This page is part of the Vital Records Common Profile Library (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr | Version: 2.0.0-ballot | |||
| Draft as of 2023-12-16 | Computable Name: PatientMotherVitalRecords | |||
This Patient profile represents the woman who gave birth to, or delivered the infant.
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments | 
|---|---|---|---|---|---|---|
| Natality | 14 | Date of Birth (Mother)--Year | MDOB_YR | birthDate | date | See PartialDatesAndTimes | 
| Natality | 15 | Date of Birth (Mother)--Month | MDOB_MO | birthDate | date | See PartialDatesAndTimes | 
| Natality | 16 | Date of Birth (Mother)--Day | MDOB_DY | birthDate | date | See PartialDatesAndTimes | 
| Natality | 17 | Date of Birth (Mother)--Edit Flag | MAGE_BYPASS | birthDate.extension[bypassEditFlag].value | codeable | MothersDateOfBirthEditFlagsVS, See Handling of edit flags | 
| Natality | 18 | State, U.S. Territory or Canadian Province of Birth (Mother) - code | BPLACEC_ST_TER | extension[patient-birthPlace].value[x].state | string | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Natality | 19 | Birthplace of Mother--Country | BPLACEC_CNT | extension[patient-birthPlace].value[x].country | string | ValueSetResidenceCountryVitalRecords | 
| Natality | 20 | Residence of Mother--City | CITYC | address.city.extension[cityCode] | integer | See CityCodes | 
| Natality | 21 | Residence of Mother--County | COUNTYC | address.district.extension[countyCode] | integer | See CountyCodes | 
| Natality | 22 | State, U.S. Territory or Canadian Province of Residence (Mother) - code | STATEC | address.state | string | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Natality | 23 | Residence of Mother--Country | COUNTRYC | address.country | string | ValueSetResidenceCountryVitalRecords | 
| Natality | 24 | Residence of Mother--Inside City Limits | LIMITS | address.extension[withinCityLimitsIndicator].value | codeable | ValueSetYesNoUnknownVitalRecords | 
| Natality | 254 | Mother's First Name | MOMFNAME | name.given, name.use = official | string | |
| Natality | 255 | Mother's Middle Name | MOMMIDDL | name.given, name.use = official | string | |
| Natality | 256 | Mother's Last Name | MOMLNAME | name.family, name.use = official | string | |
| Natality | 257 | Mother's Surname Suffix | MOMSUFFX | name.suffix, name.use = official | string | |
| Natality | 258 | Mother's First Maiden Name | MOMFMNME | name.given, name.use = maiden | string | |
| Natality | 259 | Mother's Middle Maiden Name | MOMMMID | name.given, name.use = maiden | string | |
| Natality | 260 | Mother's Maiden Surname | MOMMAIDN | name.family, name.use = maiden | string | |
| Natality | 261 | Mother's Maiden Surname Suffix | MOMMSUFX | name.suffix, name.use = maiden | string | |
| Natality | 262 | Residence Street Number | STNUM | address.extension[stnum] | string | |
| Natality | 263 | Residence Pre Directional | PREDIR | address.extension[predir] | string | |
| Natality | 264 | Residence Street name | STNAME | address.extension[stname] | string | |
| Natality | 265 | Residence Street designator | STDESIG | address.extension[stdesig] | string | |
| Natality | 266 | Residence Post Directional | POSTDIR | address.extension[postdir] | string | |
| Natality | 267 | Residence Unit or Apartment Number | UNUM | address.extension[unitnum] | string | |
| Natality | 268 | Mother's Residence Street Address | ADDRESS | address.line | string | |
| Natality | 269 | Mother's Residence Zip Code and Zip+4 | ZIPCODE | address.postalCode | string | |
| Natality | 270 | Mother's Residence County (Literal) | COUNTYTXT | address.district | string | |
| Natality | 271 | Mother's Residence City/Town (Literal) | CITYTEXT | address.city | string | |
| Natality | 272 | State, U.S. Territory or Canadian Province of Residence (Mother) - literal | STATETXT | address.state (expanded from 2 letter code) | string | See StateLiterals | 
| Natality | 273 | Mother's Residence Country (Literal) | CNTRYTXT | address.country (expanded from 2 letter code) | string | See CountryLiterals | 
| Natality | 278 | Mother's Social Security Number | MOM_SSN | identifier.value where system = ‘http://terminology.hl7.org/CodeSystem/v2-0203' and type.coding.code=”SS” | string | |
| Natality | 305 | State, U.S. Territory or Canadian Province of Birth (Mother) - literal | MBPLACE_ST_TER_TXT | extension[patient-birthPlace].value[x].state | string | See StateLiterals | 
| Natality | 306 | Mother's Country of Birth (Literal) | MBPLACE_CNTRY_TXT | extension[patient-birthPlace].value[x].country (expanded from 2 letter code) | string | See CountryLiterals | 
| Natality | 309 | Mother's Mailing Address Street number | MAIL_STNUM | address.extension[stnum] | string | |
| Natality | 310 | Mother's Mailing Address Pre Directional | MAIL_PREDIR | address.extension[predir] | string | |
| Natality | 311 | Mother's Mailing Address Street name | MAIL_STNAME | address.extension[stname] | string | |
| Natality | 312 | Mother's Mailing Address Street designator | MAIL_STDESIG | address.extension[stdesig] | string | |
| Natality | 313 | Mother's Mailing Address Post Directional | MAIL_POSTDIR | address.extension[postdir] | string | |
| Natality | 314 | Mother's Mailing Address Unit or Apartment Number | MAIL_UNUM | address.extension[unitnum] | string | |
| Natality | 315 | Mother's Mailing Address Street Address | MAIL_ADDRESS | address.line | string | |
| Natality | 316 | Mother's Mailing Address Zip Code and Zip+4 | MAIL_ZIPCODE | address.postalCode | string | |
| Natality | 317 | Mother's Mailing Address County (Literal) | MAIL_COUNTYTXT | address.district | string | |
| Natality | 318 | Mother's Mailing Address City/Town (Literal) | MAIL_CITYTEXT | address.city | string | |
| Natality | 319 | Mother's Mailing Address State (Literal) | MAIL_STATETXT | address.state (expanded from 2 letter code) | string | See StateLiterals | 
| Natality | 320 | Mother's Mailing Address Country (Literal) | MAIL_CNTRYTXT | address.country (expanded from 2 letter code) | string | See CountryLiterals | 
| Natality | 333 | Mother's Medical Record Number | MOM_MED_REC_NUM | identifier.value where system = ‘http://terminology.hl7.org/CodeSystem/v2-0203' and type.coding.code=”MR” | string | |
| Natality | 340 | For use of jurisdictions with domestic partnerships, othertypes of relationships. | MARITAL_DESCRIP | maritalStatus.text | string | 
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments | 
|---|---|---|---|---|---|---|
| Fetal Death | 14 | Date of Birth (Mother)--Year | MDOB_YR | birthDate | date | See PartialDatesAndTimes | 
| Fetal Death | 15 | Date of Birth (Mother)--Month | MDOB_MO | birthDate | date | See PartialDatesAndTimes | 
| Fetal Death | 16 | Date of Birth (Mother)--Day | MDOB_DY | birthDate | date | See PartialDatesAndTimes | 
| Fetal Death | 17 | Date of Birth (Mother)--Edit Flag | MAGE_BYPASS | birthDate.extension[bypassEditFlag].value | codeable | MothersDateOfBirthEditFlagsVS, See Handling of edit flags | 
| Fetal Death | 18 | State, U.S. Territory or Canadian Province of Birth (Mother) - code | BPLACEC_ST_TER | extension[patient-birthPlace].value[x].state | string | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Fetal Death | 19 | Mother's Birthplace--Country | BPLACEC_CNT | extension[patient-birthPlace].value[x].country | string | ValueSetResidenceCountryVitalRecords | 
| Fetal Death | 20 | Residence of Mother--City/Town | CITYC | address.city.extension[cityCode] | integer | See CityCodes | 
| Fetal Death | 21 | Residence of Mother--County | COUNTYC | address.district.extension[countyCode] | integer | See CountyCodes | 
| Fetal Death | 22 | State, U.S. Territory or Canadian Province of Residence (Mother) - code | STATEC | address.state | string | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Fetal Death | 23 | Residence of Mother--Country | COUNTRYC | address.country | string | ValueSetResidenceCountryVitalRecords | 
