DSTU2
This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
(v1.0.2:
DSTU
1).
2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
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Page
versions:
R5
R4B
R4
R3
R2
Profile
StructureDefinition
for
patient
{
"resourceType": "Profile",
"resourceType": "StructureDefinition",
"id": "Patient",
"meta": {
"lastUpdated": "2015-10-24T07:41:03.495+11:00"
},
"text": {
"status": "generated",
"div": "<div><pre>\r\n<<a title=\"Demographics and other administrative information about a person or animal receiving care or other health-related services.\" class=\"dict\" href=\"patient-definitions.html#Patient\"><b>Patient</b></a> xmlns="http://hl7.org/fhir"> <span style=\"float: right\"><a title=\"Documentation for this format\" href=\"formats.html\"><img alt=\"doco\" src=\"help.png\"/></a></span>\r\n <!-- from <a href=\"resources.html\">Resource</a>: <a href=\"extensibility.html\">extension</a>, <a href=\"extensibility.html#modifierExtension\">modifierExtension</a>, language, <a href=\"narrative.html#Narrative\">text</a>, and <a href=\"references.html#contained\">contained</a> -->\r\n <<a title=\"An identifier that applies to this person as a patient.\" class=\"dict\" href=\"patient-definitions.html#Patient.identifier\"><b>identifier</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">An identifier for the person as this patient<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></identifier>\r\n <<a title=\"A name associated with the individual.\" class=\"dict\" href=\"patient-definitions.html#Patient.name\"><b>name</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#HumanName\">HumanName</a></span> <span style=\"color: navy\">A name associated with the patient<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></name>\r\n <<a title=\"A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.\" class=\"dict\" href=\"patient-definitions.html#Patient.telecom\"><b>telecom</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Contact\">Contact</a></span> <span style=\"color: navy\">A contact detail for the individual<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></telecom>\r\n <<a title=\"Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.\" class=\"dict\" href=\"patient-definitions.html#Patient.gender\"><b>gender</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-administrative-gender.html\">Gender for administrative purposes<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></a></span><span style=\"color: Gray\"> --></span></gender>\r\n <<a title=\"The date and time of birth for the individual.\" class=\"dict\" href=\"patient-definitions.html#Patient.birthDate\"><b>birthDate</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#dateTime\">dateTime</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">The date and time of birth for the individual<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Indicates if the individual is deceased or not (this element modifies the meaning of other elements)\" class=\"dict\" href=\"patient-definitions.html#Patient.deceased_x_\"><span style=\"text-decoration: underline\"><b>deceased[x]</b></span></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#boolean\">boolean</a>|<a href=\"datatypes.html#dateTime\">dateTime</a></span> <span style=\"color: navy\">Indicates if the individual is deceased or not<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></deceased[x]>\r\n <<a title=\"Addresses for the individual.\" class=\"dict\" href=\"patient-definitions.html#Patient.address\"><b>address</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Address\">Address</a></span> <span style=\"color: navy\">Addresses for the individual<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></address>\r\n <<a title=\"This field contains a patient's most recent marital (civil) status.\" class=\"dict\" href=\"patient-definitions.html#Patient.maritalStatus\"><b>maritalStatus</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-marital-status.html\">Marital (civil) status of a person<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></a></span><span style=\"color: Gray\"> --></span></maritalStatus>\r\n <<a title=\"Indicates whether the patient is part of a multiple or indicates the actual birth order.\" class=\"dict\" href=\"patient-definitions.html#Patient.multipleBirth_x_\"><b>multipleBirth[x]</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#boolean\">boolean</a>|<a href=\"datatypes.html#integer\">integer</a></span> <span style=\"color: navy\">\r\n Whether patient is part of a multiple birth<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></multipleBirth[x]>\r\n <<a title=\"Image of the person.\" class=\"dict\" href=\"patient-definitions.html#Patient.photo\"><b>photo</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Attachment\">Attachment</a></span> <span style=\"color: navy\">Image of the person</span><span style=\"color: Gray\"> --></span></photo>\r\n <<a title=\"A contact party (e.g. guardian, partner, friend) for the patient.\" class=\"dict\" href=\"patient-definitions.html#Patient.contact\"><b>contact</b></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..*</b></span> A contact party (e.g. guardian, partner, friend) for the patient --></span>\r\n <<a title=\"The nature of the relationship between the patient and the contact person.\" class=\"dict\" href=\"patient-definitions.html#Patient.contact.relationship\"><b>relationship</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-patient-contact-relationship.html\">The kind of relationship</a></span><span style=\"color: Gray\"> --></span></relationship>\r\n <<a title=\"A name associated with the person.\" class=\"dict\" href=\"patient-definitions.html#Patient.contact.name\"><b>name</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#HumanName\">HumanName</a></span> <span style=\"color: navy\">A name associated with the person</span><span style=\"color: Gray\"> --></span></name>\r\n <<a title=\"A contact detail for the person, e.g. a telephone number or an email address.\" class=\"dict\" href=\"patient-definitions.html#Patient.contact.telecom\"><b>telecom</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Contact\">Contact</a></span> <span style=\"color: navy\">A contact detail for the person</span><span style=\"color: Gray\"> --></span></telecom>\r\n <<a title=\"Address for the contact person.\" class=\"dict\" href=\"patient-definitions.html#Patient.contact.address\"><b>address</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Address\">Address</a></span> <span style=\"color: navy\">Address for the contact person</span><span style=\"color: Gray\"> --></span></address>\r\n <<a title=\"Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.\" class=\"dict\" href=\"patient-definitions.html#Patient.contact.gender\"><b>gender</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-administrative-gender.html\">Gender for administrative purposes</a></span><span style=\"color: Gray\"> --></span></gender>\r\n <<a title=\"Organization on behalf of which the contact is acting or for which the contact is working.\" class=\"dict\" href=\"patient-definitions.html#Patient.contact.organization\"><b>organization</b></a>><span style=\"color: Gray\"><!--</span> <span title=\"Inv-1: SHALL at least contain a contact's details or a reference to an organization\" style=\"color: brown\"><b><img alt=\"??\" src=\"lock.png\"/> 0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"organization.html#Organization\">Organization</a>)</span> <span style=\"color: navy\">\r\n Organization that is associated with the contact</span><span style=\"color: Gray\"> --></span></organization>\r\n </contact>\r\n <<a title=\"This element has a value if the patient is an animal (this element modifies the meaning of other elements)\" class=\"dict\" href=\"patient-definitions.html#Patient.animal\"><span style=\"text-decoration: underline\"><b>animal</b></span></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..1</b></span> If this patient is an animal (non-human)<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span> --></span>\r\n <<a title=\"Identifies the high level categorization of the kind of animal.\" class=\"dict\" href=\"patient-definitions.html#Patient.animal.species\"><b>species</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-animal-species.html\">E.g. Dog, Cow<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></a></span><span style=\"color: Gray\"> --></span></species>\r\n <<a title=\"Identifies the detailed categorization of the kind of animal.\" class=\"dict\" href=\"patient-definitions.html#Patient.animal.breed\"><b>breed</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-animal-breeds.html\">E.g. Poodle, Angus<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></a></span><span style=\"color: Gray\"> --></span></breed>\r\n <<a title=\"Indicates the current state of the animal's reproductive organs.\" class=\"dict\" href=\"patient-definitions.html#Patient.animal.genderStatus\"><b>genderStatus</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"valueset-animal-genderstatus.html\">E.g. Neutered, Intact<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></a></span><span style=\"color: Gray\"> --></span></genderStatus>\r\n </animal>\r\n <<a title=\"Languages which may be used to communicate with the patient about his or her health.\" class=\"dict\" href=\"patient-definitions.html#Patient.communication\"><b>communication</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"http://tools.ietf.org/html/bcp47.html\">Languages which may be used to communicate with the patient about his or her health</a></span><span style=\"color: Gray\"> --></span></communication>\r\n <<a title=\"Patient's nominated care provider.\" class=\"dict\" href=\"patient-definitions.html#Patient.careProvider\"><b>careProvider</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"organization.html#Organization\">Organization</a>|<a href=\"practitioner.html#Practitioner\">Practitioner</a>)</span> <span style=\"color: navy\">\r\n Patient's nominated care provider</span><span style=\"color: Gray\"> --></span></careProvider>\r\n <<a title=\"Organization that is the custodian of the patient record.\" class=\"dict\" href=\"patient-definitions.html#Patient.managingOrganization\"><b>managingOrganization</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"organization.html#Organization\">Organization</a>)</span> <span style=\"color: navy\">\r\n Organization that is the custodian of the patient record<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></managingOrganization>\r\n <<a title=\"Link to another patient resource that concerns the same actual person (this element modifies the meaning of other elements)\" class=\"dict\" href=\"patient-definitions.html#Patient.link\"><span style=\"text-decoration: underline\"><b>link</b></span></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..*</b></span> Link to another patient resource that concerns the same actual person<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span> --></span>\r\n <<a title=\"The other patient resource that the link refers to (this element modifies the meaning of other elements)\" class=\"dict\" href=\"patient-definitions.html#Patient.link.other\"><span style=\"text-decoration: underline\"><b>other</b></span></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"patient.html#Patient\">Patient</a>)</span> <span style=\"color: navy\">The other patient resource that the link refers to<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></other>\r\n <<a title=\"The type of link between this patient resource and another patient resource (this element modifies the meaning of other elements)\" class=\"dict\" href=\"patient-definitions.html#Patient.link.type\"><span style=\"text-decoration: underline\"><b>type</b></span></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"link-type.html\">replace | refer | seealso - type of link<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></a></span><span style=\"color: Gray\"> --></span>\r\n </link>\r\n <<a title=\"Whether this patient record is in active use (this element modifies the meaning of other elements)\" class=\"dict\" href=\"patient-definitions.html#Patient.active\"><span style=\"text-decoration: underline\"><b>active</b></span></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#boolean\">boolean</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Whether this patient's record is in active use<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span>\r\n</Patient>\r\n</pre></div>"
"div": "<div>!-- Snipped for Brevity --></div>"
},
"name": "patient",
"publisher": "FHIR Project",
"description": "Basic Profile. Demographics and other administrative information about a person or animal receiving care or other health-related services.",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 3
}
],
"url": "http://hl7.org/fhir/StructureDefinition/Patient",
"name": "Patient",
"status": "draft",
"date": "2014-09-30",
"requirements": "Scope and Usage This Resource covers data about persons and animals involved in a wide range of health-related activities, including: \r\n\r\n* Curative activities\r\n* Psychiatric care\r\n* Social services\r\n* Pregnancy care\r\n* Nursing and assisted living\r\n* Dietary services\r\n* Tracking of personal health and exercise data\r\nThe data in the Resource covers the \"who\" information about the patient: its attributes are focused on the demographic information necessary to support the administrative, financial and logistic procedures. A Patient record is generally created and maintained by each organization providing care for a patient. A person or animal receiving care at multiple organizations may therefore have its information present in multiple Patient Resources.",
"publisher": "Health Level Seven International (Patient Administration)",
"contact": [
{
"telecom": [
{
"system": "other",
"value": "http://hl7.org/fhir"
}
]
},
{
"telecom": [
{
"system": "other",
"value": "http://www.hl7.org/Special/committees/pafm/index.cfm"
}
]
}
],
"date": "2015-10-24T07:41:03+11:00",
"description": "Base StructureDefinition for Patient Resource",
"requirements": "Tracking patient is the center of the healthcare process.",
"fhirVersion": "1.0.2",
"mapping": [
{
"identity": "cda",
"uri": "http://hl7.org/v3/cda",
"name": "CDA (R2)"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2"
},
{
"identity": "loinc",
"uri": "http://loinc.org",
"name": "LOINC"
}
],
"structure": [
{
"type": "Patient",
"publish": true,
"element": [
{
"path": "Patient",
"definition": {
"short": "Information about a person or animal receiving health care services",
"formal": "Demographics and other administrative information about a person or animal receiving care or other health-related services.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "Patient[classCode=PAT]"
}
]
"kind": "resource",
"abstract": false,
"base": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"snapshot": {
"element": [
{
"path": "Patient",
"short": "Information about an individual or animal receiving health care services",
"definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
"alias": [
"SubjectOfCare Client Resident"
],
"min": 0,
"max": "*",
"type": [
{
"code": "DomainResource"
}
},
{
"path": "Patient.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument.recordTarget.patientRole"
},
{
"identity": "rim",
"map": "Patient[classCode=PAT]"
},
{
"identity": "w5",
"map": "administrative.individual"
}
},
{
"path": "Patient.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
]
},
{
"path": "Patient.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
},
{
"path": "Patient.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
],
"isSummary": true
},
{
"path": "Patient.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"type": [
{
"code": "Meta"
}
},
{
"path": "Patient.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
],
"isSummary": true
},
{
"path": "Patient.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.",
"min": 0,
"max": "1",
"type": [
{
"code": "uri"
}
},
{
"path": "Patient.identifier",
"definition": {
"short": "An identifier for the person as this patient",
"formal": "An identifier that applies to this person as a patient.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "id"
},
{
"identity": "v2",
"map": "PID-3"
}
]
],
"isModifier": true,
"isSummary": true
},
{
"path": "Patient.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
},
{
"path": "Patient.name",
"definition": {
"short": "A name associated with the patient",
"formal": "A name associated with the individual.",
"comments": "Person may have multiple names with different uses or applicable periods.For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
"min": 0,
"max": "*",
"type": [
{
"code": "HumanName"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "name"
},
{
"identity": "v2",
"map": "PID-5, PID-9"
}
]
],
"binding": {
"strength": "required",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
}
},
{
"path": "Patient.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
},
{
"path": "Patient.telecom",
"definition": {
"short": "A contact detail for the individual",
"formal": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
"comments": "Person may have multiple ways to be contacted with different uses or applicable periods. \rMay need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
"min": 0,
"max": "*",
"type": [
{
"code": "Contact"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "telecom"
},
{
"identity": "v2",
"map": "PID-13, PID-14, PID-40"
}
]
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
},
{
"path": "Patient.gender",
"definition": {
"short": "Gender for administrative purposes",
"formal": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
"comments": "The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "AdministrativeGender",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/administrative-gender"
}
},
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
},
{
"identity": "v2",
"map": "PID-8"
}
]
]
},
{
"path": "Patient.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
},
{
"path": "Patient.birthDate",
"definition": {
"short": "The date and time of birth for the individual",
"formal": "The date and time of birth for the individual.",
"comments": "At least an estimated year should be provided as a guess if the real dob is unknown.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"
},
{
"identity": "v2",
"map": "PID-7"
}
]
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
},
{
"path": "Patient.deceased[x]",
"definition": {
"short": "Indicates if the individual is deceased or not",
"formal": "Indicates if the individual is deceased or not.",
"comments": "If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
},
{
"code": "dateTime"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd,\rplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
},
{
"identity": "v2",
"map": "PID-30\r (bool) and PID-29 (datetime)"
}
]
]
},
{
"path": "Patient.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
},
{
"path": "Patient.address",
"definition": {
"short": "Addresses for the individual",
"formal": "Addresses for the individual.",
"comments": "Person may have multiple addresses with different uses or applicable periods.",
"min": 0,
"max": "*",
"type": [
{
"code": "Address"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "addr"
},
{
"identity": "v2",
"map": "PID-11"
}
]
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
},
{
"path": "Patient.maritalStatus",
"definition": {
"short": "Marital (civil) status of a person",
"formal": "This field contains a patient's most recent marital (civil) status.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "MaritalStatus",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/marital-status"
}
},
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN]/maritalStatusCode"
},
{
"identity": "v2",
"map": "PID-16"
}
]
]
},
{
"path": "Patient.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
},
{
"path": "Patient.multipleBirth[x]",
"definition": {
"short": "Whether patient is part of a multiple birth",
"formal": "Indicates whether the patient is part of a multiple or indicates the actual birth order.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
},
{
"code": "integer"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, \rplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"
},
{
"identity": "v2",
"map": "PID-24 (bool), PID-25 (integer)"
}
]
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
},
{
"path": "Patient.photo",
"definition": {
"short": "Image of the person",
"formal": "Image of the person.",
"min": 0,
"max": "*",
"type": [
{
"code": "Attachment"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
},
{
"identity": "v2",
"map": "OBX-5 - needs a profile"
}
]
]
},
{
"path": "Patient.identifier",
"short": "An identifier for this patient",
"definition": "An identifier for this patient.",
"requirements": "Patients are almost always assigned specific numerical identifiers.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
},
{
"path": "Patient.contact",
"definition": {
"short": "A contact party (e.g. guardian, partner, friend) for the patient",
"formal": "A contact party (e.g. guardian, partner, friend) for the patient.",
"comments": "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
"min": 0,
"max": "*",
"constraint": [
{
"key": "1",
"name": "ContactNeedsDetails",
"severity": "error",
"human": "SHALL at least contain a contact's details or a reference to an organization",
"xpath": "f:name or f:telecom or f:address or f:organization"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
}
]
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".id"
},
{
"identity": "v2",
"map": "PID-3"
},
{
"identity": "rim",
"map": "id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Patient.active",
"short": "Whether this patient's record is in active use",
"definition": "Whether this patient record is in active use.",
"comments": "Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
"requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true,
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "statusCode"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Patient.name",
"short": "A name associated with the patient",
"definition": "A name associated with the individual.",
"comments": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
"requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
"min": 0,
"max": "*",
"type": [
{
"code": "HumanName"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".patient.name"
},
{
"identity": "v2",
"map": "PID-5, PID-9"
},
{
"identity": "rim",
"map": "name"
}
]
},
{
"path": "Patient.telecom",
"short": "A contact detail for the individual",
"definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
"comments": "A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"min": 0,
"max": "*",
"type": [
{
"code": "ContactPoint"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".telecom"
},
{
"identity": "v2",
"map": "PID-13, PID-14, PID-40"
},
{
"identity": "rim",
"map": "telecom"
}
]
},
{
"path": "Patient.gender",
"short": "male | female | other | unknown",
"definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
"comments": "The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a \"hard\" error.",
"requirements": "Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isSummary": true,
