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XML representation of the ie-core-patient resource profile.
iEHR
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="ie-core-patient"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition ie-core-patient</b></p><a name="ie-core-patient"> </a><a name="hcie-core-patient"> </a><a name="ie-core-patient-en-US"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient">Patient</a><a name="Patient"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( ie-core-pat-01, ie-core-pat-02 )">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/patient.html">Patient</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Information about an individual or animal receiving health care services</span><br/><span style="font-weight:bold">ie-core-pat-01: </span>At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present<br/><span style="font-weight:bold">ie-core-pat-02: </span>At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.extension">Slices for extension</a><a name="Patient.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.extension:ethnicity" title="Extension URL = http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-ethnicity">ethnicity</a><a name="Patient.extension.2"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: IE Core ethnicity Extension (multiple ethnicities are supported in the extension)<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-core-ethnicity.html">http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-ethnicity</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-ie-core-ethnicity.html" title="http://iehr.ai/fhir/ie/core/ValueSet/ie-core-ethnicity">IE Core ethnicity</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>): Code for ethnicity<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.extension:motherMaidenName" title="Extension URL = http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient-mother-maiden-name">motherMaidenName</a><a name="Patient.extension.3"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: IE Core Patient's Mother's Maiden Name<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-core-patient-mother-maiden-name.html">http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient-mother-maiden-name</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.extension:genderIdentity" title="Extension URL = http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-genderIdentity">genderIdentity</a><a name="Patient.extension.4"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: The individual's gender identity<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-core-genderIdentity.html">http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-genderIdentity</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-ie-core-gender-identity.html" title="http://iehr.ai/fhir/ie/core/ValueSet/ie-core-gender-identity">IE Core Gender Identity</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.extension:personalPronouns" title="Extension URL = http://hl7.org/fhir/StructureDefinition/individual-pronouns">personalPronouns</a><a name="Patient.extension.5"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(Complex)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: Individual's Pronouns Extension<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.1.0/StructureDefinition-individual-pronouns.html">http://hl7.org/fhir/StructureDefinition/individual-pronouns</a><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.extension:interpreterRequired" title="Extension URL = http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-interpreter-required">interpreterRequired</a><a name="Patient.extension.6"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: IE Core Interpreter Required<br/><span style="font-weight:bold">URL: </span><a href="StructureDefinition-ie-core-interpreter-required.html">http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-interpreter-required</a><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-ie-core-yes-no-unknowns.html" title="http://iehr.ai/fhir/ie/core/ValueSet/ie-core-yes-no-unknowns">IE Core Yes, No, and Unknowns</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>): Answer Set with Yes No and Unknowns<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-ie-core-patient-definitions.html#Patient.identifier">Slices for identifier</a><a name="Patient.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="font-style: italic">1</span><span style="font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic" href="StructureDefinition-ie-core-individual-healthcare-identifier.html" title="Identifier">IECoreIndividualHealthcareIdentifier</a><span style="font-style: italic">, </span><a style="font-style: italic" href="StructureDefinition-ie-core-medical-record-number.html" title="Identifier">IECoreMedicalRecordNumber</a><span style="font-style: italic">, </span><a style="font-style: italic" href="StructureDefinition-ie-core-insurance-member-number.html" title="Identifier">IECoreInsuranceMemberNumber</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic">Identifies this patient across multiple systems</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by pattern:system</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.identifier:IHI" title="Slice IHI: Individual Healthcare Identifier (IHI) assigned under the HI Service to a patient.">identifier:IHI</a><a name="Patient.identifier.2"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( ie-core-ihi-0, ie-core-ihi-1, ie-core-ihi-2 )">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-ie-core-individual-healthcare-identifier.html" title="Identifier">IECoreIndividualHealthcareIdentifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Individual Healthcare Identifier (IHI)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.identifier:MRN" title="Slice MRN: Medical record number (MRN) (sometimes referred to as unit record number (URN) or (UR)) assigned by an institution to a patientβs record at that institution.">identifier:MRN</a><a name="Patient.identifier.3"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-ie-core-medical-record-number.html" title="Identifier">IECoreMedicalRecordNumber</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Medical Record Number (MRN)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.identifier:IMN" title="Slice IMN: Insurance member number assigned to an individual by an insurer as their unique member number. It is typically displayed on their insurance card and an individual will not have more than one member number per insurer. This identifier should not be confused with an insurance policy number.">identifier:IMN</a><a name="Patient.identifier.4"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-ie-core-insurance-member-number.html" title="Identifier">IECoreInsuranceMemberNumber</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Insurance Member Number (IMN)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.name">name</a><a name="Patient.name"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#HumanName">HumanName</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A name associated with the patient</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.name.use">use</a><a name="Patient.name.use"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.name.family">family</a><a name="Patient.name.family"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Family name (often called 'Surname')</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.name.given">given</a><a name="Patient.name.given"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Given names (not always 'first'). Includes middle names</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.name.suffix">suffix</a><a name="Patient.name.suffix"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: Parts that come after the name</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.name.period">period</a><a name="Patient.name.period"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: Time period when name was/is in use</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.telecom">telecom</a><a name="Patient.telecom"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#ContactPoint">ContactPoint</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: A contact detail for the individual</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.telecom.system">system</a><a name="Patient.telecom.system"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">phone | fax | email | pager | url | sms | other</span><br/><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-contact-point-system.html" title="http://hl7.org/fhir/ValueSet/contact-point-system">ContactPointSystem</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>): Telecommunications form for contact point.