FHIR Implementation Guide for NDHM CI Build v2.0
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NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.

StructureDefinition-Patient

This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient

This profile builds on Patient

Summary

Mandatory: 3 elements (4 nested mandatory elements)
Must-Support: 13 elements
Fixed Value: 1 element

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... identifier S1..*IdentifierAn identifier for this patient
.... type S1..1CodeableConceptDescription of identifier
..... coding S0..*CodingCode defined by a terminology system
...... system 0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... system S0..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique
.... assigner
..... display S0..1stringText alternative for the resource
... name S0..*HumanNameA name associated with the patient
.... text 1..1stringText representation of the full name
... telecom S0..*ContactPointA contact detail for the individual
.... system S0..1codephone | fax | email | pager | url | sms | other
.... value 1..1stringThe actual contact point details
... gender S0..1codemale | female | other | unknown
... birthDate S0..1dateThe date of birth for the individual
... address S0..*AddressAn address for the individual

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient I0..*PatientInformation about an individual or animal receiving health care services
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SΣI1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type SΣI1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... system SΣI0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣI1..1stringThe value that is unique
Example General: 123456
.... period ΣI0..1PeriodTime period when id is/was valid for use
.... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
..... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
..... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
..... display SΣI0..1stringText alternative for the resource
... active ?!ΣI0..1booleanWhether this patient's record is in active use
... name SΣI0..*HumanNameA name associated with the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!ΣI0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required)
.... text ΣI1..1stringText representation of the full name
.... family ΣI0..1stringFamily name (often called 'Surname')
.... given ΣI0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix ΣI0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix ΣI0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period ΣI0..1PeriodTime period when name was/is in use
... telecom SΣI0..*ContactPointA contact detail for the individual
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣI0..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required)
.... value ΣI1..1stringThe actual contact point details
.... use ?!ΣI0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... rank ΣI0..1positiveIntSpecify preferred order of use (1 = highest)
.... period ΣI0..1PeriodTime period when the contact point was/is in use
... gender SΣI0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣI0..1dateThe date of birth for the individual
... deceased[x] ?!ΣI0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣI0..*AddressAn address for the individual
... maritalStatus I0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible)
... multipleBirth[x] I0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo I0..*AttachmentImage of the patient
... contact I0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship I0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible)
.... name I0..1HumanNameA name associated with the contact person
.... telecom I0..*ContactPointA contact detail for the person
.... address I0..1AddressAddress for the contact person
.... gender I0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
.... organization I0..1Reference(Organization)Organization that is associated with the contact
.... period I0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication I0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language I1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
.... preferred I0..1booleanLanguage preference indicator
... generalPractitioner I0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization ΣI0..1Reference(Organization)Organization that is the custodian of the patient record
... link ?!ΣI0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other ΣI1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type ΣI1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required)

doco Documentation for this format

Summary

Mandatory: 3 elements (4 nested mandatory elements)
Must-Support: 13 elements
Fixed Value: 1 element

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... identifier S1..*IdentifierAn identifier for this patient
.... type S1..1CodeableConceptDescription of identifier
..... coding S0..*CodingCode defined by a terminology system
...... system 0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
..... text S0..1stringPlain text representation of the concept
.... system S0..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique
.... assigner
..... display S0..1stringText alternative for the resource
... name S0..*HumanNameA name associated with the patient
.... text 1..1stringText representation of the full name
... telecom S0..*ContactPointA contact detail for the individual
.... system S0..1codephone | fax | email | pager | url | sms | other
.... value 1..1stringThe actual contact point details
... gender S0..1codemale | female | other | unknown
... birthDate S0..1dateThe date of birth for the individual
... address S0..*AddressAn address for the individual

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient I0..*PatientInformation about an individual or animal receiving health care services
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SΣI1..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!ΣI0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type SΣI1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI1..1codeSymbol in syntax defined by the system
...... display ΣI1..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text SΣI0..1stringPlain text representation of the concept
.... system SΣI0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣI1..1stringThe value that is unique
Example General: 123456
.... period ΣI0..1PeriodTime period when id is/was valid for use
.... assigner ΣI0..1Reference(Organization)Organization that issued id (may be just text)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
..... type ΣI0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
..... identifier ΣI0..1IdentifierLogical reference, when literal reference is not known
..... display SΣI0..1stringText alternative for the resource
... active ?!ΣI0..1booleanWhether this patient's record is in active use
... name SΣI0..*HumanNameA name associated with the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!ΣI0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required)
.... text ΣI1..1stringText representation of the full name
.... family ΣI0..1stringFamily name (often called 'Surname')
.... given ΣI0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix ΣI0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix ΣI0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period ΣI0..1PeriodTime period when name was/is in use
... telecom SΣI0..*ContactPointA contact detail for the individual
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣI0..1codephone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required)
.... value ΣI1..1stringThe actual contact point details
.... use ?!ΣI0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required)
.... rank ΣI0..1positiveIntSpecify preferred order of use (1 = highest)
.... period ΣI0..1PeriodTime period when the contact point was/is in use
... gender SΣI0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
... birthDate SΣI0..1dateThe date of birth for the individual
... deceased[x] ?!ΣI0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣI0..*AddressAn address for the individual
... maritalStatus I0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible)
... multipleBirth[x] I0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo I0..*AttachmentImage of the patient
... contact I0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship I0..*CodeableConceptThe kind of relationship
Binding: PatientContactRelationship (extensible)
.... name I0..1HumanNameA name associated with the contact person
.... telecom I0..*ContactPointA contact detail for the person
.... address I0..1AddressAddress for the contact person
.... gender I0..1codemale | female | other | unknown
Binding: AdministrativeGender (required)
.... organization I0..1Reference(Organization)Organization that is associated with the contact
.... period I0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication I0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language I1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
.... preferred I0..1booleanLanguage preference indicator
... generalPractitioner I0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization ΣI0..1Reference(Organization)Organization that is the custodian of the patient record
... link ?!ΣI0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other ΣI1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type ΣI1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required)

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron