<status value="active" /> <date value="2023-04-28" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="This profile defines the UK constraints and extensions on the International FHIR resource [Patient](https://hl7.org/fhir/R4/Patient.html)." /> <purpose value="This profile allows exchange of demographics and other administrative information about an individual receiving care or other health-related services." /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="loinc" /> <uri value="http://loinc.org" /> <name value="LOINC code for the element" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <differential> <element id="Patient.extension"> <path value="Patient.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.extension:birthPlace"> <path value="Patient.extension" /> <sliceName value="birthPlace" /> <short value="The registered place of birth of the patient." /> <definition value="The registered place of birth of the patient." /> <min value="0" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace" /> </type> </element> <element id="Patient.extension:birthPlace.value[x]"> <path value="Patient.extension.value[x]" /> <short value="The registered place of birth of the patient." /> </element> <element id="Patient.extension:birthSex"> <path value="Patient.extension" /> <sliceName value="birthSex" /> <short value="The patient's phenotypic sex at birth." /> <definition value="The patient's phenotypic sex at birth." /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex" /> </type> </element> <element id="Patient.extension:cadavericDonor"> <path value="Patient.extension" /> <sliceName value="cadavericDonor" /> <short value="Post-mortem donor status." /> <min value="0" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" /> </type> </element> <element id="Patient.extension:cadavericDonor.value[x]"> <path value="Patient.extension.value[x]" /> <short value="Post-mortem donor status." /> <definition value="Flag indicating whether the patient authorized the donation of body parts after death." /> </element> <element id="Patient.extension:contactPreference"> <path value="Patient.extension" /> <sliceName value="contactPreference" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference" /> </type> </element> <element id="Patient.extension:deathNotificationStatus"> <path value="Patient.extension" /> <sliceName value="deathNotificationStatus" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus" /> </type> </element> <element id="Patient.extension:ethnicCategory"> <path value="Patient.extension" /> <sliceName value="ethnicCategory" /> <short value="The ethnicity of the subject" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory" /> </type> </element> <element id="Patient.extension:residentialStatus"> <path value="Patient.extension" /> <sliceName value="residentialStatus" /> <short value="The residential status of the patient." /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus" /> </type> </element> <element id="Patient.extension:patientInterpreterRequired"> <path value="Patient.extension" /> <sliceName value="patientInterpreterRequired" /> <min value="0" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired" /> </type> </element> <element id="Patient.extension:patientInterpreterRequired.value[x]"> <path value="Patient.extension.value[x]" /> <short value="Indicator showing whether the patient needs an interpreter" /> <definition value="Indicator showing if this Patient requires an interpreter to communicate healthcare information to the practitioner." /> </element> <element id="Patient.extension:nhsNumberUnavailableReason"> <path value="Patient.extension" /> <sliceName value="nhsNumberUnavailableReason" /> <short value="Reason why this Patient does not include an NHS Number identifier" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberUnavailableReason" /> </type> <isModifier value="false" /> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Patient.identifier:nhsNumber"> <path value="Patient.identifier" /> <sliceName value="nhsNumber" /> <short value="The patient's NHS number" /> <max value="1" /> </element> <element id="Patient.identifier:nhsNumber.extension"> <path value="Patient.identifier.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.identifier:nhsNumber.extension:nhsNumberVerificationStatus"> <path value="Patient.identifier.extension" /> <sliceName value="nhsNumberVerificationStatus" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus" /> </type> </element> <element id="Patient.identifier:nhsNumber.system"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Patient.identifier.system" /> <min value="1" /> <fixedUri value="https://fhir.nhs.uk/Id/nhs-number" /> </element> <element id="Patient.identifier:nhsNumber.value"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0" /> </extension> <path value="Patient.identifier.value" /> <min value="1" /> </element> <element id="Patient.identifier:nhsNumber.assigner"> <path value="Patient.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Patient.telecom.system.extension"> <path value="Patient.telecom.system.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.telecom.system.extension:otherContactSystem"> <path value="Patient.telecom.system.extension" /> <sliceName value="otherContactSystem" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem" /> </type> </element> <element id="Patient.birthDate.extension"> <path value="Patient.birthDate.