"binding": {
"strength": "required",
"description": "The gender of a person used for administrative purposes.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
}
},
{
"path": "Patient.contact.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
"mapping": [
{
"identity": "cda",
"map": ".patient.administrativeGenderCode"
},
{
"identity": "v2",
"map": "PID-8"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
}
]
},
{
"path": "Patient.birthDate",
"short": "The date of birth for the individual",
"definition": "The date of birth for the individual.",
"comments": "At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternaty/infant care systems).",
"requirements": "Age of the individual drives many clinical processes.",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"isSummary": true,
"mapping": [
{
"identity": "loinc",
"map": "21112-8"
},
{
"identity": "cda",
"map": ".patient.birthTime"
},
{
"identity": "v2",
"map": "PID-7"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"
}
]
},
{
"path": "Patient.deceased[x]",
"short": "Indicates if the individual is deceased or not",
"definition": "Indicates if the individual is deceased or not.",
"comments": "If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
"requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
},
{
"code": "dateTime"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-30 (bool) and PID-29 (datetime)"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
}
]
},
{
"path": "Patient.address",
"short": "Addresses for the individual",
"definition": "Addresses for the individual.",
"comments": "Patient may have multiple addresses with different uses or applicable periods.",
"requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
"min": 0,
"max": "*",
"type": [
{
"code": "Address"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".addr"
},
{
"identity": "v2",
"map": "PID-11"
},
{
"identity": "rim",
"map": "addr"
}
]
},
{
"path": "Patient.maritalStatus",
"short": "Marital (civil) status of a patient",
"definition": "This field contains a patient's most recent marital (civil) status.",
"requirements": "Most, if not all systems capture it.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "The domestic partnership status of a person.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/marital-status"
}
},
{
"path": "Patient.contact.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
"mapping": [
{
"identity": "cda",
"map": ".patient.maritalStatusCode"
},
{
"identity": "v2",
"map": "PID-16"
},
{
"identity": "rim",
"map": "player[classCode=PSN]/maritalStatusCode"
}
]
},
{
"path": "Patient.multipleBirth[x]",
"short": "Whether patient is part of a multiple birth",
"definition": "Indicates whether the patient is part of a multiple or indicates the actual birth order.",
"requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
},
{
"code": "integer"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-24 (bool), PID-25 (integer)"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"
}
]
},
{
"path": "Patient.photo",
"short": "Image of the patient",
"definition": "Image of the patient.",
"requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
"min": 0,
"max": "*",
"type": [
{
"code": "Attachment"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "OBX-5 - needs a profile"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Contact"
}
],
"path": "Patient.contact",
"short": "A contact party (e.g. guardian, partner, friend) for the patient",
"definition": "A contact party (e.g. guardian, partner, friend) for the patient.",
"comments": "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
"requirements": "Need to track people you can contact about the patient.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "pat-1",
"severity": "error",
"human": "SHALL at least contain a contact's details or a reference to an organization",
"xpath": "f:name or f:telecom or f:address or f:organization"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
}
]
},
{
"path": "Patient.contact.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.contact.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.contact.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Patient.contact.relationship",
"short": "The kind of relationship",
"definition": "The nature of the relationship between the patient and the contact person.",
"requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "extensible",
"description": "The nature of the relationship between a patient and a contact person for that patient.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/patient-contact-relationship"
}
},
{
"path": "Patient.contact.relationship",
"definition": {
"short": "The kind of relationship",
"formal": "The nature of the relationship between the patient and the contact person.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "ContactRelationship",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/patient-contact-relationship"
}
},
"mapping": [
{
"identity": "rim",
"map": "code"
},
{
"identity": "v2",
"map": "NK1-7, NK1-3"
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-7, NK1-3"
},
{
"identity": "rim",
"map": "code"
}
]
},
{
"path": "Patient.contact.name",
"short": "A name associated with the contact person",
"definition": "A name associated with the contact person.",
"requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
"min": 0,
"max": "1",
"type": [
{
"code": "HumanName"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-2"
},
{
"identity": "rim",
"map": "name"
}
]
},
{
"path": "Patient.contact.telecom",
"short": "A contact detail for the person",
"definition": "A contact detail for the person, e.g. a telephone number or an email address.",
"comments": "Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"min": 0,
"max": "*",
"type": [
{
"code": "ContactPoint"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-5, NK1-6, NK1-40"
},
{
"identity": "rim",
"map": "telecom"
}
]
},
{
"path": "Patient.contact.address",
"short": "Address for the contact person",
"definition": "Address for the contact person.",
"requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
"min": 0,
"max": "1",
"type": [
{
"code": "Address"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-4"
},
{
"identity": "rim",
"map": "addr"
}
]
},
{
"path": "Patient.contact.gender",
"short": "male | female | other | unknown",
"definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
"requirements": "Needed to address the person correctly.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "The gender of a person used for administrative purposes.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
}
},
{
"path": "Patient.contact.name",
"definition": {
"short": "A name associated with the person",
"formal": "A name associated with the person.",
"min": 0,
"max": "1",
"type": [
{
"code": "HumanName"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "name"
},
{
"identity": "v2",
"map": "NK1-2"
}
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-15"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
}
]
},
{
"path": "Patient.contact.organization",
"short": "Organization that is associated with the contact",
"definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
"requirements": "For guardians or business related contacts, the organization is relevant.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"condition": [
"pat-1"
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
},
{
"identity": "rim",
"map": "scoper"
}
]
},
{
"path": "Patient.contact.period",
"short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
"definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "effectiveTime"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Animal"
}
],
"path": "Patient.animal",
"short": "This patient is known to be an animal (non-human)",
