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HdBe-Patient

CBBConceptStatus
HdBe-Patient

Personne qui reçoit des soins médicaux, psychologiques, paramédicaux ou infirmiers. Dans certains contextes de soins, le terme de client ou de participant est utilisé à la place du terme patient.

Purpose

Enregistrer des informations pertinentes permettant d'identifier le patient à des fins administratives et de support du processus.

Evidence Base

Bien que le terme de Patient ne soit pas utilisé dans tous les contextes de soins, il a été décidé de ne pas changer le nom en Personne comme nom général pour le Patient, Client, Participant, etc. En effet, le concept de Personne est plus large que le concept auquel il est fait référence ici. Les professionnels de la santé et les personnes de contact sont, en définitive, également des Personnes.

Instructions

Si un nom ainsi qu'un numéro d'identification sont donnés, le nom doit correspondre au nom enregistré sous ce numéro d'identification, aux fins de vérification.

active

id0..1string
extensionI0..*Extension
NameInformation0..1HdBe-NameInformation
AddressInformation0..*HdBe-AddressInformation
ContactInformation0..*HdBe-ContactInformation
PatientIdentificationNumber0..*Identifier
DateOfBirth0..1dateTime
Gender0..1CodeableConceptBinding
MultipleBirthIndicator0..1CodeableConceptBinding
MultipleBirthOrder0..1integer
DeathIndicator0..1CodeableConceptBinding
DateOfDeath0..1dateTime

Patient0..*
Patient.NameInformationHdBe-NameInformation0..1
Patient.AddressInformationHdBe-AddressInformation0..*
Patient.ContactInformationHdBe-ContactInformation0..*
Patient.PatientIdentificationNumberIdentifier0..*
Patient.DateOfBirthdateTime0..1
Patient.GenderCodeableConcept0..1
Patient.MultipleBirthIndicatorCodeableConcept0..1
Patient.MultipleBirthOrderinteger0..1
Patient.DeathIndicatorCodeableConcept0..1
Patient.DateOfDeathdateTime0..1


Patient
DefinitionRoot concept of the Patient information model. This root concept contains all data elements of the Patient information model.
Cardinality0...*
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Patient.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
Patient.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
Patient.NameInformation
DefinitionPatient's full name.
Cardinality0...1
TypeHdBe-NameInformation
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Patient.AddressInformation
DefinitionPatient's address information.
Cardinality0...*
TypeHdBe-AddressInformation
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Patient.ContactInformation
DefinitionPatient’s telephone number(s) or e-mail address(es).
Cardinality0...*
TypeHdBe-ContactInformation
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Patient.PatientIdentificationNumber
DefinitionThe patient’s identification number. Typically, when an social security identification number (NISS-INSZ) is available it is used. A local identifier may be provided when this is desired.
Cardinality0...*
TypeIdentifier
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
Patient.DateOfBirth
DefinitionPatient’s date of birth. A vague date (such as only the year) is permitted.
Cardinality0...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Patient.Gender
DefinitionPatient’s administrative gender - the gender that the patient is considered to have for administration and record keeping purposes. Note that the gender might not match the biological sex as determined by genetics or the individual's preferred identification. If needed, the observation resource can be used to capture specific sex or gender aspect of interest.
Cardinality0...1
TypeCodeableConcept
Binding

Gender codes

Gender (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Patient.MultipleBirthIndicator
DefinitionAn indication stating whether the patient is of a multiple birth.
Cardinality0...1
TypeCodeableConcept
Binding

MultipleBirthIndicator codes

MultipleBirthIndicator (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Patient.MultipleBirthOrder
DefinitionAn indication of the birth order in case the patient is of a multiple birth.
Cardinality0...1
Typeinteger
Comments

32 bit number; for values larger than this, use decimal

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Patient.DeathIndicator
DefinitionAn indication stating whether the patient has died.
Cardinality0...1
TypeCodeableConcept
Binding

DeathIndicator codes

DeathIndicator (required)
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Patient.DateOfDeath
DefinitionThe date on which the patient died. A ‘vague’ date, such as only the year, is permitted.
Cardinality0...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a

Example instances

patient
NameInformation reference to NameInformation (Belle Ulijn)
AddressInformation reference to AddressInformation (Rue de Boneffe 422)
ContactInformation reference to ContactInformation (+3247458497; BelleUlijn@mail.Be)
PatientIdentificationNumber 41.07.21.00.284 (SSIN)
DateOfBirth 1941-07-21
Gender 248152002 - Female (code by SNOMED CT)
MultipleBirthIndicator 0 (code by healthdata.be (Sciensano))
MultipleBirthOrder
DeathIndicator 438949009 - Alive (code by SNOMED CT)
DateOfDeath

zib Patient-v3.2 difference

Concept Category Description
Evidence Base textual Removed Dutch specific context from the Evidence Base section in StructureDefinition.Description.
ContactInformation cardinality Loosened cardinality from 0..1 to 0..* based on the changes made to the CBB ConctactInformation. Widening the cardinality here allows for capturing all contact information necessary.
PatientIdentificationNumber textual Replaced the Dutch context (BSN) with the Belgian equivalent (NISS-INSZ).
DateOfBirth textual Removed text regarding mandatory date of birth.
Gender textual Extended definition to clarify that the concept is about administrative gender rather then the patient's identified sex.
MultipleBirthOrder element Added element which defines the order of birth. Although reported for inclusion in the zibs ZIB-1670, it has been deemed to specific. It does however apply for the use cases within Sciensano and is therefore added to the CBB.
MultipleBirthIndicator type Changed type from boolean to CodeableConcept to bind a ValueSet that contains appropriate Snomed code for yes/true and the '0' code as defined by healthdata.be (Sciensano) codesystem as this is what is currently in use.
DeathIndicator type Changed type from boolean to CodeableConcept to bind a ValueSet that contains appropriate Snomed codes for yes/true and no/false because this is what is currently in use.



Terminology Bindings

PathNameStrengthURL
GenderGenderrequiredhttps://fhir.healthdata.be/ValueSet/Gender
MultipleBirthIndicatorMultipleBirthIndicatorrequiredhttps://fhir.healthdata.be/ValueSet/MultipleBirthIndicator
DeathIndicatorDeathIndicatorrequiredhttps://fhir.healthdata.be/ValueSet/DeathIndicator