<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.telecom.value">value</a><a name="Patient.telecom.value"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The actual contact point details</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.telecom.use">use</a><a name="Patient.telecom.use"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">home | work | temp | old | mobile - purpose of this contact point</span><br/><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-contact-point-use.html" title="http://hl7.org/fhir/ValueSet/contact-point-use">ContactPointUse</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.gender">gender</a><a name="Patient.gender"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">male | female | other | unknown</span><br/><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-administrative-gender.html" title="http://hl7.org/fhir/ValueSet/administrative-gender">AdministrativeGender</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.birthDate">birthDate</a><a name="Patient.birthDate"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The date of birth for the individual</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.deceased[x]">deceased[x]</a><a name="Patient.deceased_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: Indicates if the individual is deceased or not</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.address">address</a><a name="Patient.address"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Address">Address</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">An address for the individual</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.address.use">use</a><a name="Patient.address.use"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.address.line">line</a><a name="Patient.address.line"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Street name, number, direction & P.O. Box etc.</span><br/><span style="font-weight:bold">Example General: </span><span style="color: darkgreen">51 Bracken Rd</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.address.city">city</a><a name="Patient.address.city"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Name of city, town etc.</span><br/><span style="font-weight:bold">Example General: </span><span style="color: darkgreen">Sandyford</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.address.state">state</a><a name="Patient.address.state"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Sub-unit of country (abbreviations ok)</span><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-ie-core-counties.html" title="http://iehr.ai/fhir/ie/core/ValueSet/ie-core-counties">Ireland Counties</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>): County<br/><br/><br/><span style="font-weight:bold">Example General: </span><span style="color: darkgreen">Dublin</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.address.postalCode">postalCode</a><a name="Patient.address.postalCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">IE Eircodes<br/><span style="font-weight:bold">Example General: </span><span style="color: darkgreen">D18 CV48</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.address.period">period</a><a name="Patient.address.period"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: Time period when address was/is in use</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.communication">communication</a><a name="Patient.communication"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗘𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ie-core-patient-definitions.html#Patient.communication.language">language</a><a name="Patient.communication.language"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The language which can be used to communicate with the patient about his or her health</span><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-simple-language.html" title="http://iehr.ai/fhir/ie/core/ValueSet/simple-language">Language codes with language and optionally a region modifier</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cgp"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="3">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://iehr.ai/fhir/ie/core/ImplementationGuide/iehr.fhir.ie.core"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://iehr.ai/fhir/ie/core/ImplementationGuide/iehr.fhir.ie.core"/>
</extension>
</valueCode>
</extension>
<url
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:1.3.6.1.4.1.54392.5.2690.42.46"/>
</identifier>
<version value="1.0.0-ballot"/>
<name value="IECorePatientProfile"/>
<title value="IE Core Patient Profile"/>
<status value="active"/>
<date value="2024-11-29T16:14:52-05:00"/>
<publisher value="iEHR.ai"/>
<contact>
<name value="iEHR.ai"/>
<telecom>
<system value="url"/>
<value value="http://www.iehr.ai"/>
</telecom>
<telecom>
<system value="email"/>
<value value="fhir@iehr.ai"/>
</telecom>
</contact>
<description
value="The IE Core Patient Profile inherits from the FHIR [Patient](https://hl7.org/fhir/R4/patient.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the [iEHR IE Core Data for Interoperability (IECDI)](https://www.iehr.ai/healthit/isp/united-states-core-data-interoperability-iecdi) *Patient Demographics/Information* Data Class. It sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="IE"/>
</coding>
</jurisdiction>
<copyright value="iEHR.ai, all rights reserved Creative Commons License"/>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="cda"/>
<uri value="http://hl7.org/v3/cda"/>
<name value="CDA (R2)"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/fivews"/>
<name value="FiveWs Pattern Mapping"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 Mapping"/>
</mapping>
<mapping>
<identity value="loinc"/>
<uri value="http://loinc.org"/>
<name value="LOINC code for the element"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="Patient"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<derivation value="constraint"/>
<snapshot>
<element id="Patient">
<path value="Patient"/>
<short
value="Information about an individual or animal receiving health care services"/>
<definition
value="Demographics and other administrative information about an individual or animal receiving care or other health-related services."/>
<alias value="SubjectOfCare Client Resident"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<xpath value="not(parent::f:contained and f:contained)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
value="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"/>
<expression
value="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()"/>
<xpath
value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<xpath
value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-5"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
<expression value="contained.meta.security.empty()"/>
<xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown
value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
</extension>
<key value="dom-6"/>
<severity value="warning"/>
<human
value="A resource should have narrative for robust management"/>
<expression value="text.`div`.exists()"/>
<xpath value="exists(f:text/h:div)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="ie-core-pat-01"/>
<severity value="error"/>
<human
value="At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present"/>
<expression
value="(identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()"/>
<xpath
value="(exists(f:identifier/f:system) and exists(f:identifier/f:value)) and not(exists(f:identifier/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason'])) or not(exists(f:identifier/f:system) and exists(f:identifier/f:value)) and exists(f:identifier/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason'])"/>
<source
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient"/>
</constraint>
<constraint>
<key value="ie-core-pat-02"/>
<severity value="error"/>
<human
value="At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present"/>
<expression
value="name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()"/>
<xpath
value="(exists(f:name/f:family) and not(exists(f:name/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason']))) or (not(exists(f:name/f:family)) and exists(f:name/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason']))"/>
<source
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Patient[classCode=PAT]"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="ClinicalDocument.recordTarget.patientRole"/>
</mapping>
</element>
<element id="Patient.id">
<path value="Patient.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comment
value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="Patient.meta">
<path value="Patient.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Meta"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="Patient.implicitRules">
<path value="Patient.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
<comment
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
<isSummary value="true"/>
</element>
<element id="Patient.language">
<path value="Patient.language"/>
<short value="Language of the resource content"/>
<definition
value="The base language in which the resource is written."/>
<comment
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="preferred"/>
<description value="A human language."/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
</binding>
</element>
<element id="Patient.text">
<path value="Patient.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comment
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Narrative"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="Patient.contained">
<path value="Patient.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comment
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Patient.extension">
<path value="Patient.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Extension"/>
<definition value="An Extension"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="Patient.extension:ethnicity">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="ethnicity"/>
<short
value="πππππ§ππ’π‘ππ πππππ: IE Core ethnicity Extension (multiple ethnicities are supported in the extension)"/>
<definition
value="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-ethnicity"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
</element>
<element id="Patient.extension:motherMaidenName">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="motherMaidenName"/>
<short
value="πππππ§ππ’π‘ππ πππππ: IE Core Patient's Mother's Maiden Name"/>
<definition
value="Mother's maiden (unmarried) name, commonly collected to help verify patient identity."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient-mother-maiden-name"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
</element>
<element id="Patient.extension:genderIdentity">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="genderIdentity"/>
<short
value="πππππ§ππ’π‘ππ πππππ: The individual's gender identity"/>
<definition
value="An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else."/>
<comment
value="This represents an individual's identity, ascertained by asking them what that identity is."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-genderIdentity"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
</element>
<element id="Patient.extension:personalPronouns">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="personalPronouns"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Individual's Pronouns Extension"/>
<definition
value="The pronouns to use when referring to an individual in verbal or written communication."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/individual-pronouns"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
</element>
<element id="Patient.extension:interpreterRequired">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="interpreterRequired"/>
<short
value="πππππ§ππ’π‘ππ πππππ: IE Core Interpreter Required"/>
<definition
value="This individual needs an interpreter to communicate healthcare information."/>
<comment
value="The individual does not speak the default language of the organization, and hence requires an interpreter."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-interpreter-required"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
</element>
<element id="Patient.modifierExtension">
<path value="Patient.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Patient.identifier">
<path value="Patient.identifier"/>
<slicing>
<discriminator>
<type value="pattern"/>
<path value="system"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Identifies this patient across multiple systems"/>
<definition value="An identifier for this patient."/>
<requirements
value="Patients are almost always assigned specific numerical identifiers."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Patient.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-individual-healthcare-identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-medical-record-number"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-insurance-member-number"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="id"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".id"/>
</mapping>
</element>
<element id="Patient.identifier:IHI">
<path value="Patient.identifier"/>
<sliceName value="IHI"/>
<short value="Individual Healthcare Identifier (IHI)"/>
<definition
value="Individual Healthcare Identifier (IHI) assigned under the HI Service to a patient."/>
<requirements
value="Patients are almost always assigned specific numerical identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-individual-healthcare-identifier"/>
</type>
<condition value="ele-1"/>
<condition value="ie-core-ihi-0"/>
<condition value="ie-core-ihi-1"/>
<condition value="ie-core-ihi-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ie-core-ihi-0"/>
<severity value="error"/>
<human value="IHI shall be an exactly 18 digit number"/>
<expression value="value.matches('^([0-9]{18})$')"/>
<source
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-individual-healthcare-identifier"/>
</constraint>
<constraint>
<key value="ie-core-ihi-1"/>
<severity value="error"/>
<human value="IHI shall pass the position 17 modulus 11 check digit"/>
<expression
value="(
(
(select(value.substring(0,1).toInteger()).select($this*17))+
(select(value.substring(1,1).toInteger()).select($this*16))+
(select(value.substring(2,1).toInteger()).select($this*15))+
(select(value.substring(3,1).toInteger()).select($this*14))+
(select(value.substring(4,1).toInteger()).select($this*13))+
(select(value.substring(5,1).toInteger()).select($this*12))+
(select(value.substring(6,1).toInteger()).select($this*11))+
(select(value.substring(7,1).toInteger()).select($this*10))+
(select(value.substring(8,1).toInteger()).select($this*9))+
(select(value.substring(9,1).toInteger()).select($this*8))+
(select(value.substring(10,1).toInteger()).select($this*7))+
(select(value.substring(11,1).toInteger()).select($this*6))+
(select(value.substring(12,1).toInteger()).select($this*5))+
(select(value.substring(13,1).toInteger()).select($this*4))+
(select(value.substring(14,1).toInteger()).select($this*3))+
(select(value.substring(15,1).toInteger()).select($this*2))+
(select(value.substring(16,1).toInteger()).select($this))
)mod 11=0
)"/>
<source
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-individual-healthcare-identifier"/>
</constraint>
<constraint>
<key value="ie-core-ihi-2"/>
<severity value="error"/>
<human value="IHI shall pass the position 18 GS1 check digit"/>
<expression
value="(
(
(select(value.substring(0,1).toInteger()).select($this*3))+
(value.substring(1,1).toInteger())+
(select(value.substring(2,1).toInteger()).select($this*3))+
(value.substring(3,1).toInteger())+
(select(value.substring(4,1).toInteger()).select($this*3))+
(value.substring(5,1).toInteger())+
(select(value.substring(6,1).toInteger()).select($this*3))+
(value.substring(7,1).toInteger())+
(select(value.substring(8,1).toInteger()).select($this*3))+
(value.substring(9,1).toInteger())+
(select(value.substring(10,1).toInteger()).select($this*3))+
(value.substring(11,1).toInteger())+
(select(value.substring(12,1).toInteger()).select($this*3))+
(value.substring(13,1).toInteger())+
(select(value.substring(14,1).toInteger()).select($this*3))+
(value.substring(15,1).toInteger())+
(select(value.substring(16,1).toInteger()).select($this*3))+
(value.substring(17,1).toInteger())
)mod 10=0
)"/>
<source
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-individual-healthcare-identifier"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="Identifier"/>
</mapping>
</element>
<element id="Patient.identifier:MRN">
<path value="Patient.identifier"/>
<sliceName value="MRN"/>
<short value="Medical Record Number (MRN)"/>
<definition
value="Medical record number (MRN) (sometimes referred to as unit record number (URN) or (UR)) assigned by an institution to a patientβs record at that institution."/>
<requirements
value="Patients are almost always assigned specific numerical identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-medical-record-number"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="Identifier"/>
</mapping>
</element>
<element id="Patient.identifier:IMN">
<path value="Patient.identifier"/>
<sliceName value="IMN"/>
<short value="Insurance Member Number (IMN)"/>
<definition
value="Insurance member number assigned to an individual by an insurer as their unique member number. It is typically displayed on their insurance card and an individual will not have more than one member number per insurer. This identifier should not be confused with an insurance policy number."/>
<requirements
value="Patients are almost always assigned specific numerical identifiers."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-insurance-member-number"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="Identifier"/>
</mapping>
</element>
<element id="Patient.active">
<path value="Patient.active"/>
<short value="Whether this patient's record is in active use"/>
<definition
value="Whether this patient record is in active use.
Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.
It is often used to filter patient lists to exclude inactive patients
Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death."/>
<comment
value="If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient."/>
<requirements
value="Need to be able to mark a patient record as not to be used because it was created in error."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.active"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<meaningWhenMissing
value="This resource is generally assumed to be active if no value is provided for the active element"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid"/>
<isSummary value="true"/>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="statusCode"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.name">
<path value="Patient.name"/>
<short value="A name associated with the patient"/>
<definition value="A name associated with the individual."/>
<comment
value="A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns."/>
<requirements
value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Patient.name"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="HumanName"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PID-5, PID-9"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="name"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".patient.name"/>
</mapping>
</element>
<element id="Patient.name.id">
<path value="Patient.name.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.name.extension">
<path value="Patient.name.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.name.use">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.name.use"/>
<short
value="πππππ§ππ’π‘ππ πππππ: usual | official | temp | nickname | anonymous | old | maiden"/>
<definition value="Identifies the purpose for this name."/>
<comment
value="Applications can assume that a name is current unless it explicitly says that it is temporary or old."/>
<requirements
value="Allows the appropriate name for a particular context of use to be selected from among a set of names."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HumanName.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="NameUse"/>
</extension>
<strength value="required"/>
<description value="The use of a human name."/>
<valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map
value="XPN.7, but often indicated by which field contains the name"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="unique(./use)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./NamePurpose"/>
</mapping>
</element>
<element id="Patient.name.text">
<path value="Patient.name.text"/>
<short value="Text representation of the full name"/>
<definition
value="Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts."/>
<comment
value="Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part."/>
<requirements value="A renderable, unencoded form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HumanName.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="implied by XPN.11"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./formatted"/>
</mapping>
</element>
<element id="Patient.name.family">
<path value="Patient.name.family"/>
<short value="Family name (often called 'Surname')"/>
<definition
value="The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father."/>
<comment
value="Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures)."/>
<alias value="surname"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HumanName.family"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XPN.1/FN.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./part[partType = FAM]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./FamilyName"/>
</mapping>
</element>
<element id="Patient.name.given">
<path value="Patient.name.given"/>
<short value="Given names (not always 'first'). Includes middle names"/>
<definition value="Given name."/>
<comment
value="If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first."/>
<alias value="first name"/>
<alias value="middle name"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="HumanName.given"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<orderMeaning
value="Given Names appear in the correct order for presenting the name"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XPN.2 + XPN.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./part[partType = GIV]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./GivenNames"/>
</mapping>
</element>
<element id="Patient.name.prefix">
<path value="Patient.name.prefix"/>
<short value="Parts that come before the name"/>
<definition
value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="HumanName.prefix"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<orderMeaning
value="Prefixes appear in the correct order for presenting the name"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XPN.5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./part[partType = PFX]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./TitleCode"/>
</mapping>
</element>
<element id="Patient.name.suffix">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.name.suffix"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Parts that come after the name"/>
<definition
value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="HumanName.suffix"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<orderMeaning
value="Suffixes appear in the correct order for presenting the name"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XPN/4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./part[partType = SFX]"/>
</mapping>
</element>
<element id="Patient.name.period">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.name.period"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Time period when name was/is in use"/>
<definition
value="Indicates the period of time when this name was valid for the named person."/>
<requirements value="Allows names to be placed in historical context."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="HumanName.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XPN.13 + XPN.14"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./usablePeriod[type="IVL<TS>"]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="Patient.telecom">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.telecom"/>
<short
value="πππππ§ππ’π‘ππ πππππ: A contact detail for the individual"/>
<definition
value="A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted."/>
<comment
value="A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone)."/>
<requirements
value="People have (primary) ways to contact them in some way such as phone, email."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.telecom"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="ContactPoint"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PID-13, PID-14, PID-40"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="telecom"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".telecom"/>
</mapping>
</element>
<element id="Patient.telecom.id">
<path value="Patient.telecom.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.telecom.extension">
<path value="Patient.telecom.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.telecom.system">
<path value="Patient.telecom.system"/>
<short value="phone | fax | email | pager | url | sms | other"/>
<definition
value="Telecommunications form for contact point - what communications system is required to make use of the contact."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ContactPoint.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<condition value="cpt-2"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<description value="Telecommunications form for contact point."/>
<valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="XTN.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./scheme"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./ContactPointType"/>
</mapping>
</element>
<element id="Patient.telecom.value">
<path value="Patient.telecom.value"/>
<short value="The actual contact point details"/>
<definition
value="The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address)."/>
<comment
value="Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value."/>
<requirements
value="Need to support legacy numbers that are not in a tightly controlled format."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ContactPoint.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XTN.1 (or XTN.12)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./url"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Value"/>
</mapping>
</element>
<element id="Patient.telecom.use">
<path value="Patient.telecom.use"/>
<short
value="home | work | temp | old | mobile - purpose of this contact point"/>
<definition value="Identifies the purpose for the contact point."/>
<comment
value="Applications can assume that a contact is current unless it explicitly says that it is temporary or old."/>
<requirements
value="Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ContactPoint.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="true"/>
<isModifierReason
value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="XTN.2 - but often indicated by field"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="unique(./use)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./ContactPointPurpose"/>
</mapping>
</element>
<element id="Patient.telecom.rank">
<path value="Patient.telecom.rank"/>
<short value="Specify preferred order of use (1 = highest)"/>
<definition
value="Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values."/>
<comment
value="Note that rank does not necessarily follow the order in which the contacts are represented in the instance."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ContactPoint.rank"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="positiveInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.telecom.period">
<path value="Patient.telecom.period"/>
<short value="Time period when the contact point was/is in use"/>
<definition value="Time period when the contact point was/is in use."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ContactPoint.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./usablePeriod[type="IVL<TS>"]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="Patient.gender">
<path value="Patient.gender"/>
<short value="male | female | other | unknown"/>
<definition
value="Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes."/>
<comment
value="The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex."/>
<requirements
value="Needed for identification of the individual, in combination with (at least) name and birth date."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Patient.gender"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="PID-8"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".patient.administrativeGenderCode"/>
</mapping>
</element>
<element id="Patient.birthDate">
<path value="Patient.birthDate"/>
<short value="The date of birth for the individual"/>
<definition value="The date of birth for the individual."/>
<comment
value="At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems)."/>
<requirements
value="Age of the individual drives many clinical processes."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.birthDate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PID-7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".patient.birthTime"/>
</mapping>
<mapping>
<identity value="loinc"/>
<map value="21112-8"/>
</mapping>
</element>
<element id="Patient.deceased[x]">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.deceased[x]"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Indicates if the individual is deceased or not"/>
<definition value="Indicates if the individual is deceased or not."/>
<comment
value="If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive."/>
<requirements
value="The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.deceased[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different."/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PID-30 (bool) and PID-29 (datetime)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.address">
<path value="Patient.address"/>
<short value="An address for the individual"/>
<definition value="An address for the individual."/>
<comment
value="Patient may have multiple addresses with different uses or applicable periods."/>
<requirements
value="May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.address"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Address"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PID-11"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="addr"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".addr"/>
</mapping>
</element>
<element id="Patient.address.id">
<path value="Patient.address.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.address.extension">
<path value="Patient.address.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.address.use">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.address.use"/>
<short
value="πππππ§ππ’π‘ππ πππππ: home | work | temp | old | billing - purpose of this address"/>
<definition value="The purpose of this address."/>
<comment
value="Applications can assume that an address is current unless it explicitly says that it is temporary or old."/>
<requirements
value="Allows an appropriate address to be chosen from a list of many."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.use"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<example>
<label value="General"/>
<valueCode value="home"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AddressUse"/>
</extension>
<strength value="required"/>
<description value="The use of an address."/>
<valueSet value="http://hl7.org/fhir/ValueSet/address-use|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="XAD.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="unique(./use)"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./AddressPurpose"/>
</mapping>
</element>
<element id="Patient.address.type">
<path value="Patient.address.type"/>
<short value="postal | physical | both"/>
<definition
value="Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both."/>
<comment
value="The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<example>
<label value="General"/>
<valueCode value="both"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AddressType"/>
</extension>
<strength value="required"/>
<description value="The type of an address (physical / postal)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/address-type|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="XAD.18"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="unique(./use)"/>
</mapping>
<mapping>
<identity value="vcard"/>
<map value="address type parameter"/>
</mapping>
</element>
<element id="Patient.address.text">
<path value="Patient.address.text"/>
<short value="Text representation of the address"/>
<definition
value="Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts."/>
<comment
value="Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part."/>
<requirements value="A renderable, unencoded form."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="137 Nowhere Street, Erewhon 9132"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./formatted"/>
</mapping>
<mapping>
<identity value="vcard"/>
<map value="address label parameter"/>
</mapping>
</element>
<element id="Patient.address.line">
<path value="Patient.address.line"/>
<short value="Street name, number, direction & P.O. Box etc."/>
<definition
value="This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Address.line"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<orderMeaning
value="The order in which lines should appear in an address label"/>
<example>
<label value="General"/>
<valueString value="137 Nowhere Street"/>
</example>
<example>
<label value="General"/>
<valueString value="51 Bracken Rd"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map
value="XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="AD.part[parttype = AL]"/>
</mapping>
<mapping>
<identity value="vcard"/>
<map value="street"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StreetAddress (newline delimitted)"/>
</mapping>
</element>
<element id="Patient.address.city">
<path value="Patient.address.city"/>
<short value="Name of city, town etc."/>
<definition
value="The name of the city, town, suburb, village or other community or delivery center."/>
<alias value="Municpality"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.city"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="Erewhon"/>
</example>
<example>
<label value="General"/>
<valueString value="Sandyford"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XAD.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="AD.part[parttype = CTY]"/>
</mapping>
<mapping>
<identity value="vcard"/>
<map value="locality"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Jurisdiction"/>
</mapping>
</element>
<element id="Patient.address.district">
<path value="Patient.address.district"/>
<short value="District name (aka county)"/>
<definition value="The name of the administrative area (county)."/>
<comment
value="District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead."/>
<alias value="County"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.district"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="Madison"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XAD.9"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="AD.part[parttype = CNT | CPA]"/>
</mapping>
</element>
<element id="Patient.address.state">
<path value="Patient.address.state"/>
<short value="Sub-unit of country (abbreviations ok)"/>
<definition
value="Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes)."/>
<alias value="Province"/>
<alias value="Territory"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.state"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="Dublin"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<description value="County"/>
<valueSet
value="http://iehr.ai/fhir/ie/core/ValueSet/ie-core-counties"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="XAD.4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="AD.part[parttype = STA]"/>
</mapping>
<mapping>
<identity value="vcard"/>
<map value="region"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Region"/>
</mapping>
</element>
<element id="Patient.address.postalCode">
<path value="Patient.address.postalCode"/>
<short value="IE Eircodes"/>
<definition
value="A postal code designating a region defined by the postal service."/>
<alias value="Zip"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.postalCode"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="9132"/>
</example>
<example>
<label value="General"/>
<valueString value="D18 CV48"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XAD.5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="AD.part[parttype = ZIP]"/>
</mapping>
<mapping>
<identity value="vcard"/>
<map value="code"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./PostalIdentificationCode"/>
</mapping>
</element>
<element id="Patient.address.country">
<path value="Patient.address.country"/>
<short value="Country (e.g. can be ISO 3166 2 or 3 letter code)"/>
<definition
value="Country - a nation as commonly understood or generally accepted."/>
<comment
value="ISO 3166 3 letter codes can be used in place of a human readable country name."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.country"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XAD.6"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="AD.part[parttype = CNT]"/>
</mapping>
<mapping>
<identity value="vcard"/>
<map value="country"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./Country"/>
</mapping>
</element>
<element id="Patient.address.period">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.address.period"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Time period when address was/is in use"/>
<definition value="Time period when address was/is in use."/>
<requirements
value="Allows addresses to be placed in historical context."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Address.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<example>
<label value="General"/>
<valuePeriod>
<start value="2010-03-23"/>
<end value="2010-07-01"/>
</valuePeriod>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="XAD.12 / XAD.13 + XAD.14"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./usablePeriod[type="IVL<TS>"]"/>
</mapping>
<mapping>
<identity value="servd"/>
<map value="./StartDate and ./EndDate"/>
