PhdImplementationGuide 0.3.0 - STU 1 (2nd ballot)

This page is part of the Personal Health Device FHIR IG (v0.3.0: STU 1 Ballot 3) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: PhdPatient

The official URL for this profile is: 

http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient

Formal Views of Profile Content

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

This structure is derived from Patient

Summary

Mandatory: 10 elements
Fixed Value: 2 elements

Slices

This structure defines the following Slices:

  • The element Patient.meta.profile is sliced based on the value of value:value
  • The element Patient.identifier.type.coding is sliced based on the value of value:system

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*
... meta 1..1Meta
.... profile canonical(StructureDefinition)Slice: Unordered, Open by value:value
.... profile 1..1canonical(StructureDefinition)Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient
... identifier 1..*Identifier
.... type 1..1CodeableConcept
..... coding CodingSlice: Unordered, Open by value:system
..... coding 1..1CodingCode defined by http://terminology.hl7.org/CodeSystem/v2-0203
...... system 1..1uriFixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... code 1..1codea code from http://terminology.hl7.org/CodeSystem/v2-0203
.... system 1..1uriThe system associated with the value. For XDSb this would be the enterprise identifier (an OID). For unknown patient 'http://terminology.hl7.org/CodeSystem/v2-0004'
.... value 1..1stringThe patient identifier under the jurisdiction indicated by the system element. For unknown patient this would be 'U'.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient I0..*Information about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σcanonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
.... profile Σ1..1canonical(StructureDefinition)Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding Σ1..1CodingCode defined by http://terminology.hl7.org/CodeSystem/v2-0203
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codea code from http://terminology.hl7.org/CodeSystem/v2-0203
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... system Σ1..1uriThe system associated with the value. For XDSb this would be the enterprise identifier (an OID). For unknown patient 'http://terminology.hl7.org/CodeSystem/v2-0004'
Example General': http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe patient identifier under the jurisdiction indicated by the system element. For unknown patient this would be 'U'.
Example General': 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name Σ0..*HumanNameA name associated with the patient
... telecom Σ0..*ContactPointA contact detail for the individual
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate Σ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1boolean, dateTimeIndicates if the individual is deceased or not
... address Σ0..*AddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible)
... multipleBirth[x] 0..1boolean, integerWhether patient is part of a multiple birth
... photo 0..*AttachmentImage of the patient
... contact I0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible)
.... name 0..1HumanNameA name associated with the contact person
.... telecom 0..*ContactPointA contact detail for the person
.... address 0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
.... organization I0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication I0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
.... preferred 0..1booleanLanguage preference indicator
... generalPractitioner 0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(Organization)Organization that is the custodian of the patient record
... link ?!ΣI0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required)

doco Documentation for this format

This structure is derived from Patient

Summary

Mandatory: 10 elements
Fixed Value: 2 elements

Slices

This structure defines the following Slices:

  • The element Patient.meta.profile is sliced based on the value of value:value
  • The element Patient.identifier.type.coding is sliced based on the value of value:system

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*
... meta 1..1Meta
.... profile canonical(StructureDefinition)Slice: Unordered, Open by value:value
.... profile 1..1canonical(StructureDefinition)Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient
... identifier 1..*Identifier
.... type 1..1CodeableConcept
..... coding CodingSlice: Unordered, Open by value:system
..... coding 1..1CodingCode defined by http://terminology.hl7.org/CodeSystem/v2-0203
...... system 1..1uriFixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... code 1..1codea code from http://terminology.hl7.org/CodeSystem/v2-0203
.... system 1..1uriThe system associated with the value. For XDSb this would be the enterprise identifier (an OID). For unknown patient 'http://terminology.hl7.org/CodeSystem/v2-0004'
.... value 1..1stringThe patient identifier under the jurisdiction indicated by the system element. For unknown patient this would be 'U'.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient I0..*Information about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σcanonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:value
.... profile Σ1..1canonical(StructureDefinition)Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding Σ1..1CodingCode defined by http://terminology.hl7.org/CodeSystem/v2-0203
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codea code from http://terminology.hl7.org/CodeSystem/v2-0203
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... system Σ1..1uriThe system associated with the value. For XDSb this would be the enterprise identifier (an OID). For unknown patient 'http://terminology.hl7.org/CodeSystem/v2-0004'
Example General': http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe patient identifier under the jurisdiction indicated by the system element. For unknown patient this would be 'U'.
Example General': 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name Σ0..*HumanNameA name associated with the patient
... telecom Σ0..*ContactPointA contact detail for the individual
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate Σ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1boolean, dateTimeIndicates if the individual is deceased or not
... address Σ0..*AddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible)
... multipleBirth[x] 0..1boolean, integerWhether patient is part of a multiple birth
... photo 0..*AttachmentImage of the patient
... contact I0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible)
.... name 0..1HumanNameA name associated with the contact person
.... telecom 0..*ContactPointA contact detail for the person
.... address 0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
.... organization I0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication I0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
.... preferred 0..1booleanLanguage preference indicator
... generalPractitioner 0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(Organization)Organization that is the custodian of the patient record
... link ?!ΣI0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required)

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Constraints

IdPathDetailsRequirements
dom-2PatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4PatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3PatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6PatientA resource should have narrative for robust management
: text.div.exists()
dom-5PatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
ele-1Patient.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
pat-1Patient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
ele-1Patient.communicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.linkAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())