QI-Core Implementation Guide
5.0.0 - STU5 United States of America flag

This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore Patient

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient Version: 5.0.0
Active as of 2018-08-22 Computable Name: QICorePatient

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

Usage

See the patterns page for implementation and usage patterns.

Examples

Basic Patient Example
65+ Female Patient Example
Infant Patient Example

Usage:

Formal Views of Profile Content

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

This structure is derived from USCorePatientProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*USCorePatientProfileInformation about an individual or animal receiving health care services
... religion 0..1CodeableConceptThe patient's professed religious affiliations
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
... nationality 0..*(Complex)Nationality
URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... telecom S0..*ContactPointA contact detail for the individual
.... telecom-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
... birthDate S0..1dateThe date of birth for the individual
... deceased[x] S0..1boolean, dateTimeIndicates if the individual is deceased or not
... address S0..*AddressAn address for the individual
.... address-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
... generalPractitioner 0..*Reference(QICore Organization | QICore Practitioner | QICore PractitionerRole)Patient's nominated primary care provider
... managingOrganization 0..1Reference(QICore Organization)Organization that is the custodian of the patient record
... link 0..*BackboneElementLink to another patient resource that concerns the same actual person
.... other 1..1Reference(QICore Patient)The other patient or related person resource that the link refers to

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Patient.extension:religion
[CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-religion]]
extensibleReligiousAffiliation
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*USCorePatientProfileInformation about an individual or animal receiving health care services
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... race 0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
... ethnicity 0..1(Complex)US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
... genderIdentity 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity (extensible)
... religion 0..1CodeableConceptThe patient's professed religious affiliations
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
... nationality 0..*(Complex)Nationality
URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
... cadavericDonor 0..1booleanPost-mortem donor status
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..*IdentifierAn identifier for this patient
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name SΣ1..*HumanNameA name associated with the patient
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... family SΣC0..1stringFamily name (often called 'Surname')
.... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom SΣ0..*ContactPointA contact detail for the individual
.... telecom-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!SΣ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣ0..*AddressAn address for the individual
.... address-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet 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 SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... period SΣ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language S1..1CodeableConceptThe 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)
... generalPractitioner 0..*Reference(QICore Organization | QICore Practitioner | QICore PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(QICore Organization)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(QICore Patient)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Patient.identifier.userequiredIdentifierUse
Patient.name.userequiredNameUse
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.address.userequiredAddressUse
Patient.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA 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-6errorPatientEither Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
: (name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*USCorePatientProfileInformation about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... race 0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
... ethnicity 0..1(Complex)US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
... birthsex 0..1codeExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


... genderIdentity 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity (extensible)
... religion 0..1CodeableConceptThe patient's professed religious affiliations
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
... nationality 0..*(Complex)Nationality
URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
... cadavericDonor 0..1booleanPost-mortem donor status
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name SΣ1..*HumanNameA name associated with the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ0..1stringText representation of the full name
.... family SΣC0..1stringFamily name (often called 'Surname')
.... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ0..1PeriodTime period when name was/is in use
... telecom SΣ0..*ContactPointA contact detail for the individual
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... telecom-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
.... period Σ0..1PeriodTime period when the contact point was/is in use
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!SΣ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣ0..*AddressAn address for the individual
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... address-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..*stringStreet 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 SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period SΣ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1HumanNameA name associated with the contact person
.... telecom 0..*ContactPointA contact detail for the person
.... address 0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language S1..1CodeableConceptThe 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..1booleanLanguage preference indicator
... generalPractitioner 0..*Reference(QICore Organization | QICore Practitioner | QICore PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(QICore Organization)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(QICore Patient)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.identifier.userequiredIdentifierUse
Patient.identifier.typeextensibleIdentifier Type Codes
Patient.name.userequiredNameUse
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.address.userequiredAddressUse
Patient.address.typerequiredAddressType
Patient.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.maritalStatusextensibleMarital Status Codes
Patient.contact.relationshipextensiblePatientContactRelationship
Patient.contact.genderrequiredAdministrativeGender
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
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()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

Differential View

This structure is derived from USCorePatientProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*USCorePatientProfileInformation about an individual or animal receiving health care services
... religion 0..1CodeableConceptThe patient's professed religious affiliations
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
... nationality 0..*(Complex)Nationality
URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... telecom S0..*ContactPointA contact detail for the individual
.... telecom-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
... birthDate S0..1dateThe date of birth for the individual
... deceased[x] S0..1boolean, dateTimeIndicates if the individual is deceased or not
... address S0..*AddressAn address for the individual
.... address-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
... generalPractitioner 0..*Reference(QICore Organization | QICore Practitioner | QICore PractitionerRole)Patient's nominated primary care provider
... managingOrganization 0..1Reference(QICore Organization)Organization that is the custodian of the patient record
... link 0..*BackboneElementLink to another patient resource that concerns the same actual person
.... other 1..1Reference(QICore Patient)The other patient or related person resource that the link refers to

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Patient.extension:religion
[CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-religion]]
extensibleReligiousAffiliation

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*USCorePatientProfileInformation about an individual or animal receiving health care services
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... race 0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
... ethnicity 0..1(Complex)US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
... genderIdentity 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity (extensible)
... religion 0..1CodeableConceptThe patient's professed religious affiliations
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
... nationality 0..*(Complex)Nationality
URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
... cadavericDonor 0..1booleanPost-mortem donor status
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..*IdentifierAn identifier for this patient
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name SΣ1..*HumanNameA name associated with the patient
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... family SΣC0..1stringFamily name (often called 'Surname')
.... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom SΣ0..*ContactPointA contact detail for the individual
.... telecom-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!SΣ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣ0..*AddressAn address for the individual
.... address-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet 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 SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... period SΣ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language S1..1CodeableConceptThe 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)
... generalPractitioner 0..*Reference(QICore Organization | QICore Practitioner | QICore PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(QICore Organization)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(QICore Patient)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Patient.identifier.userequiredIdentifierUse
Patient.name.userequiredNameUse
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.address.userequiredAddressUse
Patient.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA 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-6errorPatientEither Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
: (name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*USCorePatientProfileInformation about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... race 0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
... ethnicity 0..1(Complex)US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
... birthsex 0..1codeExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


... genderIdentity 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity (extensible)
... religion 0..1CodeableConceptThe patient's professed religious affiliations
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
... nationality 0..*(Complex)Nationality
URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
... cadavericDonor 0..1booleanPost-mortem donor status
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name SΣ1..*HumanNameA name associated with the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text Σ0..1stringText representation of the full name
.... family SΣC0..1stringFamily name (often called 'Surname')
.... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ0..1PeriodTime period when name was/is in use
... telecom SΣ0..*ContactPointA contact detail for the individual
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... telecom-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
.... period Σ0..1PeriodTime period when the contact point was/is in use
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!SΣ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣ0..*AddressAn address for the individual
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... address-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... type Σ0..1codepostal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..*stringStreet 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 SΣ0..1stringName of city, town etc.
Example General: Erewhon
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.

.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
.... period SΣ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1HumanNameA name associated with the contact person
.... telecom 0..*ContactPointA contact detail for the person
.... address 0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language S1..1CodeableConceptThe 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..1booleanLanguage preference indicator
... generalPractitioner 0..*Reference(QICore Organization | QICore Practitioner | QICore PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(QICore Organization)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(QICore Patient)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.identifier.userequiredIdentifierUse
Patient.identifier.typeextensibleIdentifier Type Codes
Patient.name.userequiredNameUse
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.address.userequiredAddressUse
Patient.address.typerequiredAddressType
Patient.address.stateextensibleUspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.maritalStatusextensibleMarital Status Codes
Patient.contact.relationshipextensiblePatientContactRelationship
Patient.contact.genderrequiredAdministrativeGender
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
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()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

 

Other representations of profile: CSV, Excel, Schematron