HL7 Europe Common Cancer Model
1.0.0-ballot - ballot 150

HL7 Europe Common Cancer Model - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Patient (CCM)

Official URL: http://hl7.eu/fhir/cancer-common/StructureDefinition/patient-eu-ccm | Version: 1.0.0-ballot
Standards status: Informative | Maturity Level: 0 | Computable Name: PatientEuCcm
Copyright/Legal: HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at Copyright.

This informative profile defines how to represent Patient in FHIR for the purpose of the ECCDM. It is provided as future implementation-oriented content in this publication and is expected to evolve in subsequent iterations of this guide.

Future implementation content This generated FHIR profile is provided as informative implementation-oriented content in this publication and is expected to evolve in subsequent iterations of this guide.

Usages:

- Refer to this Profile: Observation: Comorbidities
- Examples for this Profile: Patient/Patient1-Example

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 | C | 0..* | PatientEu | Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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
extension:recordedSexOrGender |  | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:value |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "value"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: AdministrativeGender (example)
extension:type |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Recorded Sex Or Gender Type (example)
extension:effectivePeriod |  | 0..1 | Extension | When the recorded sex or gender value applies
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "effectivePeriod"
extension:acquisitionDate |  | 0..1 | Extension | When the sex or gender value was recorded.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "acquisitionDate"
value[x] |  | 1..1 | dateTime | Value of extension
extension:source |  | 0..1 | Extension | The source of the Recorded Sex or Gender value.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Organization | Device | RelatedPerson | Practitioner) |
extension:sourceDocument |  | 0..1 | Extension | The document the sex or gender property was acquired from.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceDocument"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(DocumentReference) |
extension:sourceField |  | 0..1 | Extension | The name of the field within the source document where this sex or gender property is initially recorded.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceField"
value[x] |  | 1..1 | string | Value of extension
extension:jurisdiction |  | 0..1 | Extension | Who issued the document where the sex or gender was aquired
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "jurisdiction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Jurisdiction ValueSet (extensible)
extension:comment |  | 0..1 | Extension | Context or source information about the recorded sex or gender
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "comment"
value[x] |  | 1..1 | string | Value of extension
extension:genderElementQualifier |  | 0..1 | Extension | Whether this recorded sex or gender value qualifies the .gender element.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "genderElementQualifier"
value[x] |  | 1..1 | boolean | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
gender | Σ | 0..1 | code | Administrative gender 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 |
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
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 | Status | Usage | ValueSet | Version | Source
Patient.extension:recordedSexOrGender.​extension:value.value[x] | Base | example | AdministrativeGender | 📦4.0.1 | FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x] | Base | example | Recorded Sex Or Gender Type | 📦2.0.0 | THO v7.1
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x] | Base | extensible | Jurisdiction ValueSet | 📦1.0.0 | THO v7.1
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | 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().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()`
recordedSexOrGender-or-gender | error | Patient | If recordedSexOrGender extension is not present, gender shall be valued. | `extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()`

This structure is derived from PatientEu

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | PatientEu | Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Slices for extension |  |  |  | Content/Rules for all slices
extension:recordedSexOrGender |  | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:value |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
extension:type |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
gender |  | 0..1 | code | Administrative gender
birthDate |  | 1..1 | date | The date of birth for the individual
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
recordedSexOrGender-or-gender | error | Patient | If recordedSexOrGender extension is not present, gender shall be valued. | `extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | PatientEu | Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
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 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 |  | Extension Slice: Unordered, Open by value:url
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
extension:recordedSexOrGender |  | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:value |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "value"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: AdministrativeGender (example)
extension:type |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Recorded Sex Or Gender Type (example)
extension:effectivePeriod |  | 0..1 | Extension | When the recorded sex or gender value applies
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "effectivePeriod"
value[x] |  | 0..1 | Period | Value of extension
extension:acquisitionDate |  | 0..1 | Extension | When the sex or gender value was recorded.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "acquisitionDate"
value[x] |  | 1..1 | dateTime | Value of extension
extension:source |  | 0..1 | Extension | The source of the Recorded Sex or Gender value.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Organization | Device | RelatedPerson | Practitioner) |
extension:sourceDocument |  | 0..1 | Extension | The document the sex or gender property was acquired from.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceDocument"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(DocumentReference) |
extension:sourceField |  | 0..1 | Extension | The name of the field within the source document where this sex or gender property is initially recorded.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceField"
value[x] |  | 1..1 | string | Value of extension
extension:jurisdiction |  | 0..1 | Extension | Who issued the document where the sex or gender was aquired
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "jurisdiction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Jurisdiction ValueSet (extensible)
extension:comment |  | 0..1 | Extension | Context or source information about the recorded sex or gender
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "comment"
value[x] |  | 1..1 | string | Value of extension
extension:genderElementQualifier |  | 0..1 | Extension | Whether this recorded sex or gender value qualifies the .gender element.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "genderElementQualifier"
value[x] |  | 1..1 | boolean | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
modifierExtension | ?! | 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 | 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 | 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 (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | 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 | 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..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status Binding: Marital Status Codes (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 |  | 0..1 | HumanName | Contact name
telecom |  | 0..* | ContactPoint | Contact details for the person
address |  | 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
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 | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.extension:recordedSexOrGender.​extension:value.value[x] | Base | example | AdministrativeGender | 📦4.0.1 | FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x] | Base | example | Recorded Sex Or Gender Type | 📦2.0.0 | THO v7.1
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x] | Base | extensible | Jurisdiction ValueSet | 📦1.0.0 | THO v7.1
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std.
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 | 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()`
recordedSexOrGender-or-gender | error | Patient | If recordedSexOrGender extension is not present, gender shall be valued. | `extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()`

