{ "resourceType": "StructureDefinition", "id": "123", "text": { "id": "1234", "status": "empty", "div": "
!-- Snipped for Brevity -->
" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Base.Individuals" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueString": "patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueString": "pa" } ], "url": "http://hl7.org/fhir/StructureDefinition/Patient", "version": "4.0.0", "name": "Patient162", "status": "active", "date": "2020-03-19T05:47:03+00:00", "publisher": "Health Level Seven International (Patient Administration)", "fhirVersion": "4.0.0", "mapping": [ { "identity": "rim", "name": "Patient[classCode=PAT]" } ], "kind": "resource", "abstract": false, "type": "Patient", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource", "snapshot": { "id": "Unique123", "element": [ { "id": "Patient", "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.", "min": 0, "max": "*", "base": { "path": "Patient", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-1", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "Patient[classCode=PAT]" }, { "identity": "rim", "map": "ClinicalDocument.recordTarget.patientRole" } ] }, { "id": "Patient.meta", "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 might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" }, { "code": "Identifier" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count()", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true }, { "id": "Patient.name", "path": "Patient.name", "short": "A name associated with the patient", "definition": "A name associated with the individual.", "comment": "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": "*", "base": { "path": "Patient.name", "min": 0, "max": "*" }, "type": [ { "code": "HumanName" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-5, PID-9" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": ".patient.name" } ] }, { "id": "Patient.gender", "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.", "comment": "The gender might 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 male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, 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, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \\\"hard\\\" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.", "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.", "min": 0, "max": "1", "base": { "path": "Patient.gender", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueString": "AdministrativeGender" } ], "strength": "preferred", "description": "The gender of a person used for administrative purposes.", "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender" }, "mapping": [ { "identity": "v2", "map": "PID-8" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": ".patient.administrativeGenderCode" } ] }, { "id": "Patient.maritalStatus", "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": 1, "max": "1", "base": { "path": "Patient.maritalStatus", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueString": "MaritalStatus" } ], "strength": "preferred", "description": "TThe domestic partnership status of a person.", "valueSet": "http://hl7.org/fhir/ValueSet/marital-status" }, "mapping": [ { "identity": "v2", "map": "PID-16" }, { "identity": "rim", "map": "player[classCode=PSN]/maritalStatusCode" }, { "identity": "cda", "map": ".patient.maritalStatusCode" } ] } ] }, "differential": { "element": [ { "id": "Patient", "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.", "min": 1, "max": "*", "mapping": [ { "identity": "rim", "map": "Patient[classCode=PAT]" }, { "identity": "cda", "map": "ClinicalDocument.recordTarget.patientRole" } ] }, { "id": "Patient.gender", "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.", "comment": "The gender might 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 male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, 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, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \\\"hard\\\" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.", "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.", "min": 0, "max": "1", "base": { "path": "Patient.gender", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueString": "AdministrativeGender" } ], "strength": "preferred", "description": "The gender of a person used for administrative purposes.", "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender" }, "mapping": [ { "identity": "v2", "map": "PID-8" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": ".patient.administrativeGenderCode" } ] }, { "id": "Patient.name", "path": "Patient.name", "short": "A name associated with the patient", "definition": "A name associated with the individual.", "comment": "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": "*", "base": { "path": "Patient.name", "min": 0, "max": "*" }, "type": [ { "code": "HumanName" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-5, PID-9" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": ".patient.name" } ] }, { "id": "Patient.maritalStatus", "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": 1, "max": "1", "base": { "path": "Patient.maritalStatus", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueString": "MaritalStatus" } ], "strength": "preferred", "description": "TThe domestic partnership status of a person.", "valueSet": "http://hl7.org/fhir/ValueSet/marital-status" }, "mapping": [ { "identity": "v2", "map": "PID-16" }, { "identity": "rim", "map": "player[classCode=PSN]/maritalStatusCode" }, { "identity": "cda", "map": ".patient.maritalStatusCode" } ] } ] } }