Patient
Full Profile Definition | Profile: Patient |
Example JSON | Example: Patient |
External Implementation Guides referenced | - CARIN C4BB Patient - US Core Patient |
Resource Content:
Differential
Patient | I | Patient | Element idPatient An individual within the context of a client Alternate namesSubjectOfCare Client Resident DefinitionDemographics and other administrative information about an individual or animal receiving care or other health-related services.
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id | S Σ | 1..1 | string | 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. |
meta | S Σ | 1..1 | Element: Meta | Element idPatient.meta Metadata about a resource DefinitionThe metadata about a resource. This is content in the resource 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 | There are no (further) constraints on this element 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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race | I | 0..1 | Extension(Complex) | Element idPatient.extension:race US Core Race Extension Alternate namesextensions, user content DefinitionConcepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the CDC Race and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:
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/us/core/StructureDefinition/us-core-race Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idPatient.extension:race.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 | 1..* | Extension | There are no (further) constraints on this element Element idPatient.extension:race.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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ombCategory | S I | 0..5 | Extension | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White Alternate namesextensions, user content DefinitionThe 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997. 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 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory.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.extension:race.extension:ombCategory.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:race.extension:ombCategory.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. ombCategory
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory.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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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 | ||
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 | ||
valueMeta | Meta | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valueCoding | 1..1 | CodingBinding | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory.value[x]:valueCoding Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
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detailed | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed Extended race codes Alternate namesextensions, user content DefinitionThe 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:. 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 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed.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.extension:race.extension:detailed.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:race.extension:detailed.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. detailed
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed.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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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 | ||
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 | ||
valueMeta | Meta | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valueCoding | 1..1 | CodingBinding | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed.value[x]:valueCoding Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 900+ CDC Race codes that are grouped under one of the 5 OMB race category codes.
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text | S I | 1..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:race.extension:text Race Text Alternate namesextensions, user content DefinitionPlain text representation of the race concept(s). 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 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:text.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.extension:race.extension:text.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:race.extension:text.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. text
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:race.extension:text.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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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 | ||
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 | ||
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 | ||
valueMeta | Meta | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valueString | 1..1 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:text.value[x]:valueString 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:race.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/us/core/StructureDefinition/us-core-race
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value[x] | 0..0 | There are no (further) constraints on this element Element idPatient.extension:race.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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ethnicity | I | 0..1 | Extension(Complex) | Element idPatient.extension:ethnicity US Core ethnicity Extension Alternate namesextensions, user content DefinitionConcepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the CDC ethnicity and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino. 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/us/core/StructureDefinition/us-core-ethnicity Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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 | 1..* | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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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ombCategory | S I | 0..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:ombCategory Hispanic or Latino|Not Hispanic or Latino Alternate namesextensions, user content DefinitionThe 2 ethnicity category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997. 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 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:ombCategory.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.extension:ethnicity.extension:ombCategory.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:ethnicity.extension:ombCategory.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. ombCategory
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value[x] | 1..1 | Binding | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:ombCategory.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 2 ethnicity category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
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valueCoding | Coding | There are no (further) constraints on this element Data type | ||
detailed | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:detailed Extended ethnicity codes Alternate namesextensions, user content DefinitionThe 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes. 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 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:detailed.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.extension:ethnicity.extension:detailed.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:ethnicity.extension:detailed.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. detailed
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value[x] | 1..1 | Binding | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:detailed.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.
