{ "resourceType": "StructureDefinition", "id": "qicore-patient", "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Patient 0..*
\".\"\".\"\".\" id 0..1id
\".\"\".\"\".\" us-core-race S0..1(Complex)US Core Race Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
\".\"\".\"\".\" us-core-ethnicity S0..1(Complex)US Core ethnicity Extension
URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
\".\"\".\"\".\" patient-religion 0..1CodeableConceptThe patient's professed religious affiliations
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
\".\"\".\"\".\" birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/birthPlace
\".\"\".\"\".\" patient-disability 0..*CodeableConceptCondition(s) limiting movement, senses, or activities
URL: http://hl7.org/fhir/StructureDefinition/patient-disability
Binding: Disability Value Set (example)
\".\"\".\"\".\" patient-nationality 0..*(Complex)Nationality
URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
\".\"\".\"\".\" patient-cadavericDonor 0..1booleanPost-mortem donor status
URL: http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor
\".\"\".\"\".\" qicore-military-service 0..1CodeableConceptIndicates the current or former military service of the patient
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-military-service
Binding: QiCore Military Service Value Set (example)
\".\"\".\"\".\" patient-clinicalTrial 0..*(Complex)The patient's participation in clinical trials
URL: http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial
\".\"\".\"\".\"\".\" extension 0..*Extension
\".\"\".\"\".\"\".\" extension 0..*Extension
\".\"\".\"\".\"\".\" extension 0..*Extension
\".\"\".\"\".\" patient-birthTime S0..1dateTimeTime of day of birth
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
\".\"\".\"\".\" identifier S1..*Identifier
\".\"\".\"\".\"\".\" system S1..1uri
\".\"\".\"\".\"\".\" value S1..1string
\".\"\".\"\".\" active S0..1boolean
\".\"\".\"\".\" name S1..*HumanName
\".\"\".\"\".\"\".\" family S1..1string
\".\"\".\"\".\"\".\" given S1..*string
\".\"\".\"\".\" telecom 0..*ContactPoint
\".\"\".\"\".\"\".\" iso21090-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
\".\"\".\"\".\" gender S1..1code
\".\"\".\"\".\" birthDate S0..1date
\".\"\".\"\".\" deceased[x] S0..1boolean, dateTime
\".\"\".\"\".\" address S0..*Address
\".\"\".\"\".\"\".\" iso21090-preferred 0..1booleanPreferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
\".\"\".\"\".\"\".\" state 0..1stringBinding: USPS Two Letter Alphabetic Codes (preferred)
\".\"\".\"\".\" contact 0..*BackboneElement
\".\"\".\"\".\"\".\" address 0..1Address
\".\"\".\"\".\"\".\"\".\" state 0..1stringBinding: USPS Two Letter Alphabetic Codes (preferred)
\".\"\".\"\".\"\".\" organization 0..1Reference(QICore-Organization)
\".\"\".\"\".\" animal 0..0
\".\"\".\"\".\" communication S0..*BackboneElement
\".\"\".\"\".\"\".\" language S1..1CodeableConcept
\".\"\".\"\".\" generalPractitioner 0..*Reference(QICore-Organization | QICore-Practitioner)
\".\"\".\"\".\" managingOrganization 0..1Reference(QICore-Organization)
\".\"\".\"\".\" link 0..*BackboneElement
\".\"\".\"\".\"\".\" other 1..1Reference(QICore-Patient)

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient", "version": "3.1.0", "name": "QICore-Patient", "status": "draft", "date": "2018-08-21T14:00:00+00:00", "publisher": "Health Level Seven, Inc. - CQI WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/special/committees/CQI" } ] } ], "description": "Profile of Patient for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "qdm", "uri": "http://www.healthit.gov/quality-data-model", "name": "Quality Data Model" }, { "identity": "qidam", "uri": "http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378", "name": "Quality Improvement Domain Analysis Model" }, { "identity": "argonaut-dq-dstu2", "uri": "http://unknown.org/Argonaut DQ DSTU2", "name": "Argonaut DQ DSTU2" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "cda", "uri": "http://hl7.org/v3/cda", "name": "CDA (R2)" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "loinc", "uri": "http://loinc.org", "name": "LOINC code for the element" } ], "kind": "resource", "abstract": false, "type": "Patient", "baseDefinition": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient", "derivation": "constraint", "differential": { "element": [ { "id": "Patient", "path": "Patient", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "Patient Characteristic" } ] }, { "id": "Patient.id", "path": "Patient.id", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristic(Birthdate|ClinicalTrialParticipant|Ethnicity|Expired|Payer|Race|Sex).id" } ] }, { "id": "Patient.extension:race", "path": "Patient.extension", "sliceName": "race", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicRace" } ] }, { "id": "Patient.extension:ethnicity", "path": "Patient.extension", "sliceName": "ethnicity", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicEthnicity" } ] }, { "id": "Patient.extension:religion", "path": "Patient.extension", "sliceName": "religion", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/patient-religion" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "extensible", "description": "Religious affiliation of the patient.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/v3-ReligiousAffiliation" } } }, { "id": "Patient.extension:birthPlace", "path": "Patient.extension", "sliceName": "birthPlace", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace" } ], "mustSupport": false, "isModifier": false }, { "id": "Patient.extension:disability", "path": "Patient.extension", "sliceName": "disability", "min": 0, "max": "*", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/patient-disability" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "valueSetReference": { "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-patient-disability" } } }, { "id": "Patient.extension:nationality", "path": "Patient.extension", "sliceName": "nationality", "min": 0, "max": "*", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/patient-nationality" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qidam", "map": "Not QIDAM, but recognized as important for infectious disease decision support (e.g., flag patient from Liberia for ebola screening)" } ] }, { "id": "Patient.extension:cadavericDonor", "path": "Patient.extension", "sliceName": "cadavericDonor", "comment": "Do as standard extension on Patient?", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qidam", "map": "Not in QIDAM, but recognized as important for CDS; e.g. a CDS system could flag the provider to initiate organ transplantation procedures." } ] }, { "id": "Patient.extension:military-service", "path": "Patient.extension", "sliceName": "military-service", "definition": "Not in QIDAM, but recognized as important, e.g., veterans may be at increased risk for conditions such as traumatic brain injury, agent orange exposure.