"definition": "This patient is known to be an animal.",
"comments": "The animal element is labeled \"Is Modifier\" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records. The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required. (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal).",
"requirements": "Many clinical systems are extended to care for animal patients as well as human.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "player[classCode=ANM]"
}
]
},
{
"path": "Patient.animal.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.animal.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.animal.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Patient.animal.species",
"short": "E.g. Dog, Cow",
"definition": "Identifies the high level taxonomic categorization of the kind of animal.",
"comments": "If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification. It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species. (The common example is that the word \"Hereford\" does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for \"Hereford Cattle Breed\" does.).",
"requirements": "Need to know what kind of animal.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "The species of an animal.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/animal-species"
}
},
{
"path": "Patient.contact.telecom",
"definition": {
"short": "A contact detail for the person",
"formal": "A contact detail for the person, e.g. a telephone number or an email address.",
"comments": "Person may have multiple ways to be contacted with different uses or applicable periods. \rMay need to have options for contacting the person urgently, and also to help with identification.",
"min": 0,
"max": "*",
"type": [
{
"code": "Contact"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "telecom"
},
{
"identity": "v2",
"map": "NK1-5, NK1-6, NK1-40"
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-35"
},
{
"identity": "rim",
"map": "code"
}
]
},
{
"path": "Patient.animal.breed",
"short": "E.g. Poodle, Angus",
"definition": "Identifies the detailed categorization of the kind of animal.",
"comments": "Breed MAY be used to provide further taxonomic or non-taxonomic classification. It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type.",
"requirements": "May need to know the specific kind within the species.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "The breed of an animal.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/animal-breeds"
}
},
{
"path": "Patient.contact.address",
"definition": {
"short": "Address for the contact person",
"formal": "Address for the contact person.",
"min": 0,
"max": "1",
"type": [
{
"code": "Address"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "addr"
},
{
"identity": "v2",
"map": "NK1-4"
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-37"
},
{
"identity": "rim",
"map": "playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"
}
]
},
{
"path": "Patient.animal.genderStatus",
"short": "E.g. Neutered, Intact",
"definition": "Indicates the current state of the animal's reproductive organs.",
"requirements": "Gender status can affect housing and animal behavior.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "The state of the animal's reproductive organs.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/animal-genderstatus"
}
},
{
"path": "Patient.contact.gender",
"definition": {
"short": "Gender for administrative purposes",
"formal": "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "AdministrativeGender",
"isExtensible": true,
"conformance": "preferred",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/administrative-gender"
}
},
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
},
{
"identity": "v2",
"map": "NK1-15"
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "genderStatusCode"
}
]
},
{
"path": "Patient.communication",
"short": "A list of Languages which may be used to communicate with the patient about his or her health",
"definition": "Languages which may be used to communicate with the patient about his or her health.",
"comments": "If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
"requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "cda",
"map": "patient.languageCommunication"
},
{
"identity": "rim",
"map": "LanguageCommunication"
}
]
},
{
"path": "Patient.communication.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.communication.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.communication.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Patient.communication.language",
"short": "The language which can be used to communicate with the patient about his or her health",
"definition": "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
"comments": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
"requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
},
{
"path": "Patient.contact.organization",
"definition": {
"short": "Organization that is associated with the contact",
"formal": "Organization on behalf of which the contact is acting or for which the contact is working.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "scoper"
},
{
"identity": "v2",
"map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
}
"mapping": [
{
"identity": "cda",
"map": ".languageCode"
},
{
"identity": "v2",
"map": "PID-15, LAN-2"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
}
]
},
{
"path": "Patient.communication.preferred",
"short": "Language preference indicator",
"definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
"comments": "This language is specifically identified for communicating healthcare information.",
"requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "cda",
"map": ".preferenceInd"
},
{
"identity": "v2",
"map": "PID-15"
},
{
"identity": "rim",
"map": "preferenceInd"
}
]
},
{
"path": "Patient.careProvider",
"short": "Patient's nominated primary care provider",
"definition": "Patient's nominated care provider.",
"comments": "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles.\n\nThis is not to be used to record Care Teams, these should be recorded on either the CarePlan or EpisodeOfCare resources.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
},
{
"path": "Patient.animal",
"definition": {
"short": "If this patient is an animal (non-human)",
"formal": "This element has a value if the patient is an animal.",
"comments": "The animal element is labeled \"Is Modifier\" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject non-human patient records.",
"min": 0,
"max": "1",
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "player[classCode=ANM]"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PD1-4"
},
{
"identity": "rim",
"map": "subjectOf.CareEvent.performer.AssignedEntity"
}
]
},
{
"path": "Patient.managingOrganization",
"short": "Organization that is the custodian of the patient record",
"definition": "Organization that is the custodian of the patient record.",
"comments": "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).",
"requirements": "Need to know who recognizes this patient record, manages and updates it.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
},
{
"path": "Patient.animal.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".providerOrganization"
},
{
"identity": "rim",
"map": "scoper"
}
},
{
"path": "Patient.animal.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
]
},
{
"path": "Patient.link",
"short": "Link to another patient resource that concerns the same actual person",
"definition": "Link to another patient resource that concerns the same actual patient.",
"comments": "There is no assumption that linked patient records have mutual links.",
"requirements": "There are multiple usecases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
},
{
"path": "Patient.animal.species",