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valueCoding | Coding | There are no (further) constraints on this element Data type | ||
text | S I | 1..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:text ethnicity Text Alternate namesextensions, user content DefinitionPlain text representation of the ethnicity concept(s). 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 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:text.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.extension:ethnicity.extension:text.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:ethnicity.extension:text.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. text
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value[x] | 1..1 | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:text.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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valueString | string | There are no (further) constraints on this element Data type | ||
url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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/us/core/StructureDefinition/us-core-ethnicity
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value[x] | 0..0 | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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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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 | 1..* | Element: Identifier | Element idPatient.identifier A value to identify the resource by DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Unordered, Open, by slice by type Constraints
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member-number | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:member-number insurance coverage's unique identifier for the individual DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "id": "member-number", "type": { "coding": [ { "id": "member-number-type", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MB" } ] } }
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employee-id | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:employee-id employer's's unique identifier for the individual DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "id": "employee-id", "type": { "coding": [ { "id": "employee-id-type", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "EI" } ] } }
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medicare-id | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:medicare-id Medicare Beneficiary Identifier DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MC" } ] }, "system": "http://hl7.org/fhir/sid/us-mbi" }
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medicaid-id | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:medicaid-id An identifier for this patient DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MA" } ] } }
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active | S Σ ?! | 1..1 | boolean | 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. default to true This resource is generally assumed to be active if no value is provided for the active element
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name | S Σ | 1..* | Element: Human Name | Element idPatient.name An individual's name DefinitionA human's name with the ability to identify parts and usage. 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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telecom | S Σ I | 0..* | Element: Contact Point | Element idPatient.telecom Details of a Technology mediated contact point (phone, fax, email, etc.) DefinitionDetails for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. 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). Unordered, Open, by slice by use & type Constraints
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phone | Σ I | 0..* | ContactPointPattern | Element idPatient.telecom:phone Phone number 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).
{ "system": "phone" }
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Σ I | 0..* | ContactPointPattern | Element idPatient.telecom:email An e-mail address 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).
{ "system": "email" }
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work-phone | Σ I | 0..1 | ContactPointPattern | Element idPatient.telecom:work-phone A business phone number 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).
{ "system": "phone", "use": "work" }
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gender | S Σ | 1..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 | 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).
example-birthdate 2020-01-01 Mappings
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deceased[x] | S 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..* | Element: Address | Element idPatient.address A physical or postal address 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. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: Some addresses are subjected to a standardization process that may alter original values
example-physical-address { "use": "home", "type": "both", "line": [ "123 Main St", "Apt 2" ], "city": "Houston", "state": "TX", "postalCode": "77001" } example-address-state { "text": "Texas", "state": "TX" } Mappings
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maritalStatus | 0..1 | Element: Codeable ConceptBinding | Element idPatient.maritalStatus Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. 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..* | Element: Attachment - image | Element idPatient.photo An image (jpg) attachment DefinitionFor referring to data content defined in other formats. Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".
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contact | S 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 | string | 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..* | Element: Codeable ConceptBinding | Element idPatient.contact.relationship Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. 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 | Element: Human Name | Element idPatient.contact.name An individual's name DefinitionA human's name with the ability to identify parts and usage. 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..* | Element: Contact Point | Element idPatient.contact.telecom Details of a Technology mediated contact point (phone, fax, email, etc.) DefinitionDetails for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. 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 | Element: Address | Element idPatient.contact.address A physical or postal address 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: Some addresses are subjected to a standardization process that may alter original values
example-physical-address { "use": "home", "type": "both", "line": [ "123 Main St", "Apt 2" ], "city": "Houston", "state": "TX", "postalCode": "77001" } example-address-state { "text": "Texas", "state": "TX" } Mappings
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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 | S | 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 | S | 1..1 | string | 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 | S | 1..1 | Element: Codeable ConceptBinding | Element idPatient.communication.language Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. 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. A human language.
example-language { "coding": [ { "system": "urn:ietf:bcp:47", "code": "en", "display": "English" } ], "text": "English" } Mappings
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preferred | S | 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 | S I | 0..* | Reference(Profile: Healthcare Organization | Profile: Practitioner) | 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(Profile: Healthcare Organization | Profile: Practitioner) Constraints
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managingOrganization | Σ I | 0..1 | Reference(Organization) | 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).
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link | Σ ?! | 0..* | BackboneElement | 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:
b.Well internal documentation: https://icanbwell.atlassian.net/wiki/spaces/ENTARCH/pages/3947855873/EMPI+-+MVP+FHIR+Person-Patient+Implementation+and+Example There is no assumption that linked patient records have mutual links.