| Fetal Death | 24 | Residence of Mother--Inside City/Town Limits | LIMITS | address.extension[withinCityLimitsIndicator].value | codeable | ValueSetYesNoUnknownVitalRecords | 
| Fetal Death | 239 | Mother's Legal First Name | MOMFNAME | name.given, name.use = official | string | |
| Fetal Death | 240 | Mother's Legal Middle Name | MOMMNAME | name.given, name.use = official | string | |
| Fetal Death | 241 | Mother's Legal Last Name | MOMLNAME | name.family, name.use = official | string | |
| Fetal Death | 242 | Mother's Legal Surname Suffix | MOMSUFFIX | name.suffix, name.use = official | string | |
| Fetal Death | 243 | Mother's First Maiden Name | MOMFMNME | name.given, name.use = maiden | string | |
| Fetal Death | 244 | Mother's Middle Maiden Name | MOMMMID | name.given, name.use = maiden | string | |
| Fetal Death | 245 | Mother's Last Maiden Name | MOMMAIDN | name.family, name.use = maiden | string | |
| Fetal Death | 246 | Mother's Maiden Surname Suffix | MOMMSUFFIX | name.suffix, name.use = maiden | string | |
| Fetal Death | 247 | Mother's Residence Street number | STNUM | address.extension[stnum] | string | |
| Fetal Death | 248 | Mother's Residence Pre Directional | PREDIR | address.extension[predir] | string | |
| Fetal Death | 249 | Mother's Residence Street name | STNAME | address.extension[stname] | string | |
| Fetal Death | 250 | Mother's Residence Street designator | STDESIG | address.extension[stdesig] | string | |
| Fetal Death | 251 | Mother's Residence Post Directional | POSTDIR | address.extension[postdir] | string | |
| Fetal Death | 252 | Mother's Residence Unit or Apartment Number | APTNUMB | address.extension[unitnum] | string | |
| Fetal Death | 253 | Mother's Residence Street Address | ADDRESS | address.line | string | |
| Fetal Death | 254 | Mother's Residence Zip code and Zip+4 | ZIPCODE | address.postalCode | string | |
| Fetal Death | 255 | Mother's Residence County (literal) | COUNTYTXT | address.district | string | |
| Fetal Death | 256 | Mother's Residence City/Town/Place (literal) | CITYTXT | address.city | string | |
| Fetal Death | 257 | State, U.S. Territory or Canadian Province of Residence (Mother) - literal | STATETXT | address.state (expanded from 2 letter code) | string | See StateLiterals | 
| Fetal Death | 258 | Mother's Residence Country (literal) | CNTRYTXT | address.country (expanded from 2 letter code) | string | See CountryLiterals | 
| Fetal Death | 265 | Mother's Social Security Number | MOM_SSN | identifier.value where system = ‘http://terminology.hl7.org/CodeSystem/v2-0203' and type.coding.code=”SS” | string | |
| Fetal Death | 279 | State, U.S. Territory or Canadian Province of Birth (Mother) - literal | MBPLACE_ST_TER_TXT | extension[patient-birthPlace].value[x].state | string | See StateLiterals | 
| Fetal Death | 280 | Mother's Country of Birth (Literal) | MBPLACE_CNTRY_TXT | extension[patient-birthPlace].value[x].country (expanded from 2 letter code) | string | See CountryLiterals | 
| Item # | Form Field | FHIR Profile Field | Reference | 
|---|---|---|---|
| 8a | Mother’s Current Legal Name | name:currentLegalName | Certificate of Live Birth | 
| 8b | Mother’s Date Of Birth | birthDate | Certificate of Live Birth | 
| 8c | Mother’s Name Prior To First Marriage | name:namePriorToFirstMarriage | Certificate of Live Birth | 
| 8d | Mother’s Birthplace | extension | Certificate of Live Birth | 
| 9a | Residence of Mother - State | address.state | Certificate of Live Birth | 
| 9b | Mother’s County | address.district | Certificate of Live Birth | 
| 9c | Mother’s City, Town, or Location | address.city | Certificate of Live Birth | 
| 9d | Mother’s Street And Number | address.line | Certificate of Live Birth | 
| 9e | Mother’s Apt. No. | address.line | Certificate of Live Birth | 
| 9f | Mother’s Zip Code | address.postalCode | Certificate of Live Birth | 
| 9g | Mother’s Residence Inside City Limits? | address.extension:withinCityLimitsIndicator | Certificate of Live Birth | 
| 14 | Mother’s Mailing Address | address | Certificate of Live Birth | 
| 18 | Mother’s Social Security Number | identifier:SSN | Certificate of Live Birth | 
| 21 | Mother of Hispanic Origin? | extension | Certificate of Live Birth | 
| 22 | Mother’s Race | extension | Certificate of Live Birth | 
| 40 | Mother’s Medical Record Number | identifier:MRN | Certificate of Live Birth | 
| - | Mother’s medical record # | identifier:MRN | Facility Worksheet for the Live Birth Certificate | 
| - | Mother’s name | name | Facility Worksheet for the Live Birth Certificate | 
| - | Mother’s medical record # | identifier:MRN | Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births | 
| - | Mother’s name | name | Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births | 
| 1 | What is your current legal name? | name | Mothers Worksheet for Child’s Birth Certificate | 
| 3 | Where do you usually live--that is--where is your household/residence located? | address | Mothers Worksheet for Child’s Birth Certificate | 
| 4 | Is this household inside city limits? | address.extension:withinCityLimitsIndicator | Mothers Worksheet for Child’s Birth Certificate | 
| 5 | What is your mailing address? | address | Mothers Worksheet for Child’s Birth Certificate | 
| 6 | What is your date of birth? | birthDate | Mothers Worksheet for Child’s Birth Certificate | 
| 7 | In what State, U.S. territory, or foreign country were you born? | extension | Mothers Worksheet for Child’s Birth Certificate | 
| 9 | Are you Spanish/Hispanic/Latina? | extension | Mothers Worksheet for Child’s Birth Certificate | 
| 10 | What is your race? | extension | Mothers Worksheet for Child’s Birth Certificate | 
| 17 | What name did you use prior to your first marriage? | name | Mothers Worksheet for Child’s Birth Certificate | 
| 25a | What is your Social Security Number? | identifier:SSN | Mothers Worksheet for Child’s Birth Certificate | 
| 10a | Mother’s Current Legal Name | name:currentLegalName | Report of Fetal Death | 
| 10b | Mother's Date of Birth | birthDate | Report of Fetal Death | 
| 10c | Mother’s Name Prior to First Marriage | name:namePriorToFirstMarriage | Report of Fetal Death | 
| 10d | Mother's Birthplace | extension | Report of Fetal Death | 
| 11a | Residence of Mother-State | address.state | Report of Fetal Death | 
| 11b | Residence of Mother-County | address.district | Report of Fetal Death | 
| 11c | Residence of Mother-City, Town, Or Location | address.city | Report of Fetal Death | 
| 11d | Residence of Mother-Street And Number | address.line | Report of Fetal Death | 
| 11e | Residence of Mother-Apt. No. | address.line | Report of Fetal Death | 
| 11f | Residence of Mother-Zip Code | address.postalCode | Report of Fetal Death | 
| 11g | Residence of Mother-Inside City Limits? | address.extension:withinCityLimitsIndicator | Report of Fetal Death | 
| 20 | Mother of Hispanic Origin? | extension | Report of Fetal Death | 
| 21 | Mother’s Race | extension | Report of Fetal Death | 
| - | Patient’s medical record # | identifier:MRN | Facility Worksheet for the Report of Fetal Death | 
| - | Patient’s name | name | Facility Worksheet for the Report of Fetal Death | 
| - | Patient’s Medical Record # | identifier:MRN | Patient’s Worksheet for the Report of Fetal Death | 
| - | Patient’s Name | name | Patient’s Worksheet for the Report of Fetal Death | 
| 2 | What is your current legal name? | name | Patient’s Worksheet for the Report of Fetal Death | 
| 3 | Where do you usually live (household/residence location)? | address | Patient’s Worksheet for the Report of Fetal Death | 
| 4 | Is this household inside city limits? | address.extension:withinCityLimitsIndicator | Patient’s Worksheet for the Report of Fetal Death | 
| 5 | What is your mailing address? | address | Patient’s Worksheet for the Report of Fetal Death | 
| 6 | What is your date of birth? | birthDate | Patient’s Worksheet for the Report of Fetal Death | 
| 7 | In what State, U.S. territory, or foreign country were you born? | extension | Patient’s Worksheet for the Report of Fetal Death | 
| 9 | Are you Spanish/Hispanic/Latina? | extension | Patient’s Worksheet for the Report of Fetal Death | 
| 10 | What is your race? | extension | Patient’s Worksheet for the Report of Fetal Death | 
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from PatientVitalRecords
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Patient | PatientVitalRecords | |||
|    extension:birthPlace | S | 0..1 | birthPlace | Place of Birth for patient | 
|     value[x] | ||||
|      state | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | |
|    identifier:MRN | S | 0..* | Identifier | Medical Record Number | 
|    identifier:SSN | S | 0..1 | Identifier | SSN if available and appropriate to send | 
|    name:currentLegalName | S | 0..1 | HumanName | current legal name | 
|    name:namePriorToFirstMarriage | S | 0..1 | HumanName | Name prior to first marriage | 
|    birthDate | 1..1 | date | The date of birth for the individual | |
|     extension:partialDateTime | S | 0..1 | ExtensionPartialDateTimeVitalRecords | Partial Date Time | 
|     extension:bypassEditFlag | 0..1 | ExtensionBypassEditFlagVitalRecords | To reflect the relevant edit possibilities for Mother's date of birth. | |
|    deceased[x] | S | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not, dateTime is preferred | 
|    address | ||||
|     extension:withinCityLimitsIndicator | S | 0..1 | ExtensionWithinCityLimitsIndicatorVitalRecords | Extension - Within City Limits Indicator Vital Records | 
|    Slices for link | S | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person Slice: Unordered, Open by pattern:type | 
|     link:mother | S | 0..1 | BackboneElement | Link to the birth mother's RelatedPerson record | 
|      other | S | 1..1 | Reference(RelatedPerson - Mother Vital Records) | The other patient or related person resource that the link refers to | 
|      type | S | 1..1 | code | replaced-by | replaces | refer | seealso Required Pattern: seealso | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | 
| Patient.extension:birthPlace.value[x].state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Patient | C | 0..* | PatientVitalRecords | Information about an individual or animal receiving health care services | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    race | 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..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth | |
|    genderIdentity | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) | |
|    birthPlace | S | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace | 
|     extension | 0..0 | |||
|     url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" | |
|     value[x] | 1..1 | Address | Value of extension | |
|      use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | 
|      state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | 
|    parentReportedAgeAtDelivery | 0..2 | (Complex) | Extension - Reported Parent Age at Delivery - Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr | |
|    fetalDeath | 0..1 | Coding | fetal-death URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr | |
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:type | 
|     identifier:MRN | SΣ | 0..* | Identifier | Medical Record Number | 
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | 
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | 
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | 
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | 
|     identifier:SSN | SΣ | 0..1 | Identifier | SSN if available and appropriate to send | 
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | 
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | 
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SS | |
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-ssn | 
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | 
|    active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | 
|    Slices for name | SΣ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:use | 
|     name:currentLegalName | SΣ | 0..1 | HumanName | current legal name | 
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official | 
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | 
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | 
|     name:namePriorToFirstMarriage | SΣ | 0..1 | HumanName | Name prior to first marriage | 
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden | 
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | 
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | 
|    telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | 
|     system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | 
|     value | SΣ | 1..1 | string | The actual contact point details | 
|     use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) | 
|    gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) | 
|    birthDate | SΣ | 1..1 | date | The date of birth for the individual | 
|     partialDateTime | S | 0..1 | (Complex) | Partial Date Time URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords | 
|     birthTime | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime | |
|     bypassEditFlag | 0..1 | CodeableConcept | To reflect the relevant edit possibilities for Mother's date of birth. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag | |
|      extension | 0..0 | |||
|      url | 1..1 | uri | "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag" | |
|      value[x] | 1..1 | CodeableConcept | To reflect the relevant edit possibilities for date of birth. Binding: ValueSet - Mothers Date of Birth Edit Flags (NCHS) Vital Records (required): Date of Birth Edit Flags (NCHS) | |
|    deceased[x] | ?!SΣ | 0..1 | Indicates if the individual is deceased or not, dateTime is preferred | |
|     deceasedBoolean | boolean | |||
|     deceasedDateTime | dateTime | |||
|    address | SΣ | 0..* | Address | An address for the individual | 
|     withinCityLimitsIndicator | S | 0..1 | Coding | Extension - Within City Limits Indicator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr Binding: ValueSet - Yes No Unknown Vital Records (required): Yes No Unknown (YNU) | 
|     predir | 0..1 | string | Extension - PreDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional | |
|     stnum | 0..1 | string | Extension - StreetNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber | |
|     stname | 0..1 | string | Extension - StreetName Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName | |
|     stdesig | 0..1 | string | Extension - StreetDesignator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator | |
|     postdir | 0..1 | string | Extension - PostDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional | |
|     unitnumber | 0..1 | string | Extension - UnitOrAptNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber | |
|     use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | 
|     line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | 
|     city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | 
|      cityCode | 0..1 | positiveInt | City Code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode | |
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | 
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | 
|     period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | 
|    communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|     language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) | 
|    Slices for link | ?!SΣ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person Slice: Unordered, Open by pattern:type | 
|     link:All Slices | Content/Rules for all slices | |||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|      other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | 
|      type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | 
|     link:mother | ?!SΣ | 0..1 | BackboneElement | Link to the birth mother's RelatedPerson record | 
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|      other | SΣ | 1..1 | Reference(RelatedPerson - Mother Vital Records) | The other patient or related person resource that the link refers to | 
|      type | SΣ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. Required Pattern: seealso | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | 
| Patient.extension:birthPlace.value[x].use | required | AddressUse | 
| Patient.extension:birthPlace.value[x].state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Patient.identifier:MRN.use | required | IdentifierUse | 
| Patient.identifier:MRN.type | extensible | Pattern: MR | 
| Patient.identifier:SSN.use | required | IdentifierUse | 
| Patient.identifier:SSN.type | extensible | Pattern: SS | 
| Patient.name:currentLegalName.use | required | Fixed Value: official | 
| Patient.name:namePriorToFirstMarriage.use | required | Fixed Value: maiden | 
| Patient.telecom.system | required | ContactPointSystem | 
| Patient.telecom.use | required | ContactPointUse | 
| Patient.gender | required | AdministrativeGender | 
| Patient.birthDate.extension:bypassEditFlag.value[x] | required | ValueSetMothersDateOfBirthEditFlagsVitalRecords | 
| Patient.address.use | required | AddressUse | 
| Patient.address.state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier | 
| Patient.link.type | required | LinkType | 
| Patient.link:mother.type | required | Pattern: seealso | 
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Patient | C | 0..* | PatientVitalRecords | Information about an individual or animal receiving health care services | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|    race | 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..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth | |||||
|    genderIdentity | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) | |||||
|    birthPlace | S | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..0 | |||||||
|     url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" | |||||
|     value[x] | 1..1 | Address | Value of extension | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
|      type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
|      text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
|      line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
|      city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
|       id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|       Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|       cityCode | 0..1 | positiveInt | Extension - City Code Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode | |||||
|       value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|      district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
|       id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|       Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|       districtCode | 0..1 | positiveInt | County code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode | |||||
|       value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|      state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | ||||
|      postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132 | ||||
|      country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) Binding: ValueSet - Birthplace Country Vital Records (required) | ||||
|      period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
|    parentReportedAgeAtDelivery | 0..2 | (Complex) | Extension - Reported Parent Age at Delivery - Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr | |||||
|    fetalDeath | 0..1 | Coding | fetal-death URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:type | ||||
|     identifier:MRN | SΣ | 0..* | Identifier | Medical Record Number | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
|        version | 0..1 | string | Version of the system - if relevant | |||||
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
|        display | 0..1 | string | Representation defined by the system | |||||
|        userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|       text | 0..1 | string | Plain text representation of the concept | |||||
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
|      period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
|      assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
|     identifier:SSN | SΣ | 0..1 | Identifier | SSN if available and appropriate to send | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
|        version | 0..1 | string | Version of the system - if relevant | |||||
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SS | |||||
|        display | 0..1 | string | Representation defined by the system | |||||
|        userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|       text | 0..1 | string | Plain text representation of the concept | |||||
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-ssn | ||||
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
|      period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
|      assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
|    active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
|    Slices for name | SΣ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:use | ||||
|     name:currentLegalName | SΣ | 0..1 | HumanName | current legal name | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official | ||||
|      text | Σ | 0..1 | string | Text representation of the full name | ||||
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | ||||
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
|      prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
|      suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
|      period | Σ | 0..1 | Period | Time period when name was/is in use | ||||
|     name:namePriorToFirstMarriage | SΣ | 0..1 | HumanName | Name prior to first marriage | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden | ||||
|      text | Σ | 0..1 | string | Text representation of the full name | ||||
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | ||||
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
|      prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
|      suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
|      period | Σ | 0..1 | Period | Time period when name was/is in use | ||||
|    telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|     system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
|     value | SΣ | 1..1 | string | The actual contact point details | ||||
|     use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) | ||||
|     rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
|     period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
|    gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) | ||||
|    birthDate | SΣ | 1..1 | date | The date of birth for the individual | ||||
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|     Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|     partialDateTime | S | 0..1 | (Complex) | Partial Date Time URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords | ||||
|     birthTime | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime | |||||
|     bypassEditFlag | 0..1 | CodeableConcept | To reflect the relevant edit possibilities for Mother's date of birth. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..0 | |||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag" | |||||
