Demographics and administrative information about a person independent of a specific health-related context.

The Person resource does justice to person registries that keep track of persons regardless of their role. The Person resource is also a primary resource to point to for people acting in a particular role such as SubjectofCare, Practitioner, and Agent. Very few attributes are specific to any role and so Person is kept lean. Most attributes are expected to be tied to the role the Person plays rather than the Person himself. Examples of that are Guardian (SubjectofCare), ContactParty (SubjectOfCare, Practitioner), and multipleBirthInd (SubjectofCare).

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

An Extension

R5: Person.deceased[x] (new:boolean, dateTime)

Element Person.deceased[x] has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.deceased[x] has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

R5: Person.maritalStatus (new:CodeableConcept)

Element Person.maritalStatus has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.maritalStatus has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Many countries maintain a register of births, deaths and marriages, and this would simplify that interaction

R5: Person.communication (new:BackboneElement)

Element Person.communication has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.communication has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Person.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Note that this property should not be used to update any linked/logically linked practitioner resources as it serves as a language that can be used to communicate with patients - however it may be used to inform the value on practitioner, along with their role at the organization (with the practitioner's permission)

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Whether this person's record is in active use.

Need to be able to mark a person record as not to be used because it was created in error.

R5: Person.deceased[x] (new:boolean, dateTime)

Element Person.deceased[x] has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.deceased[x] has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

R5: Person.maritalStatus (new:CodeableConcept)

Element Person.maritalStatus has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.maritalStatus has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Many countries maintain a register of births, deaths and marriages, and this would simplify that interaction

R5: Person.communication (new:BackboneElement)

Element Person.communication has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.communication has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Person.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Note that this property should not be used to update any linked/logically linked practitioner resources as it serves as a language that can be used to communicate with patients - however it may be used to inform the value on practitioner, along with their role at the organization (with the practitioner's permission)

R5: Person.managingOrganization additional types from child elements (display, identifier, reference, type)

Element Person.managingOrganization is mapped to FHIR STU3 element Person.managingOrganization as SourceIsBroaderThanTarget. The mappings for Person.managingOrganization do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension alternate-reference has been mapped as the representation of FHIR R5 element Person.managingOrganization with unmapped reference targets: Organization.

R5: Person.link.target

Element Person.link.target is mapped to FHIR STU3 element Person.link.target as SourceIsBroaderThanTarget. The standard extension alternate-reference has been mapped as the representation of FHIR R5 element Person.link.target with unmapped reference targets: Patient, Person, Practitioner, RelatedPerson.

Demographics and administrative information about a person independent of a specific health-related context.

The Person resource does justice to person registries that keep track of persons regardless of their role. The Person resource is also a primary resource to point to for people acting in a particular role such as SubjectofCare, Practitioner, and Agent. Very few attributes are specific to any role and so Person is kept lean. Most attributes are expected to be tied to the role the Person plays rather than the Person himself. Examples of that are Guardian (SubjectofCare), ContactParty (SubjectOfCare, Practitioner), and multipleBirthInd (SubjectofCare).

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Unless not suitable, these codes SHALL be taken from Common Languages
(extensible to http://hl7.org/fhir/ValueSet/languages|3.0.2)

A human language.

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

An Extension

R5: Person.deceased[x] (new:boolean, dateTime)

Element Person.deceased[x] has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.deceased[x] has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

R5: Person.maritalStatus (new:CodeableConcept)

Element Person.maritalStatus has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.maritalStatus has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Many countries maintain a register of births, deaths and marriages, and this would simplify that interaction

R5: Person.communication (new:BackboneElement)

Element Person.communication has a context of Person based on following the parent source element upwards and mapping to Person. Element Person.communication has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Person.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Note that this property should not be used to update any linked/logically linked practitioner resources as it serves as a language that can be used to communicate with patients - however it may be used to inform the value on practitioner, along with their role at the organization (with the practitioner's permission)

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Identifier for a person within a particular scope.

People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the person. Examples are national person identifier and local identifier.

A name associated with the person.

Person may have multiple names with different uses or applicable periods.

Need to be able to track the person by multiple names. Examples are your official name and a partner name.

A contact detail for the person, e.g. a telephone number or an email address.

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

People have (primary) ways to contact them in some way such as phone, email.

Administrative Gender.

The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.

The gender of a person used for administrative purposes.

Needed for identification of the person, in combination with (at least) name and birth date. Gender of person drives many clinical processes.

The birth date for the person.

At least an estimated year should be provided as a guess if the real DOB is unknown.

Age of person drives many clinical processes, and is often used in performing identification of the person. Times are not included so as to not confuse things with potential timezone issues.

One or more addresses for the person.

Person may have multiple addresses with different uses or applicable periods.

May need to keep track of person's addresses for contacting, billing or reporting requirements and also to help with identification.

An image that can be displayed as a thumbnail of the person to enhance the identification of the individual.

The organization that is the custodian of the person record.

Need to know who recognizes this person record, manages and updates it.

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

R5: Person.managingOrganization additional types from child elements (display, identifier, reference, type)

Element Person.managingOrganization is mapped to FHIR STU3 element Person.managingOrganization as SourceIsBroaderThanTarget. The mappings for Person.managingOrganization do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension alternate-reference has been mapped as the representation of FHIR R5 element Person.managingOrganization with unmapped reference targets: Organization.

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Plain text narrative that identifies the resource in addition to the resource reference.

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Whether this person's record is in active use.

Need to be able to mark a person record as not to be used because it was created in error.

Link to a resource that concerns the same actual person.

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

The resource to which this actual person is associated.

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

R5: Person.link.target

Element Person.link.target is mapped to FHIR STU3 element Person.link.target as SourceIsBroaderThanTarget. The standard extension alternate-reference has been mapped as the representation of FHIR R5 element Person.link.target with unmapped reference targets: Patient, Person, Practitioner, RelatedPerson.

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Plain text narrative that identifies the resource in addition to the resource reference.

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Level of assurance that this link is actually associated with the target resource.

The level of confidence that this link represents the same actual person, based on NIST Authentication Levels.