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id | 0..1 | string | 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(RelatedPerson | Profile: Patient) | 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(RelatedPerson | Profile: Patient) Constraints
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type | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element idPatient.link.type replaced-by | replaces | refer | seealso DefinitionThe type of link between this patient resource and another patient resource. 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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Hybrid
Patient | I | Patient | Element idPatient An individual within the context of a client Alternate namesSubjectOfCare Client Resident DefinitionDemographics and other administrative information about an individual or animal receiving care or other health-related services.
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id | S Σ | 1..1 | string | 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. |
meta | S Σ | 1..1 | Element: Meta | Element idPatient.meta Metadata about a resource DefinitionThe metadata about a resource. This is content in the resource 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 | There are no (further) constraints on this element 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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race | I | 0..1 | Extension(Complex) | Element idPatient.extension:race US Core Race Extension Alternate namesextensions, user content DefinitionConcepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the CDC Race and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:
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/us/core/StructureDefinition/us-core-race Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idPatient.extension:race.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 | 1..* | Extension | There are no (further) constraints on this element Element idPatient.extension:race.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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ombCategory | S I | 0..5 | Extension | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White Alternate namesextensions, user content DefinitionThe 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997. 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 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory.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.extension:race.extension:ombCategory.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:race.extension:ombCategory.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. ombCategory
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory.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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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 | ||
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 | ||
valueMeta | Meta | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valueCoding | 1..1 | CodingBinding | There are no (further) constraints on this element Element idPatient.extension:race.extension:ombCategory.value[x]:valueCoding Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
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detailed | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed Extended race codes Alternate namesextensions, user content DefinitionThe 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:. 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 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed.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.extension:race.extension:detailed.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:race.extension:detailed.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. detailed
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed.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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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 | ||
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 | ||
valueMeta | Meta | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valueCoding | 1..1 | CodingBinding | There are no (further) constraints on this element Element idPatient.extension:race.extension:detailed.value[x]:valueCoding Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 900+ CDC Race codes that are grouped under one of the 5 OMB race category codes.
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text | S I | 1..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:race.extension:text Race Text Alternate namesextensions, user content DefinitionPlain text representation of the race concept(s). 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 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:text.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.extension:race.extension:text.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:race.extension:text.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. text
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value[x] | 0..1 | There are no (further) constraints on this element Element idPatient.extension:race.extension:text.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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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 | ||
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 | ||
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 | ||
valueMeta | Meta | There are no (further) constraints on this element Data type | ||
valueReference | Reference() | There are no (further) constraints on this element Data type | ||
valueString | 1..1 | string | There are no (further) constraints on this element Element idPatient.extension:race.extension:text.value[x]:valueString 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:race.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/us/core/StructureDefinition/us-core-race
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value[x] | 0..0 | There are no (further) constraints on this element Element idPatient.extension:race.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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ethnicity | I | 0..1 | Extension(Complex) | Element idPatient.extension:ethnicity US Core ethnicity Extension Alternate namesextensions, user content DefinitionConcepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the CDC ethnicity and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino. 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/us/core/StructureDefinition/us-core-ethnicity Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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 | 1..* | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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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ombCategory | S I | 0..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:ombCategory Hispanic or Latino|Not Hispanic or Latino Alternate namesextensions, user content DefinitionThe 2 ethnicity category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997. 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 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:ombCategory.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.extension:ethnicity.extension:ombCategory.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:ethnicity.extension:ombCategory.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. ombCategory
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value[x] | 1..1 | Binding | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:ombCategory.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 2 ethnicity category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
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valueCoding | Coding | There are no (further) constraints on this element Data type | ||
detailed | I | 0..* | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:detailed Extended ethnicity codes Alternate namesextensions, user content DefinitionThe 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes. 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 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:detailed.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.extension:ethnicity.extension:detailed.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:ethnicity.extension:detailed.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. detailed
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value[x] | 1..1 | Binding | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:detailed.value[x] Value of extension DefinitionValue of extension - must be one of a constrained set of the data types (see Extensibility for a list). The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.
