Left: | US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient) |
Right: | C4DIC Patient (http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient) |
Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient' vs 'http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient' |
Error | StructureDefinition.version | Values for version differ: '7.0.0-ballot' vs '1.1.0' |
Information | StructureDefinition.name | Values for name differ: 'USCorePatientProfile' vs 'C4DICPatient' |
Information | StructureDefinition.title | Values for title differ: 'US Core Patient Profile' vs 'C4DIC Patient' |
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2024-04-16T17:28:04+00:00' |
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Payer/Provider Information Exchange Work Group' |
Information | StructureDefinition.short | Values for short differ: 'Information about an individual or animal receiving health care services' vs 'Information about an individual who has health insurance coverage' |
Information | StructureDefinition.definition | Values for definition differ: '\-' vs 'Demographics and other administrative information about an individual with insurance coverage provided by a health plan.' |
Warning | Patient.meta | Elements differ in definition for mustSupport: 'false' vs 'true' |
Information | Patient.meta | Element minimum cardinalities differ: '0' vs '1' |
Information | StructureDefinition.short | Values for short differ: 'Extension' vs 'Additional content defined by implementations' |
Information | StructureDefinition.definition | Values for definition differ: 'An Extension' vs 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' |
Warning | Patient.identifier | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | Patient.identifier | Element minimum cardinalities differ: '1' vs '0' |
Information | Patient.name | Element maximum cardinalities differ: '2147483647' vs '1' |
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden' vs 'usual | official | temp | nickname | anonymous | old | maiden' |
Information | StructureDefinition.comment | Values for comment differ: 'Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).' vs 'Where an individual has only one name, payers SHALL provide the information as family name to ensure consistency.' |
Information | Patient.name.family | Element minimum cardinalities differ: '0' vs '1' |
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name' vs 'Parts that come after the name' |
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use' vs 'Time period when name was/is in use' |
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual' vs 'A contact detail for the individual' |
Information | StructureDefinition.comment | Values for comment differ: 'The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a 'hard' error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.' vs 'MAY be excluded. Gender is not a data element typically found on physical insurance cards. Furthermore, self-identified gender may change over time. Including this element could create a situation where the gender element in the provided resource does not match that in another form of identification or does not match the member's self-identified gender.' |
Warning | Patient.gender | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | Patient.gender | Element minimum cardinalities differ: '1' vs '0' |
Information | StructureDefinition.comment | Values for comment differ: 'At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension 'patient-birthTime' available that should be used where Time is required (such as in maternity/infant care systems).' vs 'MAY be excluded. This data element is printed on some physical insurance cards, but not all.' |
Warning | Patient.birthDate | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not' vs 'Indicates if the individual is deceased or not' |
Warning | Patient.address | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health' vs 'A language which may be used to communicate with the patient about his or her health' |
Warning | Patient.communication.language | Elements differ in definition for mustSupport: 'true' vs 'false' |
Name | Value | Comments | |
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abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/Patient | ||
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
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date | 2023-10-17 | 2024-04-16T17:28:04+00:00 |
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description | The US Core Patient Profile meets the U.S. Core Data for Interoperability (USCDI) v3 'Patient Demographics' requirements. This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases. | The goal of this profile is to describe a data-minimized version of Patient used to convey information about the Member who has health insurance coverage. Information that would normally not appear on a health insurance card is not required. The use of this profile is only approved for conveying information related to a health insurance card as part of this IG. |
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experimental | false |
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fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | USCorePatientProfile | C4DICPatient |
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publisher | HL7 International / Cross-Group Projects | HL7 International / Payer/Provider Information Exchange Work Group |
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purpose | |||
status | active | ||
title | US Core Patient Profile | C4DIC Patient |
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type | Patient | ||
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient |
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version | 7.0.0-ballot | 1.1.0 |
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Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
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Patient | 0..* | Patient | Information about an individual or animal receiving health care services | 0..* | Patient | Information about an individual who has health insurance coverage | |||||||||||
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | SΣ | 1..1 | Meta | Metadata about the resource |
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id | 0..1 | string | Unique id for inter-element referencing |
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Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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versionId | Σ | 0..1 | id | Version specific identifier |
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lastUpdated | SΣ | 1..1 | instant | When the resource version last changed |
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source | Σ | 0..1 | uri | Identifies where the resource comes from |
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Slices for profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by pattern:$this |
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security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
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tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
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implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
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text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | SΣ | 1..* | Identifier | An identifier for this patient | Σ | 0..* | Identifier | An identifier for this patient |
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id | 0..1 | string | Unique id for inter-element referencing |
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Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |
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type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
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system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
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value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 |
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period | Σ | 0..1 | Period | Time period when id is/was valid for use |
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assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
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active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | |||||||||
name | SΣC | 1..* | HumanName | A name associated with the patient us-core-6: At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present. | SΣ | 1..1 | HumanName | A name associated with the patient |
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id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
use | ?!Σ | 0..1 | code | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. | |||||||||
text | Σ | 0..1 | string | Text representation of the full name | Σ | 0..1 | string | Text representation of the full name | |||||||||
family | SΣC | 0..1 | string | Family name (often called 'Surname') | SΣ | 1..1 | string | Family name (often called 'Surname') |
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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 | SΣ | 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 | 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use | Σ | 0..1 | Period | Time period when name was/is in use | |||||||||
telecom | Σ | 0..* | ContactPoint | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual | Σ | 0..* | ContactPoint | A contact detail for the individual | |||||||||
id | 0..1 | string | Unique id for inter-element referencing |
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Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point. |
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value | SΣ | 1..1 | string | The actual contact point details |
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use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required) |
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rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) |
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period | Σ | 0..1 | Period | Time period when the contact point was/is in use |
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gender | SΣ | 1..1 | code | male | female | other | unknown Binding: ?? (required) | Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
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birthDate | SΣ | 0..1 | date | The date of birth for the individual | Σ | 0..1 | date | The date of birth for the individual |
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deceased[x] | ?!Σ | 0..1 | boolean, dateTime | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not | |||||||||
address | SΣ | 0..* | Address | An address for the individual | Σ | 0..* | Address | An address for the individual |
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id | 0..1 | string | Unique id for inter-element referencing |
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Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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use | ?!Σ | 0..1 | code | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home |
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type | Σ | 0..1 | code | postal | physical | both Binding: ?? (required): The type of an address (physical / postal). Example General: both |
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text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 |
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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 Example General: 49 MEADOW ST |
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city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon Example General: EVERYTOWN |
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district | Σ | 0..1 | string | District name (aka county) Example General: Madison |
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state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ?? (extensible): Two Letter USPS alphabetic codes. Example General: OK |
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postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 Example General: 74047 |
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country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) |
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period | Σ | 0..1 | Period | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} |
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maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. | |||||||||||
multipleBirth[x] | 0..1 | boolean, integer | Whether patient is part of a multiple birth | 0..1 | boolean, integer | Whether patient is part of a multiple birth | |||||||||||
photo | 0..* | Attachment | Image of the patient | 0..* | Attachment | Image of the patient | |||||||||||
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
relationship | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. | 0..* | CodeableConcept | The kind of relationship Binding: ?? (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 | 0..1 | HumanName | A name associated with the contact person | |||||||||||
telecom | 0..* | ContactPoint | A contact detail for the person | 0..* | ContactPoint | A contact detail for the person | |||||||||||
address | 0..1 | Address | Address for the contact person | 0..1 | Address | Address for the contact person | |||||||||||
gender | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | |||||||||||
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | 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 | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||||||||
communication | 0..* | BackboneElement | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health | 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 | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!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: ?? (extensible) | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
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preferred | 0..1 | boolean | Language preference indicator | 0..1 | boolean | Language preference indicator | |||||||||||
generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | 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 | 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 | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!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 | 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: ?? (required): The type of link between this patient resource and another patient resource. | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. | |||||||||
Documentation for this format |