLine2
extension:street		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: street
extension:streetName		0..1	string	street part of the street line, e.g. withouth housenumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:houseNumber		0..1	string	houseNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:unitID		0..1	string	unitID, dwellingNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:postOfficeBoxText		0..1	(Complex)	Postbox addresses need an postbox text and optional postbox number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype 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://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: postOfficeBoxText
extension:postOfficeBoxNumber		0..1	string	Optional postOfficeBoxNumber as a separate part of the postOfficeBoxText URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
city	SΣ	0..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
Slices for extension				Content/Rules for all slices
extension:bfs		0..1	string	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-7-municipalityid ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
postalCode	SΣ	0..1	string	Postal code for area ele-1: All FHIR elements must have a @value or children Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:countrycode	C	0..1	Coding	ISO Country Alpha-2 or ISO Country Alpha-3 code URL: http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding Binding Description (No ValueSet): (example): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
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
contact:contact	C	0..1	BackboneElement	Contact data if it is not address of patient ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
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
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
address		1..1	CHCoreAddressECH10(6.0.0-ballot-ci-build)	Address for the contact person ele-1: All FHIR elements must have a @value or children
contact:nameOfParent	C	0..*	BackboneElement	Name of parent ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
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
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
name		1..1	HumanName	A name associated with the contact person ele-1: All FHIR elements must have a @value or children
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred ele-1: All FHIR elements must have a @value or children
communication:All Slices				Content/Rules for all slices
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
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 ele-1: All FHIR elements must have a @value or children
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence 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
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 ele-1: All FHIR elements must have a @value or children
preferred		1..1	boolean	Language preference indicator ele-1: All FHIR elements must have a @value or children Fixed Value: true
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 / Code	URI
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-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.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.line.extension:addressLine1.value[x]:valueCode	extensible	Fixed Value: addressLine1 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:addressLine2.value[x]:valueCode	extensible	Fixed Value: addressLine2 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:street.value[x]:valueCode	extensible	Fixed Value: street http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:postOfficeBoxText.value[x]:valueCode	extensible	Fixed Value: postOfficeBoxText http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.contact:contact.relationship	extensible	Pattern: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship 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.communication:languageOfCorrespondence.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
ch-addr-1	error	Patient.address.country.extension:countrycode	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((value.code.length()=2) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((value.code.length() = 3) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
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	error	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 CHCorePatientEPR

