This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
This is an example form generated from the questionnaire. See also the XML or JSON format.
This is an example form generated from the questionnaire. See also the XML or JSON format
| Logical id of this artefact |
Metadata about the resource
| A set of rules under which this content was created |
| language |
Text summary of the resource, for human interpretation
Contained, inline Resources
An identifier for the person as this patient
| label: | |
| system: | |
| value: |
A name associated with the patient
| text: | |||
| family: |
|
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| given: |
|
A contact detail for the individual
| type: | |
| value: | |
| use: |
| gender |
| The date of birth for the individual |
| The time of birth for the individual |
Indicates if the individual is deceased or not
| type |
| boolean |
| dateTime |
Addresses for the individual
| text: | |||
| line: |
|
||
| city: | |||
| state: | |||
| post code: | |||
| country: | |||
| use: |
Marital (civil) status of a person
| code: | |
| text: |
Whether patient is part of a multiple birth
| type |
| boolean |
| integer |
Image of the person
Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
| xml:id (or equivalent in JSON) |
The kind of relationship
| code: | |
| text: |
A name associated with the person
| text: | |||
| family: |
|
||
| given: |
|
A contact detail for the person
| type: | |
| value: | |
| use: |
Address for the contact person
| text: | |||
| line: |
|
||
| city: | |||
| state: | |||
| post code: | |||
| country: | |||
| use: |
| gender |
| Organization that is associated with the contact |
|
The period during which this person or organization is valid to be contacted relating to this patient
| start: | |
| end: |
The animal element is labeled "Is Modifier" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject non-human patient records.
| xml:id (or equivalent in JSON) |
E.g. Dog, Cow
| code: | |
| text: |
E.g. Poodle, Angus
| code: | |
| text: |
E.g. Neutered, Intact
| code: | |
| text: |
Languages which may be used to communicate with the patient about his or her health
| code: | |
| text: |
Patient's nominated care provider
| type |
| Organization |
|
| Practitioner |
|
| Organization that is the custodian of the patient record |
|
There is no assumption that linked patient records have mutual links.
| xml:id (or equivalent in JSON) |
| The other patient resource that the link refers to |
|
| type |
| Whether this patient's record is in active use |