sfm-Patient
Profile based on the norwegian basis profile no-basis-Patient
.
sfm-Patient
is used in communictation between EHR and national systems whenever one or more Identifier is known.
When the EHR system does not know a national ID for the patien the "other" Identifier xxxid
shall be used. SFM will treat this ID as local for the EHR system, and match indbound and outbond medication list by this ID.
This profile specifies Identifier as mandatory, and at least one of FNR
, DNR
or xxxid
is expected.
If FNR
and/or DNR
is present, one and only one of them shall be (use=official
). The ´´´use´´´ parameter of xxxid
is not supported.
If there is no FNR
or DNR
one xxxid
shall be present. It will be parsed by SFM regardless of use or period. There will be no interpretation of the value of xxxid
, exept for the representation of a unique string within the EHR domain.
Name is mandatory in this profile.
telecom: SFM supports phone
, but it is not in use in national messages and may be ommited.
For the resource Task
there will be situations where contained patient has unknown Name or Identifier, and for such cases the no-basis-Patient
profile will be used.
Profile
SfmPatient (Patient) | I | NoBasisPatient | There are no (further) constraints on this element Element idPatient Information about an individual or animal receiving health care services Alternate namesSubjectOfCare Client Resident, Pasient DefinitionDemographics and other administrative information about an individual or animal receiving care or other health-related services.
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id | Σ | 0..1 | id | There are no (further) constraints on this element Element idPatient.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
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meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idPatient.meta Metadata about the resource DefinitionThe 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.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idPatient.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idPatient.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idPatient.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | Element idPatient.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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citizenship | S I | 0..* | Extension(Complex) | Element idPatient.extension:citizenship The citizenship of the patient Alternate namesextensions, user content, statsborgerskap DefinitionThe citizenship of the patient. should be a country code from ISO 3166 code system 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. Extension(Complex) Extension URLhttp://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints
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id | 0..1 | There are no (further) constraints on this element Element idPatient.extension:citizenship.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | Element idPatient.extension:citizenship.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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code | S I | 0..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:code Nation code of citizenship Alternate namesextensions, user content Definitionno-basis-Patient introduces iso 3166 codes Nation code representing the citizenship of patient. 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. urn:iso:std:iso:3166 (example) Constraints
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id | 0..1 | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:code.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..0 | Extension | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:code.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:code.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. code
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:code.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). Unordered, Open, by $this(Type) Constraints
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(All Slices) | There are no (further) constraints on this element | |||
valueBase64Binary | base64Binary | There are no (further) constraints on this element Data type | ||
valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
valueCanonical | canonical() | There are no (further) constraints on this element Data type | ||
valueCode | code | There are no (further) constraints on this element Data type | ||
valueDate | date | There are no (further) constraints on this element Data type | ||
valueDateTime | dateTime | There are no (further) constraints on this element Data type | ||
valueDecimal | decimal | There are no (further) constraints on this element Data type | ||
valueId | id | There are no (further) constraints on this element Data type | ||
valueInstant | instant | There are no (further) constraints on this element Data type | ||
valueInteger | integer | There are no (further) constraints on this element Data type | ||
valueMarkdown | markdown | There are no (further) constraints on this element Data type | ||
valueOid | oid | There are no (further) constraints on this element Data type | ||
valuePositiveInt | positiveInt | There are no (further) constraints on this element Data type | ||
valueString | string | There are no (further) constraints on this element Data type | ||
valueTime | time | There are no (further) constraints on this element Data type | ||
valueUnsignedInt | unsignedInt | There are no (further) constraints on this element Data type | ||
valueUri | uri | There are no (further) constraints on this element Data type | ||
valueUrl | url | There are no (further) constraints on this element Data type | ||
valueUuid | uuid | There are no (further) constraints on this element Data type | ||
valueAddress | Address | There are no (further) constraints on this element Data type | ||
valueAge | Age | There are no (further) constraints on this element Data type | ||
valueAnnotation | Annotation | There are no (further) constraints on this element Data type | ||
valueAttachment | Attachment | There are no (further) constraints on this element Data type | ||
valueCoding | Coding | There are no (further) constraints on this element Data type | ||
valueContactPoint | ContactPoint | There are no (further) constraints on this element Data type | ||
valueCount | Count | There are no (further) constraints on this element Data type | ||
valueDistance | Distance | There are no (further) constraints on this element Data type | ||
valueDuration | Duration | There are no (further) constraints on this element Data type | ||
valueHumanName | HumanName | There are no (further) constraints on this element Data type | ||
valueIdentifier | Identifier | There are no (further) constraints on this element Data type | ||
valueMoney | Money | There are no (further) constraints on this element Data type | ||
valuePeriod | Period | There are no (further) constraints on this element Data type | ||
valueQuantity | Quantity | There are no (further) constraints on this element Data type | ||
valueRange | Range | There are no (further) constraints on this element Data type | ||
