CH EPR FHIR (R4)
4.0.1-ballot - ballot
This page is part of the CH EPR FHIR (R4) (v4.0.1-ballot: DSTU 4 Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-pdqm-patient | Version: 4.0.1-ballot | |||
Draft as of 2024-01-09 | Computable Name: CHPDQmPatient | |||
Copyright/Legal: CC0-1.0 |
The patient demographics and identifier information which can be provided in the PDQm response according to the EPR. If the patient is already registered in a community, the MPI-PID SHALL be provided as an identifier. The EPR-SPID as an identifier MAY be added. The birthname can be added with the ISO 21090 qualifier extension.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHCorePatient
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | CHCorePatient | PDQm Patient | |
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Content/Rules for all slices | |||
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0..0 | CodeableConcept | ||
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S | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this |
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S | 1..1 | EPRSPIDIdentifier | An identifier intended for computation |
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S | 0..* | Identifier | Local patient identifier(s) Required Pattern: At least the following |
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1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
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S | 1..* | CHCoreHumanName | Name of a human - parts and usage Slice: Unordered, Open by profile:$this |
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S | 1..* | ChEprFhirHumanName | A name associated with the patient |
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S | 0..1 | ChEprFhirBirthName | The birthname of the patient |
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S | 0..1 | Reference(CH PDQm Provider Organization) | Provider organization of the patient |
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Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | CHCorePatient | PDQm 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 | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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Content/Rules for all slices | |||||||
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0..1 | CHCoreAddressEch11PlaceOfBirth | Place 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 | |||||
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0..* | CHCoreAddressECH11PlaceOfOrigin | Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin | |||||
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C | 0..* | (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 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this | ||||
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S | 1..1 | EPRSPIDIdentifier | An identifier intended for computation Required Pattern: At least the following | ||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3 | |||||
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0..* | AHVN13Identifier | AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points) Required Pattern: At least the following | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.32 | |||||
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SΣ | 0..* | Identifier | Local patient identifier(s) Required Pattern: At least the following | ||||
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1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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0..* | VEKAIdentifier | Insurance card number of the patient (20 digits) Required Pattern: At least the following | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |||||
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?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
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SC | 1..* | CHCoreHumanName | Name of a human - parts and usage Slice: Unordered, Open by profile:$this ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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SC | 1..* | ChEprFhirHumanName | A name associated with the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' | ||||
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SC | 0..1 | ChEprFhirBirthName | The birthname of the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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Σ | 0..* | ContactPoint | A contact detail for the individual Slice: Unordered, Open by value:system | ||||
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Content/Rules for all slices | |||||||
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ΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
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Σ | 1..1 | string | The actual contact point details | ||||
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?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
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C | 0..* | CHCoreContactPointECH46Email | CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Internet | CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. | ||||
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?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||
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boolean | |||||||
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dateTime | |||||||
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C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | BackboneElement | Contact data if it is not address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11 | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: contactData | |||||
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C | 1..1 | CHCoreAddressECH10 | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
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C | 0..* | BackboneElement | Name of parent pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN | |||||
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1..1 | HumanName | A name associated with the contact person | |||||
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0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred | |||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
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0..1 | BackboneElement | Language of correspondence | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
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1..1 | boolean | Language preference indicator Fixed Value: true | |||||
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SΣ | 0..1 | Reference(CH PDQm Provider Organization) | Provider organization of the patient | ||||
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?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
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Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
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Path | Conformance | ValueSet / Code | URI | |||
Patient.identifier:LocalPid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Patient.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard | ||||
Patient.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard | ||||
Patient.contact:contact.relationship | extensible | Pattern: contactDatahttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:nameOfParent.relationship | extensible | Pattern: PRNhttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.communication:languageOfCorrespondence.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-addr-2 | error | Patient.contact:contact.address | For 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-1 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-2 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-3 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-4 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-epr-fhir-1 | error | Patient.name:HumanName | For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' : family.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier' and value='BR').exists()=false | |
ch-pat-1 | error | Patient | At 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-2 | warning | Patient | gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown' | |
ch-pat-3 | error | Patient.extension:citizenship | ISO 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-2 | error | Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet | A system is required if a value is provided. : value.empty() or system.exists() | |
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
pat-1 | error | Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | CHCorePatient | PDQm 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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | CHCoreAddressEch11PlaceOfBirth | Place 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 | |||||
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0..* | CHCoreAddressECH11PlaceOfOrigin | Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin | |||||
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C | 0..* | (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 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this | ||||
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S | 1..1 | EPRSPIDIdentifier | An identifier intended for computation Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..* | AHVN13Identifier | AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points) Required Pattern: At least the following | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.32 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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SΣ | 0..* | Identifier | Local patient identifier(s) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | uri | The namespace for the identifier value | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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0..* | VEKAIdentifier | Insurance card number of the patient (20 digits) Required Pattern: At least the following | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