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.birthDate.extension:birthTime"> <path value="Patient.birthDate.extension" /> <sliceName value="birthTime" /> <short value="Time of day of birth." /> <definition value="The time of day that the patient was born. This includes the date to ensure that the timezone information can be communicated effectively." /> <min value="0" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-birthTime" /> </type> </element> <element id="Patient.birthDate.extension:birthTime.value[x]"> <path value="Patient.birthDate.extension.value[x]" /> <short value="Time of day of birth." /> <definition value="The time of day that the patient was born. This includes the date to ensure that the timezone information can be communicated effectively." /> </element> <element id="Patient.address"> <path value="Patient.address" /> <definition value="An address for the individual" /> </element> <element id="Patient.address.extension"> <path value="Patient.address.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.address.extension:addressKey"> <path value="Patient.address.extension" /> <sliceName value="addressKey" /> <short value="A patient's address key and type" /> <definition value="A patient's address key and type." /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey" /> </type> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <binding> <strength value="extensible" /> <description value="An indicator to identify the legal marital status of a person" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-PersonMaritalStatusCode" /> </binding> </element> <element id="Patient.contact.extension"> <path value="Patient.contact.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.contact.extension:contactRank"> <path value="Patient.contact.extension" /> <sliceName value="contactRank" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank" /> </type> </element> <element id="Patient.contact.extension:copyCorrespondenceIndicator"> <path value="Patient.contact.extension" /> <sliceName value="copyCorrespondenceIndicator" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator" /> </type> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-PersonRelationshipType" /> </binding> </element> <element id="Patient.contact.telecom.system.extension"> <path value="Patient.contact.telecom.system.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.contact.telecom.system.extension:otherContactSystem"> <path value="Patient.contact.telecom.system.extension" /> <sliceName value="otherContactSystem" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem" /> </type> </element> <element id="Patient.contact.organization"> <path value="Patient.contact.organization" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Patient.contact.organization.identifier.assigner"> <path value="Patient.contact.organization.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Patient.communication.extension"> <path value="Patient.communication.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.communication.extension:proficiency"> <path value="Patient.communication.extension" /> <sliceName value="proficiency" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-proficiency" /> </type> </element> <element id="Patient.communication.extension:proficiency.extension"> <path value="Patient.communication.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.communication.extension:proficiency.extension:level"> <path value="Patient.communication.extension.extension" /> <sliceName value="level" /> <min value="0" /> </element> <element id="Patient.communication.extension:proficiency.extension:level.value[x]"> <path value="Patient.communication.extension.extension.value[x]" /> <short value="The proficiency level for the communication" /> <definition value="The proficiency level for the communication." /> </element> <element id="Patient.communication.extension:proficiency.extension:type"> <path value="Patient.communication.extension.extension" /> <sliceName value="type" /> <min value="0" /> </element> <element id="Patient.communication.extension:proficiency.extension:type.value[x]"> <path value="Patient.communication.extension.extension.value[x]" /> <short value="The proficiency type for the communication" /> <definition value="The proficiency type for the communication." /> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <short value="A ValueSet that identifies the language used by a person." /> <definition value="A ValueSet that identifies the language used by a person." /> <binding> <strength value="extensible" /> <description value="A ValueSet that identifies the language used by a person." /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-HumanLanguage" /> </binding> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> </type> </element> <element id="Patient.generalPractitioner.identifier.assigner"> <path value="Patient.generalPractitioner.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Patient.managingOrganization"> <path value="Patient.managingOrganization" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Patient.managingOrganization.identifier.assigner"> <path value="Patient.managingOrganization.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> <element id="Patient.link.other"> <path value="Patient.link.other" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" /> </type> </element> <element id="Patient.link.other.identifier.assigner"> <path value="Patient.link.other.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </type> </element> </differential> </StructureDefinition>