Patient Administration - a carer, relative or other person involved in the patient's care. Copied from the NW GMSA FHIR IG.

FDP Canonical Data Model

Equivalent FDP Canonical Data Model (CDM) v1.0.0 objects: Patient Relationship History.

Differences:

• Good fit: relationship type, name, contact details; the Patient also has next of kin fields.

The CDM is a downstream persistence model, used here as evidence of what NHS operations record, not as a design source. Mapping by property name - To confirm. See FDP Canonical Data Model Mapping for the full mapping.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
RelatedPerson.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
RelatedPerson.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
RelatedPerson.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	A human identifier for this person 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
RelatedPerson.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	A human identifier for this person
RelatedPerson.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)
RelatedPerson.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this related person's record is in active use
RelatedPerson.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient this person is related to
RelatedPerson.relationship	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
RelatedPerson.name	S This element must be supported. Σ This element is included in summaries.	0..*	HumanName	A name associated with the person
RelatedPerson.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the person
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
RelatedPerson.relationship	Base	preferred	Patient relationship type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	RelatedPerson	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	RelatedPerson	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	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	RelatedPerson	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()

This structure is derived from RelatedPerson

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
RelatedPerson.Slices for identifier	S This element must be supported.	0..*	Identifier	A human identifier for this person 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
RelatedPerson.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported.	0..*	MedicalRecordNumber	A human identifier for this person
RelatedPerson.Slices for identifier.identifier:nhsNumber	S This element must be supported.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
RelatedPerson.patient		1..1	Reference(Patient)	The patient this person is related to
RelatedPerson.relationship	S This element must be supported.	0..*	CodeableConcept	The nature of the relationship
RelatedPerson.name	S This element must be supported.	0..*	HumanName	A name associated with the person
RelatedPerson.telecom	S This element must be supported.	0..*	ContactPoint	A contact detail for the person
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
RelatedPerson.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
RelatedPerson.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
RelatedPerson.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
RelatedPerson.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.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
RelatedPerson.contained		0..*	Resource	Contained, inline Resources
RelatedPerson.extension		0..*	Extension	Additional content defined by implementations
RelatedPerson.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
RelatedPerson.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	A human identifier for this person 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
RelatedPerson.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	A human identifier for this person
RelatedPerson.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)
RelatedPerson.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this related person's record is in active use
RelatedPerson.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient this person is related to
RelatedPerson.relationship	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
RelatedPerson.name	S This element must be supported. Σ This element is included in summaries.	0..*	HumanName	A name associated with the person
RelatedPerson.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the person
RelatedPerson.gender	Σ This element is included in summaries.	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
RelatedPerson.birthDate	Σ This element is included in summaries.	0..1	date	The date on which the related person was born
RelatedPerson.address	Σ This element is included in summaries.	0..*	Address	Address where the related person can be contacted or visited
RelatedPerson.photo		0..*	Attachment	Image of the person
RelatedPerson.period		0..1	Period	Period of time that this relationship is considered valid
RelatedPerson.communication		0..*	BackboneElement	A language which may be used to communicate with about the patient's health
RelatedPerson.communication.id		0..1	string	Unique id for inter-element referencing
RelatedPerson.communication.extension		0..*	Extension	Additional content defined by implementations
RelatedPerson.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
RelatedPerson.communication.language		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. Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.communication.preferred		0..1	boolean	Language preference indicator
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
RelatedPerson.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
RelatedPerson.relationship	Base	preferred	Patient relationship type	📍4.0.1	FHIR Std.
RelatedPerson.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
RelatedPerson.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	RelatedPerson	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	RelatedPerson	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	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	RelatedPerson	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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
RelatedPerson.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
RelatedPerson.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
RelatedPerson.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	A human identifier for this person 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
RelatedPerson.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	A human identifier for this person
RelatedPerson.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)
RelatedPerson.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this related person's record is in active use
RelatedPerson.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient this person is related to
RelatedPerson.relationship	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
RelatedPerson.name	S This element must be supported. Σ This element is included in summaries.	0..*	HumanName	A name associated with the person
RelatedPerson.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the person
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
RelatedPerson.relationship	Base	preferred	Patient relationship type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	RelatedPerson	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	RelatedPerson	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	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	RelatedPerson	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()

Differential View

This structure is derived from RelatedPerson

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
RelatedPerson.Slices for identifier	S This element must be supported.	0..*	Identifier	A human identifier for this person 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
RelatedPerson.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported.	0..*	MedicalRecordNumber	A human identifier for this person
RelatedPerson.Slices for identifier.identifier:nhsNumber	S This element must be supported.	0..*	NHSIdentifier	UK National Health Identifiers: NHS NUMBER (England and Wales)
RelatedPerson.patient		1..1	Reference(Patient)	The patient this person is related to
RelatedPerson.relationship	S This element must be supported.	0..*	CodeableConcept	The nature of the relationship
RelatedPerson.name	S This element must be supported.	0..*	HumanName	A name associated with the person
RelatedPerson.telecom	S This element must be supported.	0..*	ContactPoint	A contact detail for the person
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
RelatedPerson.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
RelatedPerson.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
RelatedPerson.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
RelatedPerson.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.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
RelatedPerson.contained		0..*	Resource	Contained, inline Resources
RelatedPerson.extension		0..*	Extension	Additional content defined by implementations
RelatedPerson.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
RelatedPerson.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	A human identifier for this person 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
RelatedPerson.Slices for identifier.identifier:MedicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	0..*	MedicalRecordNumber	A human identifier for this person
RelatedPerson.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)
RelatedPerson.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this related person's record is in active use
RelatedPerson.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient this person is related to
RelatedPerson.relationship	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	The nature of the relationship Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
RelatedPerson.name	S This element must be supported. Σ This element is included in summaries.	0..*	HumanName	A name associated with the person
RelatedPerson.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the person
RelatedPerson.gender	Σ This element is included in summaries.	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
RelatedPerson.birthDate	Σ This element is included in summaries.	0..1	date	The date on which the related person was born
RelatedPerson.address	Σ This element is included in summaries.	0..*	Address	Address where the related person can be contacted or visited
RelatedPerson.photo		0..*	Attachment	Image of the person
RelatedPerson.period		0..1	Period	Period of time that this relationship is considered valid
RelatedPerson.communication		0..*	BackboneElement	A language which may be used to communicate with about the patient's health
RelatedPerson.communication.id		0..1	string	Unique id for inter-element referencing
RelatedPerson.communication.extension		0..*	Extension	Additional content defined by implementations
RelatedPerson.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
RelatedPerson.communication.language		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. Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.communication.preferred		0..1	boolean	Language preference indicator
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
RelatedPerson.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
RelatedPerson.relationship	Base	preferred	Patient relationship type	📍4.0.1	FHIR Std.
RelatedPerson.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
RelatedPerson.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	RelatedPerson	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	RelatedPerson	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	RelatedPerson	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	RelatedPerson	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	RelatedPerson	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()

This structure is derived from RelatedPerson

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Medical Record Number (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/MedicalRecordNumber)
• NHS Identifier (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/NHSIdentifier)
• Patient (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient)

Slices

This structure defines the following Slices:

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