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SC | 1..* | CHCoreHumanName | Name of a human - parts and usage Slice: Unordered, Open by profile:$this ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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SC | 1..* | ChEprFhirHumanName | A name associated with the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' | ||||
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SC | 0..1 | ChEprFhirBirthName | The birthname of the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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Σ | 0..* | ContactPoint | A contact detail for the individual Slice: Unordered, Open by value:system | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
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Σ | 1..1 | string | The actual contact point details | ||||
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?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
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Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
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Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
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C | 0..* | CHCoreContactPointECH46Email | CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Internet | CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. | ||||
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Σ | 0..1 | code | male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
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Σ | 0..1 | date | The date of birth for the individual | ||||
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?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||
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boolean | |||||||
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dateTime | |||||||
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C | 0..* | CHCoreAddress | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
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0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ChCoreMaritalStatus (extensible) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | CodeableConcept | MaritalData Separation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..1 | Whether patient is part of a multiple birth | ||||||
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boolean | |||||||
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integer | |||||||
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0..* | Attachment | Image of the patient | |||||
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C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
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0..1 | HumanName | A name associated with the contact person | |||||
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0..* | ContactPoint | A contact detail for the person | |||||
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0..1 | Address | Address for the contact person | |||||
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0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
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C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
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0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
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C | 0..1 | BackboneElement | Contact data if it is not address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: contactData | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | HumanName | A name associated with the contact person | |||||
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C | 1..1 | CHCoreAddressECH10 | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
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0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
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C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
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0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
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C | 0..* | BackboneElement | Name of parent pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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1..1 | HumanName | A name associated with the contact person | |||||
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0..* | ContactPoint | A contact detail for the person | |||||
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0..1 | Address | Address for the contact person | |||||
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0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
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C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
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0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
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0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred | |||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | boolean | Language preference indicator | |||||
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0..1 | BackboneElement | Language of correspondence | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
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1..1 | boolean | Language preference indicator Fixed Value: true | |||||
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0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
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SΣ | 0..1 | Reference(CH PDQm Provider Organization) | Provider organization of the patient | ||||
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?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
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Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
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Path | Conformance | ValueSet / Code | URI | |||
Patient.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.identifier:LocalPid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Patient.identifier:LocalPid.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Patient.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard | ||||
Patient.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard | ||||
Patient.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.maritalStatus | extensible | ChCoreMaritalStatushttp://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus | ||||
Patient.contact.relationship | extensible | PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.contact:contact.relationship | extensible | Pattern: contactDatahttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.contact:nameOfParent.relationship | extensible | Pattern: PRNhttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:nameOfParent.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.communication:languageOfCorrespondence.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-addr-2 | error | Patient.address, Patient.contact:contact.address | For 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-1 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-2 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-3 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-4 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-epr-fhir-1 | error | Patient.name:HumanName | For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' : family.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier' and value='BR').exists()=false | |
ch-pat-1 | error | Patient | At 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-2 | warning | Patient | gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown' | |
ch-pat-3 | error | Patient.extension:citizenship | ISO 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-2 | error | Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet | A system is required if a value is provided. : value.empty() or system.exists() | |
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
pat-1 | error | Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
This structure is derived from CHCorePatient
Summary
Mandatory: 4 elements
Must-Support: 7 elements
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:
Differential View
This structure is derived from CHCorePatient
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | CHCorePatient | PDQm Patient | |
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Content/Rules for all slices | |||
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0..0 | CodeableConcept | ||
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S | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this |
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S | 1..1 | EPRSPIDIdentifier | An identifier intended for computation |
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S | 0..* | Identifier | Local patient identifier(s) Required Pattern: At least the following |
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1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |
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S | 1..* | CHCoreHumanName | Name of a human - parts and usage Slice: Unordered, Open by profile:$this |
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S | 1..* | ChEprFhirHumanName | A name associated with the patient |
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S | 0..1 | ChEprFhirBirthName | The birthname of the patient |
