This profile adds further constraints to the US Core Patient such as:

• the patient-birthPlace extension
• the patient-birthTime extension
• the patient-multipleBirthTotal extension to record plurality
• the base FHIR data-absent-reason extension to both name.given and name.family (a name may not yet have been chosen for the baby and US Core Patient requires that Patient.name.given or Patient.name.family or both SHALL be present)
  • use not-applicable if the name hasn’t been chosen

Form Mapping

This profile is mapped to:

• Item 1. Child’s Name in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 2. Child’s Time of Birth in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 3. Child’s Sex in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 4. Child’s Date Of Birth in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 6. City, Town, Or Location Of Birth in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 7. County Of Birth in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 48. Newborn Medical Record Number in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 52. Plurality in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 53. If Not Single Birth - Born First, Second, Third, etc. (Specify) in the 2003 Revision of the U.S. Standard Certificate of Live Birth
• Item 3. City, Town or Location of birth in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item 4. County of birth in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item 17. Date of birth in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item 18. Time of birth in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item 22. Infant’s medical record number in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item 31. Sex: in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item 33. Plurality in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item 34. If not single birth, order delivered in the pregnancy in the 2016 US Standard Facility Worksheet for the Live Birth Certificate
• Item Child’s name/medical record # in the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
• Item 17. Date of birth in the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
• Item 18. Time of birth in the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
• Item 34. Order delivered in the pregnancy in the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
• Item 31. Sex in the 2016 US Standard Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births
• Item 2. What will be your baby’s legal name? in the 2016 US Standard Mothers Worksheet for Child’s Birth Certificate

IJE Mapping

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from USCorePatientProfile

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	S	0..1	USCoreRaceExtension	US Core Race Extension
extension:ethnicity	S	0..1	USCoreEthnicityExtension	US Core ethnicity Extension
extension:birthsex	S	1..1	USCoreBirthSexExtension	Extension
birthPlace	S	0..1	Address	Place of Birth for the patient should include the state and/or country URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
parentReportedAgeAtDelivery		0..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
Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:MRN		0..*	Identifier	Medical Record Number
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
name	S	1..*	HumanName	A name associated with the patient
family	S	1..1	string	Family name (often called 'Surname')
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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	S	0..*	string	Given names (not always 'first'). Includes middle names
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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.
birthDate		1..1	date	The date of birth for the individual
partialDate	S	0..*	(Complex)	Provides values of a partial date URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-vr
birthTime	S	0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
deceased[x]	S	0..1	boolean, dateTime	Indicates if the individual is deceased or not, dateTime is preferred
multipleBirth[x]	S	0..1	integer	If not single delivery- born first, second, third, etc.
multipleBirthTotal	S	0..1	positiveInt	Where 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
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
birthsex	S	1..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
birthPlace	S	0..1	Address	Place of Birth for the patient should include the state and/or country URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
parentReportedAgeAtDelivery		0..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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
identifier:MRN	SΣ	0..*	Identifier	Medical Record Number
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣC	1..1	string	Family name (often called 'Surname')
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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.
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
partialDate	S	0..*	(Complex)	Provides values of a partial date URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-vr
birthTime	S	0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not, dateTime is preferred
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
multipleBirth[x]	S	0..1	integer	If not single delivery- born first, second, third, etc.
multipleBirthTotal	S	0..1	positiveInt	Where 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..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.identifier.use	required	IdentifierUse
Patient.identifier:MRN.use	required	IdentifierUse
Patient.identifier:MRN.type	extensible	Pattern: MR
Patient.name.use	required	NameUse
Patient.telecom.system	required	ContactPointSystem
Patient.telecom.use	required	ContactPointUse
Patient.gender	required	AdministrativeGender
Patient.address.use	required	AddressUse
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If 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-4	error	Patient	If 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-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
birthsex	S	1..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
birthPlace	S	0..1	Address	Place of Birth for the patient should include the state and/or country URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
parentReportedAgeAtDelivery		0..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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:MRN	SΣ	0..*	Identifier	Medical Record Number
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	HumanName	A name associated with the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣC	1..1	string	Family name (often called 'Surname')
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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..1	string	Primitive value for string Max Length: 1048576
given	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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..1	string	Primitive value for string Max Length: 1048576
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
partialDate	S	0..*	(Complex)	Provides values of a partial date URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-vr
birthTime	S	0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
value		0..1	date	Primitive value for date
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not, dateTime is preferred
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]	S	0..1	integer	If not single delivery- born first, second, third, etc.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
multipleBirthTotal	S	0..1	positiveInt	Where 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
value		0..1	integer	Primitive value for integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	extensible	Identifier Type Codes
Patient.identifier:MRN.use	required	IdentifierUse
Patient.identifier:MRN.type	extensible	Pattern: MR
Patient.name.use	required	NameUse
Patient.telecom.system	required	ContactPointSystem
Patient.telecom.use	required	ContactPointUse
Patient.gender	required	AdministrativeGender
Patient.address.use	required	AddressUse
Patient.address.type	required	AddressType
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.maritalStatus	extensible	Marital Status Codes
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If 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-4	error	Patient	If 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-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Differential View

