SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

## Resource Profile: SGHI Patient

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/patient | Version: 0.1.0
Draft as of 2026-04-27 | Computable Name: SGHIPatient

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

Usages:

- Refer to this Profile: SGHI AllergyIntolerance, SGHI Appointment Profile, SGHI Care Plan, SGHI Composition... Show 16 more, SGHI Condition, SGHI Consent, SGHI DiagnosticReport, SGHI DocumentReference Profile., SGHI Encounter, SGHI EpisodeOfCare, SGHI Medication Dispense, SGHI MedicationRequest, SGHI Observation, SGHI Patient, SGHI Procedure, SGHI QuestionnaireResponse, SGHI RiskAssessment, SGHI ServiceRequest, SGHI Specimen and SGHI Task
- Examples for this Profile: Patient/ExampleSGHIPatient

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Person Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
active | ?!Σ | 1..1 | boolean | Whether this patient's record is in active use
name | Σ | 1..1 | SGHIHumanName | A name associated with the patient
telecom | Σ | 1..* | SGHIContactPoint | A contact detail for the individual
gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 1..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
generalPractitioner |  | 0..* | SGHIReference(SGHI Organization) | Patient's nominated primary care provider
managingOrganization | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | SGHIReference(SGHI Patient) | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Patient.identifier.type | Base | required | SGHI Person Identifier Types | 📦0.1.0 | This IG
Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
identifier |  | 1..* | Identifier | An identifier for this patient
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Person Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
active |  | 1..1 | boolean | Whether this patient's record is in active use
name |  | 1..1 | SGHIHumanName | A name associated with the patient
telecom |  | 1..* | SGHIContactPoint | A contact detail for the individual
gender |  | 1..1 | code | male | female | other | unknown
birthDate |  | 1..1 | date | The date of birth for the individual
contact |  |  |  |
relationship |  | 1..* | SGHICodeableConcept | The kind of relationship Binding: SGHI Contact Relationship Types (required)
name |  | 1..1 | SGHIHumanName | A name associated with the contact person
telecom |  | 1..1 | SGHIContactPoint | A contact detail for the person
organization |  | 0..1 | SGHIReference(SGHI Organization) | Organization that is associated with the contact
generalPractitioner |  | 0..* | SGHIReference(SGHI Organization) | Patient's nominated primary care provider
managingOrganization |  | 1..1 | SGHIReference(SGHI Organization) | Organization that is the custodian of the patient record
link |  |  |  |
other |  | 1..1 | SGHIReference(SGHI Patient) | The other patient or related person resource that the link refers to
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Patient.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Patient.identifier.type | Base | required | SGHI Person Identifier Types | 📦0.1.0 | This IG
Patient.contact.relationship | Base | required | SGHI Contact Relationship Types | 📦0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | An identifier for this patient
id |  | 0..1 | id | 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)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Person Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 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 | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
active | ?!Σ | 1..1 | boolean | Whether this patient's record is in active use
name | Σ | 1..1 | SGHIHumanName | A name associated with the patient
telecom | Σ | 1..* | SGHIContactPoint | A contact detail for the individual
gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 1..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: MaritalStatusCodes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
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..* | SGHICodeableConcept | The kind of relationship Binding: SGHI Contact Relationship Types (required)
name | C | 1..1 | SGHIHumanName | A name associated with the contact person
telecom | C | 1..1 | SGHIContactPoint | A contact detail for the person
address | C | 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 | SGHIReference(SGHI Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | SGHIReference(SGHI Organization) | Patient's nominated primary care provider
managingOrganization | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
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 | SGHIReference(SGHI Patient) | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Patient.identifier.type | Base | required | SGHI Person Identifier Types | 📦0.1.0 | This IG
Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.maritalStatus | Base | extensible | Marital Status Codes | 📍5.0.0 | FHIR Std.
Patient.contact.relationship | Base | required | SGHI Contact Relationship Types | 📦0.1.0 | This IG
Patient.contact.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.communication.​language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | SHALL at least contain a contact's details or a reference to an organization | `name.exists() or telecom.exists() or address.exists() or organization.exists()`

This structure is derived from Patient

Summary

Mandatory: 10 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI HumanName (https://fhir.slade360.co.ke/fhir/StructureDefinition/human-name)
- SGHI ContactPoint (https://fhir.slade360.co.ke/fhir/StructureDefinition/contact-point)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Person Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
active | ?!Σ | 1..1 | boolean | Whether this patient's record is in active use
name | Σ | 1..1 | SGHIHumanName | A name associated with the patient
telecom | Σ | 1..* | SGHIContactPoint | A contact detail for the individual
gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 1..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
generalPractitioner |  | 0..* | SGHIReference(SGHI Organization) | Patient's nominated primary care provider
managingOrganization | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | SGHIReference(SGHI Patient) | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Patient.identifier.type | Base | required | SGHI Person Identifier Types | 📦0.1.0 | This IG
Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
identifier |  | 1..* | Identifier | An identifier for this patient
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Person Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
active |  | 1..1 | boolean | Whether this patient's record is in active use
name |  | 1..1 | SGHIHumanName | A name associated with the patient
telecom |  | 1..* | SGHIContactPoint | A contact detail for the individual
gender |  | 1..1 | code | male | female | other | unknown
birthDate |  | 1..1 | date | The date of birth for the individual
contact |  |  |  |
relationship |  | 1..* | SGHICodeableConcept | The kind of relationship Binding: SGHI Contact Relationship Types (required)
name |  | 1..1 | SGHIHumanName | A name associated with the contact person
telecom |  | 1..1 | SGHIContactPoint | A contact detail for the person
organization |  | 0..1 | SGHIReference(SGHI Organization) | Organization that is associated with the contact
generalPractitioner |  | 0..* | SGHIReference(SGHI Organization) | Patient's nominated primary care provider
managingOrganization |  | 1..1 | SGHIReference(SGHI Organization) | Organization that is the custodian of the patient record
link |  |  |  |
other |  | 1..1 | SGHIReference(SGHI Patient) | The other patient or related person resource that the link refers to
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Patient.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Patient.identifier.type | Base | required | SGHI Person Identifier Types | 📦0.1.0 | This IG
Patient.contact.relationship | Base | required | SGHI Contact Relationship Types | 📦0.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | An identifier for this patient
id |  | 0..1 | id | 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)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Person Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 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 | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
active | ?!Σ | 1..1 | boolean | Whether this patient's record is in active use
name | Σ | 1..1 | SGHIHumanName | A name associated with the patient
telecom | Σ | 1..* | SGHIContactPoint | A contact detail for the individual
gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 1..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: MaritalStatusCodes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
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..* | SGHICodeableConcept | The kind of relationship Binding: SGHI Contact Relationship Types (required)
name | C | 1..1 | SGHIHumanName | A name associated with the contact person
telecom | C | 1..1 | SGHIContactPoint | A contact detail for the person
address | C | 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 | SGHIReference(SGHI Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | SGHIReference(SGHI Organization) | Patient's nominated primary care provider
managingOrganization | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual individual
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 | SGHIReference(SGHI Patient) | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Patient.identifier.type | Base | required | SGHI Person Identifier Types | 📦0.1.0 | This IG
Patient.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.maritalStatus | Base | extensible | Marital Status Codes | 📍5.0.0 | FHIR Std.
Patient.contact.relationship | Base | required | SGHI Contact Relationship Types | 📦0.1.0 | This IG
Patient.contact.gender | Base | required | AdministrativeGender | 📍5.0.0 | FHIR Std.
Patient.communication.​language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Patient.link.type | Base | required | Link Type | 📍5.0.0 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | SHALL at least contain a contact's details or a reference to an organization | `name.exists() or telecom.exists() or address.exists() or organization.exists()`

This structure is derived from Patient

Summary

Mandatory: 10 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI HumanName (https://fhir.slade360.co.ke/fhir/StructureDefinition/human-name)
- SGHI ContactPoint (https://fhir.slade360.co.ke/fhir/StructureDefinition/contact-point)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)

Other representations of profile: CSV, Excel, Schematron