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S | 0..1 | Reference(CH PDQm Provider Organization) | Provider organization of the patient |
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Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | CHCorePatient | PDQm 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 | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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Content/Rules for all slices | |||||||
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0..1 | CHCoreAddressEch11PlaceOfBirth | Place 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 | |||||
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0..* | CHCoreAddressECH11PlaceOfOrigin | Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin | |||||
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C | 0..* | (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 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this | ||||
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S | 1..1 | EPRSPIDIdentifier | An identifier intended for computation Required Pattern: At least the following | ||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3 | |||||
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0..* | AHVN13Identifier | AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points) Required Pattern: At least the following | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.32 | |||||
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SΣ | 0..* | Identifier | Local patient identifier(s) Required Pattern: At least the following | ||||
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1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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0..* | VEKAIdentifier | Insurance card number of the patient (20 digits) Required Pattern: At least the following | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |||||
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?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
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SC | 1..* | CHCoreHumanName | Name of a human - parts and usage Slice: Unordered, Open by profile:$this ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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SC | 1..* | ChEprFhirHumanName | A name associated with the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' | ||||
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SC | 0..1 | ChEprFhirBirthName | The birthname of the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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Σ | 0..* | ContactPoint | A contact detail for the individual Slice: Unordered, Open by value:system | ||||
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Content/Rules for all slices | |||||||
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ΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
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Σ | 1..1 | string | The actual contact point details | ||||
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?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
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C | 0..* | CHCoreContactPointECH46Email | CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Internet | CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. | ||||
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?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||
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boolean | |||||||
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dateTime | |||||||
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C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | BackboneElement | Contact data if it is not address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11 | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: contactData | |||||
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C | 1..1 | CHCoreAddressECH10 | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
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C | 0..* | BackboneElement | Name of parent pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN | |||||
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1..1 | HumanName | A name associated with the contact person | |||||
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0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred | |||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
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0..1 | BackboneElement | Language of correspondence | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
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1..1 | boolean | Language preference indicator Fixed Value: true | |||||
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SΣ | 0..1 | Reference(CH PDQm Provider Organization) | Provider organization of the patient | ||||
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?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
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Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
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Path | Conformance | ValueSet / Code | URI | |||
Patient.identifier:LocalPid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Patient.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard | ||||
Patient.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard | ||||
Patient.contact:contact.relationship | extensible | Pattern: contactDatahttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:nameOfParent.relationship | extensible | Pattern: PRNhttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.communication:languageOfCorrespondence.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-addr-2 | error | Patient.contact:contact.address | For 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-1 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-2 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-3 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-4 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-epr-fhir-1 | error | Patient.name:HumanName | For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' : family.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier' and value='BR').exists()=false | |
ch-pat-1 | error | Patient | At 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-2 | warning | Patient | gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown' | |
ch-pat-3 | error | Patient.extension:citizenship | ISO 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-2 | error | Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet | A system is required if a value is provided. : value.empty() or system.exists() | |
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
pat-1 | error | Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | CHCorePatient | PDQm 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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | CHCoreAddressEch11PlaceOfBirth | Place 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 | |||||
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0..* | CHCoreAddressECH11PlaceOfOrigin | Place of origin(s) of patient URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin | |||||
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C | 0..* | (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 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by pattern:$this | ||||
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S | 1..1 | EPRSPIDIdentifier | An identifier intended for computation Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..* | AHVN13Identifier | AHVN13 / NAVS13 of the patient (13 digits starting with 756, no separation points) Required Pattern: At least the following | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.32 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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SΣ | 0..* | Identifier | Local patient identifier(s) Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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1..1 | CodeableConcept | Description of identifier Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: MR | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | uri | The namespace for the identifier value | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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0..* | VEKAIdentifier | Insurance card number of the patient (20 digits) Required Pattern: At least the following | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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0..1 | code | usual | official | temp | secondary | old (If known) | |||||
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0..1 | CodeableConcept | Description of identifier | |||||
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1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |||||
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0..1 | string | The value that is unique | |||||
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0..1 | Period | Time period when id is/was valid for use | |||||
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0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
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?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
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SC | 1..* | CHCoreHumanName | Name of a human - parts and usage Slice: Unordered, Open by profile:$this ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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SC | 1..* | ChEprFhirHumanName | A name associated with the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name ch-epr-fhir-1: For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' | ||||