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	CHCorePatientEPR(6.0.0-ballot-ci-build)	CH EPREG Patient: Mother
Slices for extension				Content/Rules for all slices
extension:nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:pronoun		0..1	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Slices for identifier				Content/Rules for all slices
identifier:AHVN13		0..0	AHVN13Identifier(6.0.0-ballot-ci-build)
name	S	1..*	CHCoreHumanName(6.0.0-ballot-ci-build)	A name associated with the patient
text	S	0..1	string	Text representation of the full name
family		1..1	string	Family name (often called 'Surname')
given		1..*	string	Given names (not always 'first'). Includes middle names
prefix		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.
telecom	S	0..*	ContactPoint	A contact detail for the individual
Slices for telecom				Content/Rules for all slices
telecom:email	S	0..*	CHCoreContactPointECH46Email(6.0.0-ballot-ci-build)	A contact detail for the individual
telecom:phone	S	0..*	CHCoreContactPointECH46Phone(6.0.0-ballot-ci-build)	A contact detail for the individual
birthDate	S	1..1	date	The date of birth for the individual
address	S	0..*	CHCoreAddress(6.0.0-ballot-ci-build)	An address for the individual
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
postalCode	S	0..1	string	Postal code for area
country	S	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Slices for communication				Content/Rules for all slices
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR(6.0.0-ballot-ci-build)	CH EPREG Patient: Mother ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
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
extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth(6.0.0-ballot-ci-build)	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin(6.0.0-ballot-ci-build)	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
extension:citizenship	C	0..*	(Complex)	Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
extension:religion		0..1	CodeableConcept	Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
extension:nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:pronoun		0..1	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..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:insuranceCardNumber	Σ	0..*	VEKAIdentifier(6.0.0-ballot-ci-build)	Insurance card number of the patient (20 digits) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		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	SΣ	1..*	CHCoreHumanName(6.0.0-ballot-ci-build)	A name associated with the 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 | 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	Σ	1..1	string	Family name (often called 'Surname')
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ech11name		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (extensible)
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	1..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ech11firstname		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (extensible)
value		0..1	string	Primitive value for string Max Length:1048576
prefix	Σ	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
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)
value		0..1	string	Primitive value for string Max Length:1048576
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
Slices for telecom	SΣ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:email	SΣ	0..*	CHCoreContactPointECH46Email(6.0.0-ballot-ci-build)	A contact detail for the individual
telecom:phone	SΣ	0..*	CHCoreContactPointECH46Phone(6.0.0-ballot-ci-build)	A contact detail for the individual
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet(6.0.0-ballot-ci-build)	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	CHCoreAddress(6.0.0-ballot-ci-build)	An address for the individual
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Ordered, Open by value:url, value:value
extension:addressLine1		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine1
extension:addressLine2		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine2
extension:street		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: street
extension:streetName		0..1	string	street part of the street line, e.g. withouth housenumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
extension:houseNumber		0..1	string	houseNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
extension:unitID		0..1	string	unitID, dwellingNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID
extension:postOfficeBoxText		0..1	(Complex)	Postbox addresses need an postbox text and optional postbox number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: postOfficeBoxText
extension:postOfficeBoxNumber		0..1	string	Optional postOfficeBoxNumber as a separate part of the postOfficeBoxText URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
value		0..1	string	Primitive value for string Max Length:1048576
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bfs		0..1	string	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-7-municipalityid
value		0..1	string	Primitive value for string Max Length:1048576
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok) Binding: eCH-0007 Canton Abbreviation (example): Use these values for a Swiss or Liechtenstein address
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countrycode	C	0..1	Coding	ISO Country Alpha-2 or ISO Country Alpha-3 code URL: http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding Binding Description (No ValueSet): (example): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc. ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code
value		0..1	string	Primitive value for string Max Length:1048576
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: ChCoreMaritalStatus (extensible)
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
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
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
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
contact:contact	C	0..1	BackboneElement	Contact data if it is not address of 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		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: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		0..1	HumanName	A name associated with the contact person
address		1..1	CHCoreAddressECH10(6.0.0-ballot-ci-build)	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
contact:nameOfParent	C	0..*	BackboneElement	Name of parent 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		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: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		1..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
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred
communication:All Slices				Content/Rules for all slices
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
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
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		1..1	boolean	Language preference indicator Fixed Value: true
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	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 / Code	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:LocalPid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-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.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address.line.extension:addressLine1.value[x]:valueCode	extensible	Fixed Value: addressLine1 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:addressLine2.value[x]:valueCode	extensible	Fixed Value: addressLine2 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:street.value[x]:valueCode	extensible	Fixed Value: street http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:postOfficeBoxText.value[x]:valueCode	extensible	Fixed Value: postOfficeBoxText http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.state	example	ECH007CantonAbbreviation http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation
Patient.maritalStatus	extensible	ChCoreMaritalStatus http://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus
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.contact:contact.relationship	extensible	Pattern: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:nameOfParent.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.communication:languageOfCorrespondence.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
ch-addr-1	error	Patient.address.country.extension:countrycode	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((value.code.length()=2) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((value.code.length() = 3) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
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	error	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 CHCorePatientEPR

Summary

Mandatory: 2 elements
Must-Support: 11 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-nationality
• http://hl7.org/fhir/StructureDefinition/individual-pronouns