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-military-service" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "The military service of the patient", "valueSetReference": { "reference": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-military-service" } } }, { "id": "Patient.extension:clinicalTrial", "path": "Patient.extension", "sliceName": "clinicalTrial", "min": 0, "max": "*", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicClinicalTrialParticipant" } ] }, { "id": "Patient.extension:clinicalTrial.extension:clinicalTrial-NCT", "path": "Patient.extension.extension", "sliceName": "clinicalTrial-NCT", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicClinicalTrialParticipant.code" } ] }, { "id": "Patient.extension:clinicalTrial.extension:clinicalTrial-period", "path": "Patient.extension.extension", "sliceName": "clinicalTrial-period", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicClinicalTrialParticipant.relevantPeriod" } ] }, { "id": "Patient.extension:clinicalTrial.extension:clinicalTrial-reason", "path": "Patient.extension.extension", "sliceName": "clinicalTrial-reason", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicClinicalTrialParticipant.reason" } ] }, { "id": "Patient.extension:birthTime", "path": "Patient.extension", "sliceName": "birthTime", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/patient-birthTime" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicBirthdate.birthDatetime (when Time is required, e.g., birthDatetime of a newborn)" } ] }, { "id": "Patient.identifier", "path": "Patient.identifier", "min": 1, "max": "*", "mustSupport": true, "isModifier": false }, { "id": "Patient.identifier.system", "path": "Patient.identifier.system", "min": 1, "max": "1", "mustSupport": true, "isModifier": false }, { "id": "Patient.identifier.value", "path": "Patient.identifier.value", "min": 1, "max": "1", "mustSupport": true, "isModifier": false }, { "id": "Patient.active", "path": "Patient.active", "mustSupport": true, "isModifier": false }, { "id": "Patient.name", "path": "Patient.name", "min": 1, "max": "*", "mustSupport": true, "isModifier": false }, { "id": "Patient.name.family", "path": "Patient.name.family", "min": 1, "max": "1", "mustSupport": true, "isModifier": false }, { "id": "Patient.name.given", "path": "Patient.name.given", "min": 1, "max": "*", "mustSupport": true, "isModifier": false }, { "id": "Patient.telecom", "path": "Patient.telecom", "mustSupport": false, "isModifier": false }, { "id": "Patient.telecom.extension:telecom-preferred", "path": "Patient.telecom.extension", "sliceName": "telecom-preferred", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-preferred" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qidam", "map": "Not in QIDAM, but CDS could need this for notifications in population health contexts, for example." } ] }, { "id": "Patient.gender", "path": "Patient.gender", "min": 1, "max": "1", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicSex.code" } ] }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicBirthdate.birthDatetime" } ] }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "comment": "The \"Cause of death\" for a patient is typically captured as an Observation.", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "PatientCharacteristicExpired.expirationDatetime (when Patient.deceasedDateTime)|PatientCharacteristicExpired.code (when Patient.deceasedBoolean)" } ] }, { "id": "Patient.address", "path": "Patient.address", "mustSupport": true, "isModifier": false }, { "id": "Patient.address.extension:address-preferred", "path": "Patient.address.extension", "sliceName": "address-preferred", "comment": "Make general extension.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-preferred" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qidam", "map": "Not in QIDAM, but CDS could need this for notifications in population health contexts, for example." } ] }, { "id": "Patient.address.state", "path": "Patient.address.state", "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "The state or region designation in an address", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/usps-state" } } }, { "id": "Patient.contact", "path": "Patient.contact", "mustSupport": false, "isModifier": false }, { "id": "Patient.contact.address", "path": "Patient.contact.address", "mustSupport": false, "isModifier": false }, { "id": "Patient.contact.address.state", "path": "Patient.contact.address.state", "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "The state or region designation in an address", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/usps-state" } } }, { "id": "Patient.contact.organization", "path": "Patient.contact.organization", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" } ], "mustSupport": false, "isModifier": false }, { "id": "Patient.animal", "path": "Patient.animal", "min": 0, "max": "0", "mustSupport": false, "isModifier": false }, { "id": "Patient.communication", "path": "Patient.communication", "mustSupport": true, "isModifier": false }, { "id": "Patient.communication.language", "path": "Patient.communication.language", "mustSupport": true, "isModifier": false }, { "id": "Patient.generalPractitioner", "path": "Patient.generalPractitioner", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" } ], "mustSupport": false, "isModifier": false }, { "id": "Patient.managingOrganization", "path": "Patient.managingOrganization", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" } ], "mustSupport": false, "isModifier": false }, { "id": "Patient.link", "path": "Patient.link", "mustSupport": false, "isModifier": false }, { "id": "Patient.link.other", "path": "Patient.link.other", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" } ], "mustSupport": false, "isModifier": false } ] } }