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SC | 0..1 | ChEprFhirBirthName | The birthname of the patient ch-core-hm-1: if officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official ch-core-hm-2: if orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden ch-core-hm-3: ch-ext-ech-11-name can only be put on a family name ch-core-hm-4: ch-ext-ech-11-firstname can only be put on a given name | ||||
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Σ | 0..* | ContactPoint | A contact detail for the individual Slice: Unordered, Open by value:system | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. | ||||
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Σ | 1..1 | string | The actual contact point details | ||||
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?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. | ||||
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Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | ||||
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Σ | 0..1 | Period | Time period when the contact point was/is in use | ||||
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C | 0..* | CHCoreContactPointECH46Email | CH Core ContactPoint eCH-0046 Email cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Phone | CH Core ContactPoint eCH-0046 Phone cpt-2: A system is required if a value is provided. | ||||
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C | 0..* | CHCoreContactPointECH46Internet | CH Core ContactPoint eCH-0046 Internet cpt-2: A system is required if a value is provided. | ||||
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Σ | 0..1 | code | male | female | other Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
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Σ | 0..1 | date | The date of birth for the individual | ||||
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?!Σ | 0..1 | Indicates if the individual is deceased or not | |||||
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boolean | |||||||
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dateTime | |||||||
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C | 0..* | CHCoreAddress | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
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0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ChCoreMaritalStatus (extensible) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | CodeableConcept | MaritalData Separation URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-maritaldata-separation Binding: eCH-011 MaritalData Separation (extensible): ValueSet separation type | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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0..1 | Whether patient is part of a multiple birth | ||||||
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boolean | |||||||
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integer | |||||||
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0..* | Attachment | Image of the patient | |||||
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C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Slice: Unordered, Open by value:relationship pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
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0..1 | HumanName | A name associated with the contact person | |||||
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0..* | ContactPoint | A contact detail for the person | |||||
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0..1 | Address | Address for the contact person | |||||
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0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
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C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
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0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
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C | 0..1 | BackboneElement | Contact data if it is not address of patient pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-core/CodeSystem/ech-11 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: contactData | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | HumanName | A name associated with the contact person | |||||
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C | 1..1 | CHCoreAddressECH10 | An address expressed using postal conventions (as opposed to GPS or other location definition formats) ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used. | ||||
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0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
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C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
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0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
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C | 0..* | BackboneElement | Name of parent pat-1: SHALL at least contain a contact's details or a reference to an organization | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The 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 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleCode | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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1..1 | HumanName | A name associated with the contact person | |||||
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0..* | ContactPoint | A contact detail for the person | |||||
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0..1 | Address | Address for the contact person | |||||
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0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
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C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
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0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
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0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health Slice: Unordered, Open by value:preferred | |||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
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0..1 | boolean | Language preference indicator | |||||
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0..1 | BackboneElement | Language of correspondence | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
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1..1 | boolean | Language preference indicator Fixed Value: true | |||||
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0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
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SΣ | 0..1 | Reference(CH PDQm Provider Organization) | Provider organization of the patient | ||||
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?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
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Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
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Path | Conformance | ValueSet / Code | URI | |||
Patient.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.identifier:LocalPid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Patient.identifier:LocalPid.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Patient.telecom.system | required | ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard | ||||
Patient.telecom.use | required | ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard | ||||
Patient.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.maritalStatus | extensible | ChCoreMaritalStatushttp://fhir.ch/ig/ch-core/ValueSet/ch-core-maritalstatus | ||||
Patient.contact.relationship | extensible | PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.contact:contact.relationship | extensible | Pattern: contactDatahttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.contact:nameOfParent.relationship | extensible | Pattern: PRNhttp://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard | ||||
Patient.contact:nameOfParent.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard | ||||
Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.communication:languageOfCorrespondence.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
ch-addr-2 | error | Patient.address, Patient.contact:contact.address | For 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-1 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-2 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | if 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-3 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-4 | error | Patient.name, Patient.name:HumanName, Patient.name:BirthName | ch-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-epr-fhir-1 | error | Patient.name:HumanName | For birth name (iso21090-EN-qualifier BR) use slice 'name:BirthName' : family.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier' and value='BR').exists()=false | |
ch-pat-1 | error | Patient | At 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-2 | warning | Patient | gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown' | |
ch-pat-3 | error | Patient.extension:citizenship | ISO 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-2 | error | Patient.telecom:email, Patient.telecom:phone, Patient.telecom:internet | A system is required if a value is provided. : value.empty() or system.exists() | |
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
pat-1 | error | Patient.contact, Patient.contact:contact, Patient.contact:nameOfParent | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
This structure is derived from CHCorePatient
Summary
Mandatory: 4 elements
Must-Support: 7 elements
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:
Other representations of profile: CSV, Excel, Schematron