HL7 Europe Base and Core FHIR IG
0.1.0-snapshot - draft 150

HL7 Europe Base and Core FHIR IG - Local Development build (v0.1.0-snapshot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Patient (EU base)

Official URL: http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu | Version: 0.1.0-snapshot
Standards status: Draft | Maturity Level: 2 | Computable Name: PatientEu
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile specifies how the HL7 FHIR Patient resource should be used for conveying commonly used concepts in the European context.

### Sex and Gender extensions

#### Sex Parameters for Clinical Use

Sex Parameters for Clinical Use (SPCU) may be used in specific clinical contexts. However, there are cases where having a context-free categorisation of a patient can be useful. When using SPCU at a patient level, consider if any information is available suggesting that the patient is NOT male-typical or female-typical across all clinical contexts, then using specified as the patient-level SPCU is most appropriate.

#### Gender Identity

This represents an individual’s identity, ascertained by asking them what that identity is. The standard extension supports multiple gender identities, with relevant periods to account for a patient’s gender identity changing over time.

#### Pronouns

The pronouns to use when referring to an individual in verbal or written communication.

More details about these and other sex/gender related extensions can be found in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1.

Usages:

- Derived from this Profile: Patient: Animal (EU core) and Patient (EU core)

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | AddressEu | Value of extension
extension:sex-for-clinical-use |  | 0..* | (Complex) | Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity |  | 0..* | (Complex) | Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns |  | 0..* | (Complex) | Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship |  | 0..* | (Complex) | Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime |  | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Patient identifiers
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | A name associated with the patient
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name.
family | Σ | 0..1 | string | Family name. Example spanish: Valero Iglesias
given | Σ | 0..* | string | Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom | Σ | 0..* | ContactPoint | A contact detail for the patient
gender | Σ | 0..1 | code | Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the patient
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status Binding: MaritalStatusCodes (extensible): The domestic partnership status of a person.
generalPractitioner |  | 0..* | Reference(Organization (EU base) | PractitionerRole (EU base) | Practitioner (EU base)) | Patient's nominated primary care provider.
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 | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|5.0.0` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0` From the FHIR Standard
Patient.maritalStatus | extensible | MaritalStatusCodes `http://hl7.org/fhir/ValueSet/marital-status|5.0.0` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|5.0.0` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
value[x] |  | 1..1 | AddressEu | Value of extension
extension:sex-for-clinical-use |  | 0..* | (Complex) | Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity |  | 0..* | (Complex) | Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns |  | 0..* | (Complex) | Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship |  | 0..* | (Complex) | Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime |  | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
identifier |  | 0..* | Identifier | Patient identifiers
name |  | 0..* | HumanName | A name associated with the patient
text |  | 0..1 | string | Text representation of the full name.
family |  | 0..1 | string | Family name. Example spanish: Valero Iglesias
given |  | 0..* | string | Given names. Includes middle names
telecom |  | 0..* | ContactPoint | A contact detail for the patient
gender |  | 0..1 | code | Administrative Gender
birthDate |  | 0..1 | date | The date of birth for the patient
address |  | 0..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status
contact |  |  |  |
relationship |  | 0..* | CodeableConcept | Contact relationship
name |  | 0..1 | HumanName | Contact name
telecom |  | 0..* | ContactPoint | Contact details for the person
address |  | 0..1 | AddressEu | Contact person address
communication |  |  |  |
language |  | 1..1 | CodeableConcept | Communication language
generalPractitioner |  | 0..* | Reference(Organization (EU base) | PractitionerRole (EU base) | Practitioner (EU base)) | Patient's nominated primary care provider.
Documentation for this format

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | AddressEu | Value of extension
extension:sex-for-clinical-use |  | 0..* | (Complex) | Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity |  | 0..* | (Complex) | Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns |  | 0..* | (Complex) | Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship |  | 0..* | (Complex) | Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime |  | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Patient identifiers
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | A name associated with the 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 | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name.
family | Σ | 0..1 | string | Family name. Example spanish: Valero Iglesias
given | Σ | 0..* | string | Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | ContactPoint | A contact detail for the patient
gender | Σ | 0..1 | code | Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the patient
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status 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 |  | 0..* | CodeableConcept | Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name | C | 0..1 | HumanName | Contact name
telecom | C | 0..* | ContactPoint | Contact details for the person
address | C | 0..1 | AddressEu | Contact person address
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | Communication language Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Organization (EU base) | PractitionerRole (EU base) | Practitioner (EU base)) | 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 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 | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` From the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|5.0.0` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0` From the FHIR Standard
Patient.maritalStatus | extensible | MaritalStatusCodes `http://hl7.org/fhir/ValueSet/marital-status|5.0.0` From the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship|5.0.0` From the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0` From the FHIR Standard
Patient.communication.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|5.0.0` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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