This structure is derived from PatientEu

Summary

Mandatory: 1 element(1 nested mandatory element)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | PatientEu | Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:birthPlace |  | 0..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
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
extension:recordedSexOrGender |  | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:value |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "value"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: AdministrativeGender (example)
extension:type |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Recorded Sex Or Gender Type (example)
extension:effectivePeriod |  | 0..1 | Extension | When the recorded sex or gender value applies
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "effectivePeriod"
extension:acquisitionDate |  | 0..1 | Extension | When the sex or gender value was recorded.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "acquisitionDate"
value[x] |  | 1..1 | dateTime | Value of extension
extension:source |  | 0..1 | Extension | The source of the Recorded Sex or Gender value.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Organization | Device | RelatedPerson | Practitioner) |
extension:sourceDocument |  | 0..1 | Extension | The document the sex or gender property was acquired from.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceDocument"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(DocumentReference) |
extension:sourceField |  | 0..1 | Extension | The name of the field within the source document where this sex or gender property is initially recorded.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceField"
value[x] |  | 1..1 | string | Value of extension
extension:jurisdiction |  | 0..1 | Extension | Who issued the document where the sex or gender was aquired
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "jurisdiction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Jurisdiction ValueSet (extensible)
extension:comment |  | 0..1 | Extension | Context or source information about the recorded sex or gender
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "comment"
value[x] |  | 1..1 | string | Value of extension
extension:genderElementQualifier |  | 0..1 | Extension | Whether this recorded sex or gender value qualifies the .gender element.
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "genderElementQualifier"
value[x] |  | 1..1 | boolean | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
gender | Σ | 0..1 | code | Administrative gender 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 |
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
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 | Status | Usage | ValueSet | Version | Source
Patient.extension:recordedSexOrGender.​extension:value.value[x] | Base | example | AdministrativeGender | 📦4.0.1 | FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x] | Base | example | Recorded Sex Or Gender Type | 📦2.0.0 | THO v7.1
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x] | Base | extensible | Jurisdiction ValueSet | 📦1.0.0 | THO v7.1
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | 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().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()`
recordedSexOrGender-or-gender | error | Patient | If recordedSexOrGender extension is not present, gender shall be valued. | `extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()`

Differential View

This structure is derived from PatientEu

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | PatientEu | Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
Slices for extension |  |  |  | Content/Rules for all slices
extension:recordedSexOrGender |  | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:value |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
extension:type |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
gender |  | 0..1 | code | Administrative gender
birthDate |  | 1..1 | date | The date of birth for the individual
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
recordedSexOrGender-or-gender | error | Patient | If recordedSexOrGender extension is not present, gender shall be valued. | `extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | PatientEu | Information about an individual receiving health care services Constraints: recordedSexOrGender-or-gender
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 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 |  | Extension Slice: Unordered, Open by value:url
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
extension:recordedSexOrGender |  | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:value |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://hl7.org/fhir/administrative-gender","code":"female"}]}
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "value"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: AdministrativeGender (example)
extension:type |  | 1..1 | Extension | Extension Example sex-assigned-at-birth: {"coding":[{"system":"http://loinc.org","code":"76689-9","display":"Sex assigned at birth"}]}
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Recorded Sex Or Gender Type (example)
extension:effectivePeriod |  | 0..1 | Extension | When the recorded sex or gender value applies
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "effectivePeriod"
value[x] |  | 0..1 | Period | Value of extension
extension:acquisitionDate |  | 0..1 | Extension | When the sex or gender value was recorded.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "acquisitionDate"
value[x] |  | 1..1 | dateTime | Value of extension
extension:source |  | 0..1 | Extension | The source of the Recorded Sex or Gender value.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(Organization | Device | RelatedPerson | Practitioner) |
extension:sourceDocument |  | 0..1 | Extension | The document the sex or gender property was acquired from.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceDocument"
value[x] |  | 1..1 |  | Value of extension
valueCodeableConcept |  |  | CodeableConcept |
valueReference |  |  | Reference(DocumentReference) |
extension:sourceField |  | 0..1 | Extension | The name of the field within the source document where this sex or gender property is initially recorded.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "sourceField"
value[x] |  | 1..1 | string | Value of extension
extension:jurisdiction |  | 0..1 | Extension | Who issued the document where the sex or gender was aquired
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "jurisdiction"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Jurisdiction ValueSet (extensible)
extension:comment |  | 0..1 | Extension | Context or source information about the recorded sex or gender
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "comment"
value[x] |  | 1..1 | string | Value of extension
extension:genderElementQualifier |  | 0..1 | Extension | Whether this recorded sex or gender value qualifies the .gender element.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "genderElementQualifier"
value[x] |  | 1..1 | boolean | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
modifierExtension | ?! | 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 | 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 | 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 (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | 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 | 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..* | AddressEu | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital status Binding: Marital Status Codes (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 |  | 0..1 | HumanName | Contact name
telecom |  | 0..* | ContactPoint | Contact details for the person
address |  | 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
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 | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.extension:recordedSexOrGender.​extension:value.value[x] | Base | example | AdministrativeGender | 📦4.0.1 | FHIR Std.
Patient.extension:recordedSexOrGender.​extension:type.value[x] | Base | example | Recorded Sex Or Gender Type | 📦2.0.0 | THO v7.1
Patient.extension:recordedSexOrGender.​extension:jurisdiction.​value[x] | Base | extensible | Jurisdiction ValueSet | 📦1.0.0 | THO v7.1
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std.
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 | 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()`
recordedSexOrGender-or-gender | error | Patient | If recordedSexOrGender extension is not present, gender shall be valued. | `extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()`

This structure is derived from PatientEu

Summary

Mandatory: 1 element(1 nested mandatory element)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender

Maturity: 0

Other representations of profile: CSV, Excel, Schematron