valueRatio | Ratio | There are no (further) constraints on this element Data type | ||
valueSampledData | SampledData | There are no (further) constraints on this element Data type | ||
valueSignature | Signature | There are no (further) constraints on this element Data type | ||
valueTiming | Timing | There are no (further) constraints on this element Data type | ||
valueContactDetail | ContactDetail | There are no (further) constraints on this element Data type | ||
valueContributor | Contributor | There are no (further) constraints on this element Data type | ||
valueDataRequirement | DataRequirement | There are no (further) constraints on this element Data type | ||
valueExpression | Expression | There are no (further) constraints on this element Data type | ||
valueParameterDefinition | ParameterDefinition | There are no (further) constraints on this element Data type | ||
valueRelatedArtifact | RelatedArtifact | There are no (further) constraints on this element Data type | ||
valueTriggerDefinition | TriggerDefinition | There are no (further) constraints on this element Data type | ||
valueUsageContext | UsageContext | There are no (further) constraints on this element Data type | ||
valueDosage | Dosage | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valueCodeableConcept | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:code.value[x]:valueCodeableConcept Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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period | S I | 0..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:period Time period of citizenship Alternate namesextensions, user content DefinitionPeriod when citizenship was effective. 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.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:period.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..0 | Extension | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:period.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:period.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. period
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:period.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). Unordered, Open, by $this(Type) Constraints
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(All Slices) | There are no (further) constraints on this element | |||
valueBase64Binary | base64Binary | There are no (further) constraints on this element Data type | ||
valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
valueCanonical | canonical() | There are no (further) constraints on this element Data type | ||
valueCode | code | There are no (further) constraints on this element Data type | ||
valueDate | date | There are no (further) constraints on this element Data type | ||
valueDateTime | dateTime | There are no (further) constraints on this element Data type | ||
valueDecimal | decimal | There are no (further) constraints on this element Data type | ||
valueId | id | There are no (further) constraints on this element Data type | ||
valueInstant | instant | There are no (further) constraints on this element Data type | ||
valueInteger | integer | There are no (further) constraints on this element Data type | ||
valueMarkdown | markdown | There are no (further) constraints on this element Data type | ||
valueOid | oid | There are no (further) constraints on this element Data type | ||
valuePositiveInt | positiveInt | There are no (further) constraints on this element Data type | ||
valueString | string | There are no (further) constraints on this element Data type | ||
valueTime | time | There are no (further) constraints on this element Data type | ||
valueUnsignedInt | unsignedInt | There are no (further) constraints on this element Data type | ||
valueUri | uri | There are no (further) constraints on this element Data type | ||
valueUrl | url | There are no (further) constraints on this element Data type | ||
valueUuid | uuid | There are no (further) constraints on this element Data type | ||
valueAddress | Address | There are no (further) constraints on this element Data type | ||
valueAge | Age | There are no (further) constraints on this element Data type | ||
valueAnnotation | Annotation | There are no (further) constraints on this element Data type | ||
valueAttachment | Attachment | There are no (further) constraints on this element Data type | ||
valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
valueCoding | Coding | There are no (further) constraints on this element Data type | ||
valueContactPoint | ContactPoint | There are no (further) constraints on this element Data type | ||
valueCount | Count | There are no (further) constraints on this element Data type | ||
valueDistance | Distance | There are no (further) constraints on this element Data type | ||
valueDuration | Duration | There are no (further) constraints on this element Data type | ||
valueHumanName | HumanName | There are no (further) constraints on this element Data type | ||
valueIdentifier | Identifier | There are no (further) constraints on this element Data type | ||
valueMoney | Money | There are no (further) constraints on this element Data type | ||
valueQuantity | Quantity | There are no (further) constraints on this element Data type | ||
valueRange | Range | There are no (further) constraints on this element Data type | ||
valueRatio | Ratio | There are no (further) constraints on this element Data type | ||
valueSampledData | SampledData | There are no (further) constraints on this element Data type | ||
valueSignature | Signature | There are no (further) constraints on this element Data type | ||
valueTiming | Timing | There are no (further) constraints on this element Data type | ||
valueContactDetail | ContactDetail | There are no (further) constraints on this element Data type | ||
valueContributor | Contributor | There are no (further) constraints on this element Data type | ||
valueDataRequirement | DataRequirement | There are no (further) constraints on this element Data type | ||
valueExpression | Expression | There are no (further) constraints on this element Data type | ||
valueParameterDefinition | ParameterDefinition | There are no (further) constraints on this element Data type | ||
valueRelatedArtifact | RelatedArtifact | There are no (further) constraints on this element Data type | ||
valueTriggerDefinition | TriggerDefinition | There are no (further) constraints on this element Data type | ||
valueUsageContext | UsageContext | There are no (further) constraints on this element Data type | ||
valueDosage | Dosage | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valuePeriod | 0..1 | Period | There are no (further) constraints on this element Element idPatient.extension:citizenship.extension:period.value[x]:valuePeriod Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPatient.extension:citizenship.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. http://hl7.org/fhir/StructureDefinition/patient-citizenship
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value[x] | 0..0 | There are no (further) constraints on this element Element idPatient.extension:citizenship.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list).
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eea | S I | 0..1 | Extension(Complex) | Element idPatient.extension:eea Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. Extension(Complex) Extension URLhttp://ehelse.no/fhir/StructureDefinition/sfm-reimbursementInfo Constraints
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modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idPatient.identifier Identifier for this patient DefinitionAn identifier for this patient. Should be at Fødselsnummer, Felles hjelpenummer, D-nummer or locally assigned H-nummer Patients are almost always assigned specific numerical identifiers. Unordered, Open, by system(Value) Constraints
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FNR | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idPatient.identifier:FNR Norwegian FNR DefinitionFødselsnummer for the patient. Fødselsnummer as one of the possible patient identifier, should at least be sent unless there is a reason not to. Reasons for not sending the Fødselsnummer include but are not limited to, research and apps without a contract for processing data. Multiple FNR can exist for a person. If several FNR is provided the time period that each identifier is valid should be provided. No information about period is required when only one FNR is provided. Patients are almost always assigned specific numerical identifiers.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.identifier:FNR.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.identifier:FNR.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.identifier:FNR.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idPatient.identifier:FNR.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPatient.identifier:FNR.system Identification of the Norwegian FNR DefinitionIdentifies that this is a Norwegian Fødselsnummer There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
urn:oid:2.16.578.1.12.4.1.4.1
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPatient.identifier:FNR.value The actual Fødselsnummer Alternate namesFødselsnummer DefinitionThe Norwegian Fødselsnummer If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Fødselsnummer 13057444850 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPatient.identifier:FNR.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPatient.identifier:FNR.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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FHN | Σ | 0..0 | Identifier | There are no (further) constraints on this element Element idPatient.identifier:FHN Felles hjelpenummer used for the patient DefinitionFelles hjelpenummer for the patient. Felles hjelpenummer as one of the possible patient identification numbers. The norwegian Felles hjelpenummer shoud only be used when the Fødselsnummer og D-number is unknown. Patients are almost always assigned specific numerical identifiers.
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DNR | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idPatient.identifier:DNR The D-nummer of the patient DefinitionThe D-nummer of the patient. (assigned by the norwegian Skatteetaten) Patients are almost always assigned specific numerical identifiers.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.identifier:DNR.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.identifier:DNR.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.identifier:DNR.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idPatient.identifier:DNR.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
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system | Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPatient.identifier:DNR.system The identification of the D-nummer DefinitionThe identification of the Norwegian D-nummer There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
urn:oid:2.16.578.1.12.4.1.4.2
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPatient.identifier:DNR.value The actual D-nummer DefinitionThe actual Norwegian D-nummer If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPatient.identifier:DNR.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPatient.identifier:DNR.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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HNR | Σ | 0..0 | Identifier | There are no (further) constraints on this element Element idPatient.identifier:HNR A locally assigned H-nummer DefinitionA locally assigned H-nummer. If this identifier is used, information about the assigner is mandatory. Patients are almost always assigned specific numerical identifiers.
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xxxid | Σ | 0..1 | Identifier | Element idPatient.identifier:xxxid Identifier for this patient DefinitionAn identifier for this patient. Should be at Fødselsnummer, D-nummer or locally assigned xxxid Patients are almost always assigned specific numerical identifiers.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.identifier:xxxid.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.identifier:xxxid.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.identifier:xxxid.use usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idPatient.identifier:xxxid.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
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system | Σ | 1..1 | uriFixed Value | Element idPatient.identifier:xxxid.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
urn:oid:2.16.578.1.12.4.1.4.14
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value | Σ | 1..1 | string | There are no (further) constraints on this element Element idPatient.identifier:xxxid.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPatient.identifier:xxxid.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPatient.identifier:xxxid.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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active | S Σ ?! | 1..1 | boolean | There are no (further) constraints on this element Element idPatient.active Whether this patient's record is in active use DefinitionWhether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death. Need to be able to mark a patient record as not to be used because it was created in error. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient. This resource is generally assumed to be active if no value is provided for the active element
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name | S Σ | 0..1 | NoBasisHumanName | There are no (further) constraints on this element Element idPatient.name Norwegian human name DefinitionDefines the format of norwegian human name according to norwegian legislation (lov om personnavn). Need to be able to track the patient by multiple names. Examples are your official name and a partner name. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.name.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | Element idPatient.name.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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middlename | S I | 0..1 | Extension(string) | Element idPatient.name.extension:middlename Defines a middle name Alternate namesextensions, user content, mellomnavn DefinitionDefines a middle name as a specific extension as this is widely used in Norwegian names. The middlename is defined in norwegian legislation (lov om personnavn). 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. http://hl7.no/fhir/StructureDefinition/no-basis-middlename Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.name.use usual | official | temp | nickname | anonymous | old | maiden DefinitionIdentifies the purpose for this name. Allows the appropriate name for a particular context of use to be selected from among a set of names. Applications can assume that a name is current unless it explicitly says that it is temporary or old. The use of a human name.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.name.text Text representation of the full name DefinitionSpecifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
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family | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.name.family Family name (often called 'Surname') Alternate namessurname, etternavn DefinitionRef. "lov om personnavn" for further details about Norwegian HumanNames. The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
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given | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.name.given Given names (not always 'first') Alternate namesfirst name, middle name, fornavn DefinitionGiven name. In Norway Given name does not include middlenames according to the regulation for norwegian names. Multiple given names are however legal. Ref. "Lov om personnavn" for further details about Norwegian HumanNames. If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
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prefix | Σ | 0..* | string | There are no (further) constraints on this element Element idPatient.name.prefix Prefix is not used in Norwegian names DefinitionThis is not a part of official Norwegian names as defined in "lov om personnavn" regulation. Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. Note that FHIR strings SHALL NOT exceed 1MB in size
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suffix | Σ | 0..* | string | There are no (further) constraints on this element Element idPatient.name.suffix Suffix is not used in Norwegian human names DefinitionThis is not a part of official Norwegian names as defined in "lov om personnavn" regulation. Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. Note that FHIR strings SHALL NOT exceed 1MB in size
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPatient.name.period Time period when name was/is in use DefinitionIndicates the period of time when this name was valid for the named person. Allows names to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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telecom | S Σ I | 0..* | ContactPoint | There are no (further) constraints on this element Element idPatient.telecom A contact detail for the individual DefinitionA contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. People have (primary) ways to contact them in some way such as phone, email. A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
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gender | S Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. Needed for identification of the individual, in combination with (at least) name and birth date. 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. The gender of a person used for administrative purposes.
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birthDate | S Σ | 0..1 | date | There are no (further) constraints on this element Element idPatient.birthDate The date of birth for the individual DefinitionThe date of birth for the individual. Age of the individual drives many clinical processes. At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
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deceased[x] | Σ ?! | 0..1 | There are no (further) constraints on this element Element idPatient.deceased[x] Indicates if the individual is deceased or not DefinitionIndicates if the individual is deceased or not. The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
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deceasedBoolean | boolean | There are no (further) constraints on this element Data type | ||
deceasedDateTime | dateTime | There are no (further) constraints on this element Data type | ||
address | S Σ | 0..* | NoBasisAddress | There are no (further) constraints on this element Element idPatient.address Norwegian address Definitionhttp://hl7.no/fhir/StructureDefinition/no-basis-Address May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).
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id | 0..1 | There are no (further) constraints on this element Element idPatient.address.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | Element idPatient.address.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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official | S I | 0..1 | Extension(boolean) | Element idPatient.address.extension:official The concept of an officially registered address Alternate namesextensions, user content, offisiell adresse DefinitionDefines the concept of an officially registered address in Norway. Usually this will be the adress registered in "Folkeregisteret" for persons or "Enhetsregisteret" for organizations. 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. http://hl7.no/fhir/StructureDefinition/no-basis-address-official Constraints
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urbanDistrict | I | 0..1 | Extension(Coding) | There are no (further) constraints on this element Element idPatient.address.extension:urbanDistrict urban district information Alternate namesextensions, user content, bydel, urban district DefinitionThe name and number of the of the urban district of this address. 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. http://hl7.no/fhir/StructureDefinition/no-basis-urban-district Constraints
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propertyInformation | I | 0..* | Extension(Complex) | There are no (further) constraints on this element Element idPatient.address.extension:propertyInformation Real property identification Alternate namesextensions, user content DefinitionIdentification of a real property in Norway is defined using gårdsnummer, bruksnummer and kommunenummer. In addition real property can be rented out, the area of the real property that is rented is measured and is further identified by its festenummer. In addition some real property is split into sections identified by its seksjonsnummer 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. Extension(Complex) Extension URLhttp://hl7.no/fhir/StructureDefinition/no-basis-propertyinformation Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.address.use home | work | temp | old | billing - purpose of this address DefinitionThe purpose of this address. Mapping of values to other Norwegian CodeSystems is documented in the implementation guide. In general the address used for visiting the person should have use "home" and type "physical" or "both". The "official" flag can be either true or false. Allows an appropriate address to be chosen from a list of many. Applications can assume that an address is current unless it explicitly says that it is temporary or old. The use of an address.
General home Mappings
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type | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.address.type postal | physical | both DefinitionDistinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both. Mapping of values to other Norwegian CodeSystems is documented in the implementation guide. In general the address used for visiting the person should have use "home" and type "physical" or "both". The "official" flag can be either true or false. The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). The type of an address (physical / postal).
General both Mappings
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.address.text Text representation of the address DefinitionSpecifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts. A renderable, unencoded form. Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
General 137 Nowhere Street, Erewhon 9132 Mappings
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line | Σ | 0..* | string | There are no (further) constraints on this element Element idPatient.address.line Street name, number, direction & P.O. Box etc. DefinitionThis component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. Note that FHIR strings SHALL NOT exceed 1MB in size
General 137 Nowhere Street Mappings
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city | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.address.city Poststed or city Alternate namesMunicpality, by, poststed DefinitionWhen a postalcode is given the name of the city must be according to the official list of postalcodes used in Norway. The name of the city, town, village or other community or delivery center. Note that FHIR strings SHALL NOT exceed 1MB in size
General Erewhon Mappings
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district | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.address.district name of "kommune" Alternate namesCounty, kommune DefinitionName of the county (norwegian "kommune"). If kommune number is required "eiendomsinformasjon" should be used. The name of the administrative area (county). District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
General Madison Mappings
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state | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.address.state norwegian "fylke" Alternate namesProvince, Territory, fylke DefinitionName of the norwegian "fylke"). If fylkes-number is required "eiendomsinformasjon" should be used with koded kommune-number. Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes). Note that FHIR strings SHALL NOT exceed 1MB in size
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postalCode | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.address.postalCode Postal code for area Alternate namesZip, postnummer DefinitionA postal code designating a region defined by the postal service. In Norway this is af four digit number defined by the norwegian postal service. Note that FHIR strings SHALL NOT exceed 1MB in size
General 9132 Mappings
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country | Σ | 0..1 | string | There are no (further) constraints on this element Element idPatient.address.country Country (e.g. can be ISO 3166 2 or 3 letter code) DefinitionCountry - a nation as commonly understood or generally accepted. ISO 3166 3 letter codes can be used in place of a human readable country name.
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idPatient.address.period Time period when address was/is in use DefinitionTime period when address was/is in use. Allows addresses to be placed in historical context. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
General { "start": "2010-03-23", "end": "2010-07-01" } Mappings
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maritalStatus | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idPatient.maritalStatus Marital (civil) status of a patient DefinitionThis field contains a patient's most recent marital (civil) status. Most, if not all systems capture it. 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. The domestic partnership status of a person.
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multipleBirth[x] | 0..1 | There are no (further) constraints on this element Element idPatient.multipleBirth[x] Whether patient is part of a multiple birth DefinitionIndicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer). For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs. Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
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multipleBirthBoolean | boolean | There are no (further) constraints on this element Data type | ||
multipleBirthInteger | integer | There are no (further) constraints on this element Data type | ||
photo | I | 0..* | Attachment | There are no (further) constraints on this element Element idPatient.photo Image of the patient DefinitionImage of the patient. Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. Guidelines:
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contact | I | 0..* | BackboneElement | There are no (further) constraints on this element Element idPatient.contact A contact party (e.g. guardian, partner, friend) for the patient DefinitionA contact party (e.g. guardian, partner, friend) for the patient. Need to track people you can contact about the patient. Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.contact.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.contact.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.contact.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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relationship | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idPatient.contact.relationship The kind of relationship DefinitionThe nature of the relationship between the patient and the contact person. Used to determine which contact person is the most relevant to approach, depending on circumstances. 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. The nature of the relationship between a patient and a contact person for that patient.
