{
  "resourceType": "StructureDefinition",
  "id": "nl-core-patient",
  "meta": {
    "versionId": "15",
    "lastUpdated": "2017-01-23T13:46:49.591+00:00"
  },
  "url": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient",
  "version": "1.0",
  "name": "nl-core-patient",
  "title": "nl-core-patient",
  "status": "draft",
  "publisher": "HL7 Netherlands",
  "description": "A Patient resource as defined by the Dutch Clinical Building Block or CBB (Dutch: Zorginformatiebouwsteen or ZIB)          Patient version 1.0, with additions from the CBB Contactpersoon, Zorgverlener and Zorgaanbieder",
  "purpose": "Patient. Tracking a patient is the center of the healthcare process. Functional requirements taken from Clinical Building Block (Zorginformatiebouwsteen) Patient v2.0.1 (release 2015). Names and addresses are also in compliance with HL7 V3 Basic Components.",
  "copyright": "CC0",
  "fhirVersion": "3.0.0",
  "mapping": [
    {
      "identity": "zib-patient",
      "uri": "https://zibs.nl/wiki/Patient(NL)",
      "name": "Zorginformatiebouwsteen Patient"
    },
    {
      "identity": "zib-burgerlijkestaat",
      "uri": "https://zibs.nl/wiki/BurgerlijkeStaat(NL)",
      "name": "Zorginformatiebouwsteen BurgerlijkeStaat"
    },
    {
      "identity": "zib-contactpersoon",
      "uri": "https://zibs.nl/wiki/Contactpersoon(NL)",
      "name": "Zorginformatiebouwsteen Contactpersoon"
    },
    {
      "identity": "zib-zorgverlener",
      "uri": "https://zibs.nl/wiki/Zorgverlener(NL)",
      "name": "Zorginformatiebouwsteen Zorgverlener"
    },
    {
      "identity": "zib-nationaliteit",
      "uri": "https://zibs.nl/wiki/Nationaliteit(NL)",
      "name": "Zorginformatiebouwsteen Nationaliteit"
    },
    {
      "identity": "zib-betaler",
      "uri": "https://zibs.nl/wiki/Betaler(NL)",
      "name": "Zorginformatiebouwsteen Betaler"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient",
        "path": "Patient",
        "short": "Patient",
        "alias": [
          "Pati?nt"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.1"
          }
        ]
      },
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Patient.extension:preferredPharmacy",
        "path": "Patient.extension",
        "sliceName": "preferredPharmacy",
        "short": "References a patient's preferered pharmacy",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy"
          }
        ]
      },
      {
        "id": "Patient.extension:nationality",
        "path": "Patient.extension",
        "sliceName": "nationality",
        "short": "Nationality",
        "definition": "The nationality of the patient.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "Indicates the country of citizenship.",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20150401000000",
            "display": "NationaliteitCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "zib-nationaliteit",
            "map": "NL-CM:7.6.3"
          }
        ]
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "short": "PatientIdentificationNumber",
        "definition": "The Burgerservicenummer, as one of the possible patient identification numbers, should at least be sent unless there is a reason not to. Reasons for not sending include but are not limited to, research and apps without a contract for data processing (Dutch: bewerkingsovereenkomst).",
        "alias": [
          "PatientIdentificatienummer"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.7"
          }
        ]
      },
      {
        "id": "Patient.identifier:BSN",
        "path": "Patient.identifier",
        "sliceName": "BSN",
        "alias": [
          "BSN"
        ],
        "max": "1"
      },
      {
        "id": "Patient.identifier:BSN.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://fhir.nl/fhir/NamingSystem/bsn"
      },
      {
        "id": "Patient.identifier:BSN.value",
        "path": "Patient.identifier.value",
        "short": "BSN (Burgerservicenummer (Dutch person identification number))",
        "alias": [
          "BSN"
        ],
        "min": 1,
        "example": [
          {
            "label": "BSN voorbeeld",
            "valueString": "123456782"
          }
        ]
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "short": "NameInformation",
        "alias": [
          "Naamgegevens"
        ],
        "type": [
          {
            "code": "HumanName",
            "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-humanname"
          }
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.6"
          },
          {
            "identity": "zib-betaler",
            "map": "NL-CM:1.1.5"
          }
        ]
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "short": "ContactInformation",
        "alias": [
          "Contactgegevens"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.5"
          },
          {
            "identity": "zib-betaler",
            "map": "NL-CM:1.1.12"
          }
        ]
      },
      {
        "id": "Patient.telecom.system",
        "path": "Patient.telecom.system",
        "min": 1
      },
      {
        "id": "Patient.telecom.value",
        "path": "Patient.telecom.value",
        "alias": [
          "Telefoonnummer",
          "EmailAdres"
        ],
        "min": 1,
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.23"
          },
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.20"
          }
        ]
      },
      {
        "id": "Patient.telecom.use",
        "path": "Patient.telecom.use",
        "alias": [
          "NummerSoort",
          "EmailSoort"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.22"
          }
        ]
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "short": "Gender",
        "alias": [
          "Geslacht"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.9"
          }
        ]
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "short": "Patient?s date of birth. The date of birth is mandatory for a patient. A vague date (such as only the year) is permitted.",
        "alias": [
          "Geboortedatum"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.10"
          }
        ]
      },
      {
        "id": "Patient.deceased[x]",
        "path": "Patient.deceased[x]",
        "short": "DeathIndicator/DateOfDeath",
        "alias": [
          "Overlijdensindicator/DatumOverlijden"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.32"
          },
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.33"
          }
        ]
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "short": "AddressInformation",
        "alias": [
          "Adresgegevens"
        ],
        "type": [
          {
            "code": "Address",
            "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address"
          }
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.4"
          },
          {
            "identity": "zib-betaler",
            "map": "NL-CM:1.1.17"
          }
        ]
      },
      {
        "id": "Patient.maritalStatus",
        "path": "Patient.maritalStatus",
        "short": "MaritalStatus",
        "alias": [
          "BurgerlijkeStaat"
        ],
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20150401000000",
            "display": "BurgerlijkeStaatCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "zib-burgerlijkestaat",
            "map": "NL-CM:7.9.2"
          }
        ]
      },
      {
        "id": "Patient.multipleBirth[x]",
        "path": "Patient.multipleBirth[x]",
        "short": "MultipleBirthIndicator",
        "alias": [
          "Meerlingindicator"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.31"
          }
        ]
      },
      {
        "id": "Patient.contact",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Contact"
          }
        ],
        "path": "Patient.contact",
        "short": "ContactPerson",
        "alias": [
          "Contactpersoon"
        ],
        "mapping": [
          {
            "identity": "zib-contactpersoon",
            "map": "NL-CM:3.1.1"
          }
        ]
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "short": "Role or Relationship",
        "alias": [
          "Rol of relatie"
        ]
      },
      {
        "id": "Patient.contact.relationship:relationship",
        "path": "Patient.contact.relationship",
        "sliceName": "relationship",
        "short": "Relationship",
        "alias": [
          "Relatie"
        ],
        "binding": {
          "strength": "extensible",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20150401000000",
            "display": "RelatieCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "zib-contactpersoon",
            "map": "NL-CM:3.1.3"
          }
        ]
      },
      {
        "id": "Patient.contact.relationship:role",
        "path": "Patient.contact.relationship",
        "sliceName": "role",
        "short": "Role",
        "alias": [
          "Rol"
        ],
        "binding": {
          "strength": "extensible",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20150401000000",
            "display": "RolCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "zib-contactpersoon",
            "map": "NL-CM:3.1.2"
          }
        ]
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "short": "NameInformation",
        "alias": [
          "Naamgegevens"
        ],
        "type": [
          {
            "code": "HumanName",
            "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-humanname"
          }
        ],
        "mapping": [
          {
            "identity": "zib-contactpersoon",
            "map": "NL-CM:3.1.4"
          }
        ]
      },
      {
        "id": "Patient.contact.telecom",
        "path": "Patient.contact.telecom",
        "short": "ContactInformation",
        "alias": [
          "Contactgegevens"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.5"
          }
        ]
      },
      {
        "id": "Patient.contact.telecom.system",
        "path": "Patient.contact.telecom.system",
        "min": 1
      },
      {
        "id": "Patient.contact.telecom.value",
        "path": "Patient.contact.telecom.value",
        "alias": [
          "Telefoonnummer",
          "EmailAdres"
        ],
        "min": 1,
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.23"
          },
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.20"
          }
        ]
      },
      {
        "id": "Patient.contact.telecom.use",
        "path": "Patient.contact.telecom.use",
        "alias": [
          "NummerSoort",
          "EmailSoort"
        ],
        "mapping": [
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.22"
          },
          {
            "identity": "zib-patient",
            "map": "NL-CM:0.1.19"
          }
        ]
      },
      {
        "id": "Patient.contact.address",
        "path": "Patient.contact.address",
        "short": "AddressInformation",
        "alias": [
          "Adresgegevens"
        ],
        "type": [
          {
            "code": "Address",
            "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address"
          }
        ],
        "mapping": [
          {
            "identity": "zib-contactpersoon",
            "map": "NL-CM:3.1.5"
          }
        ]
      },
      {
        "id": "Patient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "short": "GeneralPractitioner",
        "alias": [
          "Huisarts"
        ],
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
          },
          {
            "code": "Reference",
            "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
          }
        ],
        "mapping": [
          {
            "identity": "zib-zorgverlener",
            "map": "NL-CM:17.1.1"
          }
        ]
      }
    ]
  }
}