Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-ballot - ballot United States of America flag

This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Patient - Decedent Fetus

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Patient-decedent-fetus Version: 2.0.0-ballot
Draft as of 2023-12-18 Computable Name: PatientDecedentFetus

A stillborn for whom clinical data is included in the report.

Profile conformance requires that gender be provided, see note on patient gender(https://hl7.org/fhir/us/vr-common-library/2024Jan/usage.html#gender).

IJE Mapping

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 1 Date of Delivery (Fetus)--Year FDOD_YR birthDate date See note on birth date and time
Fetal Death 2 State, U.S. Territory or Canadian Province of Place of Delivery - code DSTATE extension[patient-birthPlace].value[x].state codeable ValueSetJurisdictionVitalRecords
Fetal Death 6 Time of Delivery TD birthDate.extension[patient-birthTime] dateTime See note on birth date and time
Fetal Death 7 Sex FSEX extension[birthsex].value codeable ValueSetBirthSexFetusVitalRecords
Fetal Death 8 Date of Delivery (Fetus)--Month FDOD_MO birthDate date See note on birth date and time
Fetal Death 9 Date of Delivery (Fetus)--Day FDOD_DY birthDate date See note on birth date and time
Fetal Death 151 Plurality PLUR extension[patient-multipleBirthTotal].valuePositiveInt integer
Fetal Death 152 Set Order SORD multipleBirth[x] integer
Fetal Death 155 Plurality--Edit Flag PLUR_BYPASS multipleBirth.extension[bypassEditFlag].value codeable PluralityEditFlagsVS,
See Handling of edit flags
Fetal Death 171 Mother's Reported Age MAGER extension[parentReportedAgeAtDelivery].extension[reportedAge].value,
extension[parentReportedAgeAtDelivery].extension[motherOrFather].value='MTH'
quantity
Fetal Death 172 Father's Reported Age FAGER extension[parentReportedAgeAtDelivery].extension[reportedAge].value,
extension[parentReportedAgeAtDelivery].extension[motherOrFather].value='FTH'
quantity
Fetal Death 219 Fetus First Name FETFNAME name.given,
name.use = official
string See note on Child and Decedent Fetus name
Fetal Death 220 Fetus Middle Name FETMNAME name.given,
name.use = official
string See note on Child and Decedent Fetus name
Fetal Death 221 Fetus Last Name FETLNAME name.family, name.use = official. (absence is equivalent to ‘UNKNOWN’.) string See note on Child and Decedent Fetus name
Fetal Death 222 Fetus Surname Suffix SUFFIX name.suffix,
name.use = official
string

Form Mapping

Item # Form Field FHIR Profile Field Reference
1 Name of Fetus name Report of Fetal Death
2 Time of Delivery - Report of Fetal Death
3 Sex - Report of Fetal Death
4 Date of Delivery birthDate Report of Fetal Death
5a City, Town, or Location of Delivery - Report of Fetal Death
5b Zip Code of Delivery - Report of Fetal Death
6 County of Delivery - Report of Fetal Death
34 If Not Single Birth-Born First, Second, Third, etc. multipleBirthInteger Report of Fetal Death
3 City, Town or Location of delivery - Facility Worksheet for the Report of Fetal Death
4 County of delivery - Facility Worksheet for the Report of Fetal Death
12 Date of delivery birthDate Facility Worksheet for the Report of Fetal Death
13 Time of delivery - Facility Worksheet for the Report of Fetal Death
21 Sex - Facility Worksheet for the Report of Fetal Death
22 Plurality - Facility Worksheet for the Report of Fetal Death
23 If not single delivery, order delivered in the pregnancy multipleBirthInteger Facility Worksheet for the Report of Fetal Death
1 Would you like to name the child? name Patient’s Worksheet for the Report of Fetal Death

Usage:

Formal Views of Profile Content

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

This structure is derived from PatientVitalRecords

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient PatientVitalRecords
... extension 1..*ExtensionExtension
... extension:birthsex 0..1USCoreBirthSexExtensionExtension
.... extension 0..0
.... value[x] 1..1codeValue of extension
Binding: ValueSet - Birth Sex Fetus Vital Records (required)
... extension:birthPlace S0..1birthPlacePlace of Birth for patient
... extension:fetalDeath S1..1ExtensionPatientFetalDeathVitalRecordsfetal-death
... name 1..*HumanNameA name associated with the patient
.... family
..... extension:dataAbsentReason 0..1Data Absent ReasonWhen fetus not named use code "unknown"
.... given
..... extension:dataAbsentReason 0..1Data Absent ReasonWhen fetus not named use code "unknown"
... birthDate 1..1dateThe date of birth for the individual
.... extension:partialDateTime S0..1ExtensionPartialDateTimeVitalRecordsPartial Date Time
.... extension:birthTime S0..1birthTimeTime of day of birth
... deceased[x] S1..1booleanIndicates if the individual is deceased or not, dateTime is preferred
Fixed Value: true
... multipleBirth[x] S0..1integerIf not single birth - born first, second, third, etc.
.... extension:bypassEditFlag 0..1ExtensionBypassEditFlagVitalRecordsExtension - BypassEditFlag Vital Records
..... value[x] 1..1CodeableConceptTo reflect the relevant edit possibilities for plurality.
.... extension:multipleBirthTotal S0..1PatMultipleBirthTotalWhere a patient is a part of a multiple delivery, this is the total number of deliveries that occurred in this pregnancy.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Patient.extension:birthsex.value[x]requiredValueSetBirthSexFetusVitalRecords
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientVitalRecordsInformation about an individual or animal receiving health care services
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... race 0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
... birthsex 0..1codeExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"
.... value[x] 1..1codeValue of extension
Binding: ValueSet - Birth Sex Fetus Vital Records (required)
... genderIdentity 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity (extensible)
... birthPlace S0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
.... value[x] 1..1AddressValue of extension
..... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
... parentReportedAgeAtDelivery S0..2(Complex)The mother or father's reported age at the time of delivery of the child
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
... fetalDeath S1..1Codingfetal-death
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
.... identifier:MRN SΣ0..*IdentifierMedical Record Number
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
.... identifier:SSN SΣ0..1IdentifierSSN if available and appropriate to send
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: SS
..... system SΣ1..1uriThe namespace for the identifier value
Required Pattern: http://hl7.org/fhir/sid/us-ssn
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SΣ1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... family SΣC1..1stringFamily name (often called 'Surname')
...... dataAbsentReason 0..1codeWhen fetus not named use code "unknown"
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
...... dataAbsentReason 0..1codeWhen fetus not named use code "unknown"
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... name:currentLegalName SΣ0..1HumanNamecurrent legal name
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... family SΣC1..1stringFamily name (often called 'Surname')
..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... name:namePriorToFirstMarriage SΣ0..1HumanNameName prior to first marriage
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: maiden
..... family SΣC1..1stringFamily name (often called 'Surname')
..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom Σ0..*ContactPointA contact detail for the individual
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ1..1dateThe date of birth for the individual
.... partialDateTime S0..1(Complex)Partial Date Time
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords
.... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptTo 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] ?!SΣ1..1booleanIndicates if the individual is deceased or not, dateTime is preferred
Fixed Value: true
... address SΣ0..*AddressAn address for the individual
.... withinCityLimitsIndicator 0..1CodingUsed to indicate whether or not an address is within city limits.
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..1stringExtension - PreDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional
.... stnum 0..1stringExtension - StreetNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber
.... stname 0..1stringExtension - StreetName Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
.... stdesig 0..1stringExtension - StreetDesignator Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator
.... postdir 0..1stringExtension - PostDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional
.... unitnumber 0..1stringExtension - UnitOrAptNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
..... cityCode 0..1positiveIntCity Code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: ValueSet - States, Territories and Provinces Vital Records (required)
.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... period SΣ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... multipleBirth[x] S0..1integerIf not single birth - born first, second, third, etc.
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptTo reflect the relevant edit possibilities for plurality.
Binding: ValueSet - Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS)

.... multipleBirthTotal S0..1positiveIntWhere a patient is a part of a multiple delivery, this is the total number of deliveries that occurred in this pregnancy.
URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language S1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: Language codes with language and optionally a region modifier (extensible)
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Patient.extension:birthsex.value[x]requiredValueSetBirthSexFetusVitalRecords
Patient.extension:birthPlace.value[x].userequiredAddressUse
Patient.identifier.userequiredIdentifierUse
Patient.identifier:MRN.userequiredIdentifierUse
Patient.identifier:MRN.typeextensiblePattern: MR
Patient.identifier:SSN.userequiredIdentifierUse
Patient.identifier:SSN.typeextensiblePattern: SS
Patient.name.userequiredNameUse
Patient.name:currentLegalName.userequiredFixed Value: official
Patient.name:namePriorToFirstMarriage.userequiredFixed Value: maiden
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.birthDate.extension:bypassEditFlag.value[x]requiredValueSetMothersDateOfBirthEditFlagsVitalRecords
Patient.address.userequiredAddressUse
Patient.address.staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
Patient.multipleBirth[x].extension:bypassEditFlag.value[x]requiredValueSetPluralityEditFlagsVitalRecords
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.typerequiredLinkType
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientVitalRecordsInformation about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

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


.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"
.... value[x] 1..1codeValue of extension
Binding: ValueSet - Birth Sex Fetus Vital Records (required)
... genderIdentity 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity (extensible)
... birthPlace S0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
.... value[x] 1..1AddressValue of extension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


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


Example General: both
..... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
..... line Σ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
..... city Σ0..1stringName of city, town etc.
Example General: Erewhon
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... cityCode 0..1positiveIntExtension - City Code Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
...... value 0..1stringPrimitive value for string
Max Length: 1048576
..... district Σ0..1stringDistrict name (aka county)
Example General: Madison
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... districtCode 0..1positiveIntCounty code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
...... value 0..1stringPrimitive value for string
Max Length: 1048576
..... state Σ0..1stringSub-unit of country (abbreviations ok)
Binding: ValueSet - Jurisdictions Vital Records (required)
..... postalCode Σ0..1stringPostal code for area
Example General: 9132
..... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
Binding: ValueSet - Birthplace Country Vital Records (required)
..... period Σ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... parentReportedAgeAtDelivery S0..2(Complex)The mother or father's reported age at the time of delivery of the child
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
... fetalDeath S1..1Codingfetal-death
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:MRN SΣ0..*IdentifierMedical Record Number
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:SSN SΣ0..1IdentifierSSN if available and appropriate to send
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: SS
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system SΣ1..1uriThe namespace for the identifier value
Required Pattern: http://hl7.org/fhir/sid/us-ssn
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SΣ1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... text Σ0..1stringText representation of the full name
..... family SΣC1..1stringFamily name (often called 'Surname')
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... dataAbsentReason 0..1codeWhen fetus not named use code "unknown"
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


...... value 0..1stringPrimitive value for string
Max Length: 1048576
..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... dataAbsentReason 0..1codeWhen fetus not named use code "unknown"
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


...... value 0..1stringPrimitive value for string
Max Length: 1048576
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
.... name:currentLegalName SΣ0..1HumanNamecurrent legal name
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... text Σ0..1stringText representation of the full name
..... family SΣC1..1stringFamily name (often called 'Surname')
..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
.... name:namePriorToFirstMarriage SΣ0..1HumanNameName prior to first marriage
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


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

.... value SΣ1..1stringThe actual contact point details
.... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
.... period Σ0..1PeriodTime period when the contact point was/is in use
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ1..1dateThe date of birth for the individual
.... id 0..1stringxml:id (or equivalent in JSON)
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... partialDateTime S0..1(Complex)Partial Date Time
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords
.... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptTo 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..1datePrimitive value for date
... deceased[x] ?!SΣ1..1booleanIndicates if the individual is deceased or not, dateTime is preferred
Fixed Value: true
... address SΣ0..*AddressAn address for the individual
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... withinCityLimitsIndicator 0..1CodingUsed to indicate whether or not an address is within city limits.
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..1stringExtension - PreDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional
.... stnum 0..1stringExtension - StreetNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber
.... stname 0..1stringExtension - StreetName Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
.... stdesig 0..1stringExtension - StreetDesignator Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator
.... postdir 0..1stringExtension - PostDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional
.... unitnumber 0..1stringExtension - UnitOrAptNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


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


Example General: both
.... text Σ0..1stringText representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
..... id 0..1stringxml:id (or equivalent in JSON)
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cityCode 0..1positiveIntCity Code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
..... value 0..1stringPrimitive value for string
Max Length: 1048576
.... district Σ0..1stringDistrict name (aka county)
Example General: Madison
..... id 0..1stringxml:id (or equivalent in JSON)
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... districtCode 0..1positiveIntCounty code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/DistrictCode
..... value 0..1stringPrimitive value for string
Max Length: 1048576
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: ValueSet - States, Territories and Provinces Vital Records (required)
.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
Binding: ValueSet - Residence Country Vital Records (required)
.... period SΣ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] S0..1integerIf not single birth - born first, second, third, etc.
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptTo reflect the relevant edit possibilities for plurality.
Binding: ValueSet - Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS)

.... multipleBirthTotal S0..1positiveIntWhere a patient is a part of a multiple delivery, this is the total number of deliveries that occurred in this pregnancy.
URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal
... photo 0..*AttachmentImage of the patient
... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


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

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


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.extension:birthsex.value[x]requiredValueSetBirthSexFetusVitalRecords
Patient.extension:birthPlace.value[x].userequiredAddressUse
Patient.extension:birthPlace.value[x].typerequiredAddressType
Patient.extension:birthPlace.value[x].staterequiredValueSetJurisdictionVitalRecords
Patient.extension:birthPlace.value[x].countryrequiredValueSetBirthplaceCountryVitalRecords
Patient.identifier.userequiredIdentifierUse
Patient.identifier.typeextensibleIdentifier Type Codes
Patient.identifier:MRN.userequiredIdentifierUse
Patient.identifier:MRN.typeextensiblePattern: MR
Patient.identifier:SSN.userequiredIdentifierUse
Patient.identifier:SSN.typeextensiblePattern: SS
Patient.name.userequiredNameUse
Patient.name:currentLegalName.userequiredFixed Value: official
Patient.name:namePriorToFirstMarriage.userequiredFixed Value: maiden
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.birthDate.extension:bypassEditFlag.value[x]requiredValueSetMothersDateOfBirthEditFlagsVitalRecords
Patient.address.userequiredAddressUse
Patient.address.typerequiredAddressType
Patient.address.staterequiredValueSetStatesTerritoriesAndProvincesVitalRecords
Patient.address.countryrequiredValueSetResidenceCountryVitalRecords
Patient.maritalStatusextensibleMarital Status Codes
Patient.multipleBirth[x].extension:bypassEditFlag.value[x]requiredValueSetPluralityEditFlagsVitalRecords
Patient.contact.relationshipextensiblePatientContactRelationship
Patient.contact.genderrequiredAdministrativeGender
Patient.communication.languageextensibleLanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.typerequiredLinkType

This structure is derived from PatientVitalRecords

Summary

Mandatory: 4 elements
Must-Support: 8 elements
Fixed Value: 1 element
Prohibited: 1 element

Differential View

This structure is derived from PatientVitalRecords

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient PatientVitalRecords
... extension 1..*ExtensionExtension
... extension:birthsex 0..1USCoreBirthSexExtensionExtension
.... extension 0..0
.... value[x] 1..1codeValue of extension
Binding: ValueSet - Birth Sex Fetus Vital Records (required)
... extension:birthPlace S0..1birthPlacePlace of Birth for patient
... extension:fetalDeath S1..1ExtensionPatientFetalDeathVitalRecordsfetal-death
... name 1..*HumanNameA name associated with the patient
.... family
..... extension:dataAbsentReason 0..1Data Absent ReasonWhen fetus not named use code "unknown"
.... given
..... extension:dataAbsentReason 0..1Data Absent ReasonWhen fetus not named use code "unknown"
... birthDate 1..1dateThe date of birth for the individual
.... extension:partialDateTime S0..1ExtensionPartialDateTimeVitalRecordsPartial Date Time
.... extension:birthTime S0..1birthTimeTime of day of birth
... deceased[x] S1..1booleanIndicates if the individual is deceased or not, dateTime is preferred
Fixed Value: true
... multipleBirth[x] S0..1integerIf not single birth - born first, second, third, etc.
.... extension:bypassEditFlag 0..1ExtensionBypassEditFlagVitalRecordsExtension - BypassEditFlag Vital Records
..... value[x] 1..1CodeableConceptTo reflect the relevant edit possibilities for plurality.
.... extension:multipleBirthTotal S0..1PatMultipleBirthTotalWhere a patient is a part of a multiple delivery, this is the total number of deliveries that occurred in this pregnancy.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Patient.extension:birthsex.value[x]requiredValueSetBirthSexFetusVitalRecords

