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

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Resource Profile: Patient

Usages:

• Refer to this Profile: DocumentReference, Radiology Diagnostic Report, Radiology Imaging Study and Radiology Service Request
• Examples for this Profile: Patient/PatientManchester

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	CorrelationIdentifier	Patient identifiers Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: NW IdentifierType (required)
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	Recommended. This may be defined by a EPR/LIMS system. Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value MUST be unique to the organisation Example General: 123456
Patient.Slices for identifier.identifier:All Slices.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Organization)	Assigning Facility
Patient.Slices for identifier.identifier:All Slices.assigner.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Logical reference, when literal reference is not known
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456 Example Manchester University NHS Foundation Trust: R0A
Patient.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	Medical Record Number
Patient.Slices for identifier.identifier:nhsNumber	S This element must be supported. Σ This element is included in summaries.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
Patient.Slices for identifier.identifier:PatientIdentifier	Σ This element is included in summaries.	0..*	PatientIdentifier	Patient Identifier
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	The date of birth for the patient
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	required	NW IdentifierType	📦0.1.0	This IG
Patient.identifier.assigner.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from PatientEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Patient.Slices for identifier		1..*	CorrelationIdentifier	Patient identifiers Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.assigner		0..1	Reference(Organization)	Assigning Facility
Patient.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported.	0..*	MedicalRecordNumber	Medical Record Number
Patient.Slices for identifier.identifier:nhsNumber	S This element must be supported.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
Patient.Slices for identifier.identifier:PatientIdentifier		0..*	PatientIdentifier	Patient Identifier
Patient.name	S This element must be supported.	1..*	HumanName	A name associated with the patient
Patient.gender	S This element must be supported.	0..1	code	Administrative Gender
Patient.birthDate	S This element must be supported.	1..1	date	The date of birth for the patient
Patient.address
Patient.address.postalCode		1..1	string	Postal code
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Patient.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.id		0..1	id	Unique id for inter-element referencing
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	CorrelationIdentifier	Patient identifiers Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: NW IdentifierType (required)
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	Recommended. This may be defined by a EPR/LIMS system. Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value MUST be unique to the organisation Example General: 123456
Patient.Slices for identifier.identifier:All Slices.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:All Slices.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Organization)	Assigning Facility
Patient.Slices for identifier.identifier:All Slices.assigner.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.assigner.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.assigner.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Patient.Slices for identifier.identifier:All Slices.assigner.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Patient.Slices for identifier.identifier:All Slices.assigner.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Logical reference, when literal reference is not known
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.type	Σ This element is included in summaries.	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.
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456 Example Manchester University NHS Foundation Trust: R0A
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:All Slices.assigner.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Patient.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	Medical Record Number
Patient.Slices for identifier.identifier:nhsNumber	S This element must be supported. Σ This element is included in summaries.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
Patient.Slices for identifier.identifier:PatientIdentifier	Σ This element is included in summaries.	0..*	PatientIdentifier	Patient Identifier
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	Σ This element is included in summaries.	0..1	string	Text representation of the full name.
Patient.name.family	Σ This element is included in summaries.	0..1	string	Family name. Example spanish: Valero Iglesias
Patient.name.given	Σ This element is included in summaries.	0..*	string	Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Patient.telecom	Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the patient
Patient.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	The date of birth for the patient
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	Σ This element is included in summaries.	0..*	AddressEu	An address for the individual
Patient.address.id		0..1	string	Unique id for inter-element referencing
Patient.address.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.address.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	Purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Patient.address.type	Σ This element is included in summaries.	0..1	code	Address type (postal | physical) Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Patient.address.text	Σ This element is included in summaries.	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Patient.address.line	Σ This element is included in summaries.	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Patient.address.line.id		0..1	string	xml:id (or equivalent in JSON)
Patient.address.line.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.address.line.Slices for extension.extension:streetName		0..*	string	streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
Patient.address.line.Slices for extension.extension:houseNumber		0..*	string	houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
Patient.address.line.Slices for extension.extension:postBox		0..*	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
Patient.address.line.value		0..1	string	Primitive value for string Max Length:1048576
Patient.address.city	Σ This element is included in summaries.	0..1	string	City Example General: Erewhon
Patient.address.district	Σ This element is included in summaries.	0..1	string	District name (aka county) Example General: Madison
Patient.address.state	Σ This element is included in summaries.	0..1	string	Sub-unit of country (abbreviations ok)
Patient.address.postalCode	Σ This element is included in summaries.	1..1	string	Postal code Example General: 9132
Patient.address.country	Σ This element is included in summaries.	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.country.id		0..1	string	xml:id (or equivalent in JSON)
Patient.address.country.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.address.country.Slices for extension.extension:countryCode		0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString
Patient.address.country.Slices for extension.extension:countryCode.id		0..1	id	Unique id for inter-element referencing
Patient.address.country.Slices for extension.extension:countryCode.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.address.country.Slices for extension.extension:countryCode.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
Patient.address.country.Slices for extension.extension:countryCode.value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
Patient.address.country.value		0..1	string	Primitive value for string Max Length:1048576
Patient.address.period	Σ This element is included in summaries.	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Patient.maritalStatus		0..1	CodeableConcept	Marital status Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo		0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.relationship		0..*	CodeableConcept	Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
Patient.contact.name		0..1	HumanName	Contact name
Patient.contact.telecom		0..*	ContactPoint	Contact details for the person
Patient.contact.address		0..1	AddressEu	Contact person address
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language		1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider.
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	required	NW IdentifierType	📦0.1.0	This IG
Patient.identifier.assigner.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Patient.identifier.assigner.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.assigner.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.country.​extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📦4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from PatientEuCore

