<status value="active" /> <date value="2026-03-23" /> <publisher value="Israel Core Team" /> <contact> <telecom> <system value="email" /> <value value="tal.primak@moh.gov.il" /> </telecom> </contact> <description value="Israel Core Proposed constraints and extensions on the Patient Resource." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <differential> <element id="Patient"> <path value="Patient" /> <short value="ILCore Patient profile" /> <definition value="The Patient Profile is based upon the core FHIR Patient Resource" /> </element> <element id="Patient.extension"> <path value="Patient.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Patient.extension:hmo"> <path value="Patient.extension" /> <sliceName value="hmo" /> <short value="Extension: Israel Core HMO (קופת חולים)" /> <definition value="A code classifying the person's Israeli HMO" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://fhir.health.gov.il/StructureDefinition/ext-il-hmo" /> </type> <mustSupport value="true" /> </element> <element id="Patient.extension:parentName"> <path value="Patient.extension" /> <sliceName value="parentName" /> <short value="Extension: Administrative Parent Name" /> <definition value="Extension: The name of a person’s parent, recorded for administrative purposes as part of the person’s demographics (e.g to help with identification). This SHOULD NOT be confused with a parent whose details are recorded for contact purposes (Patient.contact) or as a family member (RelatedPerson). Most systems will use the “father’s name” field as the source of data for this extension. NOTE: This extension replaces the old ParentName extension and is the PREFFERED extension" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://fhir.health.gov.il/StructureDefinition/ext-administrative-parent-name" /> </type> <mustSupport value="true" /> </element> <element id="Patient.extension:birthPlace"> <path value="Patient.extension" /> <sliceName value="birthPlace" /> <short value="Extension: Place of Birth for patient" /> <definition value="Used mainly to record the birth country code" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace" /> </type> </element> <element id="Patient.extension:birthPlace.value[x].country"> <path value="Patient.extension.value[x].country" /> <min value="1" /> <binding> <strength value="required" /> <valueSet value="http://fhir.health.gov.il/ValueSet/il-core-extended-country-codes" /> </binding> </element> <element id="Patient.extension:immigration"> <path value="Patient.extension" /> <sliceName value="immigration" /> <short value="Extension: Patient Immigration" /> <definition value="Extension: Immigration information for a patient - for the purpose of this extension - immigration is an international movement of a person to a destination country in order to settle as permanent resident" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://fhir.health.gov.il/StructureDefinition/ext-patient-immigration" /> </type> </element> <element id="Patient.extension:birthSex"> <path value="Patient.extension" /> <sliceName value="birthSex" /> <short value="Extension: Person Recorded Sex Or Gender" /> <definition value="A recorded sex or gender property for the individual" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender" /> </type> </element> <element id="Patient.extension:birthSex.extension:value"> <path value="Patient.extension.extension" /> <sliceName value="value" /> </element> <element id="Patient.extension:birthSex.extension:value.value[x]"> <path value="Patient.extension.extension.value[x]" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender" /> </binding> </element> <element id="Patient.extension:birthSex.extension:type"> <path value="Patient.extension.extension" /> <sliceName value="type" /> </element> <element id="Patient.extension:birthSex.extension:type.value[x]"> <path value="Patient.extension.extension.value[x]" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="76689-9" /> <display value="Sex assigned at birth" /> </coding> </patternCodeableConcept> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <type> <code value="Identifier" /> <profile value="http://fhir.health.gov.il/StructureDefinition/il-core-identifier" /> </type> </element> <element id="Patient.identifier.system"> <path value="Patient.identifier.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier.value"> <path value="Patient.identifier.value" /> <short value="The value that is unique within the system." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:il-id"> <path value="Patient.identifier" /> <sliceName value="il-id" /> <short value="Israeli National Identifier" /> <definition value="Israeli ID number (9 digit unchangeable number, including leading zeros and includes a control digit), including temporarily identification numbers assigned by Israeli National Insurance" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:il-id.system"> <path value="Patient.identifier.system" /> <fixedUri value="http://fhir.health.gov.il/identifier/il-national-id" /> </element> <element id="Patient.identifier:il-id.value"> <path value="Patient.identifier.value" /> <short value="An Israeli ID number" /> <example> <label value="Valid Example" /> <valueString value="000000018" /> </example> <constraint> <key value="il-id-chk" /> <severity value="error" /> <human value="Israeli ID must be 9-digits with a correct check-digit at the end." /> <expression value="matches('^[0-9]{9}$') and substring(8,1).toInteger()= (10-((substring(0,1).toInteger() + substring(1,1).toInteger()*2 mod 10 + substring(1,1).toInteger()*2 div 10 + substring(2,1).toInteger() + substring(3,1).toInteger()*2 mod 10 + substring(3,1).toInteger()*2 div 10 + substring(4,1).toInteger() + substring(5,1).toInteger()*2 mod 10 + substring(5,1).toInteger()*2 div 10 + substring(6,1).toInteger() + substring(7,1).toInteger()*2 mod 10 + substring(7,1).toInteger()*2 div 10) mod 10)) mod 10" /> <source value="http://fhir.health.gov.il/StructureDefinition/il-core-patient" /> </constraint> </element> <element id="Patient.identifier:il-id.assigner"> <path value="Patient.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Patient.identifier:pna-id"> <path value="Patient.identifier" /> <sliceName value="pna-id" /> <short value="Palestinian National Identifier" /> <definition value="Palestinian ID number" /> <min value="0" /> <max value="1" /> <mustSupport value="false" /> </element> <element id="Patient.identifier:pna-id.system"> <path value="Patient.identifier.system" /> <fixedUri value="http://fhir.health.gov.il/identifier/pna-national-id" /> </element> <element id="Patient.identifier:pna-id.value"> <path value="Patient.identifier.value" /> <short value="A Palestininan ID number" /> <example> <label value="Valid Example" /> <valueString value="000000018" /> </example> </element> <element id="Patient.identifier:ppn"> <path value="Patient.identifier" /> <sliceName value="ppn" /> <short value="Passport Number" /> <definition value="Passport number" /> <min value="0" /> <max value="*" /> <mustSupport value="false" /> </element> <element id="Patient.identifier:ppn.type"> <path value="Patient.identifier.type" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="PPN" /> </coding> </patternCodeableConcept> </element> <element id="Patient.identifier:ppn.system"> <path value="Patient.identifier.system" /> <binding> <strength value="required" /> <valueSet value="http://fhir.health.gov.il/ValueSet/passport-uri" /> </binding> </element> <element id="Patient.identifier:ppn.value"> <path value="Patient.identifier.value" /> <short value="Passport Number" /> </element> <element id="Patient.identifier:prisoner-id"> <path value="Patient.identifier" /> <sliceName value="prisoner-id" /> <short value="Prisoner Number" /> <definition value="Israel Prison Service prisoner number (5-6 digits number). A unique identifier for any prisoner currently serving a prison sentence" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:prisoner-id.system"> <path value="Patient.identifier.system" /> <fixedUri value="http://fhir.health.gov.il/identifier/il-prisoner-number" /> </element> <element id="Patient.identifier:prisoner-id.value"> <path value="Patient.identifier.value" /> <short value="Prisoner Number" /> <example> <label value="Valid Example" /> <valueString value="123456" /> </example> <constraint> <key value="il-prison-num" /> <severity value="error" /> <human value="up to 8 digits prisoner number, allowing for hebrew characters" /> <expression value="matches('^[a-zA-Z0-9_אבגדהוזחטי כלמנסעפצקרתשךףץ]{0,8}$')" /> <source value="http://fhir.health.gov.il/StructureDefinition/il-core-patient" /> </constraint> </element> <element id="Patient.identifier:prisoner-id.assigner"> <path value="Patient.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Patient.identifier:enc-il-id"> <path value="Patient.identifier" /> <sliceName value="enc-il-id" /> <short value="National Identifier - MoH encrypted" /> <definition value="The person's national identifier after applying MoH's standard primary encryption algorithm" /> <min value="0" /> <max value="*" /> <mustSupport value="false" /> </element> <element id="Patient.identifier:enc-il-id.system"> <path value="Patient.identifier.system" /> <fixedUri value="http://fhir.health.gov.il/identifier/encrypted-id-primary-moh" /> </element> <element id="Patient.identifier:enc-il-id.value"> <path value="Patient.identifier.value" /> <short value="An encrypted identifier" /> <example> <label value="Valid Example" /> <valueString value="000000018" /> </example> </element> <element id="Patient.identifier:enc-il-id.assigner"> <path value="Patient.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Patient.identifier:entry-permit"> <path value="Patient.identifier" /> <sliceName value="entry-permit" /> <short value="Israeli Temporary entry permit" /> <definition value="Israeli Temporary entry permit number. For cases in which the State of Israel has issued such a document and this is the main form of identifiaction" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:entry-permit.system"> <path value="Patient.identifier.system" /> <fixedUri value="http://fhir.health.gov.il/identifier/il-entry-permit" /> </element> <element id="Patient.identifier:entry-permit.value"> <path value="Patient.identifier.value" /> <short value="An Israeli Visa Number" /> <example> <label value="Valid Example" /> <valueString value="000000018" /> </example> </element> <element id="Patient.identifier:entry-permit.assigner"> <path value="Patient.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Patient.identifier:enc-pna-id"> <path value="Patient.identifier" /> <sliceName value="enc-pna-id" /> <short value="Palestinian ID number" /> <definition value="Ecoded Palestinian National Identifier" /> <min value="0" /> <max value="1" /> <mustSupport value="false" /> </element> <element id="Patient.identifier:enc-pna-id.system"> <path value="Patient.identifier.system" /> <fixedUri value="http://fhir.health.gov.il/identifier/encrypted-pna-id-primary-moh" /> </element> <element id="Patient.identifier:enc-pna-id.value"> <path value="Patient.identifier.value" /> <short value="A Palestininan ID number" /> </element> <element id="Patient.identifier:enc-pna-id.assigner"> <path value="Patient.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Patient.name"> <path value="Patient.name" /> <slicing> <discriminator> <type value="value" /> <path value="extension('http://hl7.org/fhir/StructureDefinition/language').value" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <constraint> <key value="il-patient-name" /> <severity value="error" /> <human value="Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present." /> <expression value="(family.exists() or given.exists()) or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()" /> <source value="http://fhir.health.gov.il/StructureDefinition/il-core-patient" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.name.extension:dataAbsentReason"> <path value="Patient.name.extension" /> <sliceName value="dataAbsentReason" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" /> </type> </element> <element id="Patient.name.family"> <path value="Patient.name.family" /> <mustSupport value="true" /> </element> <element id="Patient.name.given"> <path value="Patient.name.given" /> <mustSupport value="true" /> </element> <element id="Patient.name:Hebrew"> <path value="Patient.name" /> <sliceName value="Hebrew" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Patient.name:Hebrew.extension:dataAbsentReason"> <path value="Patient.name.extension" /> <sliceName value="dataAbsentReason" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" /> </type> </element> <element id="Patient.name:Hebrew.extension:language"> <path value="Patient.name.extension" /> <sliceName value="language" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://fhir.health.gov.il/StructureDefinition/il-core-language" /> </type> </element> <element id="Patient.name:Hebrew.extension:language.value[x]"> <path value="Patient.name.extension.value[x]" /> <fixedCode value="he" /> </element> <element id="Patient.name:English"> <path value="Patient.name" /> <sliceName value="English" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Patient.name:English.extension:dataAbsentReason"> <path value="Patient.name.extension" /> <sliceName value="dataAbsentReason" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" /> </type> </element> <element id="Patient.name:English.extension:language"> <path value="Patient.name.extension" /> <sliceName value="language" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://fhir.health.gov.il/StructureDefinition/il-core-language" /> </type> </element> <element id="Patient.name:English.extension:language.value[x]"> <path value="Patient.name.extension.value[x]" /> <fixedCode value="en" /> </element> <element id="Patient.name:Arabic"> <path value="Patient.name" /> <sliceName value="Arabic" /> <min value="0" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Patient.name:Arabic.extension:dataAbsentReason"> <path value="Patient.name.extension" /> <sliceName value="dataAbsentReason" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" /> </type> </element> <element id="Patient.name:Arabic.extension:language"> <path value="Patient.name.extension" /> <sliceName value="language" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://fhir.health.gov.il/StructureDefinition/il-core-language" /> </type> </element> <element id="Patient.name:Arabic.extension:language.value[x]"> <path value="Patient.name.extension.value[x]" /> <fixedCode value="ar" /> </element> <element id="Patient.telecom.extension:purpose"> <path value="Patient.telecom.extension" /> <sliceName value="purpose" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/contactpoint-purpose" /> </type> </element> <element id="Patient.telecom.extension:purpose.value[x]"> <path value="Patient.telecom.extension.value[x]" /> <binding> <strength value="extensible" /> <valueSet value="http://fhir.health.gov.il/ValueSet/il-core-contact-point-purpose" /> </binding> </element> <element id="Patient.telecom.system"> <path value="Patient.telecom.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.telecom.value"> <path value="Patient.telecom.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.telecom.use"> <path value="Patient.telecom.use" /> <mustSupport value="true" /> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.address"> <path value="Patient.address" /> <type> <code value="Address" /> <profile value="http://fhir.health.gov.il/StructureDefinition/il-core-address" /> </type> </element> <element id="Patient.contact"> <path value="Patient.contact" /> <slicing> <discriminator> <type value="pattern" /> <path value="relationship" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Patient.contact.telecom.extension:purpose"> <path value="Patient.contact.telecom.extension" /> <sliceName value="purpose" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/contactpoint-purpose" /> </type> </element> <element id="Patient.contact.telecom.extension:purpose.value[x]"> <path value="Patient.contact.telecom.extension.value[x]" /> <binding> <strength value="extensible" /> <valueSet value="http://fhir.health.gov.il/ValueSet/il-core-contact-point-purpose" /> </binding> </element> <element id="Patient.contact.organization"> <path value="Patient.contact.organization" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Patient.contact:parent"> <path value="Patient.contact" /> <sliceName value="parent" /> <min value="0" /> <max value="*" /> </element> <element id="Patient.contact:parent.relationship"> <path value="Patient.contact.relationship" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" /> <code value="PRN" /> </coding> </patternCodeableConcept> </element> <element id="Patient.contact:parent.telecom.extension:purpose"> <path value="Patient.contact.telecom.extension" /> <sliceName value="purpose" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/contactpoint-purpose" /> </type> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <mustSupport value="true" /> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role" /> </type> </element> <element id="Patient.managingOrganization"> <path value="Patient.managingOrganization" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-organization" /> </type> </element> <element id="Patient.link.other"> <path value="Patient.link.other" /> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"> <valueBoolean value="false" /> </extension> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-patient" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-related-person" /> </type> </element> </differential> </StructureDefinition>