<status value="active" /> <experimental value="false" /> <date value="2024-03-18T21:23:08.4464077+00:00" /> <publisher value="b.Well Connected Health" /> <description value="Describes an individual in the context of a given client. This includes but is not limited to: - beneficiary of an insurance plan - receiver of healthcare services - bWell application user - client's employee" /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="US" /> <display value="United States of America" /> </coding> <text value="United States of America" /> </jurisdiction> <purpose value="Aims to conform to the following external IGs: - http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient - http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <differential> <element id="Patient"> <path value="Patient" /> <short value="An individual within the context of a client" /> </element> <element id="Patient.id"> <path value="Patient.id" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.meta"> <path value="Patient.meta" /> <min value="1" /> <type> <code value="Meta" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-meta" /> </type> <mustSupport value="true" /> </element> <element id="Patient.extension:race"> <path value="Patient.extension" /> <sliceName value="race" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" /> </type> <isModifier value="false" /> </element> <element id="Patient.extension:race.extension"> <path value="Patient.extension.extension" /> <min value="1" /> </element> <element id="Patient.extension:ethnicity"> <path value="Patient.extension" /> <sliceName value="ethnicity" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" /> </type> <isModifier value="false" /> </element> <element id="Patient.extension:ethnicity.extension"> <path value="Patient.extension.extension" /> <min value="1" /> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <description value="slice by type" /> <rules value="open" /> </slicing> <min value="1" /> <type> <code value="Identifier" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-identifier" /> </type> <mustSupport value="true" /> </element> <element id="Patient.identifier:member-number"> <path value="Patient.identifier" /> <sliceName value="member-number" /> <short value="insurance coverage's unique identifier for the individual" /> <max value="1" /> <patternIdentifier id="member-number"> <type> <coding id="member-number-type"> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MB" /> </coding> </type> </patternIdentifier> <example> <label value="identifier-member-number" /> <valueIdentifier> <use value="usual" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MB" /> <display value="Member Number" /> </coding> </type> <system value="https://www.foo.com" /> <value value="M1234" /> </valueIdentifier> </example> </element> <element id="Patient.identifier:employee-id"> <path value="Patient.identifier" /> <sliceName value="employee-id" /> <short value="employer's's unique identifier for the individual" /> <max value="1" /> <patternIdentifier id="employee-id"> <type> <coding id="employee-id-type"> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="EI" /> </coding> </type> </patternIdentifier> <example> <label value="identifier-employee-id" /> <valueIdentifier> <use value="usual" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="EI" /> </coding> </type> <system value="https://www.foo.com" /> <value value="E1234" /> </valueIdentifier> </example> </element> <element id="Patient.identifier:medicare-id"> <path value="Patient.identifier" /> <sliceName value="medicare-id" /> <short value="Medicare Beneficiary Identifier" /> <max value="1" /> <patternIdentifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MC" /> </coding> </type> <system value="http://hl7.org/fhir/sid/us-mbi" /> </patternIdentifier> </element> <element id="Patient.identifier:medicaid-id"> <path value="Patient.identifier" /> <sliceName value="medicaid-id" /> <max value="1" /> <patternIdentifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MA" /> </coding> </type> </patternIdentifier> <example> <label value="example-medicaid-id" /> <valueIdentifier> <use value="official" /> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MA" /> </coding> <text value="Medicaid ID" /> </type> <value value="M123" /> </valueIdentifier> </example> </element> <element id="Patient.active"> <path value="Patient.active" /> <comment value="default to true" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.name"> <path value="Patient.name" /> <min value="1" /> <type> <code value="HumanName" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-human-name" /> </type> <mustSupport value="true" /> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <slicing> <description value="slice by use & type" /> <rules value="open" /> </slicing> <type> <code value="ContactPoint" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-contact-point" /> </type> <mustSupport value="true" /> </element> <element id="Patient.telecom:phone"> <path value="Patient.telecom" /> <sliceName value="phone" /> <short value="Phone number for the individual" /> <patternContactPoint> <system value="phone" /> </patternContactPoint> <example> <label value="home-phone" /> <valueContactPoint> <system value="phone" /> <value value="555-555-5555" /> <use value="home" /> </valueContactPoint> </example> </element> <element id="Patient.telecom:email"> <path value="Patient.telecom" /> <sliceName value="email" /> <short value="An e-mail address for the individual" /> <patternContactPoint> <system value="email" /> </patternContactPoint> <example> <label value="email-address" /> <valueContactPoint> <system value="email" /> <value value="someone@mail.com" /> </valueContactPoint> </example> </element> <element id="Patient.telecom:work-phone"> <path value="Patient.telecom" /> <sliceName value="work-phone" /> <short value="A business phone number for the individual" /> <max value="1" /> <patternContactPoint> <system value="phone" /> <use value="work" /> </patternContactPoint> <example> <label value="work-phone" /> <valueContactPoint> <system value="phone" /> <value value="555-555-5555" /> <use value="work" /> </valueContactPoint> </example> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <example> <label value="example-birthdate" /> <valueDate value="2020-01-01" /> </example> <mustSupport value="true" /> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <mustSupport value="true" /> </element> <element id="Patient.address"> <path value="Patient.address" /> <type> <code value="Address" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-address" /> </type> <mustSupport value="true" /> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <type> <code value="CodeableConcept" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-codeable-concept" /> </type> </element> <element id="Patient.photo"> <path value="Patient.photo" /> <type> <code value="Attachment" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-attachment-image" /> </type> </element> <element id="Patient.contact"> <path value="Patient.contact" /> <mustSupport value="true" /> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <type> <code value="CodeableConcept" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-codeable-concept" /> </type> </element> <element id="Patient.contact.name"> <path value="Patient.contact.name" /> <type> <code value="HumanName" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-human-name" /> </type> </element> <element id="Patient.contact.telecom"> <path value="Patient.contact.telecom" /> <type> <code value="ContactPoint" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-contact-point" /> </type> </element> <element id="Patient.contact.address"> <path value="Patient.contact.address" /> <type> <code value="Address" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-address" /> </type> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <mustSupport value="true" /> </element> <element id="Patient.communication.id"> <path value="Patient.communication.id" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <type> <code value="CodeableConcept" /> <profile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/de-codeable-concept" /> </type> <example> <label value="example-language" /> <valueCodeableConcept> <coding> <system value="urn:ietf:bcp:47" /> <code value="en" /> <display value="English" /> </coding> <text value="English" /> </valueCodeableConcept> </example> <mustSupport value="true" /> </element> <element id="Patient.communication.preferred"> <path value="Patient.communication.preferred" /> <mustSupport value="true" /> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-healthcare-organization" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-practitioner" /> </type> <mustSupport value="true" /> </element> <element id="Patient.link"> <path value="Patient.link" /> <requirements value="There are multiple use cases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers. b.Well internal documentation: https://icanbwell.atlassian.net/wiki/spaces/ENTARCH/pages/3947855873/EMPI+-+MVP+FHIR+Person-Patient+Implementation+and+Example" /> </element> <element id="Patient.link.other"> <path value="Patient.link.other" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-patient" /> </type> </element> </differential> </StructureDefinition>