England Pathology and Laboratory Medicine (PaLM) Technical Framework
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Resource Profile: Patient - Mappings

Draft as of 2026-11-04

Mappings for the Patient resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameHL7 v2.5.1 (England PaLM)RIM MappingCDA (R2)FiveWs Pattern MappingLOINC code for the elementdoco
Patient
PID
Patient[classCode=PAT]
ClinicalDocument.recordTarget.patientRole
Patient / id
Patient / meta
Patient / implicitRules
Patient / language
Patient / text
Act.text?
Patient / contained
N/A
Patient / Slices for extension
Patient / Slices for extension / extension:birthPlace
Patient / Slices for extension / extension:birthPlace / id
n/a
Patient / Slices for extension / extension:birthPlace / extension
Patient / Slices for extension / extension:birthPlace / url
N/A
Patient / Slices for extension / extension:birthPlace / value[x]
N/A
Patient / Slices for extension / extension:sex-for-clinical-use
Patient / Slices for extension / extension:gender-identity
Patient / Slices for extension / extension:pronouns
Patient / Slices for extension / extension:patient-citizenship
Patient / Slices for extension / extension:patient-nationality
Patient / Slices for extension / extension:birthTime
Patient / modifierExtension
N/A
Patient / Slices for identifier
PID-3 Patient Identifier List
id
.id
FiveWs.identifier
Patient / Slices for identifier / identifier:All Slices
Patient / Slices for identifier / identifier:All Slices / id
n/a
Patient / Slices for identifier / identifier:All Slices / extension
n/a
Patient / Slices for identifier / identifier:All Slices / use
Role.code or implied by context
Patient / Slices for identifier / identifier:All Slices / type
Role.code or implied by context
Patient / Slices for identifier / identifier:All Slices / system
II.root or Role.id.root
Patient / Slices for identifier / identifier:All Slices / value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Patient / Slices for identifier / identifier:All Slices / period
Role.effectiveTime or implied by context
Patient / Slices for identifier / identifier:All Slices / assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Patient / Slices for identifier / identifier:All Slices / assigner / id
n/a
Patient / Slices for identifier / identifier:All Slices / assigner / extension
n/a
Patient / Slices for identifier / identifier:All Slices / assigner / reference
N/A
Patient / Slices for identifier / identifier:All Slices / assigner / type
N/A
Patient / Slices for identifier / identifier:All Slices / assigner / identifier
.identifier
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / id
n/a
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / extension
n/a
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / use
Role.code or implied by context
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / type
Role.code or implied by context
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / system
II.root or Role.id.root
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / period
Role.effectiveTime or implied by context
Patient / Slices for identifier / identifier:All Slices / assigner / identifier / assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Patient / Slices for identifier / identifier:All Slices / assigner / display
N/A
Patient / Slices for identifier / identifier:MedicalRecordNumber
PID-3 with CX-5 = MR and CX-4 = trust ODS code
id
.id
FiveWs.identifier
Patient / Slices for identifier / identifier:nhsNumber
PID-3 with CX-4 = NHS (assigning authority) and CX-5 = NH (identifier type). PID-32 Identity Reliability Code carries the NHS Number verification status
id
.id
FiveWs.identifier
Patient / Slices for identifier / identifier:PatientIdentifier
id
.id
FiveWs.identifier
Patient / active
statusCode
n/a
FiveWs.status
Patient / name
PID-5 Patient Name
name
.patient.name
Patient / name / id
n/a
Patient / name / extension
n/a
Patient / name / use
unique(./use)
Patient / name / text
./formatted
Patient / name / family
PID-5.1 Family Name
./part[partType = FAM]
Patient / name / given
  • PID-5.2 Given Name
  • PID-5.3 Second and Further Given Names
./part[partType = GIV]
Patient / name / prefix
PID-5.5 Prefix
./part[partType = PFX]
Patient / name / suffix
./part[partType = SFX]
Patient / name / period
./usablePeriod[type="IVL<TS>"]
Patient / telecom
  • PID-13 Phone Number - Home
  • PID-14 Phone Number - Business
telecom
.telecom
Patient / gender
PID-8 Administrative Sex - see ConceptMap v2-0001-to-administrative-gender
player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
.patient.administrativeGenderCode
Patient / birthDate
PID-7 Date/Time of Birth
player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
.patient.birthTime
21112-8
Patient / Slices for deceased[x]
  • player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd
  • player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
n/a
Patient / Slices for deceased[x] / deceased[x]:deceasedDateTime
PID-29 Patient Death Date and Time
  • player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd
  • player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
n/a
Patient / address
PID-11 Patient Address
addr
.addr
Patient / address / id
n/a
Patient / address / extension
n/a
Patient / address / use
unique(./use)
Patient / address / type
unique(./use)
Patient / address / text
./formatted
Patient / address / line
AD.part[parttype = AL]
Patient / address / line / id
Patient / address / line / Slices for extension
Patient / address / line / Slices for extension / extension:streetName
ADXP[partType=STR]
Patient / address / line / Slices for extension / extension:houseNumber
ADXP[partType=BNR]
Patient / address / line / Slices for extension / extension:postBox
ADXP[partType=POB]
Patient / address / line / value
Patient / address / city
AD.part[parttype = CTY]
Patient / address / district
AD.part[parttype = CNT | CPA]
Patient / address / state
AD.part[parttype = STA]
Patient / address / postalCode
PID-11.5 Zip or Postal Code
AD.part[parttype = ZIP]
Patient / address / country
AD.part[parttype = CNT]
Patient / address / country / id
Patient / address / country / Slices for extension
Patient / address / country / Slices for extension / extension:countryCode
SC.code
Patient / address / country / Slices for extension / extension:countryCode / id
n/a
Patient / address / country / Slices for extension / extension:countryCode / extension
Patient / address / country / Slices for extension / extension:countryCode / url
N/A
Patient / address / country / Slices for extension / extension:countryCode / value[x]
N/A
Patient / address / country / value
Patient / address / period
./usablePeriod[type="IVL<TS>"]
Patient / maritalStatus
player[classCode=PSN]/maritalStatusCode
.patient.maritalStatusCode
Patient / multipleBirth[x]
  • player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd
  • player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
n/a
Patient / photo
player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
n/a
Patient / contact
player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
n/a
Patient / contact / id
n/a
Patient / contact / extension
n/a
Patient / contact / modifierExtension
N/A
Patient / contact / relationship
code
n/a
Patient / contact / name
name
n/a
Patient / contact / telecom
telecom
n/a
Patient / contact / address
addr
n/a
Patient / contact / gender
player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
n/a
Patient / contact / organization
scoper
n/a
Patient / contact / period
effectiveTime
n/a
Patient / communication
LanguageCommunication
patient.languageCommunication
Patient / communication / id
n/a
Patient / communication / extension
n/a
Patient / communication / modifierExtension
N/A
Patient / communication / language
player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
.languageCode
Patient / communication / preferred
preferenceInd
.preferenceInd
Patient / generalPractitioner
subjectOf.CareEvent.performer.AssignedEntity
n/a
Patient / managingOrganization
scoper
.providerOrganization
Patient / link
outboundLink
n/a
Patient / link / id
n/a
Patient / link / extension
n/a
Patient / link / modifierExtension
N/A
Patient / link / other
id
n/a
Patient / link / type
typeCode
n/a

doco Documentation for this format