US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401 United States of America flag

Publication Build: This will be filled in by the publication tooling

Resource Profile: Debt Portal Patient

Official URL: http://va.gov/fhir/StructureDefinition/DebtPortalPatient Version: 1.3.1
Active as of 2025-03-31 Computable Name: DebtPortalPatient

This StructureDefinition contains the maps for VistA file ACCOUNTS RECEIVABLE (430) to Patient.

See also the FHIR Shorthand.

Use Case Overview

Use Case: Debt Portal«FHIR Account»DebtPortalAccountsubject«FHIR Invoice»DebtPortalInvoicerecipientsubjectissueraccountlineItem[va-charges].chargeItemReferencelineItem[va-interest].chargeItemReference«FHIR Patient»DebtPortalPatient«FHIR ChargeItem»DebtPortalChargeItemchargessubjectcontextservice[va-rxorig]service[va-rxrefill]service[va-rxpartial]«FHIR ChargeItem»DebtPortalChargeItemremovedpartOf«FHIR ChargeItem»DebtPortalChargeIteminterest«FHIR PaymentReconciliation»DebtPortalPaymentReconciliationextension[PaymentReconciliation.paymentIssuer].valueReferenceextension[PaymentReconciliation.allocation.target].valueReferencePatientPatientOrganizationPatientEncounterOutpatientEncounterInpatientEncounterMedicationDispenseOriginalMedicationDispenseRefillMedicationDispensePartial

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
ele-1: All FHIR elements must have a @value or children
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


ele-1: All FHIR elements must have a @value or children
.... text SΣC 0..1 string Text representation of the full name
ele-1: All FHIR elements must have a @value or children
dpp-17-1827: If type is PATIENT (#2) then source value from (430-9 > 340-.01)
.... family SΣC 0..1 string Family name (often called 'Surname')
ele-1: All FHIR elements must have a @value or children
dpp-17-1827-1: If type is PATIENT (#2) then fixed value LAST
.... given SΣC 0..* string Given names (not always 'first'). Includes middle names
ele-1: All FHIR elements must have a @value or children
dpp-17-1827-2: If type is PATIENT (#2) then fixed value FIRST & MIDDLE
This repeating element order: Given Names appear in the correct order for presenting the name
.... suffix SΣC 0..* string Parts that come after the name
ele-1: All FHIR elements must have a @value or children
dpp-17-1827-3: If type is PATIENT (#2) then fixed value SUFFIX
This repeating element order: Suffixes appear in the correct order for presenting the name
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
ele-1: All FHIR elements must have a @value or children
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
ele-1: All FHIR elements must have a @value or children
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... telecom 0..* ContactPoint A contact detail for the person
ele-1: All FHIR elements must have a @value or children
..... value SΣ 0..1 string The actual contact point details
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.


ele-1: All FHIR elements must have a @value or children
.... address 0..1 Address Address for the contact person
ele-1: All FHIR elements must have a @value or children
..... use ?!SΣ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