Structures

This structure refers to these other structures:

- Address (EU) (http://hl7.eu/fhir/base-r5/StructureDefinition/Address-eu)
- Organization (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu)
- PractitionerRole (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu)
- Practitioner (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
- http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
- http://hl7.org/fhir/StructureDefinition/individual-pronouns
- http://hl7.org/fhir/StructureDefinition/patient-citizenship
- http://hl7.org/fhir/StructureDefinition/patient-nationality
- http://hl7.org/fhir/StructureDefinition/patient-birthTime

Maturity: 2

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | AddressEu | Value of extension
extension:sex-for-clinical-use |  | 0..* | (Complex) | Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity |  | 0..* | (Complex) | Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns |  | 0..* | (Complex) | Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship |  | 0..* | (Complex) | Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime |  | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Patient identifiers
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | A name associated with the patient
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name.
family | Σ | 0..1 | string | Family name. Example spanish: Valero Iglesias
given | Σ | 0..* | string | Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom | Σ | 0..* | ContactPoint | A contact detail for the patient
gender | Σ | 0..1 | code | Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the patient
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status Binding: MaritalStatusCodes (extensible): The domestic partnership status of a person.
generalPractitioner |  | 0..* | Reference(Organization (EU base) | PractitionerRole (EU base) | Practitioner (EU base)) | Patient's nominated primary care provider.
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 | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|5.0.0` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0` From the FHIR Standard
Patient.maritalStatus | extensible | MaritalStatusCodes `http://hl7.org/fhir/ValueSet/marital-status|5.0.0` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|5.0.0` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
value[x] |  | 1..1 | AddressEu | Value of extension
extension:sex-for-clinical-use |  | 0..* | (Complex) | Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity |  | 0..* | (Complex) | Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns |  | 0..* | (Complex) | Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship |  | 0..* | (Complex) | Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime |  | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
identifier |  | 0..* | Identifier | Patient identifiers
name |  | 0..* | HumanName | A name associated with the patient
text |  | 0..1 | string | Text representation of the full name.
family |  | 0..1 | string | Family name. Example spanish: Valero Iglesias
given |  | 0..* | string | Given names. Includes middle names
telecom |  | 0..* | ContactPoint | A contact detail for the patient
gender |  | 0..1 | code | Administrative Gender
birthDate |  | 0..1 | date | The date of birth for the patient
address |  | 0..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status
contact |  |  |  |
relationship |  | 0..* | CodeableConcept | Contact relationship
name |  | 0..1 | HumanName | Contact name
telecom |  | 0..* | ContactPoint | Contact details for the person
address |  | 0..1 | AddressEu | Contact person address
communication |  |  |  |
language |  | 1..1 | CodeableConcept | Communication language
generalPractitioner |  | 0..* | Reference(Organization (EU base) | PractitionerRole (EU base) | Practitioner (EU base)) | Patient's nominated primary care provider.
Documentation for this format

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | AddressEu | Value of extension
extension:sex-for-clinical-use |  | 0..* | (Complex) | Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity |  | 0..* | (Complex) | Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns |  | 0..* | (Complex) | Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship |  | 0..* | (Complex) | Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality |  | 0..* | (Complex) | Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime |  | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Patient identifiers
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | Σ | 0..* | HumanName | A name associated with the 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 | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name.
family | Σ | 0..1 | string | Family name. Example spanish: Valero Iglesias
given | Σ | 0..* | string | Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | ContactPoint | A contact detail for the patient
gender | Σ | 0..1 | code | Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the patient
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status 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 |  | 0..* | CodeableConcept | Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name | C | 0..1 | HumanName | Contact name
telecom | C | 0..* | ContactPoint | Contact details for the person
address | C | 0..1 | AddressEu | Contact person address
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | Communication language Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Organization (EU base) | PractitionerRole (EU base) | Practitioner (EU base)) | 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 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 | 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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` From the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|5.0.0` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0` From the FHIR Standard
Patient.maritalStatus | extensible | MaritalStatusCodes `http://hl7.org/fhir/ValueSet/marital-status|5.0.0` From the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship|5.0.0` From the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0` From the FHIR Standard
Patient.communication.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|5.0.0` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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

Structures

This structure refers to these other structures:

- Address (EU) (http://hl7.eu/fhir/base-r5/StructureDefinition/Address-eu)
- Organization (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu)
- PractitionerRole (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu)
- Practitioner (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
- http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
- http://hl7.org/fhir/StructureDefinition/individual-pronouns
- http://hl7.org/fhir/StructureDefinition/patient-citizenship
- http://hl7.org/fhir/StructureDefinition/patient-nationality
- http://hl7.org/fhir/StructureDefinition/patient-birthTime

Maturity: 2

Other representations of profile: CSV, Excel, Schematron