Da Vinci - Coverage Requirements Discovery
2.0.1 - STU 2
Da Vinci - Coverage Requirements Discovery
2.0.1 - STU 2
This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.0.1: STU 2.0) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient | Version: 2.0.1 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: Patient | ||
This profile specifies additional constraints on the US Core Patient profile to support coverage requirements discovery.
CRD Clients will use this profile to resolve references to Patient resources passed to CRD Servers, including patientId context references when invoking the following CDS Hooks:
Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCorePatientProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Patient | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services | |
  Slices for identifier | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:type.coding.system, pattern:type | |
   identifier:MRIdentifier | S | 1..1 | Identifier | An identifier for this patient |
   type | S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
| address | ||||
| country | S | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Patient | 0..* | USCorePatientProfile | 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 |
| race | S | 0..1 | (Complex) | US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race |
| ethnicity | S | 0..1 | (Complex) | US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity |
| birthsex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:type.coding.system, pattern:type |
 identifier:All Slices | Content/Rules for all slices | |||
  use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
 value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 |
| identifier:MRIdentifier | SΣ | 1..1 | Identifier | An identifier for this patient |
 use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
  type | SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
 value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 |
| active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use |
| name | SΣC | 1..* | 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. |
| family | SΣC | 0..1 | string | Family name (often called 'Surname') |
| given | SΣC | 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 |
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the individual |
| system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. |
| value | SΣ | 1..1 | string | The actual contact point details |
| use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) |
| gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) |
| birthDate | SΣ | 0..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 | SΣ | 0..* | Address | An address for the individual |
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home |
| line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street |
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon |
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes. |
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 |
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} |
| communication | S | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) |
| 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 | ||||
| Path | Conformance | ValueSet / Code |
| Patient.identifier.use | required | IdentifierUse |
| Patient.identifier:MRIdentifier.use | required | IdentifierUse |
| Patient.identifier:MRIdentifier.type | extensible | Pattern: MR |
| Patient.name.use | required | NameUse |
| Patient.telecom.system | required | ContactPointSystem |
| Patient.telecom.use | required | ContactPointUse |
| Patient.gender | required | AdministrativeGender |
| Patient.address.use | required | AddressUse |
| Patient.address.state | extensible | UspsTwoLetterAlphabeticCodes |
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier |
| Patient.link.type | required | LinkType |
| 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().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() | |
| us-core-8 | error | Patient.name | Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Patient | 0..* | USCorePatientProfile | 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: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| race | S | 0..1 | (Complex) | US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race | ||||
| ethnicity | S | 0..1 | (Complex) | US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity | ||||
| birthsex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:type.coding.system, pattern:type | ||||
| identifier:All Slices | Content/Rules for all slices | |||||||
| 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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:MRIdentifier | SΣ | 1..1 | Identifier | An identifier for this 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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
| name | SΣC | 1..* | 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 | SΣC | 0..1 | string | Family name (often called 'Surname') | ||||
| given | SΣC | 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 | SΣ | 0..* | ContactPoint | A contact detail for the individual | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value | SΣ | 1..1 | string | The actual contact point details | ||||
| use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) | ||||
| rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
| period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
| gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) | ||||
| birthDate | SΣ | 0..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 | SΣ | 0..* | Address | An address for the individual | ||||
| 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 | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
| type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
| text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
| line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
| district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes. | ||||
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
| period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
| maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient 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 | ||||
| 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 | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name | 0..1 | HumanName | A name associated with the contact person | |||||
| telecom | 0..* | ContactPoint | A contact detail for the person | |||||
| address | 0..1 | Address | Address for the contact person | |||||
| gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| organization | C | 0..1 | 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 | S | 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 | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Patient.language | preferred | CommonLanguages
| ||||
| Patient.identifier.use | required | IdentifierUse | ||||
| Patient.identifier.type | extensible | Identifier Type Codes | ||||
| Patient.identifier:MRIdentifier.use | required | IdentifierUse | ||||
| Patient.identifier:MRIdentifier.type | extensible | Pattern: MR | ||||
| Patient.name.use | required | NameUse | ||||
| Patient.telecom.system | required | ContactPointSystem | ||||
| Patient.telecom.use | required | ContactPointUse | ||||
| Patient.gender | required | AdministrativeGender | ||||
| Patient.address.use | required | AddressUse | ||||
| Patient.address.type | required | AddressType | ||||
| Patient.address.state | extensible | UspsTwoLetterAlphabeticCodes | ||||
| Patient.maritalStatus | extensible | Marital Status Codes | ||||
| Patient.contact.relationship | extensible | PatientContactRelationship | ||||
| Patient.contact.gender | required | AdministrativeGender | ||||
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier | ||||
| Patient.link.type | required | LinkType |
| 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().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() | |
| us-core-8 | error | Patient.name | Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
This structure is derived from USCorePatientProfile
Differential View
This structure is derived from USCorePatientProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Patient | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services | |
| Slices for identifier | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:type.coding.system, pattern:type | |
| identifier:MRIdentifier | S | 1..1 | Identifier | An identifier for this patient |
| type | S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
| address | ||||
| country | S | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Patient | 0..* | USCorePatientProfile | 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 |
| race | S | 0..1 | (Complex) | US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race |
| ethnicity | S | 0..1 | (Complex) | US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity |
| birthsex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:type.coding.system, pattern:type |
| identifier:All Slices | Content/Rules for all slices | |||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 |
| identifier:MRIdentifier | SΣ | 1..1 | Identifier | An identifier for this patient |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type | SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 |
| active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use |
| name | SΣC | 1..* | 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. |
| family | SΣC | 0..1 | string | Family name (often called 'Surname') |
| given | SΣC | 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 |
| telecom | SΣ | 0..* | ContactPoint | A contact detail for the individual |
| system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. |
| value | SΣ | 1..1 | string | The actual contact point details |
| use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) |
| gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) |
| birthDate | SΣ | 0..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 | SΣ | 0..* | Address | An address for the individual |
| use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home |
| line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street |
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon |
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes. |
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 |
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
| period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} |
| communication | S | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) |
| 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 | ||||
| Path | Conformance | ValueSet / Code |
| Patient.identifier.use | required | IdentifierUse |
| Patient.identifier:MRIdentifier.use | required | IdentifierUse |
| Patient.identifier:MRIdentifier.type | extensible | Pattern: MR |
| Patient.name.use | required | NameUse |
| Patient.telecom.system | required | ContactPointSystem |
| Patient.telecom.use | required | ContactPointUse |
| Patient.gender | required | AdministrativeGender |
| Patient.address.use | required | AddressUse |
| Patient.address.state | extensible | UspsTwoLetterAlphabeticCodes |
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier |
| Patient.link.type | required | LinkType |
| 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().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() | |
| us-core-8 | error | Patient.name | Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Patient | 0..* | USCorePatientProfile | 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: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| race | S | 0..1 | (Complex) | US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race | ||||
| ethnicity | S | 0..1 | (Complex) | US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity | ||||
| birthsex | S | 0..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:type.coding.system, pattern:type | ||||
| identifier:All Slices | Content/Rules for all slices | |||||||
| 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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| identifier:MRIdentifier | SΣ | 1..1 | Identifier | An identifier for this 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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
| name | SΣC | 1..* | 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 | SΣC | 0..1 | string | Family name (often called 'Surname') | ||||
| given | SΣC | 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 | SΣ | 0..* | ContactPoint | A contact detail for the individual | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
| value | SΣ | 1..1 | string | The actual contact point details | ||||
| use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) | ||||
| rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
| period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
| gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) | ||||
| birthDate | SΣ | 0..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 | SΣ | 0..* | Address | An address for the individual | ||||
| 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 | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
| type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
| text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
| line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
| city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
| district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
| state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes. | ||||
| postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
| country | SΣ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | ||||
| period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
| maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient 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 | ||||
| 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 | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name | 0..1 | HumanName | A name associated with the contact person | |||||
| telecom | 0..* | ContactPoint | A contact detail for the person | |||||
| address | 0..1 | Address | Address for the contact person | |||||
| gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| organization | C | 0..1 | 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 | S | 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 | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Patient.language | preferred | CommonLanguages
| ||||
| Patient.identifier.use | required | IdentifierUse | ||||
| Patient.identifier.type | extensible | Identifier Type Codes | ||||
| Patient.identifier:MRIdentifier.use | required | IdentifierUse | ||||
| Patient.identifier:MRIdentifier.type | extensible | Pattern: MR | ||||
| Patient.name.use | required | NameUse | ||||
| Patient.telecom.system | required | ContactPointSystem | ||||
| Patient.telecom.use | required | ContactPointUse | ||||
| Patient.gender | required | AdministrativeGender | ||||
| Patient.address.use | required | AddressUse | ||||
| Patient.address.type | required | AddressType | ||||
| Patient.address.state | extensible | UspsTwoLetterAlphabeticCodes | ||||
| Patient.maritalStatus | extensible | Marital Status Codes | ||||
| Patient.contact.relationship | extensible | PatientContactRelationship | ||||
| Patient.contact.gender | required | AdministrativeGender | ||||
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier | ||||
| Patient.link.type | required | LinkType |
| 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().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() | |
| us-core-8 | error | Patient.name | Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
This structure is derived from USCorePatientProfile
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-crd#2.0.1 based on FHIR 4.0.1. Generated 2024-01-08
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