"definition": {
"short": "E.g. Dog, Cow",
"formal": "Identifies the high level categorization of the kind of animal.",
"comments": "If the patient is non-human, at least a species SHALL be specified.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "AnimalSpecies",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/animal-species"
}
},
"mapping": [
{
"identity": "rim",
"map": "code"
},
{
"identity": "v2",
"map": "PID-35"
}
],
"isModifier": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "outboundLink"
}
]
},
{
"path": "Patient.link.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"min": 0,
"max": "1",
"type": [
{
"code": "id"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.link.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Patient.link.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Patient.link.other",
"short": "The other patient resource that the link refers to",
"definition": "The other patient resource that the link refers to.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"isModifier": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-3, MRG-1"
},
{
"identity": "rim",
"map": "id"
}
]
},
{
"path": "Patient.link.type",
"short": "replace | refer | seealso - type of link",
"definition": "The type of link between this patient resource and another patient resource.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": true,
"binding": {
"strength": "required",
"description": "The type of link between this patient resource and another patient resource.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/link-type"
}
},
{
"path": "Patient.animal.breed",
"definition": {
"short": "E.g. Poodle, Angus",
"formal": "Identifies the detailed categorization of the kind of animal.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "AnimalBreed",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/animal-breeds"
}
},
"mapping": [
{
"identity": "rim",
"map": "playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"
},
{
"identity": "v2",
"map": "PID-37"
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "typeCode"
}
]
}
]
},
"differential": {
"element": [
{
"path": "Patient",
"short": "Information about an individual or animal receiving health care services",
"definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
"alias": [
"SubjectOfCare Client Resident"
],
"min": 0,
"max": "*",
"type": [
{
"code": "DomainResource"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument.recordTarget.patientRole"
},
{
"identity": "rim",
"map": "Patient[classCode=PAT]"
},
{
"identity": "w5",
"map": "administrative.individual"
}
]
},
{
"path": "Patient.identifier",
"short": "An identifier for this patient",
"definition": "An identifier for this patient.",
"requirements": "Patients are almost always assigned specific numerical identifiers.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".id"
},
{
"identity": "v2",
"map": "PID-3"
},
{
"identity": "rim",
"map": "id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Patient.active",
"short": "Whether this patient's record is in active use",
"definition": "Whether this patient record is in active use.",
"comments": "Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
"requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"defaultValueBoolean": true,
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "statusCode"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"path": "Patient.name",
"short": "A name associated with the patient",
"definition": "A name associated with the individual.",
"comments": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
"requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
"min": 0,
"max": "*",
"type": [
{
"code": "HumanName"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".patient.name"
},
{
"identity": "v2",
"map": "PID-5, PID-9"
},
{
"identity": "rim",
"map": "name"
}
]
},
{
"path": "Patient.telecom",
"short": "A contact detail for the individual",
"definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
"comments": "A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"min": 0,
"max": "*",
"type": [
{
"code": "ContactPoint"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".telecom"
},
{
"identity": "v2",
"map": "PID-13, PID-14, PID-40"
},
{
"identity": "rim",
"map": "telecom"
}
]
},
{
"path": "Patient.gender",
"short": "male | female | other | unknown",
"definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
"comments": "The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a \"hard\" error.",
"requirements": "Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isSummary": true,
"binding": {
"strength": "required",
"description": "The gender of a person used for administrative purposes.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
}
},
{
"path": "Patient.animal.genderStatus",
"definition": {
"short": "E.g. Neutered, Intact",
"formal": "Indicates the current state of the animal's reproductive organs.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "AnimalGenderStatus",
"isExtensible": true,
"conformance": "example",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/animal-genderstatus"
}
},
"mapping": [
{
"identity": "rim",
"map": "genderStatusCode"
},
{
"identity": "v2",
"map": "N/A"
}
]
"mapping": [
{
"identity": "cda",
"map": ".patient.administrativeGenderCode"
},
{
"identity": "v2",
"map": "PID-8"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
}
]
},
{
"path": "Patient.birthDate",
"short": "The date of birth for the individual",
"definition": "The date of birth for the individual.",
"comments": "At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternaty/infant care systems).",
"requirements": "Age of the individual drives many clinical processes.",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"isSummary": true,
"mapping": [
{
"identity": "loinc",
"map": "21112-8"
},
{
"identity": "cda",
"map": ".patient.birthTime"
},
{
"identity": "v2",
"map": "PID-7"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"
}
]
},
{
"path": "Patient.deceased[x]",
"short": "Indicates if the individual is deceased or not",
"definition": "Indicates if the individual is deceased or not.",
"comments": "If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
"requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
},
{
"code": "dateTime"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-30 (bool) and PID-29 (datetime)"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
}
]
},
{
"path": "Patient.address",
"short": "Addresses for the individual",
"definition": "Addresses for the individual.",
"comments": "Patient may have multiple addresses with different uses or applicable periods.",
"requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
"min": 0,
"max": "*",
"type": [
{
"code": "Address"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".addr"
},
{
"identity": "v2",
"map": "PID-11"
},
{
"identity": "rim",
"map": "addr"
}
]
},
{
"path": "Patient.maritalStatus",
"short": "Marital (civil) status of a patient",
"definition": "This field contains a patient's most recent marital (civil) status.",
"requirements": "Most, if not all systems capture it.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "The domestic partnership status of a person.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/marital-status"
}
},
{
"path": "Patient.communication",
"definition": {
"short": "Languages which may be used to communicate with the patient about his or her health",
"formal": "Languages which may be used to communicate with the patient about his or her health.",
"comments": "If no language is specified, this *implies* that the default local language is spoken.\rFor animals, language is not a relevant field, and should be absent from the instance.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"binding": {
"name": "Language",
