Profiles

The following Profiles are defined for this use case.

HospitalXPatient

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Scope

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.

Hybrid

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
birthPlaceI1..1Extension(Address)
inclusionStatusI0..*Extension(Complex)
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
activeΣ ?!0..1boolean
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
textΣ0..1string
familyΣ1..1string
givenΣ1..*string
prefixΣ0..*string
suffixΣ0..*string
periodΣ I0..1Period
telecomΣ I0..*ContactPoint
genderΣ1..1codeBinding
birthDateΣ1..1date
deceasedBooleanboolean
addressΣ0..*Address
maritalStatus0..1CodeableConceptBinding
multipleBirthBooleanboolean
multipleBirthIntegerinteger
photoI0..0Attachment
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
relationship0..*CodeableConceptBinding
name0..1HumanName
telecomI0..*ContactPoint
address0..1Address
gender0..1codeBinding
organizationI0..1Reference(Organization)
periodI0..1Period
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
language1..1CodeableConceptBinding
preferred0..1boolean
generalPractitionerI0..*Reference(Organization | Practitioner | PractitionerRole)
managingOrganizationΣ I0..1Reference(Organization)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
otherΣ I1..1Reference(Patient | RelatedPerson)
typeΣ1..1codeBinding

Snapshot

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
birthPlaceI1..1Extension(Address)
inclusionStatusI0..*Extension(Complex)
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
activeΣ ?!0..1boolean
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
textΣ0..1string
familyΣ1..1string
givenΣ1..*string
prefixΣ0..*string
suffixΣ0..*string
periodΣ I0..1Period
telecomΣ I0..*ContactPoint
genderΣ1..1codeBinding
birthDateΣ1..1date
deceasedBooleanboolean
addressΣ0..*Address
maritalStatus0..1CodeableConceptBinding
multipleBirthBooleanboolean
multipleBirthIntegerinteger
photoI0..0Attachment
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
relationship0..*CodeableConceptBinding
name0..1HumanName
telecomI0..*ContactPoint
address0..1Address
gender0..1codeBinding
organizationI0..1Reference(Organization)
periodI0..1Period
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
language1..1CodeableConceptBinding
preferred0..1boolean
generalPractitionerI0..*Reference(Organization | Practitioner | PractitionerRole)
managingOrganizationΣ I0..1Reference(Organization)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
otherΣ I1..1Reference(Patient | RelatedPerson)
typeΣ1..1codeBinding

HospitalXPractitioner

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Scope and Usage

Practitioner covers all individuals who are engaged in the healthcare process and healthcare-related services as part of their formal responsibilities and this Resource is used for attribution of activities and responsibilities to these individuals. Practitioners include (but are not limited to):

  • physicians, dentists, pharmacists
  • physician assistants, nurses, scribes
  • midwives, dietitians, therapists, optometrists, paramedics
  • medical technicians, laboratory scientists, prosthetic technicians, radiographers
  • social workers, professional homecare providers, official volunteers
  • receptionists handling patient registration
  • IT personnel merging or unmerging patient records
  • Service animal (e.g., ward assigned dog capable of detecting cancer in patients)

Differential

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!1..1codeBindingFixed Value
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
id0..1string
extensionI0..*Extension
useΣ ?!1..1codeBindingFixed Value
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
activeΣ0..1boolean
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
textΣ0..1string
familyΣ1..1string
givenΣ1..*string
prefixΣ0..*string
suffixΣ0..*string
periodΣ I0..1Period
telecomΣ I0..*ContactPoint
addressΣ0..*Address
genderΣ0..1codeBinding
birthDateΣ0..1date
photoI0..*Attachment
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
identifier0..*Identifier
code1..1CodeableConcept
periodI0..1Period
issuerI0..1Reference(Organization)
communication0..*CodeableConceptBinding

Snapshot

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!1..1codeBindingFixed Value
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
id0..1string
extensionI0..*Extension
useΣ ?!1..1codeBindingFixed Value
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
activeΣ0..1boolean
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
textΣ0..1string
familyΣ1..1string
givenΣ1..*string
prefixΣ0..*string
suffixΣ0..*string
periodΣ I0..1Period
telecomΣ I0..*ContactPoint
addressΣ0..*Address
genderΣ0..1codeBinding
birthDateΣ0..1date
photoI0..*Attachment
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
identifier0..*Identifier
code1..1CodeableConcept
periodI0..1Period
issuerI0..1Reference(Organization)
communication0..*CodeableConceptBinding

HospitalXImmunization

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Scope and Usage

The Immunization resource is intended to cover the recording of current and historical administration of vaccines to patients across all healthcare disciplines in all care settings and all regions. This includes immunization of both humans and animals but does not include the administration of non-vaccine agents, even those that may have or claim to have immunological effects. While the terms "immunization" and "vaccination" are not clinically identical, for the purposes of the FHIR resources, the terms are used synonymously.

