Patient

CBB	Status	URL
HdBe-Patient	draft	https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Patient

patient		Patient	There are no (further) constraints on this element Element Id patient Short description Patient Definition Root concept of the Patient information model. This root concept contains all data elements of the Patient information model. Data Type Patient
name_information	0..1	HdBe NameInformation	There are no (further) constraints on this element Element Id patient.name_information Short description NameInformation Definition Patient's full name. Data Type HdBe NameInformation
address_information	0..*	HdBe AddressInformation	There are no (further) constraints on this element Element Id patient.address_information Short description AddressInformation Definition Patient's address information. Data Type HdBe AddressInformation
contact_information	0..1	HdBe ContactInformation	There are no (further) constraints on this element Element Id patient.contact_information Short description ContactInformation Definition Patient’s telephone number(s) or e-mail address(es). Data Type HdBe ContactInformation
patient_identification_number	0..*	Identifier	There are no (further) constraints on this element Element Id patient.patient_identification_number Short description PatientIdentificationNumber Definition The patient’s identification number. Typically, when an social security identification number (NISS-INSZ), is available it is used. A local identifier may be provided when this is desired. Data Type Identifier
date_of_birth	0..1	dateTime	There are no (further) constraints on this element Element Id patient.date_of_birth Short description DateOfBirth Definition Patient’s date of birth. The date of birth is mandatory for a patient. A vague date (such as only the year) is permitted. Data Type dateTime
gender	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id patient.gender Short description Gender Definition Patient’s administrative gender - the gender that the patient is considered to have for administration and record keeping purposes. Note that the gender might not match the biological sex as determined by genetics or the individual's preferred identification. The Observation resource can deal with specific sex or gender aspect of interest. Data Type CodeableConcept Binding Gender codes Gender (required)
multiple_birth_indicator	0..1	boolean	There are no (further) constraints on this element Element Id patient.multiple_birth_indicator Short description MultipleBirthIndicator Definition An indication stating whether the patient is of a multiple birth. Data Type boolean
multiple_birth_order	0..1	integer	There are no (further) constraints on this element Element Id patient.multiple_birth_order Short description MultipleBirthOrder Definition An indication of the birth order in case the patient is of a multiple birth. Data Type integer
death_indicator	0..1	boolean	There are no (further) constraints on this element Element Id patient.death_indicator Short description DeathIndicator Definition An indication stating whether the patient has died. Data Type boolean
date_of_death	0..1	dateTime	There are no (further) constraints on this element Element Id patient.date_of_death Short description DateOfDeath Definition The date on which the patient died. A ‘vague’ date, such as only the year, is permitted. Data Type dateTime

patient		0..*
patient.name_information	HdBe NameInformation	0..1
patient.address_information	HdBe AddressInformation	0..*
patient.contact_information	HdBe ContactInformation	0..1
patient.patient_identification_number	Identifier	0..*
patient.date_of_birth	dateTime	0..1
patient.gender	CodeableConcept	0..1
patient.multiple_birth_indicator	boolean	0..1
patient.multiple_birth_order	integer	0..1
patient.death_indicator	boolean	0..1
patient.date_of_death	dateTime	0..1

patient
Definition	Root concept of the Patient information model. This root concept contains all data elements of the Patient information model.
Cardinality	0...*
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
patient.extension
Definition	May 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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
patient.name_information
Definition	Patient's full name.
Cardinality	0...1
Type	HdBe NameInformation
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.address_information
Definition	Patient's address information.
Cardinality	0...*
Type	HdBe AddressInformation
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.contact_information
Definition	Patient’s telephone number(s) or e-mail address(es).
Cardinality	0...1
Type	HdBe ContactInformation
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.patient_identification_number
Definition	The patient’s identification number. Typically, when an social security identification number (NISS-INSZ), is available it is used. A local identifier may be provided when this is desired.
Cardinality	0...*
Type	Identifier
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier
patient.date_of_birth
Definition	Patient’s date of birth. The date of birth is mandatory for a patient. A vague date (such as only the year) is permitted.
Cardinality	0...1
Type	dateTime
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.gender
Definition	Patient’s administrative gender - the gender that the patient is considered to have for administration and record keeping purposes. Note that the gender might not match the biological sex as determined by genetics or the individual's preferred identification. The Observation resource can deal with specific sex or gender aspect of interest.
Cardinality	0...1
Type	CodeableConcept
Binding	Gender codes Gender (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
patient.multiple_birth_indicator
Definition	An indication stating whether the patient is of a multiple birth.
Cardinality	0...1
Type	boolean
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.multiple_birth_order
Definition	An indication of the birth order in case the patient is of a multiple birth.
Cardinality	0...1
Type	integer
Comments	32 bit number; for values larger than this, use decimal
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.death_indicator
Definition	An indication stating whether the patient has died.
Cardinality	0...1
Type	boolean
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
patient.date_of_death
Definition	The date on which the patient died. A ‘vague’ date, such as only the year, is permitted.
Cardinality	0...1
Type	dateTime
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a

Example instances

patient
name_information	see CBB NameInformation
address_information	see CBB AddressInformation
contact_information	see CBB ContactInformation
patient_identification_number	41.07.21.00.284 (SSIN)
date_of_birth	1941-07-21
gender	Female
multiple_birth_indicator	false
multiple_birth_order
death_indicator	false
date_of_death

zib Patient-v3.2 difference

Concept	Category	Description
Evidence Base	textual	Removed Dutch specific context from the Evidence Base section in `StructureDefinition.description`.
`patient_identification_number`	textual	Replaced the Dutch context (BSN) with the Belgian equivalent (NISS-INSZ).
`gender`	textual	Extended definition to clarify that the concept is about administrative gender rather then the patient's identified sex.
`multiple_birth_order`	element	Added element which defines the order of birth. ZIB-1670

Terminology Bindings

Path	Name	Strength	URL
gender	Gender	required	https://fhir.healthdata.be/ValueSet/Gender