|      value[x] | 1..1 | CodeableConcept | To reflect the relevant edit possibilities for date of birth. Binding: ValueSet - Mothers Date of Birth Edit Flags (NCHS) Vital Records (required): Date of Birth Edit Flags (NCHS) | |||||
|     value | 0..1 | date | Primitive value for date | |||||
|    deceased[x] | ?!SΣ | 0..1 | Indicates if the individual is deceased or not, dateTime is preferred | |||||
|     deceasedBoolean | boolean | |||||||
|     deceasedDateTime | dateTime | |||||||
|    address | SΣ | 0..* | Address | An address for the individual | ||||
|     id | 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 | |||||
|     withinCityLimitsIndicator | S | 0..1 | Coding | Extension - Within City Limits Indicator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr Binding: ValueSet - Yes No Unknown Vital Records (required): Yes No Unknown (YNU) | ||||
|     predir | 0..1 | string | Extension - PreDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional | |||||
|     stnum | 0..1 | string | Extension - StreetNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber | |||||
|     stname | 0..1 | string | Extension - StreetName Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName | |||||
|     stdesig | 0..1 | string | Extension - StreetDesignator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator | |||||
|     postdir | 0..1 | string | Extension - PostDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional | |||||
|     unitnumber | 0..1 | string | Extension - UnitOrAptNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber | |||||
|     use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
|     type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
|     text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
|     line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
|     city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
|      id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|      Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|      cityCode | 0..1 | positiveInt | City Code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode | |||||
|      value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|     district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
|      id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|      Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|      districtCode | 0..1 | positiveInt | County code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode | |||||
|      value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | ||||
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
|     country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) Binding: ValueSet - Residence Country Vital Records (required) | ||||
|     period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
|    maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person. | |||||
|    multipleBirth[x] | 0..1 | If not single birth - born first, second, third, etc. | ||||||
|     multipleBirth[x]:All Types | Content/Rules for all Types | |||||||
|      id | 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 | |||||
|      bypassEditFlag | 0..1 | CodeableConcept | Extension - BypassEditFlag Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag | |||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..0 | |||||||
|       url | 1..1 | uri | "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag" | |||||
|       value[x] | 1..1 | CodeableConcept | Value of extension Binding: ValueSet - Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS) | |||||
|      multipleBirthTotal | 0..1 | positiveInt | Total births in this pregnancy URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal | |||||
|     multipleBirthBoolean | boolean | |||||||
|     multipleBirthInteger | integer | |||||||
|    photo | 0..* | Attachment | Image of the patient | |||||
|    contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     relationship | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
|     name | 0..1 | HumanName | A name associated with the contact person | |||||
|     telecom | 0..* | ContactPoint | A contact detail for the person | |||||
|     address | 0..1 | Address | Address for the contact person | |||||
|     gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
|     organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
|     period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
|    communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) | ||||
|     preferred | 0..1 | boolean | Language preference indicator | |||||
|    generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
|    managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | ||||
|    Slices for link | ?!SΣ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person Slice: Unordered, Open by pattern:type | ||||
|     link:All Slices | Content/Rules for all slices | |||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|      other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
|      type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
|     link:mother | ?!SΣ | 0..1 | BackboneElement | Link to the birth mother's RelatedPerson record | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|      other | SΣ | 1..1 | Reference(RelatedPerson - Mother Vital Records) | The other patient or related person resource that the link refers to | ||||
|      type | SΣ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. Required Pattern: seealso | ||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Patient.language | preferred | CommonLanguages 
 | ||||
| Patient.extension:birthPlace.value[x].use | required | AddressUse | ||||
| Patient.extension:birthPlace.value[x].type | required | AddressType | ||||
| Patient.extension:birthPlace.value[x].state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | ||||
| Patient.extension:birthPlace.value[x].country | required | ValueSetBirthplaceCountryVitalRecords (a valid code from CodeSystem - Country Codes Vital Records) | ||||
| Patient.identifier:MRN.use | required | IdentifierUse | ||||
| Patient.identifier:MRN.type | extensible | Pattern: MR | ||||
| Patient.identifier:SSN.use | required | IdentifierUse | ||||
| Patient.identifier:SSN.type | extensible | Pattern: SS | ||||
| Patient.name:currentLegalName.use | required | Fixed Value: official | ||||
| Patient.name:namePriorToFirstMarriage.use | required | Fixed Value: maiden | ||||
| Patient.telecom.system | required | ContactPointSystem | ||||
| Patient.telecom.use | required | ContactPointUse | ||||
| Patient.gender | required | AdministrativeGender | ||||
| Patient.birthDate.extension:bypassEditFlag.value[x] | required | ValueSetMothersDateOfBirthEditFlagsVitalRecords | ||||
| Patient.address.use | required | AddressUse | ||||
| Patient.address.type | required | AddressType | ||||
| Patient.address.state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | ||||
| Patient.address.country | required | ValueSetResidenceCountryVitalRecords | ||||
| Patient.maritalStatus | extensible | Marital Status Codes | ||||
| Patient.multipleBirth[x].extension:bypassEditFlag.value[x] | required | ValueSetPluralityEditFlagsVitalRecords | ||||
| Patient.contact.relationship | extensible | PatientContactRelationship | ||||
| Patient.contact.gender | required | AdministrativeGender | ||||
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier | ||||
| Patient.link.type | required | LinkType | ||||
| Patient.link:mother.type | required | Pattern: seealso | 
This structure is derived from PatientVitalRecords
Summary
Mandatory: 1 element
 Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from PatientVitalRecords
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Patient | PatientVitalRecords | |||
|    extension:birthPlace | S | 0..1 | birthPlace | Place of Birth for patient | 
|     value[x] | ||||
|      state | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | |
