HdBe-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
NameInformation	0..1	HdBe NameInformation	There are no (further) constraints on this element Element Id Patient.NameInformation Short description NameInformation Definition Patient's full name. Data Type HdBe NameInformation
AddressInformation	0..*	HdBe AddressInformation	There are no (further) constraints on this element Element Id Patient.AddressInformation Short description AddressInformation Definition Patient's address information. Data Type HdBe AddressInformation
ContactInformation	0..*	HdBe ContactInformation	There are no (further) constraints on this element Element Id Patient.ContactInformation Short description ContactInformation Definition Patient’s telephone number(s) or e-mail address(es). Data Type HdBe ContactInformation
PatientIdentificationNumber	0..*	Identifier	There are no (further) constraints on this element Element Id Patient.PatientIdentificationNumber 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
DateOfBirth	0..1	dateTime	There are no (further) constraints on this element Element Id Patient.DateOfBirth Short description DateOfBirth Definition Patient’s date of birth. 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. If needed, the observation resource can be used to capture specific sex or gender aspect of interest. Data Type CodeableConcept Binding Gender codes Gender (required)
MultipleBirthIndicator	0..1	boolean	There are no (further) constraints on this element Element Id Patient.MultipleBirthIndicator Short description MultipleBirthIndicator Definition An indication stating whether the patient is of a multiple birth. Data Type boolean
MultipleBirthOrder	0..1	integer	There are no (further) constraints on this element Element Id Patient.MultipleBirthOrder Short description MultipleBirthOrder Definition An indication of the birth order in case the patient is of a multiple birth. Data Type integer
DeathIndicator	0..1	boolean	There are no (further) constraints on this element Element Id Patient.DeathIndicator Short description DeathIndicator Definition An indication stating whether the patient has died. Data Type boolean
DateOfDeath	0..1	dateTime	There are no (further) constraints on this element Element Id Patient.DateOfDeath 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.NameInformation	HdBe NameInformation	0..1
Patient.AddressInformation	HdBe AddressInformation	0..*
Patient.ContactInformation	HdBe ContactInformation	0..*
Patient.PatientIdentificationNumber	Identifier	0..*
Patient.DateOfBirth	dateTime	0..1
Patient.Gender	CodeableConcept	0..1
Patient.MultipleBirthIndicator	boolean	0..1
Patient.MultipleBirthOrder	integer	0..1
Patient.DeathIndicator	boolean	0..1
Patient.DateOfDeath	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.NameInformation
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.AddressInformation
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.ContactInformation
Definition	Patient’s telephone number(s) or e-mail address(es).
Cardinality	0...*
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.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.
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.DateOfBirth
Definition	Patient’s date of birth. 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. If needed, the observation resource can be used to capture 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.MultipleBirthIndicator
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.MultipleBirthOrder
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.DeathIndicator
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.DateOfDeath
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
NameInformation	reference to NameInformation (Belle Ulijn)
AddressInformation	reference to AddressInformation (Rue de Boneffe 422)
ContactInformation	reference to ContactInformation (+3247458497; BelleUlijn@mail.Be)
PatientIdentificationNumber	41.07.21.00.284 (SSIN)
DateOfBirth	1941-07-21
Gender	248152002 - Female (code by SNOMED CT)
MultipleBirthIndicator	false
MultipleBirthOrder
DeathIndicator	false
DateOfDeath

zib Patient-v3.2 difference

Concept	Category	Description
Evidence Base	textual	Removed Dutch specific context from the Evidence Base section in `StructureDefinition.Description`.
`ContactInformation`	cardinality	Loosened cardinality from 0..1 to 0..* based on the changes made to the CBB ConctactInformation. Widening the cardinality here allows for capturing all contact information necessary.
`PatientIdentificationNumber`	textual	Replaced the Dutch context (BSN) with the Belgian equivalent (NISS-INSZ).
`DateOfBirth`	textual	Removed text regarding mandatory date of birth.
`Gender`	textual	Extended definition to clarify that the concept is about administrative gender rather then the patient's identified sex.
`MultipleBirthOrder`	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