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR(6.0.0-ballot-ci-build)	CH EPREG Patient: Mother 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 ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
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
extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth(6.0.0-ballot-ci-build)	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin(6.0.0-ballot-ci-build)	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:citizenship	C	0..*	(Complex)	Citizenship(s) of patient 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 ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
extension:religion		0..1	CodeableConcept	Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:pronoun		0..1	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns 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	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
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	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:insuranceCardNumber	Σ	0..*	VEKAIdentifier(6.0.0-ballot-ci-build)	Insurance card number of the patient (20 digits) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
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	SΣ	1..*	CHCoreHumanName(6.0.0-ballot-ci-build)	A name associated with the patient ele-1: All FHIR elements must have a @value or children
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	Σ	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:ech11name		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
given	Σ	1..*	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
Slices for extension				Content/Rules for all slices
extension:ech11firstname		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
prefix	Σ	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. ele-1: All FHIR elements must have a @value or children This repeating element order: Prefixes appear in the correct order for presenting the name
Slices for extension				Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for telecom	SΣ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
telecom:email	SΣ	0..*	CHCoreContactPointECH46Email(6.0.0-ballot-ci-build)	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
telecom:phone	SΣ	0..*	CHCoreContactPointECH46Phone(6.0.0-ballot-ci-build)	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet(6.0.0-ballot-ci-build)	A contact detail for the individual ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children Fixed Value: url
value	Σ	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') 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	1..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	SΣ	0..*	CHCoreAddress(6.0.0-ballot-ci-build)	An address for the individual ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Slices for extension				Content/Rules for all slices
extension:addressLine1		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype 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://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: addressLine1
extension:addressLine2		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype 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://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: addressLine2
extension:street		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: street
extension:streetName		0..1	string	street part of the street line, e.g. withouth housenumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:houseNumber		0..1	string	houseNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:unitID		0..1	string	unitID, dwellingNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:postOfficeBoxText		0..1	(Complex)	Postbox addresses need an postbox text and optional postbox number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype 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://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) ele-1: All FHIR elements must have a @value or children Fixed Value: postOfficeBoxText
extension:postOfficeBoxNumber		0..1	string	Optional postOfficeBoxNumber as a separate part of the postOfficeBoxText URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
city	SΣ	0..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon
Slices for extension				Content/Rules for all slices
extension:bfs		0..1	string	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-7-municipalityid ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
postalCode	SΣ	0..1	string	Postal code for area ele-1: All FHIR elements must have a @value or children Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:countrycode	C	0..1	Coding	ISO Country Alpha-2 or ISO Country Alpha-3 code URL: http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding Binding Description (No ValueSet): (example): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
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
contact:contact	C	0..1	BackboneElement	Contact data if it is not address of patient ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
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
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
address		1..1	CHCoreAddressECH10(6.0.0-ballot-ci-build)	Address for the contact person ele-1: All FHIR elements must have a @value or children
contact:nameOfParent	C	0..*	BackboneElement	Name of parent ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
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
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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
name		1..1	HumanName	A name associated with the contact person ele-1: All FHIR elements must have a @value or children
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred ele-1: All FHIR elements must have a @value or children
communication:All Slices				Content/Rules for all slices
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
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 ele-1: All FHIR elements must have a @value or children
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence 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
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 ele-1: All FHIR elements must have a @value or children
preferred		1..1	boolean	Language preference indicator ele-1: All FHIR elements must have a @value or children Fixed Value: true
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 / Code	URI
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-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.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.line.extension:addressLine1.value[x]:valueCode	extensible	Fixed Value: addressLine1 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:addressLine2.value[x]:valueCode	extensible	Fixed Value: addressLine2 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:street.value[x]:valueCode	extensible	Fixed Value: street http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:postOfficeBoxText.value[x]:valueCode	extensible	Fixed Value: postOfficeBoxText http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.contact:contact.relationship	extensible	Pattern: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship 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.communication:languageOfCorrespondence.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
ch-addr-1	error	Patient.address.country.extension:countrycode	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((value.code.length()=2) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((value.code.length() = 3) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
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	error	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 CHCorePatientEPR

