QI-Core Implementation Guide
7.0.0-ballot - STU7 Ballot United States of America flag

This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore RelatedPerson

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson Version: 7.0.0-ballot
Active as of 2018-08-22 Computable Name: QICoreRelatedPerson

Profile of RelatedPerson for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Must Have:
  • active: (QI) Whether this related person's record is in active use
  • patient: (QI) The patient this person is related to
QI Elements:
  • relationship: (QI) The nature of the relationship
  • name: (QI) A name associated with the person
Primary code path: relationship
(PCPath) This element is the primary code path for this resource CQL Retrieve


NOTE TO BALLOT REVIEWERS:
  • US Core 7.0, and thus QI-Core 7.0, has a new approach to USCDI requirements.
    • As noted in the US Core 7.0 Must Support section, US Core 7.0 no longer highlights mandatory (cardinality 1..* or 1..1) and Must Support elements with a (USCDI) indicator as such items must be supported for interoperability.
    • Those USCDI elements that are not mandatory or Must Support now include an indicator (ADDITIONAL USCDI) in US Core. QI-Core 7.0 does not reference USCDI elements; rather, users should access US Core 7.0 to understand its implementation of USCDI version 4.
  • We invite comments about the approach and suggestions for other options that would also avoid unnecessary noise or reading load to the QI-Core profile representation.
  • Further, QI-Core 7.0 does not discuss USCDI+Quality because at the time of ballot preparation, no published version of USCDI+Quality is available. We seek reviewer advice regarding how QI-Core might address future USCDI+Quality.

Usage

See the patterns page for implementation and usage patterns.

Examples

Emergency Contact Example

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreRelatedPersonProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. RelatedPerson USCoreRelatedPersonProfile
... active 1..1 boolean (QI) Whether this related person's record is in active use
... patient 1..1 Reference(QICore Patient) (QI) The patient this person is related to
... relationship C 0..* CodeableConcept (QI) The nature of the relationship
... telecom 0..* ContactPoint (QI) A contact detail for the person
... address 0..* Address (QI) Address where the related person can be contacted or visited

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
us-core-14: Either a name or a relationship SHALL be provided (or both)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... active ?!SΣ 1..1 boolean (QI) Whether this related person's record is in active use
... relationship SΣC 0..* CodeableConcept (QI) The nature of the relationship
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.


... name SΣC 0..* HumanName (QI) A name associated with the person
... telecom SΣ 0..* ContactPoint (QI) A contact detail for the person
... address SΣ 0..* Address (QI) Address where the related person can be contacted or visited

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
RelatedPerson.relationshippreferredPatientRelationshipType
http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRelatedPersonIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRelatedPersonIf 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-4errorRelatedPersonIf 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-5errorRelatedPersonIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRelatedPersonA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-14errorRelatedPersonEither a name or a relationship SHALL be provided (or both)
: name.exists() or relationship.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
us-core-14: Either a name or a relationship SHALL be provided (or both)
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier A human identifier for this person
... active ?!SΣ 1..1 boolean (QI) Whether this related person's record is in active use
... patient SΣ 1..1 Reference(QICore Patient) (QI) The patient this person is related to
... relationship SΣC 0..* CodeableConcept (QI) The nature of the relationship
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.


... name SΣC 0..* HumanName (QI) A name associated with the person
... telecom SΣ 0..* ContactPoint (QI) A contact detail for the person
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ 0..1 date The date on which the related person was born
... address SΣ 0..* Address (QI) Address where the related person can be contacted or visited
... photo 0..* Attachment Image of the person
... period 0..1 Period Period of time that this relationship is considered valid
... communication 0..* BackboneElement A language which may be used to communicate with about the patient's 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 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
RelatedPerson.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
RelatedPerson.relationshippreferredPatientRelationshipType
http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype
from the FHIR Standard
RelatedPerson.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
RelatedPerson.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRelatedPersonIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRelatedPersonIf 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-4errorRelatedPersonIf 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-5errorRelatedPersonIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRelatedPersonA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-14errorRelatedPersonEither a name or a relationship SHALL be provided (or both)
: name.exists() or relationship.exists()

This structure is derived from USCoreRelatedPersonProfile

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from USCoreRelatedPersonProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. RelatedPerson USCoreRelatedPersonProfile
... active 1..1 boolean (QI) Whether this related person's record is in active use
... patient 1..1 Reference(QICore Patient) (QI) The patient this person is related to
... relationship C 0..* CodeableConcept (QI) The nature of the relationship
... telecom 0..* ContactPoint (QI) A contact detail for the person
... address 0..* Address (QI) Address where the related person can be contacted or visited

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
us-core-14: Either a name or a relationship SHALL be provided (or both)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... active ?!SΣ 1..1 boolean (QI) Whether this related person's record is in active use
... relationship SΣC 0..* CodeableConcept (QI) The nature of the relationship
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.


... name SΣC 0..* HumanName (QI) A name associated with the person
... telecom SΣ 0..* ContactPoint (QI) A contact detail for the person
... address SΣ 0..* Address (QI) Address where the related person can be contacted or visited

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
RelatedPerson.relationshippreferredPatientRelationshipType
http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRelatedPersonIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRelatedPersonIf 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-4errorRelatedPersonIf 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-5errorRelatedPersonIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRelatedPersonA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-14errorRelatedPersonEither a name or a relationship SHALL be provided (or both)
: name.exists() or relationship.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. RelatedPerson C 0..* USCoreRelatedPersonProfile A person that is related to a patient, but who is not a direct target of care
us-core-14: Either a name or a relationship SHALL be provided (or both)
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier A human identifier for this person
... active ?!SΣ 1..1 boolean (QI) Whether this related person's record is in active use
... patient SΣ 1..1 Reference(QICore Patient) (QI) The patient this person is related to
... relationship SΣC 0..* CodeableConcept (QI) The nature of the relationship
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.


... name SΣC 0..* HumanName (QI) A name associated with the person
... telecom SΣ 0..* ContactPoint (QI) A contact detail for the person
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ 0..1 date The date on which the related person was born
... address SΣ 0..* Address (QI) Address where the related person can be contacted or visited
... photo 0..* Attachment Image of the person
... period 0..1 Period Period of time that this relationship is considered valid
... communication 0..* BackboneElement A language which may be used to communicate with about the patient's 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 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
RelatedPerson.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
RelatedPerson.relationshippreferredPatientRelationshipType
http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype
from the FHIR Standard
RelatedPerson.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
RelatedPerson.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRelatedPersonIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRelatedPersonIf 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-4errorRelatedPersonIf 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-5errorRelatedPersonIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRelatedPersonA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-14errorRelatedPersonEither a name or a relationship SHALL be provided (or both)
: name.exists() or relationship.exists()

This structure is derived from USCoreRelatedPersonProfile

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron