CH Core (R4)
1.2.0 - STU 2 Ballot

This page is part of the CH Core (R4) (v1.2.0: STU 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core Composition Patient Profile EPR

Defining URL:http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-composition-patient-epr
Version:1.2.0
Name:CHCoreCompositionPatientEPR
Title:CH Core Composition Patient Profile EPR
Status:Active as of 2019-12-05
Definition:

Core patient definition in the context of the electronic patient record (EPR). It is used to include the patient in an EPR document (referenced in Composition/DocumentReference).

Publisher:HL7 Switzerland
Copyright:

CC-BY-SA-4.0

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-composition-patient-epr

Formal Views of Profile Content

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

This structure is derived from CHCorePatient

Summary

Mandatory: 4 elements
Prohibited: 2 elements

This structure is derived from CHCorePatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*CHCorePatientCH Core Patient EPR (to include the patient in an EPR document)
... identifier 1..*IdentifierAn identifier for this patient
... identifier:EPR-SPID 0..0
... identifier:AHVN13 0..0
... telecom 0..*ContactPointA contact detail for the individual
... gender 1..1codemale | female | other
... birthDate 1..1dateThe date of birth for the individual
... address 0..*CHCoreAddressAn address for the individual

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient I0..*CHCorePatientCH Core Patient EPR (to include the patient in an EPR document)
... id Σ0..1stringLogical 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)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ch-core-patient-ech-11-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
... ch-core-patient-ech-11-placeoforigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... patient-citizenship I0..*(Complex)Citizenships of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... patient-religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*(Slice Definition)An identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:LocalPid Σ0..*IdentifierLocal patient identifiers

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)
..... 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)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name I1..*CHCoreHumanNameA name associated with the patient
... telecom Σ0..*ContactPointA contact detail for the individual
... gender Σ1..1codemale | female | other
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ1..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address 0..*CHCoreAddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (required): The domestic partnership status of a person.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ch-ext-ech-11-maritaldata-separation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (required): 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
... contact I0..*(Slice Definition)A 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 I0..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 I0..1BackboneElementContactdata 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 0..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 1..1CHCoreAddressECH10Address for the contact person
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization I0..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:nameOfFather I0..1BackboneElementName of Father
..... 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..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: FTH
....... 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 I0..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:nameOfMother I0..1BackboneElementName of Mother
..... 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..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: MTH
....... 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 I0..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
... communication 0..*(Slice Definition)A 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)
Max Binding: AllLanguages: A human language.

..... preferred 0..1booleanLanguage preference indicator
.... communication:languageOfCorrespondance 0..1BackboneElementA language which may be used to communicate with the patient about his or her health
..... 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)
Max Binding: AllLanguages: A human language.

..... 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient I0..*CHCorePatientCH Core Patient EPR (to include the patient in an EPR document)

doco Documentation for this format

This structure is derived from CHCorePatient

Summary

Mandatory: 4 elements
Prohibited: 2 elements

Differential View

This structure is derived from CHCorePatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*CHCorePatientCH Core Patient EPR (to include the patient in an EPR document)
... identifier 1..*IdentifierAn identifier for this patient
... identifier:EPR-SPID 0..0
... identifier:AHVN13 0..0
... telecom 0..*ContactPointA contact detail for the individual
... gender 1..1codemale | female | other
... birthDate 1..1dateThe date of birth for the individual
... address 0..*CHCoreAddressAn address for the individual

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient I0..*CHCorePatientCH Core Patient EPR (to include the patient in an EPR document)
... id Σ0..1stringLogical 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)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ch-core-patient-ech-11-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
... ch-core-patient-ech-11-placeoforigin 0..*CHCoreAddressECH11PlaceOfOriginPlace of origin(s) of patient
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin
... patient-citizenship I0..*(Complex)Citizenships of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
ch-pat-3: ISO Country Alpha-2 or ISO Country Alpha-3 code
... patient-religion 0..1CodeableConceptReligion of patient
URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Binding: ReligiousAffiliation (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..*(Slice Definition)An identifier for this patient
Slice: Unordered, Open by pattern:$this
.... identifier:LocalPid Σ0..*IdentifierLocal patient identifiers

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)
..... 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)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... name I1..*CHCoreHumanNameA name associated with the patient
... telecom Σ0..*ContactPointA contact detail for the individual
... gender Σ1..1codemale | female | other
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ1..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address 0..*CHCoreAddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: ChCoreMaritalStatus (required): The domestic partnership status of a person.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ch-ext-ech-11-maritaldata-separation 0..1CodeableConceptMaritalData Separation
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation
Binding: eCH-011 MaritalData Separation (required): 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
... contact I0..*(Slice Definition)A 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 I0..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 I0..1BackboneElementContactdata 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 0..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 1..1CHCoreAddressECH10Address for the contact person
..... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

..... organization I0..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:nameOfFather I0..1BackboneElementName of Father
..... 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..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: FTH
....... 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 I0..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:nameOfMother I0..1BackboneElementName of Mother
..... 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..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: MTH
....... 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 I0..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
... communication 0..*(Slice Definition)A 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)
Max Binding: AllLanguages: A human language.