</mapping>
</element>
<element id="Patient.maritalStatus">
<path value="Patient.maritalStatus"/>
<short value="Marital (civil) status of a patient"/>
<definition
value="This field contains a patient's most recent marital (civil) status."/>
<requirements value="Most, if not all systems capture it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.maritalStatus"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MaritalStatus"/>
</extension>
<strength value="extensible"/>
<description value="The domestic partnership status of a person."/>
<valueSet value="http://hl7.org/fhir/ValueSet/marital-status"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="PID-16"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="player[classCode=PSN]/maritalStatusCode"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".patient.maritalStatusCode"/>
</mapping>
</element>
<element id="Patient.multipleBirth[x]">
<path value="Patient.multipleBirth[x]"/>
<short value="Whether patient is part of a multiple birth"/>
<definition
value="Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer)."/>
<comment
value="Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated)."/>
<requirements
value="For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.multipleBirth[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="integer"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="PID-24 (bool), PID-25 (integer)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.photo">
<path value="Patient.photo"/>
<short value="Image of the patient"/>
<definition value="Image of the patient."/>
<comment
value="Guidelines:
* Use id photos, not clinical photos.
* Limit dimensions to thumbnail.
* Keep byte count low to ease resource updates."/>
<requirements
value="Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.photo"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Attachment"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBX-5 - needs a profile"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact">
<path value="Patient.contact"/>
<short
value="A contact party (e.g. guardian, partner, friend) for the patient"/>
<definition
value="A contact party (e.g. guardian, partner, friend) for the patient."/>
<comment
value="Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact."/>
<requirements
value="Need to track people you can contact about the patient."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.contact"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="pat-1"/>
<severity value="error"/>
<human
value="SHALL at least contain a contact's details or a reference to an organization"/>
<expression
value="name.exists() or telecom.exists() or address.exists() or organization.exists()"/>
<xpath
value="exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)"/>
<source value="http://hl7.org/fhir/StructureDefinition/Patient"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.id">
<path value="Patient.contact.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.extension">
<path value="Patient.contact.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.modifierExtension">
<path value="Patient.contact.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Patient.contact.relationship">
<path value="Patient.contact.relationship"/>
<short value="The kind of relationship"/>
<definition
value="The nature of the relationship between the patient and the contact person."/>
<requirements
value="Used to determine which contact person is the most relevant to approach, depending on circumstances."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.contact.relationship"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ContactRelationship"/>
</extension>
<strength value="extensible"/>
<description
value="The nature of the relationship between a patient and a contact person for that patient."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/patient-contactrelationship"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="NK1-7, NK1-3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="code"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.name">
<path value="Patient.contact.name"/>
<short value="A name associated with the contact person"/>
<definition value="A name associated with the contact person."/>
<requirements
value="Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.contact.name"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="HumanName"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="NK1-2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="name"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.telecom">
<path value="Patient.contact.telecom"/>
<short value="A contact detail for the person"/>
<definition
value="A contact detail for the person, e.g. a telephone number or an email address."/>
<comment
value="Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification."/>
<requirements
value="People have (primary) ways to contact them in some way such as phone, email."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.contact.telecom"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="ContactPoint"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="NK1-5, NK1-6, NK1-40"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="telecom"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.address">
<path value="Patient.contact.address"/>
<short value="Address for the contact person"/>
<definition value="Address for the contact person."/>
<requirements
value="Need to keep track where the contact person can be contacted per postal mail or visited."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.contact.address"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Address"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="NK1-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="addr"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.gender">
<path value="Patient.contact.gender"/>
<short value="male | female | other | unknown"/>
<definition
value="Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes."/>
<requirements value="Needed to address the person correctly."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.contact.gender"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="AdministrativeGender"/>
</extension>
<strength value="required"/>
<description
value="The gender of a person used for administrative purposes."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="NK1-15"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.organization">
<path value="Patient.contact.organization"/>
<short value="Organization that is associated with the contact"/>
<definition
value="Organization on behalf of which the contact is acting or for which the contact is working."/>
<requirements
value="For guardians or business related contacts, the organization is relevant."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.contact.organization"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization"/>
</type>
<condition value="pat-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="scoper"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.contact.period">
<path value="Patient.contact.period"/>
<short
value="The period during which this contact person or organization is valid to be contacted relating to this patient"/>
<definition
value="The period during which this contact person or organization is valid to be contacted relating to this patient."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.contact.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="effectiveTime"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.communication">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.communication"/>
<short
value="πππππ§ππ’π‘ππ πππππ: A language which may be used to communicate with the patient about his or her health"/>
<definition
value="A language which may be used to communicate with the patient about his or her health."/>
<comment
value="If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required."/>
<requirements
value="If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.communication"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="LanguageCommunication"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="patient.languageCommunication"/>
</mapping>
</element>
<element id="Patient.communication.id">
<path value="Patient.communication.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.communication.extension">
<path value="Patient.communication.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.communication.modifierExtension">
<path value="Patient.communication.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Patient.communication.language">
<path value="Patient.communication.language"/>
<short
value="The language which can be used to communicate with the patient about his or her health"/>
<definition
value="The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English."/>
<comment
value="The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type."/>
<requirements
value="Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Patient.communication.language"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<valueSet
value="http://iehr.ai/fhir/ie/core/ValueSet/simple-language"/>
</binding>
<mapping>
<identity value="v2"/>
<map value="PID-15, LAN-2"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".languageCode"/>
</mapping>
</element>
<element id="Patient.communication.preferred">
<path value="Patient.communication.preferred"/>
<short value="Language preference indicator"/>
<definition
value="Indicates whether or not the patient prefers this language (over other languages he masters up a certain level)."/>
<comment
value="This language is specifically identified for communicating healthcare information."/>
<requirements
value="People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.communication.preferred"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="PID-15"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="preferenceInd"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".preferenceInd"/>
</mapping>
</element>
<element id="Patient.generalPractitioner">
<path value="Patient.generalPractitioner"/>
<short value="Patient's nominated primary care provider"/>
<definition value="Patient's nominated care provider."/>
<comment
value="This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.
Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.
Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type."/>
<alias value="careProvider"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.generalPractitioner"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="PD1-4"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="subjectOf.CareEvent.performer.AssignedEntity"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.managingOrganization">
<path value="Patient.managingOrganization"/>
<short
value="Organization that is the custodian of the patient record"/>
<definition
value="Organization that is the custodian of the patient record."/>
<comment
value="There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association)."/>
<requirements
value="Need to know who recognizes this patient record, manages and updates it."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Patient.managingOrganization"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Organization"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="scoper"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value=".providerOrganization"/>
</mapping>
</element>
<element id="Patient.link">
<path value="Patient.link"/>
<short
value="Link to another patient resource that concerns the same actual person"/>
<definition
value="Link to another patient resource that concerns the same actual patient."/>
<comment
value="There is no assumption that linked patient records have mutual links."/>
<requirements
value="There are multiple use cases:
* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
* Distribution of patient information across multiple servers."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Patient.link"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="outboundLink"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.link.id">
<path value="Patient.link.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.link.extension">
<path value="Patient.link.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.link.modifierExtension">
<path value="Patient.link.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Patient.link.other">
<path value="Patient.link.other"/>
<short
value="The other patient or related person resource that the link refers to"/>
<definition
value="The other patient resource that the link refers to."/>
<comment
value="Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Patient.link.other"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy">
<valueBoolean value="false"/>
</extension>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PID-3, MRG-1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="id"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Patient.link.type">
<path value="Patient.link.type"/>
<short value="replaced-by | replaces | refer | seealso"/>
<definition
value="The type of link between this patient resource and another patient resource."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Patient.link.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="LinkType"/>
</extension>
<strength value="required"/>
<description
value="The type of link between this patient resource and another patient resource."/>
<valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.0.1"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="typeCode"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="n/a"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="Patient">
<path value="Patient"/>
<constraint>
<key value="ie-core-pat-01"/>
<severity value="error"/>
<human
value="At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present"/>
<expression
value="(identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()"/>
<xpath
value="(exists(f:identifier/f:system) and exists(f:identifier/f:value)) and not(exists(f:identifier/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason'])) or not(exists(f:identifier/f:system) and exists(f:identifier/f:value)) and exists(f:identifier/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason'])"/>
<source
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient"/>
</constraint>
<constraint>
<key value="ie-core-pat-02"/>
<severity value="error"/>
<human
value="At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present"/>
<expression
value="name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()"/>
<xpath
value="(exists(f:name/f:family) and not(exists(f:name/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason']))) or (not(exists(f:name/f:family)) and exists(f:name/f:extension[@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason']))"/>
<source
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient"/>
</constraint>
<mustSupport value="false"/>
</element>
<element id="Patient.extension">
<path value="Patient.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
</element>
<element id="Patient.extension:ethnicity">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="ethnicity"/>
<short
value="πππππ§ππ’π‘ππ πππππ: IE Core ethnicity Extension (multiple ethnicities are supported in the extension)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-ethnicity"/>
</type>
<mustSupport value="false"/>
</element>
<element id="Patient.extension:motherMaidenName">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="motherMaidenName"/>
<short
value="πππππ§ππ’π‘ππ πππππ: IE Core Patient's Mother's Maiden Name"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-patient-mother-maiden-name"/>
</type>
<mustSupport value="false"/>
</element>
<element id="Patient.extension:genderIdentity">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="genderIdentity"/>
<short
value="πππππ§ππ’π‘ππ πππππ: The individual's gender identity"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-genderIdentity"/>
</type>
<mustSupport value="false"/>
</element>
<element id="Patient.extension:personalPronouns">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="personalPronouns"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Individual's Pronouns Extension"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Extension"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/individual-pronouns"/>
</type>
<mustSupport value="false"/>
</element>
<element id="Patient.extension:interpreterRequired">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.extension"/>
<sliceName value="interpreterRequired"/>
<short
value="πππππ§ππ’π‘ππ πππππ: IE Core Interpreter Required"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Extension"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-interpreter-required"/>
</type>
<mustSupport value="false"/>
</element>
<element id="Patient.identifier">
