This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Patient Administration Work Group | Maturity Level: 2 | Trial Use | Security Category: Patient | Compartments: Patient, RelatedPerson |
Detailed Descriptions for the elements in the RelatedPerson resource.
RelatedPerson | |||||
Element Id | RelatedPerson | ||||
Definition | Information about a person that is involved in a patient's health or the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process. | ||||
Short Display | A person that is related to a patient, but who is not a direct target of care | ||||
Cardinality | 0..* | ||||
Type | DomainResource | ||||
Requirements | Need to track persons related to the patient or the healthcare process. | ||||
Summary | false | ||||
RelatedPerson.identifier | |||||
Element Id | RelatedPerson.identifier | ||||
Definition | Identifier for a person within a particular scope. | ||||
Short Display | A human identifier for this person | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Cardinality | 0..* | ||||
Type | Identifier | ||||
Requirements | People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier. | ||||
Summary | true | ||||
Comments | RelatedPerson identifiers might not be unique across instances within a system, as a single human individual may be represented as many different RelatedPerson resources with different roles, periods, or relationships. | ||||
RelatedPerson.active | |||||
Element Id | RelatedPerson.active | ||||
Definition | Whether this related person record is in active use. | ||||
Short Display | Whether this related person's record is in active use | ||||
Cardinality | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true (Reason: This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid) | ||||
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
Requirements | Need to be able to mark a related person record as not to be used, such as if it was created in error. | ||||
Summary | true | ||||
Comments | This element is labeled as a modifier because it may be used to mark that the resource was created in error. | ||||
RelatedPerson.patient | |||||
Element Id | RelatedPerson.patient | ||||
Definition | The patient this person is related to. | ||||
Short Display | The patient this person is related to | ||||
Cardinality | 1..1 | ||||
Type | Reference(Patient) | ||||
Requirements | We need to know which patient this RelatedPerson is related to. | ||||
Summary | true | ||||
RelatedPerson.relationship | |||||
Element Id | RelatedPerson.relationship | ||||
Definition | The nature of the relationship between the related person and the patient. | ||||
Short Display | The relationship of the related person to the patient | ||||
Cardinality | 0..* | ||||
Terminology Binding | Patient Relationship Type (Preferred) | ||||
Type | CodeableConcept | ||||
Requirements | We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person. | ||||
Summary | true | ||||
Comments | The directionality of the relationship is from the RelatedPerson to the Patient. For example, if the Patient is a child, and the RelatedPerson is the mother, the relationship would be PRN (parent) or MTH (mother). | ||||
RelatedPerson.name | |||||
Element Id | RelatedPerson.name | ||||
Definition | A name associated with the person. | ||||
Short Display | A name associated with the person | ||||
Cardinality | 0..* | ||||
Type | HumanName | ||||
Requirements | Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person. | ||||
Summary | true | ||||
RelatedPerson.telecom | |||||
Element Id | RelatedPerson.telecom | ||||
Definition | A contact detail for the person, e.g. a telephone number or an email address. | ||||
Short Display | A contact detail for the person | ||||
Cardinality | 0..* | ||||
Type | ContactPoint | ||||
Requirements | People have (primary) ways to contact them in some way such as phone, email. | ||||
Summary | true | ||||
Comments | Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification. | ||||
RelatedPerson.gender | |||||
Element Id | RelatedPerson.gender | ||||
Definition | Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes. | ||||
Short Display | male | female | other | unknown | ||||
Cardinality | 0..1 | ||||
Terminology Binding | AdministrativeGender (Required) | ||||
Type | code | ||||
Requirements | Needed for identification of the person, in combination with (at least) name and birth date. | ||||
Summary | true | ||||
RelatedPerson.birthDate | |||||
Element Id | RelatedPerson.birthDate | ||||
Definition | The date on which the related person was born. | ||||
Short Display | The date on which the related person was born | ||||
Cardinality | 0..1 | ||||
Type | date | ||||
Summary | true | ||||
RelatedPerson.address | |||||
Element Id | RelatedPerson.address | ||||
Definition | Address where the related person can be contacted or visited. | ||||
Short Display | Address where the related person can be contacted or visited | ||||
Cardinality | 0..* | ||||
Type | Address | ||||
Requirements | Need to keep track where the related person can be contacted per postal mail or visited. | ||||
Summary | true | ||||
RelatedPerson.photo | |||||
Element Id | RelatedPerson.photo | ||||
Definition | Image of the person. | ||||
Short Display | Image of the person | ||||
Cardinality | 0..* | ||||
Type | Attachment | ||||
Requirements | Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too. | ||||
Summary | false | ||||
RelatedPerson.period | |||||
Element Id | RelatedPerson.period | ||||
Definition | The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown. | ||||
Short Display | Period of time that this relationship is considered valid | ||||
Cardinality | 0..1 | ||||
Type | Period | ||||
Summary | false | ||||
Comments | If an individual has a relationship with a patient over multiple, non-adjacent periods, there should be a distinct RelatedPerson instance for each period. For example, if a person is a roommate for a period of time, moves out, and is later a roommate with the same person again, you would have two RelatedPerson instances. | ||||
RelatedPerson.communication | |||||
Element Id | RelatedPerson.communication | ||||
Definition | A language which may be used to communicate with the related person about the patient's health. | ||||
Short Display | A language which may be used to communicate with the related person about the patient's health | ||||
Cardinality | 0..* | ||||
Requirements | If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest. | ||||
Summary | false | ||||
Comments | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required. | ||||
RelatedPerson.communication.language | |||||
Element Id | RelatedPerson.communication.language | ||||
Definition | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-AU" for Australian English. | ||||
Short Display | The language which can be used to communicate with the related person about the patient's health | ||||
Cardinality | 1..1 | ||||
Terminology Binding | All Languages (Required)
| ||||
Type | CodeableConcept | ||||
Requirements | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. | ||||
Summary | false | ||||
Comments | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. | ||||
RelatedPerson.communication.preferred | |||||
Element Id | RelatedPerson.communication.preferred | ||||
Definition | Indicates whether or not the related person prefers this language (over other languages he or she masters up a certain level). | ||||
Short Display | Language preference indicator | ||||
Cardinality | 0..1 | ||||
Type | boolean | ||||
Requirements | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. | ||||
Summary | false | ||||
Comments | This language is specifically identified for communicating healthcare information. |