"isExtensible": false,
"conformance": "required",
"referenceUri": "http://tools.ietf.org/html/bcp47"
},
"mapping": [
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
},
{
"identity": "v2",
"map": "LAN-2"
}
]
"mapping": [
{
"identity": "cda",
"map": ".patient.maritalStatusCode"
},
{
"identity": "v2",
"map": "PID-16"
},
{
"identity": "rim",
"map": "player[classCode=PSN]/maritalStatusCode"
}
]
},
{
"path": "Patient.multipleBirth[x]",
"short": "Whether patient is part of a multiple birth",
"definition": "Indicates whether the patient is part of a multiple or indicates the actual birth order.",
"requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
},
{
"code": "integer"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-24 (bool), PID-25 (integer)"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"
}
]
},
{
"path": "Patient.photo",
"short": "Image of the patient",
"definition": "Image of the patient.",
"requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
"min": 0,
"max": "*",
"type": [
{
"code": "Attachment"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "OBX-5 - needs a profile"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Contact"
}
],
"path": "Patient.contact",
"short": "A contact party (e.g. guardian, partner, friend) for the patient",
"definition": "A contact party (e.g. guardian, partner, friend) for the patient.",
"comments": "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
"requirements": "Need to track people you can contact about the patient.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "pat-1",
"severity": "error",
"human": "SHALL at least contain a contact's details or a reference to an organization",
"xpath": "f:name or f:telecom or f:address or f:organization"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
}
]
},
{
"path": "Patient.contact.relationship",
"short": "The kind of relationship",
"definition": "The nature of the relationship between the patient and the contact person.",
"requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "extensible",
"description": "The nature of the relationship between a patient and a contact person for that patient.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/patient-contact-relationship"
}
},
{
"path": "Patient.careProvider",
"definition": {
"short": "Patient's nominated care provider",
"formal": "Patient's nominated care provider.",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "subjectOf.CareEvent.performer.AssignedEntity"
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-7, NK1-3"
},
{
"identity": "rim",
"map": "code"
}
]
},
{
"path": "Patient.contact.name",
"short": "A name associated with the contact person",
"definition": "A name associated with the contact person.",
"requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
"min": 0,
"max": "1",
"type": [
{
"code": "HumanName"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-2"
},
{
"identity": "rim",
"map": "name"
}
]
},
{
"path": "Patient.contact.telecom",
"short": "A contact detail for the person",
"definition": "A contact detail for the person, e.g. a telephone number or an email address.",
"comments": "Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"min": 0,
"max": "*",
"type": [
{
"code": "ContactPoint"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-5, NK1-6, NK1-40"
},
{
"identity": "rim",
"map": "telecom"
}
]
},
{
"path": "Patient.contact.address",
"short": "Address for the contact person",
"definition": "Address for the contact person.",
"requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
"min": 0,
"max": "1",
"type": [
{
"code": "Address"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-4"
},
{
"identity": "rim",
"map": "addr"
}
]
},
{
"path": "Patient.contact.gender",
"short": "male | female | other | unknown",
"definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
"requirements": "Needed to address the person correctly.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "The gender of a person used for administrative purposes.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
}
},
{
"path": "Patient.managingOrganization",
"definition": {
"short": "Organization that is the custodian of the patient record",
"formal": "Organization that is the custodian of the patient record.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Organization"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "scoper"
}
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-15"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
}
]
},
{
"path": "Patient.contact.organization",
"short": "Organization that is associated with the contact",
"definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
"requirements": "For guardians or business related contacts, the organization is relevant.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"condition": [
"pat-1"
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
},
{
"identity": "rim",
"map": "scoper"
}
]
},
{
"path": "Patient.contact.period",
"short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
"definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "effectiveTime"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Animal"
}
],
"path": "Patient.animal",
"short": "This patient is known to be an animal (non-human)",
"definition": "This patient is known to be an animal.",
"comments": "The animal element is labeled \"Is Modifier\" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records. The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required. (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal).",
"requirements": "Many clinical systems are extended to care for animal patients as well as human.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "player[classCode=ANM]"
}
]
},
{
"path": "Patient.animal.species",
"short": "E.g. Dog, Cow",
"definition": "Identifies the high level taxonomic categorization of the kind of animal.",
"comments": "If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification. It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species. (The common example is that the word \"Hereford\" does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for \"Hereford Cattle Breed\" does.).",
"requirements": "Need to know what kind of animal.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "The species of an animal.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/animal-species"
}
},
{
"path": "Patient.link",
"definition": {
"short": "Link to another patient resource that concerns the same actual person",
"formal": "Link to another patient resource that concerns the same actual person.",
"comments": "There is no assumption that linked patient records have mutual links.",
"min": 0,
"max": "*",
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "outboundLink"
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-35"
},
{
"identity": "rim",
"map": "code"
}
]
},
{
"path": "Patient.animal.breed",
"short": "E.g. Poodle, Angus",
"definition": "Identifies the detailed categorization of the kind of animal.",
"comments": "Breed MAY be used to provide further taxonomic or non-taxonomic classification. It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type.",
"requirements": "May need to know the specific kind within the species.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "The breed of an animal.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/animal-breeds"
}
},
{
"path": "Patient.link.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-37"
},
{
"identity": "rim",
"map": "playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"
}
]
},
{
"path": "Patient.animal.genderStatus",
"short": "E.g. Neutered, Intact",
"definition": "Indicates the current state of the animal's reproductive organs.",
"requirements": "Gender status can affect housing and animal behavior.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "The state of the animal's reproductive organs.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/animal-genderstatus"
}
},
{
"path": "Patient.link.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "genderStatusCode"
}
]
},
{
"path": "Patient.communication",
"short": "A list of Languages which may be used to communicate with the patient about his or her health",
"definition": "Languages which may be used to communicate with the patient about his or her health.",
"comments": "If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
"requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "cda",
"map": "patient.languageCommunication"
},
{
"identity": "rim",
"map": "LanguageCommunication"
}
]
},
{
"path": "Patient.communication.language",
"short": "The language which can be used to communicate with the patient about his or her health",
"definition": "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
"comments": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
"requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
},
{
"path": "Patient.link.other",
"definition": {
"short": "The other patient resource that the link refers to",
"formal": "The other patient resource that the link refers to.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "id"
},
{
"identity": "v2",
"map": "PID-3, MRG-1"
}
"mapping": [
{
"identity": "cda",
"map": ".languageCode"
},
{
"identity": "v2",
"map": "PID-15, LAN-2"
},
{
"identity": "rim",
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
}
]
},
{
"path": "Patient.communication.preferred",
"short": "Language preference indicator",
"definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
"comments": "This language is specifically identified for communicating healthcare information.",
"requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"mapping": [
{
"identity": "cda",
"map": ".preferenceInd"
},
{
"identity": "v2",
"map": "PID-15"
},
{
"identity": "rim",
"map": "preferenceInd"
}
]
},
{
"path": "Patient.careProvider",
"short": "Patient's nominated primary care provider",
"definition": "Patient's nominated care provider.",
"comments": "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles.\n\nThis is not to be used to record Care Teams, these should be recorded on either the CarePlan or EpisodeOfCare resources.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
},
{
"path": "Patient.link.type",
"definition": {
"short": "replace | refer | seealso - type of link",
"formal": "The type of link between this patient resource and another patient resource.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": true,
"binding": {
"name": "LinkType",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/link-type"
}
},
"mapping": [
{
"identity": "rim",
"map": "typeCode"
}
],
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PD1-4"
},
{
"identity": "rim",
"map": "subjectOf.CareEvent.performer.AssignedEntity"
}
]
},
{
"path": "Patient.managingOrganization",
"short": "Organization that is the custodian of the patient record",
"definition": "Organization that is the custodian of the patient record.",
"comments": "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).",
"requirements": "Need to know who recognizes this patient record, manages and updates it.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
},
{
"path": "Patient.active",
"definition": {
"short": "Whether this patient's record is in active use",
"formal": "Whether this patient record is in active use.",
"comments": "Default is true. If a record is inactive, and linked to an active record, then future patient/person/record updates should occur on the other patient.",
"min": 0,
"max": "1",
"type": [
{
"code": "boolean"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "statusCode"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".providerOrganization"
},
{
"identity": "rim",
"map": "scoper"
}
]
},
{
"path": "Patient.link",
"short": "Link to another patient resource that concerns the same actual person",
"definition": "Link to another patient resource that concerns the same actual patient.",
"comments": "There is no assumption that linked patient records have mutual links.",
"requirements": "There are multiple usecases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"isModifier": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "outboundLink"
}
]
},
{
"path": "Patient.link.other",
"short": "The other patient resource that the link refers to",
"definition": "The other patient resource that the link refers to.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
}
],
"searchParam": [
{
"name": "_id",
"type": "token",
"documentation": "The logical resource id associated with the resource (must be supported by all servers)"
},
{
"name": "_language",
"type": "token",
"documentation": "The language of the resource"
},
{
"name": "active",
"type": "token",
"documentation": "Whether the patient record is active",
"xpath": "f:Patient/f:active"
},
{
"name": "address",
"type": "string",
"documentation": "An address in any kind of address/part of the patient",
"xpath": "f:Patient/f:address"
},
{
"name": "animal-breed",
"type": "token",
"documentation": "The breed for animal patients",
"xpath": "f:Patient/f:animal/f:breed"
},
{
"name": "animal-species",
"type": "token",
"documentation": "The species for animal patients",
"xpath": "f:Patient/f:animal/f:species"
},
{
"name": "birthdate",
"type": "date",
"documentation": "The patient's date of birth",
"xpath": "f:Patient/f:birthDate"
},
{
"name": "family",
"type": "string",
"documentation": "A portion of the family name of the patient",
"xpath": "f:Patient/f:name/f:family"
},
{
"name": "gender",
"type": "token",
"documentation": "Gender of the patient",
"xpath": "f:Patient/f:gender"
},
{
"name": "given",
"type": "string",
"documentation": "A portion of the given name of the patient",
"xpath": "f:Patient/f:name/f:given"
},
{
"name": "identifier",
"type": "token",
"documentation": "A patient identifier",
"xpath": "f:Patient/f:identifier"
},
{
"name": "language",
"type": "token",
"documentation": "Language code (irrespective of use value)",
"xpath": "f:Patient/f:communication"
},
{
"name": "link",
"type": "reference",
"documentation": "All patients linked to the given patient",
"xpath": "f:Patient/f:link/f:other"
},
{
"name": "name",
"type": "string",
"documentation": "A portion of either family or given name of the patient",
"xpath": "f:Patient/f:name"
},
{
"name": "phonetic",
"type": "string",
"documentation": "A portion of either family or given name using some kind of phonetic matching algorithm"
},
{
"name": "provider",
"type": "reference",
"documentation": "The organization at which this person is a patient",
"xpath": "f:Patient/f:managingOrganization"
],
"isModifier": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "v2",
"map": "PID-3, MRG-1"
},
{
"identity": "rim",
"map": "id"
}
]
},
{
"path": "Patient.link.type",
"short": "replace | refer | seealso - type of link",
"definition": "The type of link between this patient resource and another patient resource.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": true,
"binding": {
"strength": "required",
"description": "The type of link between this patient resource and another patient resource.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/link-type"
}
},
{
"name": "telecom",
"type": "string",
"documentation": "The value in any kind of telecom details of the patient",
"xpath": "f:Patient/f:telecom"
}
]
}
]
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "typeCode"
}
]
}
]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
©
©
HL7.org
2011+.
FHIR
DSTU
(v0.0.82.2943)
DSTU2
(v1.0.2-7202)
generated
on
Tue,
Sep
30,
2014
18:10+1000.
Sat,
Oct
24,
2015
07:43+1100.
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