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/CorrelationIdentifier)
• Medical Record Number (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/MedicalRecordNumber)
• NHS Identifier (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/NHSIdentifier)
• Patient Identifier (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/PatientIdentifier)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	CorrelationIdentifier	Patient identifiers Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: NW IdentifierType (required)
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	Recommended. This may be defined by a EPR/LIMS system. Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value MUST be unique to the organisation Example General: 123456
Patient.Slices for identifier.identifier:All Slices.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Organization)	Assigning Facility
Patient.Slices for identifier.identifier:All Slices.assigner.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Logical reference, when literal reference is not known
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456 Example Manchester University NHS Foundation Trust: R0A
Patient.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	Medical Record Number
Patient.Slices for identifier.identifier:nhsNumber	S This element must be supported. Σ This element is included in summaries.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
Patient.Slices for identifier.identifier:PatientIdentifier	Σ This element is included in summaries.	0..*	PatientIdentifier	Patient Identifier
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	The date of birth for the patient
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	required	NW IdentifierType	📦0.1.0	This IG
Patient.identifier.assigner.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from PatientEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Patient.Slices for identifier		1..*	CorrelationIdentifier	Patient identifiers Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.assigner		0..1	Reference(Organization)	Assigning Facility
Patient.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported.	0..*	MedicalRecordNumber	Medical Record Number
Patient.Slices for identifier.identifier:nhsNumber	S This element must be supported.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
Patient.Slices for identifier.identifier:PatientIdentifier		0..*	PatientIdentifier	Patient Identifier
Patient.name	S This element must be supported.	1..*	HumanName	A name associated with the patient
Patient.gender	S This element must be supported.	0..1	code	Administrative Gender
Patient.birthDate	S This element must be supported.	1..1	date	The date of birth for the patient
Patient.address
Patient.address.postalCode		1..1	string	Postal code
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Patient.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Patient.Slices for extension.extension:birthPlace.id		0..1	id	Unique id for inter-element referencing
Patient.Slices for extension.extension:birthPlace.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:birthPlace.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
Patient.Slices for extension.extension:birthPlace.value[x]		1..1	AddressEu	Value of extension
Patient.Slices for extension.extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
Patient.Slices for extension.extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
Patient.Slices for extension.extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
Patient.Slices for extension.extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Patient.Slices for extension.extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Patient.Slices for extension.extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	CorrelationIdentifier	Patient identifiers Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: NW IdentifierType (required)
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	Recommended. This may be defined by a EPR/LIMS system. Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value MUST be unique to the organisation Example General: 123456
Patient.Slices for identifier.identifier:All Slices.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:All Slices.assigner	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Organization)	Assigning Facility
Patient.Slices for identifier.identifier:All Slices.assigner.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.assigner.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.assigner.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Patient.Slices for identifier.identifier:All Slices.assigner.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Patient.Slices for identifier.identifier:All Slices.assigner.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Logical reference, when literal reference is not known
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.type	Σ This element is included in summaries.	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.
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	The value that is unique Example General: 123456 Example Manchester University NHS Foundation Trust: R0A
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:All Slices.assigner.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:All Slices.assigner.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Patient.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	Medical Record Number