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valueCoding | Coding | There are no (further) constraints on this element Data type | ||
text | S I | 1..1 | Extension | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:text ethnicity Text Alternate namesextensions, user content DefinitionPlain text representation of the ethnicity concept(s). 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 | string | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:text.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.extension:ethnicity.extension:text.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:ethnicity.extension:text.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. text
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value[x] | 1..1 | There are no (further) constraints on this element Element idPatient.extension:ethnicity.extension:text.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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valueString | string | There are no (further) constraints on this element Data type | ||
url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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/us/core/StructureDefinition/us-core-ethnicity
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value[x] | 0..0 | There are no (further) constraints on this element Element idPatient.extension:ethnicity.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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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 | 1..* | Element: Identifier | Element idPatient.identifier A value to identify the resource by DefinitionAn identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Patients are almost always assigned specific numerical identifiers. Unordered, Open, by slice by type Constraints
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member-number | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:member-number insurance coverage's unique identifier for the individual DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "id": "member-number", "type": { "coding": [ { "id": "member-number-type", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MB" } ] } }
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employee-id | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:employee-id employer's's unique identifier for the individual DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "id": "employee-id", "type": { "coding": [ { "id": "employee-id-type", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "EI" } ] } }
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medicare-id | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:medicare-id Medicare Beneficiary Identifier DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MC" } ] }, "system": "http://hl7.org/fhir/sid/us-mbi" }
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medicaid-id | Σ | 0..1 | IdentifierPattern | Element idPatient.identifier:medicaid-id An identifier for this patient DefinitionAn identifier for this patient. Patients are almost always assigned specific numerical identifiers.
{ "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MA" } ] } }
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active | S Σ ?! | 1..1 | boolean | 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. default to true This resource is generally assumed to be active if no value is provided for the active element
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name | S Σ | 1..* | Element: Human Name | Element idPatient.name An individual's name DefinitionA human's name with the ability to identify parts and usage. 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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telecom | S Σ I | 0..* | Element: Contact Point | Element idPatient.telecom Details of a Technology mediated contact point (phone, fax, email, etc.) DefinitionDetails for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. 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). Unordered, Open, by slice by use & type Constraints
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phone | Σ I | 0..* | ContactPointPattern | Element idPatient.telecom:phone Phone number 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).
{ "system": "phone" }
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Σ I | 0..* | ContactPointPattern | Element idPatient.telecom:email An e-mail address 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).
{ "system": "email" }
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work-phone | Σ I | 0..1 | ContactPointPattern | Element idPatient.telecom:work-phone A business phone number 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).
{ "system": "phone", "use": "work" }
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gender | S Σ | 1..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 | 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).
example-birthdate 2020-01-01 Mappings
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deceased[x] | S 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..* | Element: Address | Element idPatient.address A physical or postal address 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. May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. Note: Some addresses are subjected to a standardization process that may alter original values
example-physical-address { "use": "home", "type": "both", "line": [ "123 Main St", "Apt 2" ], "city": "Houston", "state": "TX", "postalCode": "77001" } example-address-state { "text": "Texas", "state": "TX" } Mappings
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maritalStatus | 0..1 | Element: Codeable ConceptBinding | Element idPatient.maritalStatus Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. 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..* | Element: Attachment - image | Element idPatient.photo An image (jpg) attachment DefinitionFor referring to data content defined in other formats. Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too. When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".