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name | 0..1 | NoBasisHumanName | There are no (further) constraints on this element Element idPatient.contact.name Norwegian human name DefinitionDefines the format of norwegian human name according to norwegian legislation (lov om personnavn). Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person. Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
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telecom | I | 0..* | ContactPoint | There are no (further) constraints on this element Element idPatient.contact.telecom A contact detail for the person DefinitionA contact detail for the person, e.g. a telephone number or an email address. People have (primary) ways to contact them in some way such as phone, email. Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
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address | 0..1 | NoBasisAddress | There are no (further) constraints on this element Element idPatient.contact.address An address expressed using postal conventions (as opposed to GPS or other location definition formats) DefinitionAn address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world. Need to keep track where the contact person can be contacted per postal mail or visited. Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).
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gender | 0..1 | codeBinding | There are no (further) constraints on this element Element idPatient.contact.gender male | female | other | unknown DefinitionAdministrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes. Needed to address the person correctly. Note that FHIR strings SHALL NOT exceed 1MB in size The gender of a person used for administrative purposes.
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organization | I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idPatient.contact.organization Organization that is associated with the contact DefinitionOrganization on behalf of which the contact is acting or for which the contact is working. For guardians or business related contacts, the organization is relevant. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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period | I | 0..1 | Period | There are no (further) constraints on this element Element idPatient.contact.period The period during which this contact person or organization is valid to be contacted relating to this patient DefinitionThe period during which this contact person or organization is valid to be contacted relating to this patient. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
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communication | 0..* | BackboneElement | There are no (further) constraints on this element Element idPatient.communication A language which may be used to communicate with the patient about his or her health DefinitionA language which may be used to communicate with the patient about his or her health. If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest. If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.communication.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.communication.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.communication.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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language | 1..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idPatient.communication.language The language which can be used to communicate with the patient about his or her health DefinitionThe ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English. Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type. A human language.
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preferred | 0..1 | boolean | There are no (further) constraints on this element Element idPatient.communication.preferred Language preference indicator DefinitionIndicates whether or not the patient prefers this language (over other languages he masters up a certain level). People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method. This language is specifically identified for communicating healthcare information.
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generalPractitioner | I | 0..* | Reference(Organization | Practitioner | PractitionerRole | NoBasisPractitioner | NoBasisPractitionerRole | NoBasisOrganization) | There are no (further) constraints on this element Element idPatient.generalPractitioner Patient's nominated primary care provider Alternate namescareProvider DefinitionPatient's nominated care provider. This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type. Reference(Organization | Practitioner | PractitionerRole | NoBasisPractitioner | NoBasisPractitionerRole | NoBasisOrganization) Constraints
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managingOrganization | Σ I | 0..1 | Reference(Organization | NoBasisOrganization) | There are no (further) constraints on this element Element idPatient.managingOrganization Organization that is the custodian of the patient record DefinitionOrganization that is the custodian of the patient record. Need to know who recognizes this patient record, manages and updates it. There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association). Reference(Organization | NoBasisOrganization) Constraints
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link | Σ ?! | 0..* | BackboneElement | There are no (further) constraints on this element Element idPatient.link Link to another patient resource that concerns the same actual person DefinitionLink to another patient resource that concerns the same actual patient. There are multiple use cases:
There is no assumption that linked patient records have mutual links.
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id | 0..1 | There are no (further) constraints on this element Element idPatient.link.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.link.extension Additional content defined by implementations Alternate namesextensions, user content 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.link.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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.
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other | Σ I | 1..1 | Reference(Patient | RelatedPerson) | There are no (further) constraints on this element Element idPatient.link.other The other patient or related person resource that the link refers to DefinitionThe other patient resource that the link refers to. Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual. Reference(Patient | RelatedPerson) Constraints
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type | Σ | 1..1 | codeBinding | Element idPatient.link.type replaced-by | replaces | refer | seealso DefinitionThe type of link between this patient resource and another patient resource. Only link type replaces is supported in SFM. Note that FHIR strings SHALL NOT exceed 1MB in size The type of link between this patient resource and another patient resource.
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