This structure is derived from USCorePatientProfile

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	S	0..1	USCoreRaceExtension	US Core Race Extension
extension:ethnicity	S	0..1	USCoreEthnicityExtension	US Core ethnicity Extension
extension:birthsex	S	1..1	USCoreBirthSexExtension	Extension
birthPlace	S	0..1	Address	Place of Birth for the patient should include the state and/or country URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
parentReportedAgeAtDelivery		0..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
Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:MRN		0..*	Identifier	Medical Record Number
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
name	S	1..*	HumanName	A name associated with the patient
family	S	1..1	string	Family name (often called 'Surname')
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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	S	0..*	string	Given names (not always 'first'). Includes middle names
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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.
birthDate		1..1	date	The date of birth for the individual
partialDate	S	0..*	(Complex)	Provides values of a partial date URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-vr
birthTime	S	0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
deceased[x]	S	0..1	boolean, dateTime	Indicates if the individual is deceased or not, dateTime is preferred
multipleBirth[x]	S	0..1	integer	If not single delivery- born first, second, third, etc.
multipleBirthTotal	S	0..1	positiveInt	Where 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
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
birthsex	S	1..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
birthPlace	S	0..1	Address	Place of Birth for the patient should include the state and/or country URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
parentReportedAgeAtDelivery		0..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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
identifier:MRN	SΣ	0..*	Identifier	Medical Record Number
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣC	1..1	string	Family name (often called 'Surname')
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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.
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
partialDate	S	0..*	(Complex)	Provides values of a partial date URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-vr
birthTime	S	0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not, dateTime is preferred
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
multipleBirth[x]	S	0..1	integer	If not single delivery- born first, second, third, etc.
multipleBirthTotal	S	0..1	positiveInt	Where 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..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.identifier.use	required	IdentifierUse
Patient.identifier:MRN.use	required	IdentifierUse
Patient.identifier:MRN.type	extensible	Pattern: MR
Patient.name.use	required	NameUse
Patient.telecom.system	required	ContactPointSystem
Patient.telecom.use	required	ContactPointUse
Patient.gender	required	AdministrativeGender
Patient.address.use	required	AddressUse
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If 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-4	error	Patient	If 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-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	USCorePatientProfile	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
birthsex	S	1..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
genderIdentity		0..1	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
birthPlace	S	0..1	Address	Place of Birth for the patient should include the state and/or country URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
parentReportedAgeAtDelivery		0..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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:MRN	SΣ	0..*	Identifier	Medical Record Number
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	HumanName	A name associated with the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣC	1..1	string	Family name (often called 'Surname')
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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..1	string	Primitive value for string Max Length: 1048576
given	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dataAbsentReason	S	0..1	code	When "name not chosen" use code "temp-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..1	string	Primitive value for string Max Length: 1048576
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
partialDate	S	0..*	(Complex)	Provides values of a partial date URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-vr
birthTime	S	0..1	dateTime	Time of day of birth URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
value		0..1	date	Primitive value for date
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not, dateTime is preferred
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]	S	0..1	integer	If not single delivery- born first, second, third, etc.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
multipleBirthTotal	S	0..1	positiveInt	Where 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
value		0..1	integer	Primitive value for integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	extensible	Identifier Type Codes
Patient.identifier:MRN.use	required	IdentifierUse
Patient.identifier:MRN.type	extensible	Pattern: MR
Patient.name.use	required	NameUse
Patient.telecom.system	required	ContactPointSystem
Patient.telecom.use	required	ContactPointUse
Patient.gender	required	AdministrativeGender
Patient.address.use	required	AddressUse
Patient.address.type	required	AddressType
Patient.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)
Patient.maritalStatus	extensible	Marital Status Codes
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	extensible	LanguageCodesWithLanguageAndOptionallyARegionModifier
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If 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-4	error	Patient	If 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-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present. : (name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from USCorePatientProfile

Summary

Mandatory: 4 elements (1 nested mandatory element)
Must-Support: 14 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-birthPlace
• http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-reported-parent-age-at-delivery-vr
• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-partial-date-vr
• http://hl7.org/fhir/StructureDefinition/patient-birthTime
• http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal

Slices

This structure defines the following Slices:

• The element Patient.identifier is sliced based on the value of pattern:type