<status value="draft" /> <description value="Base Patient profile for the Irish health system, derived from the HL7 Europe Base Patient. It is deliberately permissive: special-category and identity-disambiguation data (for example ethnicity or mother's maiden name) are allowed but NOT MustSupport. Use-case profiles decide what must be sent and what must not be sent: IECorePatientEPrescription for ePrescription and eDispensation, and IECorePatientSummaryPatient for the Patient Summary (ADR-002, GDPR Art. 5(1)(c) data minimisation)." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Patient.extension:gender-identity"> <path value="Patient.extension" /> <sliceName value="gender-identity" /> <short value="Gender identity (HIQA gender cluster)" /> <comment value="HIQA EP 1.4.4 / PS 1.4.5 Gender cluster (Required 0..1). 'Other gender identity' free text (EP 1.4.4.2 / PS 1.4.5.2) goes in valueCodeableConcept.text." /> <mustSupport value="true" /> </element> <element id="Patient.extension:pronouns"> <path value="Patient.extension" /> <sliceName value="pronouns" /> <short value="Personal pronouns (not in either HIQA dataset)" /> </element> <element id="Patient.extension:sexAssignedAtBirth"> <path value="Patient.extension" /> <sliceName value="sexAssignedAtBirth" /> <short value="Sex assigned at birth (recorded sex, type LOINC 76689-9)" /> <definition value="The patient's sex assigned at birth, recorded with individual-recordedSexOrGender and typed with LOINC 76689-9 'Sex assigned at birth'. This is distinct from Patient.gender (administrative gender) and from gender identity." /> <comment value="HIQA EP 1.4.3 / PS 1.4.4 Sex (Mandatory 1..1). Mandatory in the use-case profiles (ADR-002). Displaying sex at birth alongside gender identity can disclose a gender reassignment; see the security guidance." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender" /> </type> <mustSupport value="true" /> </element> <element id="Patient.extension:sexAssignedAtBirth.extension"> <path value="Patient.extension.extension" /> <min value="2" /> </element> <element id="Patient.extension:sexAssignedAtBirth.extension:type"> <path value="Patient.extension.extension" /> <sliceName value="type" /> <min value="1" /> </element> <element id="Patient.extension:sexAssignedAtBirth.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.extension:ethnicity"> <path value="Patient.extension" /> <sliceName value="ethnicity" /> <short value="Ethnicity (special-category data; Patient Summary only)" /> <comment value="GDPR Art. 9 special-category data. HIQA PS 1.4.10 (Required 0..*). Not part of the HIQA ePrescription dataset, and prohibited in IECorePatientEPrescription (ADR-002)." /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-ethnicity" /> </type> </element> <element id="Patient.extension:mothersMaidenName"> <path value="Patient.extension" /> <sliceName value="mothersMaidenName" /> <short value="Mother's maiden name (not MustSupport)" /> <comment value="Not part of the HIQA ePrescription dataset. The Patient Summary uses IECoreMothersFormerSurname (HIQA PS 1.4.6, 0..*)." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName" /> </type> </element> <element id="Patient.extension:interpreterRequired"> <path value="Patient.extension" /> <sliceName value="interpreterRequired" /> <short value="Whether the patient requires an interpreter" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired" /> </type> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> <short value="Identifiers for this patient" /> <comment value="HIQA EP/PS 1.3. Identifiers other than the IHI (and the PPSN in the use-case profiles) are carried as 'other identifiers used in health and social care' (HIQA 1.3.3): type, value, validity period and issuing organisation. Examples from HIQA include PCRS scheme numbers (medical card, GP visit card, DPS, LTI, HAA), GP record number, MRN, NHS number and EHIC." /> <mustSupport value="true" /> </element> <element id="Patient.identifier.type"> <path value="Patient.identifier.type" /> <comment value="HIQA EP/PS 1.3.3.1 (Required)." /> <mustSupport value="true" /> </element> <element id="Patient.identifier.value"> <path value="Patient.identifier.value" /> <comment value="HIQA EP/PS 1.3.3.2 (Required)." /> <mustSupport value="true" /> </element> <element id="Patient.identifier.period"> <path value="Patient.identifier.period" /> <comment value="HIQA EP/PS 1.3.3.3 (Required)." /> <mustSupport value="true" /> </element> <element id="Patient.identifier.assigner"> <path value="Patient.identifier.assigner" /> <comment value="HIQA EP/PS 1.3.3.4 (Required): name of the issuing organisation (assigner.display), for example 'HSE'." /> <mustSupport value="true" /> </element> <element id="Patient.identifier:IHI"> <path value="Patient.identifier" /> <sliceName value="IHI" /> <short value="Individual Health Identifier (IHI)" /> <definition value="The Individual Health Identifier assigned by the HSE. HIQA describes it as a unique 18 or 10-digit number." /> <comment value="HIQA EP/PS 1.3.1 (Required 0..1). The system URI is a placeholder pending an HSE-published URI (OI-003). The relationship between the 18- and 10-digit forms is Requires Clarification (OI-002)." /> <min value="0" /> <max value="1" /> <constraint> <key value="ie-pat-1" /> <severity value="error" /> <human value="IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')" /> <expression value="value.matches('^([0-9]{18}|[0-9]{10})$')" /> <source value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.identifier:IHI.type"> <path value="Patient.identifier.type" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="NI" /> <display value="National unique individual identifier" /> </coding> </patternCodeableConcept> </element> <element id="Patient.identifier:IHI.system"> <path value="Patient.identifier.system" /> <min value="1" /> <patternUri value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:IHI.value"> <path value="Patient.identifier.value" /> <short value="IHI number (18 or 10 digits)" /> <min value="1" /> </element> <element id="Patient.name"> <path value="Patient.name" /> <mustSupport value="true" /> </element> <element id="Patient.name.use"> <path value="Patient.name.use" /> <mustSupport value="true" /> </element> <element id="Patient.name.family"> <path value="Patient.name.family" /> <short value="Family name (surname)" /> <mustSupport value="true" /> </element> <element id="Patient.name.given"> <path value="Patient.name.given" /> <short value="Given names (first and middle names)" /> <mustSupport value="true" /> </element> <element id="Patient.name.prefix"> <path value="Patient.name.prefix" /> <mustSupport value="true" /> </element> <element id="Patient.name.suffix"> <path value="Patient.name.suffix" /> <mustSupport value="true" /> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <mustSupport value="true" /> </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" /> <short value="Administrative gender (not sex assigned at birth)" /> <comment value="Administrative gender for record-keeping. Sex assigned at birth (HIQA EP 1.4.3 / PS 1.4.4) is carried in extension[sexAssignedAtBirth], and gender identity in extension[gender-identity]." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <short value="The date of birth for the patient" /> <comment value="HIQA EP/PS 1.4.1 Date of birth (Mandatory 1..1). 1..1 is inherited from HL7 Europe Base patient-eu-core." /> <mustSupport value="true" /> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <mustSupport value="true" /> </element> <element id="Patient.address"> <path value="Patient.address" /> <short value="An address for the patient (Irish address)" /> <mustSupport value="true" /> </element> <element id="Patient.address.use"> <path value="Patient.address.use" /> <mustSupport value="true" /> </element> <element id="Patient.address.line"> <path value="Patient.address.line" /> <mustSupport value="true" /> </element> <element id="Patient.address.city"> <path value="Patient.address.city" /> <short value="Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here)" /> <mustSupport value="true" /> </element> <element id="Patient.address.state"> <path value="Patient.address.state" /> <short value="County" /> <definition value="The Irish county. Bound to the IE Core County ValueSet." /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="https://hl7-ie.github.io/ie-core/fhir/ie/core/ValueSet/ie-core-county" /> </binding> </element> <element id="Patient.address.postalCode"> <path value="Patient.address.postalCode" /> <short value="Eircode or postal code (Eircode format XXX XXXX)" /> <mustSupport value="true" /> </element> <element id="Patient.address.country"> <path value="Patient.address.country" /> <short value="Country (ISO 3166-1 alpha-2)" /> <mustSupport value="true" /> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <mustSupport value="true" /> </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="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitioner" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitionerrole" /> </type> <mustSupport value="true" /> </element> <element id="Patient.managingOrganization"> <path value="Patient.managingOrganization" /> <type> <code value="Reference" /> <targetProfile value="https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>