CH Core (R4)
4.0.1 - trial-use Switzerland flag

This page is part of the CH Core (R4) (v4.0.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core Patient

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient Version: 4.0.1
Active as of 2023-12-28 Computable Name: CHCorePatient

Copyright/Legal: CC0-1.0

Core patient definition in the swiss context. Relevant are definitions by the eCH-0010 V7.0 data standard mailing address and eCH-0011 V8.1 data standard pesond data. The CH Core Patient is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements in Switzerland. See also BFS for further information

Core patient demographics which can be shared

Usage:

Formal Views of Profile Content

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

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientCH Core Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... Slices for identifier 0..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
.... identifier:EPR-SPID 0..*EPRSPIDIdentifierEPR-SPID

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
.... identifier:LocalPid 0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
... name 0..*CHCoreHumanNameName of a human - parts and usage
... Slices for telecom 0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... system 1..1codephone | fax | email | pager | url | sms | other
..... value 1..1stringThe actual contact point details
.... telecom:email 0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
.... telecom:phone 0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
.... telecom:internet 0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
... gender 0..1codemale | female | other
... birthDate 0..1dateThe date of birth for the individual
... deceased[x] 0..1boolean, dateTimeIndicates if the individual is deceased or not
... address 0..*CHCoreAddressAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)
.... maritalDataSeparation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type

... Slices for contact 0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
.... contact:contact 0..1BackboneElementContact data if it is not address of patient
..... relationship 1..1CodeableConceptThe kind of relationship
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
..... telecom 0..0
..... address 1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... contact:nameOfParent 0..*BackboneElementName of parent
..... relationship 1..1CodeableConceptThe kind of relationship
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
..... name 1..1HumanNameA name associated with the contact person
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Patient.maritalStatusextensibleChCoreMaritalStatus

Constraints

IdGradePath(s)DetailsRequirements
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientCH Core Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... citizenship C0..*(Complex)Citizenship(s) of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:EPR-SPID 0..*EPRSPIDIdentifierEPR-SPID

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
.... identifier:LocalPid Σ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name C0..*CHCoreHumanNameName of a human - parts and usage
... Slices for telecom Σ0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... system ΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value Σ1..1stringThe actual contact point details
..... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... telecom:email C0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
.... telecom:phone C0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
.... telecom:internet C0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
... gender Σ0..1codemale | female | other
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address C0..*CHCoreAddressAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)
.... maritalDataSeparation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type


... Slices for contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
.... contact:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... contact:contact C0..1BackboneElementContact data if it is not address of patient
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
..... address C1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... contact:nameOfParent C0..*BackboneElementName of parent
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
..... name 1..1HumanNameA name associated with the contact person
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Patient.identifier.userequiredIdentifierUse
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.maritalStatusextensibleChCoreMaritalStatus
Patient.contact:contact.relationshipextensiblePattern: contactData
Patient.contact:nameOfParent.relationshipextensiblePattern: PRN
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.communication:languageOfCorrespondence.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
ch-addr-2errorPatient.address, Patient.contact:contact.addressFor a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
: country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1errorPatient.nameif officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2errorPatient.nameif orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3errorPatient.namech-ext-ech-11-name can only be put on a family name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4errorPatient.namech-ext-ech-11-firstname can only be put on a given name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
cpt-2errorPatient.telecom:email, Patient.telecom:phone, Patient.telecom:internetA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contact, Patient.contact:contact, Patient.contact:nameOfParentSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientCH Core Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... citizenship C0..*(Complex)Citizenship(s) of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:EPR-SPID 0..*EPRSPIDIdentifierEPR-SPID

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:LocalPid Σ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system0..1uriThe namespace for the identifier value
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name C0..*CHCoreHumanNameName of a human - parts and usage
... Slices for telecom Σ0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value Σ1..1stringThe actual contact point details
..... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

..... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
..... period Σ0..1PeriodTime period when the contact point was/is in use
.... telecom:email C0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
.... telecom:phone C0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
.... telecom:internet C0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
... gender Σ0..1codemale | female | other
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address C0..*CHCoreAddressAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... maritalDataSeparation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type


.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... Slices for contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
.... contact:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


..... name 0..1HumanNameA name associated with the contact person
..... telecom 0..*ContactPointA contact detail for the person
..... address 0..1AddressAddress for the contact person
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
.... contact:contact C0..1BackboneElementContact data if it is not address of patient
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... name 0..1HumanNameA name associated with the contact person
..... address C1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
.... contact:nameOfParent C0..*BackboneElementName of parent
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... name 1..1HumanNameA name associated with the contact person
..... telecom 0..*ContactPointA contact detail for the person
..... address 0..1AddressAddress for the contact person
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization C0..1Reference(Organization)Organization that is associated with the contact
..... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 0..1booleanLanguage preference indicator
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true
... generalPractitioner 0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(Organization)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.identifier.userequiredIdentifierUse
Patient.identifier.typeextensibleIdentifier Type Codes
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.maritalStatusextensibleChCoreMaritalStatus
Patient.contact.relationshipextensiblePatientContactRelationship
Patient.contact.genderrequiredAdministrativeGender
Patient.contact:contact.relationshipextensiblePattern: contactData
Patient.contact:contact.genderrequiredAdministrativeGender
Patient.contact:nameOfParent.relationshipextensiblePattern: PRN
Patient.contact:nameOfParent.genderrequiredAdministrativeGender
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.communication:languageOfCorrespondence.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
ch-addr-2errorPatient.address, Patient.contact:contact.addressFor a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
: country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1errorPatient.nameif officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2errorPatient.nameif orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3errorPatient.namech-ext-ech-11-name can only be put on a family name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4errorPatient.namech-ext-ech-11-firstname can only be put on a given name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
cpt-2errorPatient.telecom:email, Patient.telecom:phone, Patient.telecom:internetA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contact, Patient.contact:contact, Patient.contact:nameOfParentSHALL 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: 0 element (9 nested mandatory elements)
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Patient.identifier is sliced based on the value of pattern:$this
  • The element Patient.telecom is sliced based on the value of value:system
  • The element Patient.contact is sliced based on the value of value:relationship
  • The element Patient.communication is sliced based on the value of value:preferred

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientCH Core Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... Slices for identifier 0..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
.... identifier:EPR-SPID 0..*EPRSPIDIdentifierEPR-SPID

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
.... identifier:LocalPid 0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
... name 0..*CHCoreHumanNameName of a human - parts and usage
... Slices for telecom 0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... system 1..1codephone | fax | email | pager | url | sms | other
..... value 1..1stringThe actual contact point details
.... telecom:email 0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
.... telecom:phone 0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
.... telecom:internet 0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
... gender 0..1codemale | female | other
... birthDate 0..1dateThe date of birth for the individual
... deceased[x] 0..1boolean, dateTimeIndicates if the individual is deceased or not
... address 0..*CHCoreAddressAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)
.... maritalDataSeparation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type

... Slices for contact 0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
.... contact:contact 0..1BackboneElementContact data if it is not address of patient
..... relationship 1..1CodeableConceptThe kind of relationship
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
..... telecom 0..0
..... address 1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... contact:nameOfParent 0..*BackboneElementName of parent
..... relationship 1..1CodeableConceptThe kind of relationship
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
..... name 1..1HumanNameA name associated with the contact person
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Patient.maritalStatusextensibleChCoreMaritalStatus

Constraints

IdGradePath(s)DetailsRequirements
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientCH Core Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... citizenship C0..*(Complex)Citizenship(s) of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:EPR-SPID 0..*EPRSPIDIdentifierEPR-SPID

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
.... identifier:LocalPid Σ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
.... identifier:insuranceCardNumber 0..*VEKAIdentifierInsurance card number of the patient (20 digits)

Required Pattern: At least the following
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name C0..*CHCoreHumanNameName of a human - parts and usage
... Slices for telecom Σ0..*ContactPointA contact detail for the individual
Slice: Unordered, Open by value:system
.... telecom:All Slices Content/Rules for all slices
..... system ΣC1..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value Σ1..1stringThe actual contact point details
..... use ?!Σ0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... telecom:email C0..*CHCoreContactPointECH46EmailCH Core ContactPoint eCH-0046 Email
.... telecom:phone C0..*CHCoreContactPointECH46PhoneCH Core ContactPoint eCH-0046 Phone
.... telecom:internet C0..*CHCoreContactPointECH46InternetCH Core ContactPoint eCH-0046 Internet
... gender Σ0..1codemale | female | other
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address C0..*CHCoreAddressAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (extensible)
.... maritalDataSeparation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type


... Slices for contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
Slice: Unordered, Open by value:relationship
.... contact:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... contact:contact C0..1BackboneElementContact data if it is not address of patient
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: contactData
..... address C1..1CHCoreAddressECH10An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... contact:nameOfParent C0..*BackboneElementName of parent
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... relationship 1..1CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PRN
..... name 1..1HumanNameA name associated with the contact person
... Slices for communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
Slice: Unordered, Open by value:preferred
.... communication:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
.... communication:languageOfCorrespondence 0..1BackboneElementLanguage of correspondence
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... preferred 1..1booleanLanguage preference indicator
Fixed Value: true
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Patient.identifier.userequiredIdentifierUse
Patient.telecom.systemrequiredContactPointSystem
Patient.telecom.userequiredContactPointUse
Patient.genderrequiredAdministrativeGender
Patient.maritalStatusextensibleChCoreMaritalStatus
Patient.contact:contact.relationshipextensiblePattern: contactData
Patient.contact:nameOfParent.relationshipextensiblePattern: PRN
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.communication:languageOfCorrespondence.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
ch-addr-2errorPatient.address, Patient.contact:contact.addressFor a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
: country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1errorPatient.nameif officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2errorPatient.nameif orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3errorPatient.namech-ext-ech-11-name can only be put on a family name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4errorPatient.namech-ext-ech-11-firstname can only be put on a given name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-pat-1errorPatientAt least one HumanName with given and family name must be provided.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2warningPatientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ch-pat-3errorPatient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').value.coding.code.length()=2) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').value.coding.code.length() = 3) and extension.where(url='code').value.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
cpt-2errorPatient.telecom:email, Patient.telecom:phone, Patient.telecom:internetA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contact, Patient.contact:contact, Patient.contact:nameOfParentSHALL 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C0..*PatientCH Core Patient
ch-pat-1: At least one HumanName with given and family name must be provided.
ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... placeOfBirth 0..1CHCoreAddressEch11PlaceOfBirthPlace of birth of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace profiled by http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeofbirth
... placeOfOrigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... citizenship C0..*(Complex)Citizenship(s) of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:EPR-SPID 0..*EPRSPIDIdentifierEPR-SPID

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:AHVN13 0..*AHVN13IdentifierAHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type0..1CodeableConceptDescription of identifier
..... system1..1uriThe namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.32
..... value0..1stringThe value that is unique
..... period0..1PeriodTime period when id is/was valid for use
..... assigner0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:LocalPid Σ0..*IdentifierLocal patient identifier(s)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... use0..1codeusual | official | temp | secondary | old (If known)
..... type1..1CodeableConceptDescription of identifier
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant