International Patient Access
0.1.0 - STU 1 ballot

This page is part of the International Patient Access (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: IPA-Patient

Defining URL:http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient
Version:0.1.0
Name:IPAPatient
Title:IPA-Patient
Status:Draft as of 8/26/19 3:10 PM
Definition:

Minimum expectations for a Patient resource when accessed via a International Patient Access API

Publisher:HL7 International - Patient Care Workgroup
Copyright:

Creative Commons Public Domain

Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient

This profile describes how applications fetch the Patient resource to check the patient identity and access basic demographics and other administrative information about the patient.

Example Usage Scenarios:

The patient record is fixed to a single individual patient by the user and the Authorization service record during the Authorization process. The client application can access the patient record using the following API call:

GET [url]/Patient

Servers are not required to support any additional search parameters, and clients SHOULD not expect servers to do so.

This search SHALL return a Bundle that contains one or more Patient records that all concern the same same patient. If more than one resource is returned, the Patient records SHALL use the Patient.link attribute to cross link the records, and there SHALL only be one Patient record with active = true.

Each Patient SHALL have:

Note that this implies that the user cannot restrict access to these properties when authorizing the application.

Applications must also support:

  • Birth date
  • Patient Links

Servers may choose to provide additional information, or may be required to do so by national or other additional profiles on patient that apply in the servers context.

Formal Views of Profile Content

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

This structure is derived from Patient

Summary

Mandatory: 6 elements
Must-Support: 8 elements

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... identifier S1..*IdentifierAn identifier for this patient
.... system S1..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique within the system.
... active S1..1booleanWhether this patient's record is in active use
... name SI1..*HumanNameA name associated with the patient
ipa-8: Patient.name.given or Patient.name.family or both SHALL be present
... birthDate S0..1dateThe date of birth for the individual
... link S0..1BackboneElementLink to another patient resource that concerns the same actual person

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... Slices for 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)
... active ?!SΣ1..1booleanWhether this patient's record is in active use
... name SΣI1..*HumanNameA name associated with the patient
ipa-8: Patient.name.given or Patient.name.family or both SHALL be present
... telecom Σ0..*ContactPointA contact detail for the individual
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address Σ0..*AddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact I0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): 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 I0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication 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 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

.... 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 ?!SΣ0..1BackboneElementLink 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... identifier Σ1..*IdentifierAn identifier for this patient
.... system Σ1..1uriThe namespace for the identifier value
.... value Σ1..1stringThe value that is unique within the system.
... active ?!Σ1..1booleanWhether this patient's record is in active use
... name ΣI1..*HumanNameA name associated with the patient
ipa-8: Patient.name.given or Patient.name.family or both SHALL be present
... birthDate Σ0..1dateThe date of birth for the individual
... link ?!Σ0..1BackboneElementLink to another patient resource that concerns the same actual person

doco Documentation for this format

This structure is derived from Patient

Summary

Mandatory: 6 elements
Must-Support: 8 elements

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... identifier S1..*IdentifierAn identifier for this patient
.... system S1..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique within the system.
... active S1..1booleanWhether this patient's record is in active use
... name SI1..*HumanNameA name associated with the patient
ipa-8: Patient.name.given or Patient.name.family or both SHALL be present
... birthDate S0..1dateThe date of birth for the individual
... link S0..1BackboneElementLink to another patient resource that concerns the same actual person

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... Slices for 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)
... active ?!SΣ1..1booleanWhether this patient's record is in active use
... name SΣI1..*HumanNameA name associated with the patient
ipa-8: Patient.name.given or Patient.name.family or both SHALL be present
... telecom Σ0..*ContactPointA contact detail for the individual
... gender SΣ1..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address Σ0..*AddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact I0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): 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 I0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication 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 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

.... 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 ?!SΣ0..1BackboneElementLink 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

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Patient.languagepreferredCommonLanguages
Max Binding: AllLanguages
Patient.identifier.userequiredIdentifierUse
Patient.identifier.typeextensibleIdentifier Type Codes
Patient.genderrequiredAdministrativeGender
Patient.maritalStatusextensibleMarital Status Codes
Patient.contact.relationshipextensiblePatientContactRelationship
Patient.contact.genderrequiredAdministrativeGender
Patient.communication.languagepreferredCommonLanguages
Max Binding: AllLanguages
Patient.link.typerequiredLinkType

Constraints

IdPathDetailsRequirements
ipa-8Patient.namePatient.name.given or Patient.name.family or both SHALL be present
: family.exists() or given.exists()
pat-1Patient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()