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contact | S 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 | string | 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..* | Element: Codeable ConceptBinding | Element idPatient.contact.relationship Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. 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 | Element: Human Name | Element idPatient.contact.name An individual's name DefinitionA human's name with the ability to identify parts and usage. 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..* | Element: Contact Point | Element idPatient.contact.telecom Details of a Technology mediated contact point (phone, fax, email, etc.) DefinitionDetails for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc. 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 | Element: Address | Element idPatient.contact.address A physical or postal address 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: Some addresses are subjected to a standardization process that may alter original values
example-physical-address { "use": "home", "type": "both", "line": [ "123 Main St", "Apt 2" ], "city": "Houston", "state": "TX", "postalCode": "77001" } example-address-state { "text": "Texas", "state": "TX" } Mappings
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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 | S | 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 | S | 1..1 | string | 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 | S | 1..1 | Element: Codeable ConceptBinding | Element idPatient.communication.language Concept - reference to a terminology or just text DefinitionA concept that may be defined by a formal reference to a terminology or ontology or may be provided by text. Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect. 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. A human language.
example-language { "coding": [ { "system": "urn:ietf:bcp:47", "code": "en", "display": "English" } ], "text": "English" } Mappings
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preferred | S | 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 | S I | 0..* | Reference(Profile: Healthcare Organization | Profile: Practitioner) | 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(Profile: Healthcare Organization | Profile: Practitioner) Constraints
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managingOrganization | Σ I | 0..1 | Reference(Organization) | 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).
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link | Σ ?! | 0..* | BackboneElement | 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:
b.Well internal documentation: https://icanbwell.atlassian.net/wiki/spaces/ENTARCH/pages/3947855873/EMPI+-+MVP+FHIR+Person-Patient+Implementation+and+Example There is no assumption that linked patient records have mutual links.
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id | 0..1 | string | 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(RelatedPerson | Profile: Patient) | 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(RelatedPerson | Profile: Patient) Constraints
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type | Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element idPatient.link.type replaced-by | replaces | refer | seealso DefinitionThe type of link between this patient resource and another patient resource. 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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Examples:
{ "resourceType": "Patient", "id": "example-patient", "meta": { "lastUpdated": "2024-02-01T15:23:02.000Z", "source": "https://www.icanbwell.com", "profile": [ "https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-patient", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0", "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient|2.0.0" ], "security": [ { "system": "https://www.icanbwell.com/owner", "code": "bwell" }, { "system": "https://www.icanbwell.com/access", "code": "bwell" } ] }, "extension": [ { "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity", "extension": [ { "url": "ombCategory", "valueCoding": { "system": "urn:oid:2.16.840.1.113883.6.238", "code": "2186-5", "display": "Not Hispanic or Latino" } }, { "url": "text", "valueString": "Not Hispanic or Latino" } ] }, { "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race", "extension": [ { "url": "ombCategory", "valueCoding": { "system": "urn:oid:2.16.840.1.113883.6.238", "code": "2106-3", "display": "White" } }, { "url": "text", "valueString": "White" } ] } ], "identifier": [ { "id": "member-number", "use": "usual", "type": { "coding": [ { "id": "mb", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MB" } ], "text": "Member Number" }, "system": "https://www.icanbwell.com", "value": "A123" }, { "id": "employee-id", "use": "usual", "type": { "coding": [ { "id": "employee-id-code", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "EI" } ], "text": "Employee Id" }, "system": "https://www.icanbwell.com", "value": "567567567" } ], "active": true, "name": [ { "id": "name", "use": "usual", "text": "Jane Smith", "family": "Smith", "given": [ "Jane", "Ann" ] } ], "telecom": [ { "id": "phone", "system": "phone", "value": "555-555-5555" }, { "id": "email", "system": "email", "value": "smith@mail.com" } ], "gender": "female", "birthDate": "2000-01-01", "deceasedBoolean": false, "address": [ { "id": "address", "line": [ "123 Main St", "Apt 2" ], "city": "Houston", "state": "TX", "postalCode": "77001" } ], "communication": [ { "id": "primary-spoken-language", "language": { "coding": [ { "id": "language_code", "system": "urn:ietf:bcp:47", "code": "en" } ] }, "preferred": true } ], "generalPractitioner": [ { "reference": "Practitioner/1234567890|nppes" } ] }