<status value="draft" /> <experimental value="false" /> <date value="2020-06-27" /> <publisher value="HL7 US Realm Steering Committee" /> <contact> <telecom> <system value="url" /> <value value="http://www.healthit.gov" /> </telecom> </contact> <description value="Defines constraints and extensions on the patient resource for the minimal set of data to query and retrieve patient demographic information." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="US" /> <display value="United States of America" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="loinc" /> <uri value="http://loinc.org" /> <name value="LOINC code for the element" /> </mapping> <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" /> <definition value="The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set." /> <mustSupport value="false" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient" /> </mapping> </element> <element id="Patient.extension:race"> <path value="Patient.extension" /> <sliceName value="race" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" /> </type> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.extension" /> </mapping> </element> <element id="Patient.extension:race.extension"> <path value="Patient.extension.extension" /> <min value="1" /> </element> <element id="Patient.extension:ethnicity"> <path value="Patient.extension" /> <sliceName value="ethnicity" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" /> </type> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.extension" /> </mapping> </element> <element id="Patient.extension:ethnicity.extension"> <path value="Patient.extension.extension" /> <min value="1" /> </element> <element id="Patient.extension:birthsex"> <path value="Patient.extension" /> <sliceName value="birthsex" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Code for sex assigned at birth" /> <valueSet value="http://hl7.org/fhir/us/core/ValueSet/birthsex" /> </binding> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.extension" /> </mapping> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.identifier" /> </mapping> </element> <element id="Patient.identifier.system"> <path value="Patient.identifier.system" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.identifier.system" /> </mapping> </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" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.identifier.value" /> </mapping> </element> <element id="Patient.name"> <path value="Patient.name" /> <min value="1" /> <constraint> <key value="us-core-8" /> <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()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()" /> <xpath value="(/f:extension/@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason' and not(/f:family or /f:given)) or (not(/f:extension/@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason') and (/f:family or /f:given))" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.name" /> </mapping> </element> <element id="Patient.name.family"> <path value="Patient.name.family" /> <condition value="us-core-8" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.name.family" /> </mapping> </element> <element id="Patient.name.given"> <path value="Patient.name.given" /> <condition value="us-core-8" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.name.given" /> </mapping> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.telecom.system"> <path value="Patient.telecom.system" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system" /> </binding> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.telecom.value"> <path value="Patient.telecom.value" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.telecom.use"> <path value="Patient.telecom.use" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use" /> </binding> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender" /> </binding> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.gender" /> </mapping> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.birthDate" /> </mapping> </element> <element id="Patient.address"> <path value="Patient.address" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.birthDate" /> </mapping> </element> <element id="Patient.address.line"> <path value="Patient.address.line" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.address.city"> <path value="Patient.address.city" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.address.state"> <path value="Patient.address.state" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <description value="Two Letter USPS alphabetic codes." /> <valueSet value="http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state" /> </binding> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.address.postalCode"> <path value="Patient.address.postalCode" /> <short value="US Zip Codes" /> <alias value="Zip Code" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.address.period"> <path value="Patient.address.period" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="NA" /> </mapping> </element> <element id="Patient.photo"> <path value="Patient.photo" /> <max value="0" /> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <mustSupport value="true" /> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.communication" /> </mapping> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/us/core/ValueSet/simple-language" /> </binding> <mapping> <identity value="argonaut-dq-dstu2" /> <map value="Patient.communication.language" /> </mapping> </element> </differential> </StructureDefinition>

Name	Flags	Card.	Type	Description & Constraints
Patient		0 .. *	Patient	Information about an individual or animal receiving health care services
us-core-race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
us-core-birthsex	S	0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required)
identifier	S	1..*	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique within the system.
name	S I	1..*	HumanName	A name associated with the patient us-core-8: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.
family	S I	0..1	string	Family name (often called 'Surname')
given	S I	0..*	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	ContactPoint	A contact detail for the individual
system	S	1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required)
value	S	1..1	string	The actual contact point details
use	S	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required)
gender	S	1..1	code	male \| female \| other \| unknown Binding: AdministrativeGender (required)
birthDate	S	0..1	date	The date of birth for the individual
address	S	0..*	Address	An address for the individual
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
state	S	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible)
postalCode	S	0..1	string	US Zip Codes
period	S	0..1	Period	Time period when address was/is in use
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
Documentation for this format