Patient.Slices for identifier.identifier:nhsNumber	S This element must be supported. Σ This element is included in summaries.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
Patient.Slices for identifier.identifier:PatientIdentifier	Σ This element is included in summaries.	0..*	PatientIdentifier	Patient Identifier
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	Σ This element is included in summaries.	0..1	string	Text representation of the full name.
Patient.name.family	Σ This element is included in summaries.	0..1	string	Family name. Example spanish: Valero Iglesias
Patient.name.given	Σ This element is included in summaries.	0..*	string	Given names. Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Patient.telecom	Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the patient
Patient.gender	S This element must be supported. Σ This element is included in summaries.	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	The date of birth for the patient
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1		Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	Σ This element is included in summaries.	0..*	AddressEu	An address for the individual
Patient.address.id		0..1	string	Unique id for inter-element referencing
Patient.address.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.address.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	Purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Patient.address.type	Σ This element is included in summaries.	0..1	code	Address type (postal | physical) Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Patient.address.text	Σ This element is included in summaries.	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Patient.address.line	Σ This element is included in summaries.	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Patient.address.line.id		0..1	string	xml:id (or equivalent in JSON)
Patient.address.line.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.address.line.Slices for extension.extension:streetName		0..*	string	streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
Patient.address.line.Slices for extension.extension:houseNumber		0..*	string	houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
Patient.address.line.Slices for extension.extension:postBox		0..*	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox
Patient.address.line.value		0..1	string	Primitive value for string Max Length:1048576
Patient.address.city	Σ This element is included in summaries.	0..1	string	City Example General: Erewhon
Patient.address.district	Σ This element is included in summaries.	0..1	string	District name (aka county) Example General: Madison
Patient.address.state	Σ This element is included in summaries.	0..1	string	Sub-unit of country (abbreviations ok)
Patient.address.postalCode	Σ This element is included in summaries.	1..1	string	Postal code Example General: 9132
Patient.address.country	Σ This element is included in summaries.	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.country.id		0..1	string	xml:id (or equivalent in JSON)
Patient.address.country.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.address.country.Slices for extension.extension:countryCode		0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString
Patient.address.country.Slices for extension.extension:countryCode.id		0..1	id	Unique id for inter-element referencing
Patient.address.country.Slices for extension.extension:countryCode.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.address.country.Slices for extension.extension:countryCode.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
Patient.address.country.Slices for extension.extension:countryCode.value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
Patient.address.country.value		0..1	string	Primitive value for string Max Length:1048576
Patient.address.period	Σ This element is included in summaries.	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Patient.maritalStatus		0..1	CodeableConcept	Marital status Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo		0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.relationship		0..*	CodeableConcept	Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
Patient.contact.name		0..1	HumanName	Contact name
Patient.contact.telecom		0..*	ContactPoint	Contact details for the person
Patient.contact.address		0..1	AddressEu	Contact person address
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language		1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider.
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	Σ This element is included in summaries.	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	required	NW IdentifierType	📦0.1.0	This IG
Patient.identifier.assigner.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Patient.identifier.assigner.​identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.assigner.​identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.country.​extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📦4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from PatientEuCore

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/CorrelationIdentifier)
• Medical Record Number (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/MedicalRecordNumber)
• NHS Identifier (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/NHSIdentifier)
• Patient Identifier (https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/PatientIdentifier)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier

Other representations of profile: CSV, Excel, Schematron