{ "resourceType": "StructureDefinition", "id": "Patient", "meta": { "lastUpdated": "2017-04-18T21:44:43.294+00:00" }, "text": { "status": "generated", "div": "
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\"PatientDomainResourceInformation about an individual or animal receiving health care services\n
Elements defined in Ancestors: \n id, \n meta, \n implicitRules, \n language, \n text, \n contained, \n extension, \n modifierExtension
\".\"\".\"\".\"identifierΣ0..*IdentifierAn identifier for this patient\n
\".\"\".\"\".\"active?!Σ0..1booleanWhether this patient's record is in active use
\".\"\".\"\".\"nameΣ0..*HumanNameA name associated with the patient\n
\".\"\".\"\".\"telecomΣ0..*ContactPointA contact detail for the individual\n
\".\"\".\"\".\"genderΣ0..1codemale | female | other | unknown\n
AdministrativeGender (\n Required)\n
\".\"\".\"\".\"birthDateΣ0..1dateThe date of birth for the individual
\".\"\".\"\".\"deceased[x]?!Σ0..1Indicates if the individual is deceased or not
\".\"\".\"\".\"\".\"deceasedBooleanboolean
\".\"\".\"\".\"\".\"deceasedDateTimedateTime
\".\"\".\"\".\"addressΣ0..*AddressAddresses for the individual\n
\".\"\".\"\".\"maritalStatus0..1CodeableConceptMarital (civil) status of a patient\n
Marital Status Codes (\n Extensible)\n
\".\"\".\"\".\"multipleBirth[x]0..1Whether patient is part of a multiple birth
\".\"\".\"\".\"\".\"multipleBirthBooleanboolean
\".\"\".\"\".\"\".\"multipleBirthIntegerinteger
\".\"\".\"\".\"photo0..*AttachmentImage of the patient\n
\".\"\".\"\".\"contactI0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient\n
+ SHALL at least contain a contact's details or a reference to an organization
\".\"\".\"\".\"\".\"relationship0..*CodeableConceptThe kind of relationship\n
v2 Contact Role (\n Extensible)\n
\".\"\".\"\".\"\".\"name0..1HumanNameA name associated with the contact person
\".\"\".\"\".\"\".\"telecom0..*ContactPointA contact detail for the person\n
\".\"\".\"\".\"\".\"address0..1AddressAddress for the contact person
\".\"\".\"\".\"\".\"gender0..1codemale | female | other | unknown\n
AdministrativeGender (\n Required)\n
\".\"\".\"\".\"\".\"organizationI0..1Reference(\n Organization)\n Organization that is associated with the contact
\".\"\".\"\".\"\".\"period0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
\".\"\".\"\".\"animal?!Σ0..1BackboneElementThis patient is known to be an animal (non-human)
\".\"\".\"\".\"\".\"speciesΣ1..1CodeableConceptE.g. Dog, Cow\n
AnimalSpecies (\n Example)\n
\".\"\".\"\".\"\".\"breedΣ0..1CodeableConceptE.g. Poodle, Angus\n
AnimalBreeds (\n Example)\n
\".\"\".\"\".\"\".\"genderStatusΣ0..1CodeableConceptE.g. Neutered, Intact\n
GenderStatus (\n Example)\n
\".\"\".\"\".\"communication0..*BackboneElementA list of Languages which may be used to communicate with the patient about his or her health\n
\".\"\".\"\".\"\".\"language1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health\n
Common Languages (\n Extensible but limited to \n All Languages)\n
\".\"\".\"\".\"\".\"preferred0..1booleanLanguage preference indicator
\".\"\".\"\".\"generalPractitioner0..*Reference(\n Organization | \n Practitioner)\n Patient's nominated primary care provider\n
\".\"\".\"\".\"managingOrganizationΣ0..1Reference(\n Organization)\n Organization that is the custodian of the patient record
\".\"\".\"\".\"link?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person\n
\".\"\".\"\".\"\".\"otherΣ1..1Reference(\n Patient | \n RelatedPerson)\n The other patient or related person resource that the link refers to
\".\"\".\"\".\"\".\"typeΣ1..1codereplaced-by | replaces | refer | seealso - type of link\n
LinkType (\n Required)\n

\"doco\" Documentation for this format\n
" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 5 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pa" } ], "url": "http://hl7.org/fhir/StructureDefinition/Patient", "name": "Patient", "status": "draft", "date": "2017-04-18T21:44:43+00:00", "publisher": "Health Level Seven International (Patient Administration)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/pafm/index.cfm" } ] } ], "description": "Base StructureDefinition for Patient Resource", "purpose": "Tracking patient is the center of the healthcare process.", "fhirVersion": "3.0.1", "mapping": [ { "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/StructureDefinition/DomainResource", "derivation": "specialization", "differential": { "element": [ { "id": "Patient", "path": "Patient", "short": "Information about an individual or animal receiving health care services", "definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.", "alias": [ "SubjectOfCare Client Resident" ], "min": 0, "max": "*", "mapping": [ { "identity": "rim", "map": "Patient[classCode=PAT]" }, { "identity": "cda", "map": "ClinicalDocument.recordTarget.patientRole" }, { "identity": "w5", "map": "administrative.individual" } ] }, { "id": "Patient.identifier", "path": "Patient.identifier", "short": "An identifier for this patient", "definition": "An identifier for this patient.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" }, { "identity": "w5", "map": "id" } ] }, { "id": "Patient.active", "path": "Patient.active", "short": "Whether this patient's record is in active use", "definition": "Whether this patient record is in active use.", "comment": "Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient\n\nThis element is labeled as a modifier because when the patient record is marked as not active it is not expected to be used/referenced without being changed back to active.", "requirements": "Need to be able to mark a patient record as not to be used because it was created in error.", "min": 0, "max": "1", "type": [ { "code": "boolean" } ], "defaultValueBoolean": true, "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "statusCode" }, { "identity": "cda", "map": "n/a" }, { "identity": "w5", "map": "status" } ] }, { "id": "Patient.name", "path": "Patient.name", "short": "A name associated with the patient", "definition": "A name associated with the individual.", "comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.", "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.", "min": 0, "max": "*", "type": [ { "code": "HumanName" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-5, PID-9" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": ".patient.name" } ] }, { "id": "Patient.telecom", "path": "Patient.telecom", "short": "A contact detail for the individual", "definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.", "comment": "A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).", "requirements": "People have (primary) ways to contact them in some way such as phone, email.", "min": 0, "max": "*", "type": [ { "code": "ContactPoint" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-13, PID-14, PID-40" }, { "identity": "rim", "map": "telecom" }, { "identity": "cda", "map": ".telecom" } ] }, { "id": "Patient.gender", "path": "Patient.gender", "short": "male | female | other | unknown", "definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.", "comment": "The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a \"hard\" error.", "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.", "min": 0, "max": "1", "type": [ { "code": "code" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdministrativeGender" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "required", "description": "The gender of a person used for administrative purposes.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/administrative-gender" } }, "mapping": [ { "identity": "v2", "map": "PID-8" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": ".patient.administrativeGenderCode" } ] }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "short": "The date of birth for the individual", "definition": "The date of birth for the individual.", "comment": "At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternaty/infant care systems).", "requirements": "Age of the individual drives many clinical processes.", "min": 0, "max": "1", "type": [ { "code": "date" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-7" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" }, { "identity": "cda", "map": ".patient.birthTime" }, { "identity": "loinc", "map": "21112-8" } ] }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "short": "Indicates if the individual is deceased or not", "definition": "Indicates if the individual is deceased or not.", "comment": "If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.\n\nThis element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.", "requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.", "min": 0, "max": "1", "type": [ { "code": "boolean" }, { "code": "dateTime" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-30 (bool) and PID-29 (datetime)" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.address", "path": "Patient.address", "short": "Addresses for the individual", "definition": "Addresses for the individual.", "comment": "Patient may have multiple addresses with different uses or applicable periods.", "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.", "min": 0, "max": "*", "type": [ { "code": "Address" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-11" }, { "identity": "rim", "map": "addr" }, { "identity": "cda", "map": ".addr" } ] }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "short": "Marital (civil) status of a patient", "definition": "This field contains a patient's most recent marital (civil) status.", "requirements": "Most, if not all systems capture it.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MaritalStatus" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "extensible", "description": "The domestic partnership status of a person.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/marital-status" } }, "mapping": [ { "identity": "v2", "map": "PID-16" }, { "identity": "rim", "map": "player[classCode=PSN]/maritalStatusCode" }, { "identity": "cda", "map": ".patient.maritalStatusCode" } ] }, { "id": "Patient.multipleBirth[x]", "path": "Patient.multipleBirth[x]", "short": "Whether patient is part of a multiple birth", "definition": "Indicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer).", "comment": "Where the valueInteger is provided, the number is the birth number in the sequence.\nE.g. The middle birth in tripplets would be valueInteger=2 and the third born would have valueInteger=3\nIf a bool value was provided for this tripplets examle, then all 3 patient records would have valueBool=true (the ordering is not indicated).", "requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.", "min": 0, "max": "1", "type": [ { "code": "boolean" }, { "code": "integer" } ], "mapping": [ { "identity": "v2", "map": "PID-24 (bool), PID-25 (integer)" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.photo", "path": "Patient.photo", "short": "Image of the patient", "definition": "Image of the patient.", "requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.", "min": 0, "max": "*", "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "v2", "map": "OBX-5 - needs a profile" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Contact" } ], "path": "Patient.contact", "short": "A contact party (e.g. guardian, partner, friend) for the patient", "definition": "A contact party (e.g. guardian, partner, friend) for the patient.", "comment": "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.", "requirements": "Need to track people you can contact about the patient.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "constraint": [ { "key": "pat-1", "severity": "error", "human": "SHALL at least contain a contact's details or a reference to an organization", "expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()", "xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)" } ], "mapping": [ { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.relationship", "path": "Patient.contact.relationship", "short": "The kind of relationship", "definition": "The nature of the relationship between the patient and the contact person.", "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ContactRelationship" } ], "strength": "extensible", "description": "The nature of the relationship between a patient and a contact person for that patient.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/v2-0131" } }, "mapping": [ { "identity": "v2", "map": "NK1-7, NK1-3" }, { "identity": "rim", "map": "code" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.name", "path": "Patient.contact.name", "short": "A name associated with the contact person", "definition": "A name associated with the contact person.", "requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.", "min": 0, "max": "1", "type": [ { "code": "HumanName" } ], "mapping": [ { "identity": "v2", "map": "NK1-2" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.telecom", "path": "Patient.contact.telecom", "short": "A contact detail for the person", "definition": "A contact detail for the person, e.g. a telephone number or an email address.", "comment": "Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.", "requirements": "People have (primary) ways to contact them in some way such as phone, email.", "min": 0, "max": "*", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "v2", "map": "NK1-5, NK1-6, NK1-40" }, { "identity": "rim", "map": "telecom" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.address", "path": "Patient.contact.address", "short": "Address for the contact person", "definition": "Address for the contact person.", "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.", "min": 0, "max": "1", "type": [ { "code": "Address" } ], "mapping": [ { "identity": "v2", "map": "NK1-4" }, { "identity": "rim", "map": "addr" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.gender", "path": "Patient.contact.gender", "short": "male | female | other | unknown", "definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.", "requirements": "Needed to address the person correctly.", "min": 0, "max": "1", "type": [ { "code": "code" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdministrativeGender" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "required", "description": "The gender of a person used for administrative purposes.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/administrative-gender" } }, "mapping": [ { "identity": "v2", "map": "NK1-15" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.organization", "path": "Patient.contact.organization", "short": "Organization that is associated with the contact", "definition": "Organization on behalf of which the contact is acting or for which the contact is working.", "requirements": "For guardians or business related contacts, the organization is relevant.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "condition": [ "pat-1" ], "mapping": [ { "identity": "v2", "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" }, { "identity": "rim", "map": "scoper" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.period", "path": "Patient.contact.period", "short": "The period during which this contact person or organization is valid to be contacted relating to this patient", "definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "mapping": [ { "identity": "rim", "map": "effectiveTime" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.animal", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Animal" } ], "path": "Patient.animal", "short": "This patient is known to be an animal (non-human)", "definition": "This patient is known to be an animal.", "comment": "The animal element is labeled \"Is Modifier\" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records. The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required. (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal).", "requirements": "Many clinical systems are extended to care for animal patients as well as human.", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "player[classCode=ANM]" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.animal.species", "path": "Patient.animal.species", "short": "E.g. Dog, Cow", "definition": "Identifies the high level taxonomic categorization of the kind of animal.", "comment": "If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification. It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species. (The common example is that the word \"Hereford\" does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for \"Hereford Cattle Breed\" does.).", "requirements": "Need to know what kind of animal.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AnimalSpecies" } ], "strength": "example", "description": "The species of an animal.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/animal-species" } }, "mapping": [ { "identity": "v2", "map": "PID-35" }, { "identity": "rim", "map": "code" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.animal.breed", "path": "Patient.animal.breed", "short": "E.g. Poodle, Angus", "definition": "Identifies the detailed categorization of the kind of animal.", "comment": "Breed MAY be used to provide further taxonomic or non-taxonomic classification. It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type.", "requirements": "May need to know the specific kind within the species.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AnimalBreed" } ], "strength": "example", "description": "The breed of an animal.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/animal-breeds" } }, "mapping": [ { "identity": "v2", "map": "PID-37" }, { "identity": "rim", "map": "playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.animal.genderStatus", "path": "Patient.animal.genderStatus", "short": "E.g. Neutered, Intact", "definition": "Indicates the current state of the animal's reproductive organs.", "requirements": "Gender status can affect housing and animal behavior.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AnimalGenderStatus" } ], "strength": "example", "description": "The state of the animal's reproductive organs.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/animal-genderstatus" } }, "mapping": [ { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "genderStatusCode" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.communication", "path": "Patient.communication", "short": "A list of Languages which may be used to communicate with the patient about his or her health", "definition": "Languages which may be used to communicate with the patient about his or her health.", "comment": "If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.", "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "rim", "map": "LanguageCommunication" }, { "identity": "cda", "map": "patient.languageCommunication" } ] }, { "id": "Patient.communication.language", "path": "Patient.communication.language", "short": "The language which can be used to communicate with the patient about his or her health", "definition": "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.", "comment": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.", "requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference": { "reference": "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "extensible", "description": "A human language.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/languages" } }, "mapping": [ { "identity": "v2", "map": "PID-15, LAN-2" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" }, { "identity": "cda", "map": ".languageCode" } ] }, { "id": "Patient.communication.preferred", "path": "Patient.communication.preferred", "short": "Language preference indicator", "definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).", "comment": "This language is specifically identified for communicating healthcare information.", "requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.", "min": 0, "max": "1", "type": [ { "code": "boolean" } ], "mapping": [ { "identity": "v2", "map": "PID-15" }, { "identity": "rim", "map": "preferenceInd" }, { "identity": "cda", "map": ".preferenceInd" } ] }, { "id": "Patient.generalPractitioner", "path": "Patient.generalPractitioner", "short": "Patient's nominated primary care provider", "definition": "Patient's nominated care provider.", "comment": "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles.\n\nIt is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.", "alias": [ "careProvider" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner" } ], "mapping": [ { "identity": "v2", "map": "PD1-4" }, { "identity": "rim", "map": "subjectOf.CareEvent.performer.AssignedEntity" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.managingOrganization", "path": "Patient.managingOrganization", "short": "Organization that is the custodian of the patient record", "definition": "Organization that is the custodian of the patient record.", "comment": "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).", "requirements": "Need to know who recognizes this patient record, manages and updates it.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "scoper" }, { "identity": "cda", "map": ".providerOrganization" } ] }, { "id": "Patient.link", "path": "Patient.link", "short": "Link to another patient resource that concerns the same actual person", "definition": "Link to another patient resource that concerns the same actual patient.", "comment": "There is no assumption that linked patient records have mutual links. \n\nThis element is labelled as a modifier because it may not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'.", "requirements": "There are multiple usecases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "outboundLink" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.link.other", "path": "Patient.link.other", "short": "The other patient or related person resource that the link refers to", "definition": "The other patient resource that the link refers to.", "comment": "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-3, MRG-1" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.link.type", "path": "Patient.link.type", "short": "replaced-by | replaces | refer | seealso - type of link", "definition": "The type of link between this patient resource and another patient resource.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "LinkType" } ], "strength": "required", "description": "The type of link between this patient resource and another patient resource.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/link-type" } }, "mapping": [ { "identity": "rim", "map": "typeCode" }, { "identity": "cda", "map": "n/a" } ] } ] } }