|    identifier:MRN | S | 0..* | Identifier | Medical Record Number | 
|    identifier:SSN | S | 0..1 | Identifier | SSN if available and appropriate to send | 
|    name:currentLegalName | S | 0..1 | HumanName | current legal name | 
|    name:namePriorToFirstMarriage | S | 0..1 | HumanName | Name prior to first marriage | 
|    birthDate | 1..1 | date | The date of birth for the individual | |
|     extension:partialDateTime | S | 0..1 | ExtensionPartialDateTimeVitalRecords | Partial Date Time | 
|     extension:bypassEditFlag | 0..1 | ExtensionBypassEditFlagVitalRecords | To reflect the relevant edit possibilities for Mother's date of birth. | |
|    deceased[x] | S | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not, dateTime is preferred | 
|    address | ||||
|     extension:withinCityLimitsIndicator | S | 0..1 | ExtensionWithinCityLimitsIndicatorVitalRecords | Extension - Within City Limits Indicator Vital Records | 
|    Slices for link | S | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person Slice: Unordered, Open by pattern:type | 
|     link:mother | S | 0..1 | BackboneElement | Link to the birth mother's RelatedPerson record | 
|      other | S | 1..1 | Reference(RelatedPerson - Mother Vital Records) | The other patient or related person resource that the link refers to | 
|      type | S | 1..1 | code | replaced-by | replaces | refer | seealso Required Pattern: seealso | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | 
| Patient.extension:birthPlace.value[x].state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Patient | C | 0..* | PatientVitalRecords | Information about an individual or animal receiving health care services | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    race | 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..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth | |
|    genderIdentity | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) | |
|    birthPlace | S | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace | 
|     extension | 0..0 | |||
|     url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" | |
|     value[x] | 1..1 | Address | Value of extension | |
|      use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | 
|      state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | 
|    parentReportedAgeAtDelivery | 0..2 | (Complex) | Extension - Reported Parent Age at Delivery - Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr | |
|    fetalDeath | 0..1 | Coding | fetal-death URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr | |
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:type | 
|     identifier:MRN | SΣ | 0..* | Identifier | Medical Record Number | 
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | 
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | 
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | 
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | 
|     identifier:SSN | SΣ | 0..1 | Identifier | SSN if available and appropriate to send | 
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | 
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | 
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SS | |
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-ssn | 
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | 
|    active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | 
|    Slices for name | SΣ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:use | 
|     name:currentLegalName | SΣ | 0..1 | HumanName | current legal name | 
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official | 
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | 
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | 
|     name:namePriorToFirstMarriage | SΣ | 0..1 | HumanName | Name prior to first marriage | 
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden | 
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | 
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | 
|    telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | 
|     system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | 
|     value | SΣ | 1..1 | string | The actual contact point details | 
|     use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) | 
|    gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) | 
|    birthDate | SΣ | 1..1 | date | The date of birth for the individual | 
|     partialDateTime | S | 0..1 | (Complex) | Partial Date Time URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords | 
|     birthTime | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime | |
|     bypassEditFlag | 0..1 | CodeableConcept | To reflect the relevant edit possibilities for Mother's date of birth. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag | |
|      extension | 0..0 | |||
|      url | 1..1 | uri | "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag" | |
|      value[x] | 1..1 | CodeableConcept | To reflect the relevant edit possibilities for date of birth. Binding: ValueSet - Mothers Date of Birth Edit Flags (NCHS) Vital Records (required): Date of Birth Edit Flags (NCHS) | |
|    deceased[x] | ?!SΣ | 0..1 | Indicates if the individual is deceased or not, dateTime is preferred | |
|     deceasedBoolean | boolean | |||
|     deceasedDateTime | dateTime | |||
|    address | SΣ | 0..* | Address | An address for the individual | 
|     withinCityLimitsIndicator | S | 0..1 | Coding | Extension - Within City Limits Indicator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr Binding: ValueSet - Yes No Unknown Vital Records (required): Yes No Unknown (YNU) | 
|     predir | 0..1 | string | Extension - PreDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional | |
|     stnum | 0..1 | string | Extension - StreetNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber | |
|     stname | 0..1 | string | Extension - StreetName Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName | |
|     stdesig | 0..1 | string | Extension - StreetDesignator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator | |
|     postdir | 0..1 | string | Extension - PostDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional | |
|     unitnumber | 0..1 | string | Extension - UnitOrAptNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber | |
|     use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | 
|     line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | 
|     city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | 
|      cityCode | 0..1 | positiveInt | City Code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode | |
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | 
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | 
|     period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | 
|    communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|     language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) | 
|    Slices for link | ?!SΣ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person Slice: Unordered, Open by pattern:type | 
|     link:All Slices | Content/Rules for all slices | |||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|      other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | 
|      type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | 
|     link:mother | ?!SΣ | 0..1 | BackboneElement | Link to the birth mother's RelatedPerson record | 
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|      other | SΣ | 1..1 | Reference(RelatedPerson - Mother Vital Records) | The other patient or related person resource that the link refers to | 
|      type | SΣ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. Required Pattern: seealso | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | 
| Patient.extension:birthPlace.value[x].use | required | AddressUse | 
| Patient.extension:birthPlace.value[x].state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Patient.identifier:MRN.use | required | IdentifierUse | 