Additionally, the Immunization resource is expected to cover key concepts related to the creation, revision and querying of a patient's immunization history. This resource - through consultation with the Public Health work group - is believed to meet key use cases and information requirements as defined in the existing HL7 v2 immunization implementation guide, HL7 v3 POIZ domain and Immunization Domain Analysis Model.

Differential

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
statusS Σ ?!1..1codeBinding
statusReasonS0..1CodeableConcept
vaccineCodeS Σ I1..1CodeableConceptBinding
patientS Σ I1..1Reference(USCorePatientProfile)
encounterI0..1Reference(Encounter)
occurrenceDateTimedateTime
occurrenceStringstring
recorded0..1dateTime
primarySourceS Σ1..1boolean
reportOrigin0..1CodeableConcept
locationI0..1Reference(Location)
manufacturerI0..1Reference(Organization)
lotNumber0..1string
expirationDate0..1date
site0..1CodeableConcept
route1..1CodeableConcept
doseQuantityI1..1SimpleQuantity
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
functionΣ0..1CodeableConceptBinding
actorΣ I1..1Reference(Practitioner | PractitionerRole | Organization)
noteΣ0..*Annotation
reasonCode0..*CodeableConcept
reasonReferenceI0..*Reference(Condition | Observation | DiagnosticReport)
isSubpotentΣ ?!0..1boolean
subpotentReason0..*CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
documentType0..1string
reference0..1uri
publicationDate0..1dateTime
presentationDate0..1dateTime
programEligibility0..*CodeableConcept
fundingSource0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
date0..1dateTime
detailI0..1Reference(Observation)
reported0..1boolean
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
series0..1string
authorityI0..1Reference(Organization)
targetDisease0..*CodeableConcept
doseNumberPositiveIntpositiveInt
doseNumberStringstring
seriesDosesPositiveIntpositiveInt
seriesDosesStringstring

Snapshot

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
statusS Σ ?!1..1codeBinding
statusReasonS0..1CodeableConcept
vaccineCodeS Σ I1..1CodeableConceptBinding
patientS Σ I1..1Reference(USCorePatientProfile)
encounterI0..1Reference(Encounter)
occurrenceDateTimedateTime
occurrenceStringstring
recorded0..1dateTime
primarySourceS Σ1..1boolean
reportOrigin0..1CodeableConcept
locationI0..1Reference(Location)
manufacturerI0..1Reference(Organization)
lotNumber0..1string
expirationDate0..1date
site0..1CodeableConcept
route1..1CodeableConcept
doseQuantityI1..1SimpleQuantity
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
functionΣ0..1CodeableConceptBinding
actorΣ I1..1Reference(Practitioner | PractitionerRole | Organization)
noteΣ0..*Annotation
reasonCode0..*CodeableConcept
reasonReferenceI0..*Reference(Condition | Observation | DiagnosticReport)
isSubpotentΣ ?!0..1boolean
subpotentReason0..*CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
documentType0..1string
reference0..1uri
publicationDate0..1dateTime
presentationDate0..1dateTime
programEligibility0..*CodeableConcept
fundingSource0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
date0..1dateTime
detailI0..1Reference(Observation)
reported0..1boolean
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
series0..1string
authorityI0..1Reference(Organization)
targetDisease0..*CodeableConcept
doseNumberPositiveIntpositiveInt
doseNumberStringstring
seriesDosesPositiveIntpositiveInt
seriesDosesStringstring

Example of an Immunization

See Immunization for Peter James Chalmers.

HospitalXCondition

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
clinicalStatusΣ ?! I0..1CodeableConceptBinding
verificationStatusΣ ?! I0..1CodeableConceptBinding
category0..*CodeableConceptBinding
severity0..1CodeableConceptBinding
codeΣ1..1CodeableConceptBinding
bodySiteΣ0..*CodeableConcept
subjectΣ I1..1Reference(HospitalXPatient)
encounterΣ I0..1Reference(Encounter)
onsetDateTimedateTime
onsetAgeAge
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementDateTimedateTime
abatementAgeAge
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateΣ0..1dateTime
recorderΣ I1..1Reference(HospitalXPractitioner)
asserterΣ I0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
summaryI0..1CodeableConcept
assessmentI0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ I0..*CodeableConcept
detailΣ I0..*Reference(Resource)
note0..*Annotation

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idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
clinicalStatusΣ ?! I0..1CodeableConceptBinding
verificationStatusΣ ?! I0..1CodeableConceptBinding
category0..*CodeableConceptBinding
severity0..1CodeableConceptBinding
codeΣ1..1CodeableConceptBinding
bodySiteΣ0..*CodeableConcept
subjectΣ I1..1Reference(HospitalXPatient)
encounterΣ I0..1Reference(Encounter)