<path value="Patient.identifier"/>
<slicing>
<discriminator>
<type value="pattern"/>
<path value="system"/>
</discriminator>
<ordered value="false"/>
<rules value="open"/>
</slicing>
<short value="Identifies this patient across multiple systems"/>
<min value="1"/>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-individual-healthcare-identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-medical-record-number"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-insurance-member-number"/>
</type>
<mustSupport value="true"/>
</element>
<element id="Patient.identifier:IHI">
<path value="Patient.identifier"/>
<sliceName value="IHI"/>
<short value="Individual Healthcare Identifier (IHI)"/>
<definition
value="Individual Healthcare Identifier (IHI) assigned under the HI Service to a patient."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-individual-healthcare-identifier"/>
</type>
<condition value="ie-core-ihi-0"/>
<condition value="ie-core-ihi-1"/>
<condition value="ie-core-ihi-2"/>
<mustSupport value="true"/>
</element>
<element id="Patient.identifier:MRN">
<path value="Patient.identifier"/>
<sliceName value="MRN"/>
<short value="Medical Record Number (MRN)"/>
<definition
value="Medical record number (MRN) (sometimes referred to as unit record number (URN) or (UR)) assigned by an institution to a patientβs record at that institution."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-medical-record-number"/>
</type>
<mustSupport value="true"/>
</element>
<element id="Patient.identifier:IMN">
<path value="Patient.identifier"/>
<sliceName value="IMN"/>
<short value="Insurance Member Number (IMN)"/>
<definition
value="Insurance member number assigned to an individual by an insurer as their unique member number. It is typically displayed on their insurance card and an individual will not have more than one member number per insurer. This identifier should not be confused with an insurance policy number."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="http://iehr.ai/fhir/ie/core/StructureDefinition/ie-core-insurance-member-number"/>
</type>
<mustSupport value="true"/>
</element>
<element id="Patient.name">
<path value="Patient.name"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Patient.name.use">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.name.use"/>
<short
value="πππππ§ππ’π‘ππ πππππ: usual | official | temp | nickname | anonymous | old | maiden"/>
</element>
<element id="Patient.name.family">
<path value="Patient.name.family"/>
<mustSupport value="true"/>
</element>
<element id="Patient.name.given">
<path value="Patient.name.given"/>
<mustSupport value="true"/>
</element>
<element id="Patient.name.suffix">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.name.suffix"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Parts that come after the name"/>
<mustSupport value="false"/>
</element>
<element id="Patient.name.period">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.name.period"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Time period when name was/is in use"/>
<mustSupport value="false"/>
</element>
<element id="Patient.telecom">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.telecom"/>
<short
value="πππππ§ππ’π‘ππ πππππ: A contact detail for the individual"/>
<mustSupport value="false"/>
</element>
<element id="Patient.telecom.system">
<path value="Patient.telecom.system"/>
<min value="1"/>
<mustSupport value="true"/>
<binding>
<strength value="required"/>
<description value="Telecommunications form for contact point."/>
<valueSet value="http://hl7.org/fhir/ValueSet/contact-point-system"/>
</binding>
</element>
<element id="Patient.telecom.value">
<path value="Patient.telecom.value"/>
<min value="1"/>
<mustSupport value="true"/>
</element>
<element id="Patient.telecom.use">
<path value="Patient.telecom.use"/>
<mustSupport value="true"/>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/contact-point-use"/>
</binding>
</element>
<element id="Patient.gender">
<path value="Patient.gender"/>
<min value="1"/>
<mustSupport value="true"/>
<binding>
<strength value="required"/>
<valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
</binding>
</element>
<element id="Patient.birthDate">
<path value="Patient.birthDate"/>
<mustSupport value="true"/>
</element>
<element id="Patient.deceased[x]">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.deceased[x]"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Indicates if the individual is deceased or not"/>
</element>
<element id="Patient.address">
<path value="Patient.address"/>
<mustSupport value="true"/>
</element>
<element id="Patient.address.use">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.address.use"/>
<short
value="πππππ§ππ’π‘ππ πππππ: home | work | temp | old | billing - purpose of this address"/>
</element>
<element id="Patient.address.line">
<path value="Patient.address.line"/>
<example>
<label value="General"/>
<valueString value="51 Bracken Rd"/>
</example>
<mustSupport value="true"/>
</element>
<element id="Patient.address.city">
<path value="Patient.address.city"/>
<example>
<label value="General"/>
<valueString value="Sandyford"/>
</example>
<mustSupport value="true"/>
</element>
<element id="Patient.address.state">
<path value="Patient.address.state"/>
<example>
<label value="General"/>
<valueString value="Dublin"/>
</example>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<description value="County"/>
<valueSet
value="http://iehr.ai/fhir/ie/core/ValueSet/ie-core-counties"/>
</binding>
</element>
<element id="Patient.address.postalCode">
<path value="Patient.address.postalCode"/>
<short value="IE Eircodes"/>
<example>
<label value="General"/>
<valueString value="D18 CV48"/>
</example>
<mustSupport value="true"/>
</element>
<element id="Patient.address.period">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.address.period"/>
<short
value="πππππ§ππ’π‘ππ πππππ: Time period when address was/is in use"/>
</element>
<element id="Patient.communication">
<extension
url="http://iehr.ai/fhir/ie/core/StructureDefinition/iecdi-requirement">
<valueBoolean value="true"/>
</extension>
<path value="Patient.communication"/>
<short
value="πππππ§ππ’π‘ππ πππππ: A language which may be used to communicate with the patient about his or her health"/>
<mustSupport value="false"/>
</element>
<element id="Patient.communication.language">
<path value="Patient.communication.language"/>
<mustSupport value="true"/>
<binding>
<strength value="extensible"/>
<valueSet
value="http://iehr.ai/fhir/ie/core/ValueSet/simple-language"/>
</binding>
</element>
</differential>
</StructureDefinition>