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	CHCorePatientEPR(6.0.0-ballot-ci-build)	CH EPREG Patient: Mother
Slices for extension				Content/Rules for all slices
extension:nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:pronoun		0..1	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Slices for identifier				Content/Rules for all slices
identifier:AHVN13		0..0	AHVN13Identifier(6.0.0-ballot-ci-build)
name	S	1..*	CHCoreHumanName(6.0.0-ballot-ci-build)	A name associated with the patient
text	S	0..1	string	Text representation of the full name
family		1..1	string	Family name (often called 'Surname')
given		1..*	string	Given names (not always 'first'). Includes middle names
prefix		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.
telecom	S	0..*	ContactPoint	A contact detail for the individual
Slices for telecom				Content/Rules for all slices
telecom:email	S	0..*	CHCoreContactPointECH46Email(6.0.0-ballot-ci-build)	A contact detail for the individual
telecom:phone	S	0..*	CHCoreContactPointECH46Phone(6.0.0-ballot-ci-build)	A contact detail for the individual
birthDate	S	1..1	date	The date of birth for the individual
address	S	0..*	CHCoreAddress(6.0.0-ballot-ci-build)	An address for the individual
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
postalCode	S	0..1	string	Postal code for area
country	S	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Slices for communication				Content/Rules for all slices
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	CHCorePatientEPR(6.0.0-ballot-ci-build)	CH EPREG Patient: Mother ch-pat-1: If one ore more human names are provided, at least one human name should have a family and a given name. ch-pat-2: gender 'unknown' is currently not used in Switzerland in eCH and the EPR ch-pat-1-epr: At least one human name shall have a family and a given name.
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
extension:placeOfBirth		0..1	CHCoreAddressEch11PlaceOfBirth(6.0.0-ballot-ci-build)	Place of birth of patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
extension:placeOfOrigin		0..*	CHCoreAddressECH11PlaceOfOrigin(6.0.0-ballot-ci-build)	Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
extension:citizenship	C	0..*	(Complex)	Citizenship(s) of patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
extension:religion		0..1	CodeableConcept	Religion of patient URL: http://hl7.org/fhir/StructureDefinition/patient-religion Binding: ReligiousAffiliation (preferred)
extension:nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:pronoun		0..1	(Complex)	The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:LocalPid	Σ	0..*	Identifier	Local patient identifier(s) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		0..1	uri	The namespace for the identifier value
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..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:insuranceCardNumber	Σ	0..*	VEKAIdentifier(6.0.0-ballot-ci-build)	Insurance card number of the patient (20 digits) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		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	SΣ	1..*	CHCoreHumanName(6.0.0-ballot-ci-build)	A name associated with the 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 | 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	Σ	1..1	string	Family name (often called 'Surname')
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ech11name		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name Binding: eCH-011 NameDataTypes (extensible)
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	1..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ech11firstname		0..1	code	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname Binding: eCH-011 FirstNameDataTypes (extensible)
value		0..1	string	Primitive value for string Max Length:1048576
prefix	Σ	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
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)
value		0..1	string	Primitive value for string Max Length:1048576
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
Slices for telecom	SΣ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:email	SΣ	0..*	CHCoreContactPointECH46Email(6.0.0-ballot-ci-build)	A contact detail for the individual
telecom:phone	SΣ	0..*	CHCoreContactPointECH46Phone(6.0.0-ballot-ci-build)	A contact detail for the individual
telecom:internet	Σ	0..*	CHCoreContactPointECH46Internet(6.0.0-ballot-ci-build)	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: url
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)
value		0..1	string	Primitive value for code
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
gender	Σ	1..1	code	male | female | other | unknown* (* see warning 'ch-pat-2') Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	1..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	CHCoreAddress(6.0.0-ballot-ci-build)	An address for the individual
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Ordered, Open by value:url, value:value
extension:addressLine1		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine1
extension:addressLine2		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: addressLine2
extension:street		0..1	(Complex)	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: street
extension:streetName		0..1	string	street part of the street line, e.g. withouth housenumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
extension:houseNumber		0..1	string	houseNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
extension:unitID		0..1	string	unitID, dwellingNumber part of the street line URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID
extension:postOfficeBoxText		0..1	(Complex)	Postbox addresses need an postbox text and optional postbox number URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-10-linetype"
Slices for value[x]		1..1	code	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCode		1..1	code	Value of extension Binding: eCH-010 Address Line Type (extensible) Fixed Value: postOfficeBoxText
extension:postOfficeBoxNumber		0..1	string	Optional postOfficeBoxNumber as a separate part of the postOfficeBoxText URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
value		0..1	string	Primitive value for string Max Length:1048576
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bfs		0..1	string	Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-7-municipalityid
value		0..1	string	Primitive value for string Max Length:1048576
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok) Binding: eCH-0007 Canton Abbreviation (example): Use these values for a Swiss or Liechtenstein address
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:countrycode	C	0..1	Coding	ISO Country Alpha-2 or ISO Country Alpha-3 code URL: http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding Binding Description (No ValueSet): (example): A coded representation for a string. Could be codes for country in a country address part, codes for prefixes in a name part, etc. ch-addr-1: ISO Country Alpha-2 or ISO Country Alpha-3 code
value		0..1	string	Primitive value for string Max Length:1048576
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: ChCoreMaritalStatus (extensible)
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
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
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
Slices for contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization
contact:All Slices				Content/Rules for all slices
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
contact:contact	C	0..1	BackboneElement	Contact data if it is not address of 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		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: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: contactData
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		0..1	HumanName	A name associated with the contact person
address		1..1	CHCoreAddressECH10(6.0.0-ballot-ci-build)	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
contact:nameOfParent	C	0..*	BackboneElement	Name of parent 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		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: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
name		1..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
Slices for communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred
communication:All Slices				Content/Rules for all slices
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
communication:languageOfCorrespondence		0..1	BackboneElement	Language of correspondence
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		1..1	boolean	Language preference indicator Fixed Value: true
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	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 / Code	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier:LocalPid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:LocalPid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom:internet.system	required	Fixed Value: url http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom:internet.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-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.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.address.line.extension:addressLine1.value[x]:valueCode	extensible	Fixed Value: addressLine1 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:addressLine2.value[x]:valueCode	extensible	Fixed Value: addressLine2 http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:street.value[x]:valueCode	extensible	Fixed Value: street http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.line.extension:postOfficeBoxText.value[x]:valueCode	extensible	Fixed Value: postOfficeBoxText http://fhir.ch/ig/ch-core/ValueSet/ech-10-linetype
Patient.address.state	example	ECH007CantonAbbreviation http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation
Patient.maritalStatus	extensible	ChCoreMaritalStatus http://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus
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.contact:contact.relationship	extensible	Pattern: contactData http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.contact:nameOfParent.relationship	extensible	Pattern: PRN http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact:nameOfParent.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.communication:languageOfCorrespondence.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
ch-addr-1	error	Patient.address.country.extension:countrycode	ISO Country Alpha-2 or ISO Country Alpha-3 code : ((value.code.length()=2) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((value.code.length() = 3) and value.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
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-1-epr	error	Patient	At least one human name shall have a family and a given name. : name.where(family.exists() and given.exists()).count()>0
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	error	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 CHCorePatientEPR

Summary

Mandatory: 2 elements
Must-Support: 11 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-nationality
• http://hl7.org/fhir/StructureDefinition/individual-pronouns