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientVitalRecordsInformation about an individual or animal receiving health care services
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... race 0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
... birthsex 0..1codeExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Binding: Birth Sex (required): Code for sex assigned at birth


.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"
.... value[x] 1..1codeValue of extension
Binding: ValueSet - Birth Sex Fetus Vital Records (required)
... genderIdentity 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
Binding: Gender Identity (extensible)
... birthPlace S0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
.... value[x] 1..1AddressValue of extension
..... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
... parentReportedAgeAtDelivery S0..2(Complex)The mother or father's reported age at the time of delivery of the child
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
... fetalDeath S1..1Codingfetal-death
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-patient-fetal-death-vr
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:type
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
.... identifier:MRN SΣ0..*IdentifierMedical Record Number
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
..... system SΣ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
.... identifier:SSN SΣ0..1IdentifierSSN if available and appropriate to send
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: SS
..... system SΣ1..1uriThe namespace for the identifier value
Required Pattern: http://hl7.org/fhir/sid/us-ssn
..... value SΣ1..1stringThe value that is unique within the system.
Example General: 123456
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SΣ1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... family SΣC1..1stringFamily name (often called 'Surname')
...... dataAbsentReason 0..1codeWhen fetus not named use code "unknown"
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
...... dataAbsentReason 0..1codeWhen fetus not named use code "unknown"
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.


.... name:currentLegalName SΣ0..1HumanNamecurrent legal name
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... family SΣC1..1stringFamily name (often called 'Surname')
..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... name:namePriorToFirstMarriage SΣ0..1HumanNameName prior to first marriage
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: maiden
..... family SΣC1..1stringFamily name (often called 'Surname')
..... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom Σ0..*ContactPointA contact detail for the individual
.... system SΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣ1..1stringThe actual contact point details
.... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣ1..1dateThe date of birth for the individual
.... partialDateTime S0..1(Complex)Partial Date Time
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/ExtensionPartialDateTimeVitalRecords
.... birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptTo 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] ?!SΣ1..1booleanIndicates if the individual is deceased or not, dateTime is preferred
Fixed Value: true
... address SΣ0..*AddressAn address for the individual
.... withinCityLimitsIndicator 0..1CodingUsed to indicate whether or not an address is within city limits.
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..1stringExtension - PreDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PreDirectional
.... stnum 0..1stringExtension - StreetNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetNumber
.... stname 0..1stringExtension - StreetName Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetName
.... stdesig 0..1stringExtension - StreetDesignator Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/StreetDesignator
.... postdir 0..1stringExtension - PostDirectional Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/PostDirectional
.... unitnumber 0..1stringExtension - UnitOrAptNumber Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/UnitOrAptNumber
.... use ?!Σ0..1codehome | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Example General: home
.... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ0..1stringName of city, town etc.
Example General: Erewhon
..... cityCode 0..1positiveIntCity Code
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/CityCode
.... state SΣ0..1stringSub-unit of country (abbreviations ok)
Binding: ValueSet - States, Territories and Provinces Vital Records (required)
.... postalCode SΣ0..1stringUS Zip Codes
Example General: 9132
.... period SΣ0..1PeriodTime period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... multipleBirth[x] S0..1integerIf not single birth - born first, second, third, etc.
.... bypassEditFlag 0..1CodeableConceptExtension - BypassEditFlag Vital Records
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/vr-common-library/StructureDefinition/BypassEditFlag"
..... value[x] 1..1CodeableConceptTo reflect the relevant edit possibilities for plurality.
Binding: ValueSet - Plurality Edit Flags (NCHS) Vital Records (required): Plurality Edit Flags (NCHS)

.... multipleBirthTotal S0..1positiveIntWhere a patient is a part of a multiple delivery, this is the total number of deliveries that occurred in this pregnancy.
URL: http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
....