| Patient.identifier:MRN.type | extensible | Pattern: MR | 
| Patient.identifier:SSN.use | required | IdentifierUse | 
| Patient.identifier:SSN.type | extensible | Pattern: SS | 
| Patient.name:currentLegalName.use | required | Fixed Value: official | 
| Patient.name:namePriorToFirstMarriage.use | required | Fixed Value: maiden | 
| Patient.telecom.system | required | ContactPointSystem | 
| Patient.telecom.use | required | ContactPointUse | 
| Patient.gender | required | AdministrativeGender | 
| Patient.birthDate.extension:bypassEditFlag.value[x] | required | ValueSetMothersDateOfBirthEditFlagsVitalRecords | 
| Patient.address.use | required | AddressUse | 
| Patient.address.state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | 
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier | 
| Patient.link.type | required | LinkType | 
| Patient.link:mother.type | required | Pattern: seealso | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Patient | C | 0..* | PatientVitalRecords | Information about an individual or animal receiving health care services | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|    race | 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..1 | code | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth | |||||
|    genderIdentity | 0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) | |||||
|    birthPlace | S | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..0 | |||||||
|     url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" | |||||
|     value[x] | 1..1 | Address | Value of extension | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
|      type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
|      text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
|      line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
|      city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
|       id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|       Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|       cityCode | 0..1 | positiveInt | Extension - City Code Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode | |||||
|       value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|      district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
|       id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|       Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|       districtCode | 0..1 | positiveInt | County code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode | |||||
|       value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|      state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | ||||
|      postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132 | ||||
|      country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) Binding: ValueSet - Birthplace Country Vital Records (required) | ||||
|      period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
|    parentReportedAgeAtDelivery | 0..2 | (Complex) | Extension - Reported Parent Age at Delivery - Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr | |||||
|    fetalDeath | 0..1 | Coding | fetal-death URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    Slices for identifier | SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:type | ||||
|     identifier:MRN | SΣ | 0..* | Identifier | Medical Record Number | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
|        version | 0..1 | string | Version of the system - if relevant | |||||
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
|        display | 0..1 | string | Representation defined by the system | |||||
|        userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|       text | 0..1 | string | Plain text representation of the concept | |||||
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
|      period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
|      assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
|     identifier:SSN | SΣ | 0..1 | Identifier | SSN if available and appropriate to send | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
|      type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|        id | 0..1 | string | Unique id for inter-element referencing | |||||
|        extension | 0..* | Extension | Additional content defined by implementations | |||||
|        system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
|        version | 0..1 | string | Version of the system - if relevant | |||||
|        code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SS | |||||
|        display | 0..1 | string | Representation defined by the system | |||||
|        userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|       text | 0..1 | string | Plain text representation of the concept | |||||
|      system | SΣ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-ssn | ||||
|      value | SΣ | 1..1 | string | The value that is unique within the system. Example General: 123456 | ||||
|      period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
|      assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
|    active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
|    Slices for name | SΣ | 1..* | HumanName | A name associated with the patient Slice: Unordered, Open by value:use | ||||
|     name:currentLegalName | SΣ | 0..1 | HumanName | current legal name | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official | ||||
|      text | Σ | 0..1 | string | Text representation of the full name | ||||
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | ||||
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
|      prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
|      suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
|      period | Σ | 0..1 | Period | Time period when name was/is in use | ||||
|     name:namePriorToFirstMarriage | SΣ | 0..1 | HumanName | Name prior to first marriage | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: maiden | ||||
|      text | Σ | 0..1 | string | Text representation of the full name | ||||
|      family | SΣC | 1..1 | string | Family name (often called 'Surname') | ||||
|      given | SΣC | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name | ||||
|      prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | ||||
|      suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | ||||
|      period | Σ | 0..1 | Period | Time period when name was/is in use | ||||
|    telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|     system | SΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
|     value | SΣ | 1..1 | string | The actual contact point details | ||||
|     use | ?!SΣ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) | ||||
|     rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
|     period | Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
|    gender | SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required) | ||||
|    birthDate | SΣ | 1..1 | date | The date of birth for the individual | ||||
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|     Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|     partialDateTime | S | 0..1 | (Complex) | Partial Date Time URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords | ||||
|     birthTime | 0..1 | dateTime | Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime | |||||
|     bypassEditFlag | 0..1 | CodeableConcept | To reflect the relevant edit possibilities for Mother's date of birth. URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..0 | |||||||
|      url | 1..1 | uri | "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag" | |||||
|      value[x] | 1..1 | CodeableConcept | To reflect the relevant edit possibilities for date of birth. Binding: ValueSet - Mothers Date of Birth Edit Flags (NCHS) Vital Records (required): Date of Birth Edit Flags (NCHS) | |||||
|     value | 0..1 | date | Primitive value for date | |||||
|    deceased[x] | ?!SΣ | 0..1 | Indicates if the individual is deceased or not, dateTime is preferred | |||||
|     deceasedBoolean | boolean | |||||||
|     deceasedDateTime | dateTime | |||||||
|    address | SΣ | 0..* | Address | An address for the individual | ||||
|     id | 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 | |||||
|     withinCityLimitsIndicator | S | 0..1 | Coding | Extension - Within City Limits Indicator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-within-city-limits-indicator-vr Binding: ValueSet - Yes No Unknown Vital Records (required): Yes No Unknown (YNU) | ||||
|     predir | 0..1 | string | Extension - PreDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional | |||||
|     stnum | 0..1 | string | Extension - StreetNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber | |||||
|     stname | 0..1 | string | Extension - StreetName Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName | |||||
|     stdesig | 0..1 | string | Extension - StreetDesignator Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator | |||||
|     postdir | 0..1 | string | Extension - PostDirectional Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional | |||||
|     unitnumber | 0..1 | string | Extension - UnitOrAptNumber Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber | |||||
|     use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home | ||||
|     type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both | ||||
|     text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | ||||
|     line | SΣ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street | ||||
|     city | SΣ | 0..1 | string | Name of city, town etc. Example General: Erewhon | ||||
|      id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|      Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|      cityCode | 0..1 | positiveInt | City Code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode | |||||
|      value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|     district | Σ | 0..1 | string | District name (aka county) Example General: Madison | ||||
|      id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
|      Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|      districtCode | 0..1 | positiveInt | County code URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode | |||||
|      value | 0..1 | string | Primitive value for string Max Length: 1048576 | |||||
|     state | SΣ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ValueSet - States, Territories and Provinces Vital Records (required) | ||||
|     postalCode | SΣ | 0..1 | string | US Zip Codes Example General: 9132 | ||||
|     country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) Binding: ValueSet - Residence Country Vital Records (required) | ||||
|     period | SΣ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | ||||
|    maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person. | |||||
|    multipleBirth[x] | 0..1 | If not single birth - born first, second, third, etc. | ||||||
|     multipleBirth[x]:All Types | Content/Rules for all Types | |||||||
|      id | 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 | |||||
|      bypassEditFlag | 0..1 | CodeableConcept | Extension - BypassEditFlag Vital Records URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag | |||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..0 | |||||||
|       url | 1..1 | uri | "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag" | |||||
|       value[x] | 1..1 | CodeableConcept | Value of extension Binding: ValueSet - Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS) | |||||
|      multipleBirthTotal | 0..1 | positiveInt | Total births in this pregnancy URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal | |||||
|     multipleBirthBoolean | boolean | |||||||
|     multipleBirthInteger | integer | |||||||
|    photo | 0..* | Attachment | Image of the patient | |||||
|    contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     relationship | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
|     name | 0..1 | HumanName | A name associated with the contact person | |||||
|     telecom | 0..* | ContactPoint | A contact detail for the person | |||||
|     address | 0..1 | Address | Address for the contact person | |||||
|     gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
|     organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
|     period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
|    communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible) | ||||
|     preferred | 0..1 | boolean | Language preference indicator | |||||
|    generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
|    managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | ||||
|    Slices for link | ?!SΣ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person Slice: Unordered, Open by pattern:type | ||||
|     link:All Slices | Content/Rules for all slices | |||||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|      other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
|      type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
|     link:mother | ?!SΣ | 0..1 | BackboneElement | Link to the birth mother's RelatedPerson record | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|      other | SΣ | 1..1 | Reference(RelatedPerson - Mother Vital Records) | The other patient or related person resource that the link refers to | ||||
|      type | SΣ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. Required Pattern: seealso | ||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Patient.language | preferred | CommonLanguages 
 | ||||
| Patient.extension:birthPlace.value[x].use | required | AddressUse | ||||
| Patient.extension:birthPlace.value[x].type | required | AddressType | ||||
| Patient.extension:birthPlace.value[x].state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | ||||
| Patient.extension:birthPlace.value[x].country | required | ValueSetBirthplaceCountryVitalRecords (a valid code from CodeSystem - Country Codes Vital Records) | ||||
| Patient.identifier:MRN.use | required | IdentifierUse | ||||
| Patient.identifier:MRN.type | extensible | Pattern: MR | ||||
| Patient.identifier:SSN.use | required | IdentifierUse | ||||
| Patient.identifier:SSN.type | extensible | Pattern: SS | ||||
| Patient.name:currentLegalName.use | required | Fixed Value: official | ||||
| Patient.name:namePriorToFirstMarriage.use | required | Fixed Value: maiden | ||||
| Patient.telecom.system | required | ContactPointSystem | ||||
| Patient.telecom.use | required | ContactPointUse | ||||
| Patient.gender | required | AdministrativeGender | ||||
| Patient.birthDate.extension:bypassEditFlag.value[x] | required | ValueSetMothersDateOfBirthEditFlagsVitalRecords | ||||
| Patient.address.use | required | AddressUse | ||||
| Patient.address.type | required | AddressType | ||||
| Patient.address.state | required | ValueSetStatesTerritoriesAndProvincesVitalRecords | ||||
| Patient.address.country | required | ValueSetResidenceCountryVitalRecords | ||||
| Patient.maritalStatus | extensible | Marital Status Codes | ||||
| Patient.multipleBirth[x].extension:bypassEditFlag.value[x] | required | ValueSetPluralityEditFlagsVitalRecords | ||||
| Patient.contact.relationship | extensible | PatientContactRelationship | ||||
| Patient.contact.gender | required | AdministrativeGender | ||||
| Patient.communication.language | extensible | LanguageCodesWithLanguageAndOptionallyARegionModifier | ||||
| Patient.link.type | required | LinkType | ||||
| Patient.link:mother.type | required | Pattern: seealso | 
This structure is derived from PatientVitalRecords
Summary
Mandatory: 1 element
 Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron