0.1.0 - ci-build

eReferralMustSupport - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: CAeReCPatient

Official URL: http://hl7.ca/fhir/eReferral/StructureDefinition/CAeReCPatient | Version: 0.1.0
Draft as of 2024-08-15 | Computable Name: CAeReCPatient

The Patient resources contain demographics and other administrative information about the individual who is the subject of the referral.

Usage:

- Refer to this Resource Profile: CAeReCAppointment, CAeReCCommunication, CAeReCDocumentReference, CAeReCQuestionnaireResponse and CAeReCServiceRequest

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  |  | Patient |
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
name | S | 1..* | HumanName | A name associated with the patient
family | S | 1..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
system | S | 0..1 | code | phone | fax | email | pager | url | sms | other
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
gender | S | 0..1 | code | male | female | other | unknown
birthDate | S | 0..1 | date | The date of birth for the individual
address | S | 0..* | Address | An address for the individual
text | S | 0..1 | string | Text representation of the address
postalCode | S | 0..1 | string | Postal code for area
country | S | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient
contact |  | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient
relationship | S | 0..* | CodeableConcept | The kind of relationship Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship (extensible)
name | S | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | A contact detail for the person
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
CommunicationBarrier | S | 0..* | (Complex) | Communication Barrier URL: https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier
value[x] | S | 0..1 | Coding | Value of extension Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible)
code | S | 0..1 | code | Symbol in syntax defined by the system Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible): Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required.
language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health
preferred | S | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Practitioner | PractitionerRole | Organization) | Patient's nominated primary care provider
reference | S | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
system | S | 1..1 | uri | The namespace for the identifier value
value | S | 1..1 | string | The value that is unique
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Patient.contact.relationship | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship`
Patient.communication.extension:CommunicationBarrier.value[x] | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.extension:CommunicationBarrier.value[x].code | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..* | HumanName | A name associated with the patient
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | Address | An address for the individual
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text | S Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
postalCode | S Σ | 0..1 | string | Postal code for area Example General: 9132
country | S Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship | S | 0..* | CodeableConcept | The kind of relationship Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship (extensible)
name | S | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | A contact detail for the person
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
CommunicationBarrier | S | 0..* | (Complex) | Communication Barrier URL: https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier"
value[x] | S | 0..1 | Coding | Value of extension Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible)
code | S Σ | 0..1 | code | Symbol in syntax defined by the system Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible): Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred | S | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Practitioner | PractitionerRole | Organization) | Patient's nominated primary care provider
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.telecom.system | required | ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` from the FHIR Standard
Patient.telecom.use | required | ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` from the FHIR Standard
Patient.contact.relationship | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship`
Patient.communication.extension:CommunicationBarrier.value[x] | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.extension:CommunicationBarrier.value[x].code | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Patient.generalPractitioner.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..* | HumanName | A name associated with the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | Address | An address for the individual
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | S Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 0..1 | string | Postal code for area Example General: 9132
country | S Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship | S | 0..* | CodeableConcept | The kind of relationship Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship (extensible)
name | S | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
CommunicationBarrier | S | 0..* | (Complex) | Communication Barrier URL: https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier"
value[x] | S | 0..1 | Coding | Value of extension Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible): Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required.
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred | S | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Practitioner | PractitionerRole | Organization) | Patient's nominated primary care provider
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.telecom.system | required | ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` from the FHIR Standard
Patient.telecom.use | required | ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.address.type | required | AddressType `http://hl7.org/fhir/ValueSet/address-type|4.0.1` from the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` from the FHIR Standard
Patient.contact.relationship | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship`
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.communication.extension:CommunicationBarrier.value[x] | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.extension:CommunicationBarrier.value[x].code | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Patient.generalPractitioner.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Patient.generalPractitioner.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.generalPractitioner.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |

This structure is derived from Patient

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 28 elements

Extensions

This structure refers to these extensions:

- https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  |  | Patient |
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
name | S | 1..* | HumanName | A name associated with the patient
family | S | 1..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
system | S | 0..1 | code | phone | fax | email | pager | url | sms | other
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
gender | S | 0..1 | code | male | female | other | unknown
birthDate | S | 0..1 | date | The date of birth for the individual
address | S | 0..* | Address | An address for the individual
text | S | 0..1 | string | Text representation of the address
postalCode | S | 0..1 | string | Postal code for area
country | S | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient
contact |  | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient
relationship | S | 0..* | CodeableConcept | The kind of relationship Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship (extensible)
name | S | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | A contact detail for the person
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
CommunicationBarrier | S | 0..* | (Complex) | Communication Barrier URL: https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier
value[x] | S | 0..1 | Coding | Value of extension Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible)
code | S | 0..1 | code | Symbol in syntax defined by the system Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible): Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required.
language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health
preferred | S | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Practitioner | PractitionerRole | Organization) | Patient's nominated primary care provider
reference | S | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S | 0..1 | Identifier | Logical reference, when literal reference is not known
system | S | 1..1 | uri | The namespace for the identifier value
value | S | 1..1 | string | The value that is unique
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Patient.contact.relationship | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship`
Patient.communication.extension:CommunicationBarrier.value[x] | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.extension:CommunicationBarrier.value[x].code | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..* | HumanName | A name associated with the patient
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | Address | An address for the individual
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text | S Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
postalCode | S Σ | 0..1 | string | Postal code for area Example General: 9132
country | S Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship | S | 0..* | CodeableConcept | The kind of relationship Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship (extensible)
name | S | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | A contact detail for the person
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
CommunicationBarrier | S | 0..* | (Complex) | Communication Barrier URL: https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier"
value[x] | S | 0..1 | Coding | Value of extension Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible)
code | S Σ | 0..1 | code | Symbol in syntax defined by the system Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible): Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred | S | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Practitioner | PractitionerRole | Organization) | Patient's nominated primary care provider
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.telecom.system | required | ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` from the FHIR Standard
Patient.telecom.use | required | ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` from the FHIR Standard
Patient.contact.relationship | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship`
Patient.communication.extension:CommunicationBarrier.value[x] | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.extension:CommunicationBarrier.value[x].code | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Patient.generalPractitioner.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..* | HumanName | A name associated with the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Family name (often called 'Surname')
given | S Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..* | Address | An address for the individual
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | S Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | S Σ | 0..1 | string | Postal code for area Example General: 9132
country | S Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship | S | 0..* | CodeableConcept | The kind of relationship Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship (extensible)
name | S | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
CommunicationBarrier | S | 0..* | (Complex) | Communication Barrier URL: https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier"
value[x] | S | 0..1 | Coding | Value of extension Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 0..1 | code | Symbol in syntax defined by the system Binding: https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier (extensible): Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required.
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred | S | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Practitioner | PractitionerRole | Organization) | Patient's nominated primary care provider
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` from the FHIR Standard
Patient.telecom.system | required | ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` from the FHIR Standard
Patient.telecom.use | required | ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` from the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` from the FHIR Standard
Patient.address.type | required | AddressType `http://hl7.org/fhir/ValueSet/address-type|4.0.1` from the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` from the FHIR Standard
Patient.contact.relationship | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/patient-contact-relationship`
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` from the FHIR Standard
Patient.communication.extension:CommunicationBarrier.value[x] | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.extension:CommunicationBarrier.value[x].code | extensible | https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier `https://fhir.infoway-inforoute.ca/io/CA-eReC/CodeSystem/communication-barrier`
Patient.communication.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Patient.generalPractitioner.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
Patient.generalPractitioner.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Patient.generalPractitioner.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |

This structure is derived from Patient

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 28 elements

Extensions

This structure refers to these extensions:

- https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-ext-CommunicationBarrier

Other representations of profile: CSV, Excel, Schematron