This page is part of the electronic Case Reporting (eCR) (v2.1.0: STU 2) based on FHIR 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

• Content
• Detailed Descriptions
• Mappings
• Examples

Resource Profile: US Public Health Patient

Official URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient				Version: 2.1.0
Active as of 2022-08-31				Computable Name: USPublicHealthPatient

This Patient profile represents a US Public Health Patient.

It is based on the US Core Patient profile with further constraints to require and/or allow masking of some data elements, and the addition of the US Public Health Gender Identity extension.

For ONC’s USCDI requirements, it also adds Must Support constraints to the following:

• contact detail (e.g. a telephone number or an email address)
• a communication language
• a race
• an ethnicity
• a birth sex

Usage:

• Refer to this Resource Profile:
• Examples for this Resource Profile: Patient/patient-ecr-eve-everywoman

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.language	preferred	CommonLanguages Max Binding: AllLanguages
Patient.extension:race.extension:ombCategory.value[x]:valueCoding	required	OmbRaceCategories
Patient.extension:race.extension:detailed.value[x]:valueCoding	required	DetailedRace
Patient.extension:race.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.extension:ethnicity.extension:ombCategory.value[x]	required	OmbEthnicityCategories
Patient.extension:ethnicity.extension:detailed.value[x]	required	DetailedEthnicity
Patient.extension:ethnicity.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.identifier.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	extensible	Identifier Type Codes
Patient.name.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.name.use	required	NameUse
Patient.telecom.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.telecom.system	required	ContactPointSystem
Patient.telecom.use	required	ContactPointUse
Patient.telecom:phone.system	required	Fixed Value: phone
Patient.telecom:phone.use	required	ContactPointUse
Patient.telecom:email.system	required	Fixed Value: email
Patient.telecom:email.use	required	ContactPointUse
Patient.gender	required	AdministrativeGender
Patient.gender.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.birthDate.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.address.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
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.name.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.contact.name.use	required	NameUse
Patient.contact.telecom.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.contact.telecom.system	required	ContactPointSystem
Patient.contact.telecom.use	required	ContactPointUse
Patient.contact.address.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.contact.address.use	required	AddressUse
Patient.contact.address.type	required	AddressType
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.communication.language.extension:dataAbsentReason.value[x]	required	Fixed Value: masked
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path	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	Patient.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:ombCategory	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:ombCategory	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:ombCategory.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:ombCategory.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:ombCategory.extension.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:ombCategory.extension.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:ombCategory.extension.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:ombCategory.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:ombCategory.value[x]:valueCoding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:detailed	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:detailed	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:detailed.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:detailed.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:detailed.extension.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:detailed.extension.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:detailed.extension.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:detailed.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:detailed.value[x]:valueCoding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:text	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:text.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:text.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:text.extension.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:text.extension.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:text.extension.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:text.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:text.value[x]:valueString	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:race.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:race.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:ethnicity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:ombCategory	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:ombCategory	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:ombCategory.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:ombCategory.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:ombCategory.extension.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:ombCategory.extension.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:ombCategory.extension.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:ethnicity.extension:ombCategory.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:ethnicity.extension:detailed	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:detailed	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:detailed.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:detailed.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:detailed.extension.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:detailed.extension.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:detailed.extension.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:ethnicity.extension:detailed.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:ethnicity.extension:text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:text	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:text.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:text.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:text.extension.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:text.extension.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:text.extension.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:ethnicity.extension:text.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:ethnicity.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:ethnicity.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:ethnicity.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension:birthsex	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:birthsex	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:birthPlace	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:birthPlace	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:genderIdentity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:genderIdentity	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:tribalAffiliation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:tribalAffiliation	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.active	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
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()
ele-1	error	Patient.name.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.name.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.name.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.name.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.name.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.family	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.given	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.prefix	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.suffix	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.telecom.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.telecom.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.telecom.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.telecom.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.telecom:phone.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.telecom:phone.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.telecom:email.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.telecom:email.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.gender	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.gender.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.gender.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.gender.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.gender.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.gender.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.birthDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.birthDate.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.birthDate.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.birthDate.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.birthDate.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.birthDate.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.deceased[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.line	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.city	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.district	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.state	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.postalCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.country	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.maritalStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.multipleBirth[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
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()
ele-1	error	Patient.contact.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.relationship	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.name.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.name.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.name.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.name.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.family	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.given	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.prefix	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.suffix	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.telecom.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.telecom.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.telecom.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.telecom.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.address.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.address.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.address.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.address.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.line	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.city	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.district	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.state	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.postalCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.country	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.gender	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.organization	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.communication.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.communication.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.communication.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.communication.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication.language.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.communication.language.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.communication.language.extension:dataAbsentReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.communication.language.extension:dataAbsentReason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.communication.language.extension:dataAbsentReason.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication.language.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication.language.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication.preferred	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.generalPractitioner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.managingOrganization	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.link	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.link.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.link.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.link.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.link.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.link.other	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.link.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())