<status value="draft" /> <experimental value="true" /> <date value="2018-03-20T16:43:56.519+01:00" /> <publisher value="HL7 Italia" /> <contact> <telecom> <system value="url" /> <value value="http://hl7.it" /> </telecom> </contact> <description value="Profilo base generico per Patient: descrive come rappresentare in FHIR alcune informazioni tipiche per il contesto Italiano." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="IT" /> </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" /> <mustSupport value="true" /> </element> <element id="Patient.extension:certificazione"> <path value="Patient.extension" /> <sliceName value="certificazione" /> <short value="Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità" /> <definition value="Indica che i dati presenti nella risorsa (non quelli referenziati) sono stati certificati da uno specifico entità" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.it/fhir/StructureDefinition/recordCertification" /> </type> </element> <element id="Patient.extension:luogoNascita"> <path value="Patient.extension" /> <sliceName value="luogoNascita" /> <short value="Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita" /> <definition value="Luogo di Nascita del paziente. In base al contesto può includere informazioni testuali e/o codificate, in forma strutturata o non strutturata. Tipicamente attraverso il codice comune o stato di nascita." /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-birthPlace" /> </type> </element> <element id="Patient.extension:luogoNascita.value[x]"> <path value="Patient.extension.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Patient.extension:luogoNascita.value[x]:valueAddress"> <path value="Patient.extension.valueAddress" /> <sliceName value="valueAddress" /> <short value="Indirizzo del luogo di Nascita" /> <definition value="Indirizzo del luogo di Nascita" /> <type> <code value="Address" /> <profile value="http://hl7.it/fhir/StructureDefinition/Address-it-base" /> </type> </element> <element id="Patient.extension:luogoNascitaCodeable"> <path value="Patient.extension" /> <sliceName value="luogoNascitaCodeable" /> <short value="Codice del comune e/o dello stato di nascita" /> <definition value="Codice del comune e/o dello stato di nascita del paziente. In via eccezionle, può essere usato per indicare comune e/o stato di nascita in forma testuale" /> <type> <code value="Extension" /> <profile value="http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace" /> </type> <binding> <strength value="example" /> <valueSet value="http://hl7.it/fhir/ValueSet/istat-luogoNascita" /> </binding> </element> <element id="Patient.extension:cittadinanza"> <path value="Patient.extension" /> <sliceName value="cittadinanza" /> <short value="Cittadinanza" /> <definition value="Indica la cittadinanza del cittadino attraverso lo stato di provenienza" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-citizenship" /> </type> <binding> <strength value="example" /> <valueSet value="http://hl7.it/fhir/ValueSet/istat-cittadinanza" /> </binding> </element> <element id="Patient.extension:professione"> <path value="Patient.extension" /> <sliceName value="professione" /> <short value="Professione" /> <definition value="Indica la professione del cittadino come semplice CodeableConcept" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.it/fhir/StructureDefinition/patient-occupation-it" /> </type> <mustSupport value="false" /> <binding> <strength value="preferred" /> <valueSet value="http://hl7.it/fhir/ValueSet/istat-professione" /> </binding> </element> <element id="Patient.extension:titoloStudio"> <path value="Patient.extension" /> <sliceName value="titoloStudio" /> <short value="Titolo di studio" /> <definition value="Indica il titolo di studio del cittadino come semplice CodeableConcept" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.it/fhir/StructureDefinition/patient-qualification-it" /> </type> <mustSupport value="false" /> <binding> <strength value="preferred" /> <valueSet value="http://hl7.it/fhir/ValueSet/istat-titoloStudio" /> </binding> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="$this.system" /> </discriminator> <rules value="open" /> </slicing> <short value="Identificativo del paziente" /> <definition value="Identificativo del paziente. Lo slicing specificato per questo element è di tipo open; questo significa che sono ammessi identificativi che non rispettano le regole definite per le sice specificate. Esempi di possibili sistemi di identificazione sono elencati in https://confluence.hl7.org/display/HI/Identificatori" /> <mustSupport value="true" /> </element> <element id="Patient.identifier.extension:certificazioneId"> <path value="Patient.identifier.extension" /> <sliceName value="certificazioneId" /> <short value="Identificativo certificato (tipicamente per CF)" /> <definition value="Indica che questo identificativo è stato certificato. Usato tipicamente per il Codice Fiscale." /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.it/fhir/StructureDefinition/recordCertification" /> </type> </element> <element id="Patient.identifier.type"> <path value="Patient.identifier.type" /> <mustSupport value="false" /> <binding> <strength value="extensible" /> <valueSet value="http://hl7.it/fhir/ValueSet/tipoIdentificatore" /> </binding> </element> <element id="Patient.identifier.value"> <path value="Patient.identifier.value" /> <short value="ID del paziente (e.g. Codice Fiscale)" /> <definition value="Identifictivo del paziente" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:codiceFiscale"> <path value="Patient.identifier" /> <sliceName value="codiceFiscale" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:codiceFiscale.system"> <path value="Patient.identifier.system" /> <min value="1" /> <fixedUri value="http://hl7.it/sid/codiceFiscale" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:codiceFiscale.value"> <path value="Patient.identifier.value" /> <min value="1" /> <constraint> <key value="pat-id-cf-1" /> <severity value="error" /> <human value="Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo" /> <expression value="matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')" /> <xpath value="matches(@value,'^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$')" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.identifier:anpr"> <path value="Patient.identifier" /> <sliceName value="anpr" /> </element> <element id="Patient.identifier:anpr.system"> <path value="Patient.identifier.system" /> <min value="1" /> <fixedUri value="http://hl7.it/sid/anpr" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:idRegionale"> <path value="Patient.identifier" /> <sliceName value="idRegionale" /> </element> <element id="Patient.identifier:idRegionale.system"> <path value="Patient.identifier.system" /> <min value="1" /> <fixedUri value="http://hl7.it/fhir/ValueSet/uri-idRegionali" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.it/fhir/ValueSet/uri-idRegionali" /> </binding> </element> <element id="Patient.identifier:codiceENI"> <path value="Patient.identifier" /> <sliceName value="codiceENI" /> <short value="Codice ENI" /> </element> <element id="Patient.identifier:codiceENI.system"> <path value="Patient.identifier.system" /> <min value="1" /> <fixedUri value="http://hl7.it/fhir/ValueSet/uri-idEni" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.it/fhir/ValueSet/uri-idEni" /> </binding> </element> <element id="Patient.identifier:codiceSTP"> <path value="Patient.identifier" /> <sliceName value="codiceSTP" /> </element> <element id="Patient.identifier:codiceSTP.system"> <path value="Patient.identifier.system" /> <min value="1" /> <fixedUri value="http://hl7.it/fhir/ValueSet/uri-idStp" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.it/fhir/ValueSet/uri-idStp" /> </binding> </element> <element id="Patient.name"> <path value="Patient.name" /> <requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name. The Alphabetic representation of the name SHALL be always provided" /> <min value="1" /> <constraint> <key value="it-pat-1" /> <severity value="error" /> <human value="Patient.name.given or Patient.name.family or both SHALL be present" /> <expression value="family.exists() or given.exists()" /> <xpath value="f:given or f:family" /> <source value="http://hl7.org/fhir/StructureDefinition/Patient" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.name.extension:name-absent-reason"> <path value="Patient.name.extension" /> <sliceName value="name-absent-reason" /> <short value="Ragione non valorizzazione elemento name" /> <definition value="Ragione per cui l'elemento name non è stato valorizzato" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" /> </type> </element> <element id="Patient.name.text"> <path value="Patient.name.text" /> <mustSupport value="true" /> </element> <element id="Patient.name.family"> <path value="Patient.name.family" /> <mustSupport value="true" /> </element> <element id="Patient.name.given"> <path value="Patient.name.given" /> <mustSupport value="true" /> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <mustSupport value="true" /> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <mustSupport value="true" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <mustSupport value="true" /> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <mustSupport value="false" /> </element> <element id="Patient.address"> <path value="Patient.address" /> <type> <code value="Address" /> <profile value="http://hl7.it/fhir/StructureDefinition/Address-it-base" /> </type> <mustSupport value="true" /> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <binding> <strength value="extensible" /> <valueSet value="http://hl7.it/fhir/ValueSet/statoCivile" /> </binding> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <slicing> <discriminator> <type value="profile" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="Patient.generalPractitioner:mmgPlsRole"> <path value="Patient.generalPractitioner" /> <sliceName value="mmgPlsRole" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.it/fhir/StructureDefinition/PractitionerRole-it-mmg" /> </type> <mustSupport value="true" /> </element> <element id="Patient.generalPractitioner:mmgPls"> <path value="Patient.generalPractitioner" /> <sliceName value="mmgPls" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.it/fhir/StructureDefinition/Practitioner-it-base" /> </type> <mustSupport value="true" /> </element> <element id="Patient.generalPractitioner:mmgPlsAzienda"> <path value="Patient.generalPractitioner" /> <sliceName value="mmgPlsAzienda" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.it/fhir/StructureDefinition/Organization-it-hcp" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0 .. *	Patient	Information about an individual or animal receiving health care services
recordCertification		0..1	(Complex)	Indica che i dati presenti nella risorsa sono stati certificati da uno specifico entità URL: http://hl7.it/fhir/StructureDefinition/recordCertification
patient-birthPlace		0..1	Address	Indica il luogo di nascita. Tipicamente attraverso il codice comune o stato di nascita URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
valueAddress		1 .. 1	AddressItBase	Indirizzo del luogo di Nascita
patient-codeableBirthPlace		0..*	CodeableConcept	Codice del comune e/o dello stato di nascita URL: http://hl7.it/fhir/StructureDefinition/patient-codeableBirthPlace Binding: ISTAT - Comune/Stato di Nascita (example)
patient-citizenship		0..1	(Complex)	Cittadinanza URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Binding: ISTAT - Cittadinanza (example)
patient-occupation-it		0..1	CodeableConcept	Professione URL: http://hl7.it/fhir/StructureDefinition/patient-occupation-it Binding: ISTAT - Professioni (preferred)
patient-qualification-it		0..1	CodeableConcept	Titolo di studio URL: http://hl7.it/fhir/StructureDefinition/patient-qualification-it Binding: ISTAT - Titolo Studio (preferred)
identifier	S	0 .. *	(Slice Definition)	Identificativo del paziente Slice: Unordered, Open by value:$this.system
identifier:All Slices				Content/Rules for all slices
recordCertification		0..1	(Complex)	Identificativo certificato (tipicamente per CF) URL: http://hl7.it/fhir/StructureDefinition/recordCertification
type		0 .. 1	CodeableConcept	Description of identifier Binding: Tipo identificatore (extensible)
value	S	1..1	string	ID del paziente (e.g. Codice Fiscale)
identifier:codiceFiscale	S	0 .. *	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	S I	1..1	string	The value that is unique pat-id-cf-1: Il Codice Fiscale deve essere di 16 caratteri alfanumerici (3 per il cognome; 3 per il nome; 2 caratteri numerici per l'anno di nascita; 1 per il mese di nascita; 2 caratteri numerici per il giorno di nascita ed il sesso; 4 associati al Comune oppure allo Stato estero di nascita. 1 carattere di controllo
identifier:anpr		0 .. *	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/anpr
identifier:idRegionale		0 .. *	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Binding: Identificativi per anagrafi regionali (required)
identifier:codiceENI		0 .. *	Identifier	Codice ENI
system	S	1..1	uri	The namespace for the identifier value Binding: Identificativi per codici ENI regionali (required)
identifier:codiceSTP		0 .. *	Identifier	An identifier for this patient
system	S	1..1	uri	The namespace for the identifier value Binding: Identificativi per codici STP regionali (required)
name	S I	1..*	HumanName	A name associated with the patient
data-absent-reason		0 .. *	code	Ragione non valorizzazione elemento name URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
text	S	0 .. 1	string	Text representation of the full name
family	S	0 .. 1	string	Family name (often called 'Surname')
given	S	0 .. *	string	Given names (not always 'first'). Includes middle names
telecom	S	0 .. *	ContactPoint	A contact detail for the individual
gender	S	0 .. 1	code	male \| female \| other \| unknown
birthDate	S	0 .. 1	date	The date of birth for the individual
deceased[x]		0 .. 1	boolean , dateTime	Indicates if the individual is deceased or not
address	S	0 .. *	AddressItBase	Indirizzo fisico o postale
maritalStatus		0 .. 1	CodeableConcept	Marital (civil) status of a patient Binding: Stato Civile (preferred)
generalPractitioner	S	0 .. *	(Slice Definition)	Patient's nominated primary care provider Slice: Unordered, Open by profile:$this
generalPractitioner:mmgPlsRole	S	0 .. *	Reference(PractitionerRole - MMG/PLS)	Patient's nominated primary care provider
generalPractitioner:mmgPls	S	0 .. *	Reference(Practitioner - base)	Patient's nominated primary care provider
generalPractitioner:mmgPlsAzienda	S	0 .. *	Reference(Organization - Operatore sanitario/socio sanitario)	Patient's nominated primary care provider
Documentation for this format