Patient

nameurlidversion
ACMEGithubProjectPatienthttp://fake-acme.org/fhir/StructureDefinition/ACMEGithubProjectPatientACMEGithubProjectPatient1.0.0

Scope and Usage

This Resource covers data about patients and animals involved in a wide range of health-related activities, including:

  • Curative activities
  • Psychiatric care
  • Social services
  • Pregnancy care
  • Nursing and assisted living
  • Dietary services
  • Tracking of personal health and exercise data

The 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 patient or animal receiving care at multiple organizations may therefore have its information present in multiple Patient Resources.

Not all concepts are included within the base resource (such as race, ethnicity, organ donor status, nationality, etc.), but may be found in profiles defined for specific jurisdictions (e.g., US Meaningful Use Program) or standard extensions. Such fields vary widely between jurisdictions and often have different names and valuesets for the similar concepts, but they are not similar enough to be able to map and exchange.

Resource Content

raceS I0..0Extension(Complex)
ethnicityS I0..0Extension(Complex)
birthsexS I0..1Extension(code)Binding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemS Σ1..1uri
valueS Σ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemS Σ1..1uriFixed Value
valueS Σ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
activeΣ ?!0..1boolean
useΣ ?!0..1codeBinding
textΣ0..1string
familyS Σ I0..1string
givenS Σ I0..*string
prefixΣ0..*string
suffixΣ0..*string
periodΣ I0..1Period
systemS Σ I1..1codeBinding
valueS Σ1..1string
useS Σ ?!0..1codeBinding
rankΣ0..1positiveInt
periodΣ I0..1Period
genderS Σ1..1codeBinding
birthDateS Σ0..1date
deceasedBooleanboolean
deceasedDateTimedateTime
useΣ ?!0..1codeBinding
typeΣ0..1codeBinding
textΣ0..1string
lineS Σ0..*string
cityS Σ0..1string
districtΣ0..1string
stateS Σ0..1stringBinding
postalCodeS Σ0..1string
countryΣ0..1string
periodS Σ I0..1Period
maritalStatus0..1CodeableConceptBinding
multipleBirthBooleanboolean
multipleBirthIntegerinteger
photoI0..0Attachment
relationship0..*CodeableConceptBinding
name0..1HumanName
telecomI0..*ContactPoint
address0..1Address
gender0..1codeBinding
organizationI0..1Reference(Organization)
periodI0..1Period
languageS1..1CodeableConceptBinding
preferred0..1boolean
generalPractitionerI0..*Reference(PractitionerRole | ACMEbasePractitioner | ACMEbaseOrganization)
managingOrganizationΣ I0..1Reference(ACMEbaseOrganization)
otherΣ I1..1Reference(Patient | RelatedPerson)
typeΣ1..1codeBinding

Terminology bindings

pathstrengthvalueSet
Patient.communication.languagerequiredhttp://fake-acme.org/fhir/ValueSet/DutchOnlyVS

Constraints

pathkeyseverityhumanexpression
Patientacme-devdays-1errorThe Patient should be identifiablename.exists() or identifier.exists()

Notes:

  • multipleBirth can be either expressed as a Boolean (just indicating whether the patient is part of a multiple birth) or as an integer, indicating the actual birth order.
  • Patient records may only be in one of two statuses: in use (active=true) and not in use (active=false). A normal record is active, i.e. it is in use. Active is set to 'false' when a record is created as a duplicate or in error. A record does not need to be linked to be inactivated.
  • The link element is used to assert that two or more Patient resources are both about the same actual patient. See below for further discussion
  • There should be only one preferred language (Language.preference = true) per mode of expression.
  • The Contact for a Patient has an element organization, this is for use with guardians or business related contacts where just the organization is relevant.