ele-1: All FHIR elements must have a @value or children
Required Pattern: billing
..... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
ele-1: All FHIR elements must have a @value or children
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
..... city SΣ 0..1 string Name of city, town etc.
ele-1: All FHIR elements must have a @value or children
Example General: Erewhon
..... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
ele-1: All FHIR elements must have a @value or children
..... postalCode SΣ 0..1 string Postal code for area
ele-1: All FHIR elements must have a @value or children
Example General: 9132
..... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
ele-1: All FHIR elements must have a @value or children
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
ele-1: All FHIR elements must have a @value or children
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact.address.userequiredPattern: billing
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
dpp-17-1827warningPatient.name.textIf type is PATIENT (#2) then source value from (430-9 > 340-.01)
: true
dpp-17-1827-1warningPatient.name.familyIf type is PATIENT (#2) then fixed value LAST
: true
dpp-17-1827-2warningPatient.name.givenIf type is PATIENT (#2) then fixed value FIRST & MIDDLE
: true
dpp-17-1827-3warningPatient.name.suffixIf type is PATIENT (#2) then fixed value SUFFIX
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Patient
... name
.... text SC 0..1 string Text representation of the full name
dpp-17-1827: If type is PATIENT (#2) then source value from (430-9 > 340-.01)
.... family SC 0..1 string Family name (often called 'Surname')
dpp-17-1827-1: If type is PATIENT (#2) then fixed value LAST
.... given SC 0..* string Given names (not always 'first'). Includes middle names
dpp-17-1827-2: If type is PATIENT (#2) then fixed value FIRST & MIDDLE
.... suffix SC 0..* string Parts that come after the name
dpp-17-1827-3: If type is PATIENT (#2) then fixed value SUFFIX
... contact
.... telecom
..... value S 0..1 string The actual contact point details
.... address
..... use S 0..1 code home | work | temp | old | billing - purpose of this address
Required Pattern: billing
..... line S 0..* string Street name, number, direction & P.O. Box etc.
..... city S 0..1 string Name of city, town etc.
..... state S 0..1 string Sub-unit of country (abbreviations ok)
..... postalCode S 0..1 string Postal code for area
..... country S 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
dpp-17-1827warningPatient.name.textIf type is PATIENT (#2) then source value from (430-9 > 340-.01)
: true
dpp-17-1827-1warningPatient.name.familyIf type is PATIENT (#2) then fixed value LAST
: true
dpp-17-1827-2warningPatient.name.givenIf type is PATIENT (#2) then fixed value FIRST & MIDDLE
: true
dpp-17-1827-3warningPatient.name.suffixIf type is PATIENT (#2) then fixed value SUFFIX
: true
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier An identifier for this patient
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name Σ 0..* HumanName A name associated with the patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text SΣC 0..1 string Text representation of the full name
dpp-17-1827: If type is PATIENT (#2) then source value from (430-9 > 340-.01)
.... family SΣC 0..1 string Family name (often called 'Surname')
dpp-17-1827-1: If type is PATIENT (#2) then fixed value LAST
.... given SΣC 0..* string Given names (not always 'first'). Includes middle names
dpp-17-1827-2: If type is PATIENT (#2) then fixed value FIRST & MIDDLE
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix SΣC 0..* string Parts that come after the name
dpp-17-1827-3: If type is PATIENT (#2) then fixed value SUFFIX
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ 0..1 Period Time period when name was/is in use
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ 0..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* Address An address for the individual
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A 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..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value SΣ 0..1 string The actual contact point details
..... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

..... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
..... period Σ 0..1 Period Time period when the contact point was/is in use
.... address 0..1 Address Address for the contact person
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Required Pattern: billing
..... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
..... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
..... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
..... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
..... district Σ 0..1 string District name (aka county)
Example General: Madison
..... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
..... postalCode SΣ 0..1 string Postal code for area
Example General: 9132
..... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
..... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(Organization) Organization that is the custodian of the patient record
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact.address.userequiredPattern: billing
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.contact.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
dpp-17-1827warningPatient.name.textIf type is PATIENT (#2) then source value from (430-9 > 340-.01)
: true
dpp-17-1827-1warningPatient.name.familyIf type is PATIENT (#2) then fixed value LAST
: true
dpp-17-1827-2warningPatient.name.givenIf type is PATIENT (#2) then fixed value FIRST & MIDDLE
: true
dpp-17-1827-3warningPatient.name.suffixIf type is PATIENT (#2) then fixed value SUFFIX
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Must-Support: 11 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
ele-1: All FHIR elements must have a @value or children
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


ele-1: All FHIR elements must have a @value or children
.... text SΣC 0..1 string Text representation of the full name
ele-1: All FHIR elements must have a @value or children
dpp-17-1827: If type is PATIENT (#2) then source value from (430-9 > 340-.01)
.... family SΣC 0..1 string Family name (often called 'Surname')
ele-1: All FHIR elements must have a @value or children
dpp-17-1827-1: If type is PATIENT (#2) then fixed value LAST
.... given SΣC 0..* string Given names (not always 'first'). Includes middle names
ele-1: All FHIR elements must have a @value or children
dpp-17-1827-2: If type is PATIENT (#2) then fixed value FIRST & MIDDLE
This repeating element order: Given Names appear in the correct order for presenting the name
.... suffix SΣC 0..* string Parts that come after the name
ele-1: All FHIR elements must have a @value or children
dpp-17-1827-3: If type is PATIENT (#2) then fixed value SUFFIX
This repeating element order: Suffixes appear in the correct order for presenting the name
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
ele-1: All FHIR elements must have a @value or children
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
ele-1: All FHIR elements must have a @value or children
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... telecom 0..* ContactPoint A contact detail for the person
ele-1: All FHIR elements must have a @value or children
..... value SΣ 0..1 string The actual contact point details
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.


ele-1: All FHIR elements must have a @value or children
.... address 0..1 Address Address for the contact person
ele-1: All FHIR elements must have a @value or children
..... use ?!SΣ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


ele-1: All FHIR elements must have a @value or children
Required Pattern: billing
..... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
ele-1: All FHIR elements must have a @value or children
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
..... city SΣ 0..1 string Name of city, town etc.
ele-1: All FHIR elements must have a @value or children
Example General: Erewhon
..... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
ele-1: All FHIR elements must have a @value or children
..... postalCode SΣ 0..1 string Postal code for area
ele-1: All FHIR elements must have a @value or children
Example General: 9132
..... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
ele-1: All FHIR elements must have a @value or children
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
ele-1: All FHIR elements must have a @value or children
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact.address.userequiredPattern: billing
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
dpp-17-1827warningPatient.name.textIf type is PATIENT (#2) then source value from (430-9 > 340-.01)
: true
dpp-17-1827-1warningPatient.name.familyIf type is PATIENT (#2) then fixed value LAST
: true
dpp-17-1827-2warningPatient.name.givenIf type is PATIENT (#2) then fixed value FIRST & MIDDLE
: true
dpp-17-1827-3warningPatient.name.suffixIf type is PATIENT (#2) then fixed value SUFFIX
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Patient
... name
.... text SC 0..1 string Text representation of the full name
dpp-17-1827: If type is PATIENT (#2) then source value from (430-9 > 340-.01)
.... family SC 0..1 string Family name (often called 'Surname')
dpp-17-1827-1: If type is PATIENT (#2) then fixed value LAST
.... given SC 0..* string Given names (not always 'first'). Includes middle names
dpp-17-1827-2: If type is PATIENT (#2) then fixed value FIRST & MIDDLE
.... suffix SC 0..* string Parts that come after the name
dpp-17-1827-3: If type is PATIENT (#2) then fixed value SUFFIX
... contact
.... telecom
..... value S 0..1 string The actual contact point details
.... address
..... use S 0..1 code home | work | temp | old | billing - purpose of this address
Required Pattern: billing
..... line S 0..* string Street name, number, direction & P.O. Box etc.
..... city S 0..1 string Name of city, town etc.
..... state S 0..1 string Sub-unit of country (abbreviations ok)
..... postalCode S 0..1 string Postal code for area
..... country S 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
dpp-17-1827warningPatient.name.textIf type is PATIENT (#2) then source value from (430-9 > 340-.01)
: true
dpp-17-1827-1warningPatient.name.familyIf type is PATIENT (#2) then fixed value LAST
: true
dpp-17-1827-2warningPatient.name.givenIf type is PATIENT (#2) then fixed value FIRST & MIDDLE
: true
dpp-17-1827-3warningPatient.name.suffixIf type is PATIENT (#2) then fixed value SUFFIX
: true

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier An identifier for this patient
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... name Σ 0..* HumanName A name associated with the patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

.... text SΣC 0..1 string Text representation of the full name
dpp-17-1827: If type is PATIENT (#2) then source value from (430-9 > 340-.01)
.... family SΣC 0..1 string Family name (often called 'Surname')
dpp-17-1827-1: If type is PATIENT (#2) then fixed value LAST
.... given SΣC 0..* string Given names (not always 'first'). Includes middle names
dpp-17-1827-2: If type is PATIENT (#2) then fixed value FIRST & MIDDLE
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix SΣC 0..* string Parts that come after the name
dpp-17-1827-3: If type is PATIENT (#2) then fixed value SUFFIX
This repeating element order: Suffixes appear in the correct order for presenting the name
.... period Σ 0..1 Period Time period when name was/is in use
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ 0..1 date The date of birth for the individual
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* Address An address for the individual
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A 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..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

..... value SΣ 0..1 string The actual contact point details
..... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

..... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
..... period Σ 0..1 Period Time period when the contact point was/is in use
.... address 0..1 Address Address for the contact person
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.


Required Pattern: billing
..... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).


Example General: both
..... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
..... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
..... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
..... district Σ 0..1 string District name (aka county)
Example General: Madison
..... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
..... postalCode SΣ 0..1 string Postal code for area
Example General: 9132
..... country SΣ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
..... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(Organization) Organization that is the custodian of the patient record
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
Patient.contact.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard
Patient.contact.address.userequiredPattern: billing
http://hl7.org/fhir/ValueSet/address-use|4.0.1
from the FHIR Standard
Patient.contact.address.typerequiredAddressType
http://hl7.org/fhir/ValueSet/address-type|4.0.1
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
dpp-17-1827warningPatient.name.textIf type is PATIENT (#2) then source value from (430-9 > 340-.01)
: true
dpp-17-1827-1warningPatient.name.familyIf type is PATIENT (#2) then fixed value LAST
: true
dpp-17-1827-2warningPatient.name.givenIf type is PATIENT (#2) then fixed value FIRST & MIDDLE
: true
dpp-17-1827-3warningPatient.name.suffixIf type is PATIENT (#2) then fixed value SUFFIX
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Must-Support: 11 elements

 

Other representations of profile: CSV, Excel, Schematron