..... preferred 0..1booleanLanguage preference indicator
.... communication:languageOfCorrespondance 0..1BackboneElementA language which may be used to communicate with the patient about his or her health
..... 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)
Max Binding: AllLanguages: A human language.

..... 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

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Patient.languagepreferredCommonLanguages
Max Binding: AllLanguages
Patient.identifier:EPR-SPID.userequiredIdentifierUse
Patient.identifier:EPR-SPID.typeextensibleIdentifier Type Codes
Patient.identifier:AHVN13.userequiredIdentifierUse
Patient.identifier:AHVN13.typeextensibleIdentifier Type Codes
Patient.identifier:LocalPid.userequiredIdentifierUse
Patient.identifier:LocalPid.typeextensibleIdentifier Type Codes
Patient.genderrequiredAdministrativeGender
Patient.maritalStatusrequiredChCoreMaritalStatus
Patient.contact.relationshipextensiblePatientContactRelationship
Patient.contact.genderrequiredAdministrativeGender
Patient.contact:contact.relationshipextensiblePattern: contactData
Patient.contact:contact.genderrequiredAdministrativeGender
Patient.contact:nameOfFather.relationshipextensiblePattern: FTH
Patient.contact:nameOfFather.genderrequiredAdministrativeGender
Patient.contact:nameOfMother.relationshipextensiblePattern: MTH
Patient.contact:nameOfMother.genderrequiredAdministrativeGender
Patient.communication.languagepreferredCommonLanguages
Max Binding: AllLanguages
Patient.communication:languageOfCorrespondance.languagepreferredCommonLanguages
Max Binding: AllLanguages
Patient.link.typerequiredLinkType

Constraints

IdPathDetailsRequirements
dom-2PatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3PatientIf 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-4PatientIf 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-5PatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6PatientA resource should have narrative for robust management
: text.`div`.exists()
ch-pat-1PatientAt 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-2Patientgender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
ele-1Patient.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.extension:placeOfBirthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.extension:placeOfBirthMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.extension:placeOfOriginAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.extension:placeOfOriginMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.extension:citizenshipAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.extension:citizenshipMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ch-pat-3Patient.extension:citizenshipISO Country Alpha-2 or ISO Country Alpha-3 code
: ((extension.where(url='code').valueCodeableConcept.coding.code.length()=2) and extension.where(url='code').valueCodeableConcept.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2')) or ((extension.where(url='code').valueCodeableConcept.coding.code.length() = 3) and extension.where(url='code').valueCodeableConcept.coding.code.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))
ele-1Patient.extension:religionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.extension:religionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:EPR-SPID.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.identifier:EPR-SPID.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.identifier:EPR-SPID.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:EPR-SPID.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:EPR-SPID.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:EPR-SPID.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:EPR-SPID.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:EPR-SPID.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:AHVN13.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.identifier:AHVN13.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.identifier:AHVN13.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:AHVN13.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:AHVN13.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:AHVN13.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:AHVN13.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:AHVN13.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:LocalPidAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:LocalPid.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.identifier:LocalPid.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.identifier:LocalPid.useAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:LocalPid.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:LocalPid.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:LocalPid.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:LocalPid.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.identifier:LocalPid.assignerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.activeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ch-core-hm-1Patient.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 valueCode='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='officialName').exists() and use='official')
ch-core-hm-2Patient.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 valueCode='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and valueCode='originalName').exists() and use='maiden'))
ch-core-hm-3Patient.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-4Patient.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()
ele-1Patient.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.genderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.birthDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.deceased[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.maritalStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.maritalStatus.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.maritalStatus.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.maritalStatus.extension:maritalDataSeparationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.maritalStatus.extension:maritalDataSeparationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.maritalStatus.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.maritalStatus.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.multipleBirth[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.photoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
pat-1Patient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
ele-1Patient.contact.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact.relationshipAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact.genderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact.organizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
pat-1Patient.contact:contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
ele-1Patient.contact:contact.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact:contact.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact:contact.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact:contact.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact:contact.relationshipAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:contact.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:contact.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:contact.genderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:contact.organizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:contact.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfFatherAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
pat-1Patient.contact:nameOfFatherSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
ele-1Patient.contact:nameOfFather.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact:nameOfFather.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact:nameOfFather.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact:nameOfFather.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact:nameOfFather.relationshipAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfFather.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfFather.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfFather.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfFather.genderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfFather.organizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfFather.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfMotherAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
pat-1Patient.contact:nameOfMotherSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
ele-1Patient.contact:nameOfMother.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact:nameOfMother.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact:nameOfMother.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.contact:nameOfMother.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.contact:nameOfMother.relationshipAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfMother.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfMother.telecomAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfMother.addressAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfMother.genderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfMother.organizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.contact:nameOfMother.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.communicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.communication.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.communication.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.communication.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.communication.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.communication.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.communication.preferredAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.communication:languageOfCorrespondanceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.communication:languageOfCorrespondance.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.communication:languageOfCorrespondance.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.communication:languageOfCorrespondance.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.communication:languageOfCorrespondance.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.communication:languageOfCorrespondance.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.communication:languageOfCorrespondance.preferredAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.generalPractitionerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.managingOrganizationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.linkAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.link.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.link.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.link.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Patient.link.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Patient.link.otherAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Patient.link.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())