US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.10.0 See the Directory of published versions

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Resource Profile: Debt Portal Patient

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

Usages:

• Refer to this Profile: Debt Portal Invoice and Debt Portal PaymentReconciliation
• CapabilityStatements using this Profile: Lung Cancer Screening

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also complies with the profiles US Core Patient Profile (6.1.0) and US Core Patient Profile (7.0.0) Constraints: us-core-6
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..6	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Race Categories (required): The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: raceCategory FHIR (required): see mapping VF_raceCategory
extension:detailed		0..*	Extension	Extended race codes
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed Race (required)
extension:text	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
extension:ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: ethnicityCategory FHIR (required): see mapping VF_ethnicityCategory
extension:detailed		0..*	Extension	Extended ethnicity codes
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
extension:genderIdentity	S	0..1	(Complex)	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
value[x]	S	0..1	CodeableConcept	Value of extension Binding: genderIdentity FHIR (required): see mapping VF_genderIdentity
extension:patient-religion	S	0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: Religion FHIR (required): see mapping VF_Religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
identifier:va-icn	SΣ	0..1	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.349
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣC	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:$this
telecom:All Slices				Content/Rules for all slices
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
telecom:va-home	SΣ	0..1	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: home
telecom:va-work	SΣ	0..1	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: work
telecom:va-mobile	SΣ	0..1	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: mobile
gender	SΣ	1..1	code	male | female | other | unknown Binding: adminGender FHIR (required): see mapping VF_adminGender
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣC	0..1	dateTime	Indicates if the individual is deceased or not Constraints: p-7-285
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by value:$this
address:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
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
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:va-home	SΣ	0..1	Address	An address for the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	home | work | temp | old | billing - purpose of this address Fixed Value: home
type		1..1	code	postal | physical | both Fixed Value: postal
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
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
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
maritalStatus	S	0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatus FHIR (required): see mapping VF_MaritalStatus
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name		0..1	HumanName	A name associated with the contact person
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
telecom		0..*	ContactPoint	A contact detail for the person
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.
address		0..1	Address	Address for the contact person
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
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
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)
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
display	SΣ	0..1	string	Text alternative for the resource Required Pattern: Veterans Health Administration
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:race.​extension:ombCategory.​value[x]	Base	required	OMB Race Categories	📦7.0.0	US Core v7.0
Patient.extension:race.​extension:ombCategory.​value[x].code	Base	required	raceCategory FHIR	📦1.10.0	This IG
Patient.extension:race.​extension:detailed.value[x]	Base	required	Detailed Race	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x]	Base	required	OMB Ethnicity Categories	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x].code	Base	required	ethnicityCategory FHIR	📦1.10.0	This IG
Patient.extension:ethnicity.​extension:detailed.value[x]	Base	required	Detailed ethnicity	📦7.0.0	US Core v7.0
Patient.extension:genderIdentity.​value[x]	Base	required	genderIdentity FHIR	📦1.10.0	This IG
Patient.extension:patient-religion.​value[x]	Base	required	Religion FHIR	📦1.10.0	This IG
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:va-icn.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:va-icn.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	adminGender FHIR	📦1.10.0	This IG
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.address:va-home.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address:va-home.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address:va-home.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.maritalStatus	Base	required	MaritalStatus FHIR	📦1.10.0	This IG
Patient.contact.name.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.contact.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.contact.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📦7.0.0	US Core v7.0
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
p-7-285	best practice	Patient.deceased[x]:deceasedDateTime	If not null then source value from (2-.351)	true
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.	(name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services This profile also complies with the profiles US Core Patient Profile (6.1.0) and US Core Patient Profile (7.0.0)
contact
name
text	S	0..1	string	Text representation of the full name
family	S	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	S	0..*	string	Given names (not always 'first'). Includes middle names Required Pattern: FIRST & MIDDLE
suffix	S	0..*	string	Parts that come after the name Required Pattern: SUFFIX
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)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also complies with the profiles US Core Patient Profile (6.1.0) and US Core Patient Profile (7.0.0) Constraints: us-core-6
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..6	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Race Categories (required): The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
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	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: raceCategory FHIR (required): see mapping VF_raceCategory
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:detailed		0..*	Extension	Extended race codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed Race (required)
extension:text	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
extension:ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
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	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: ethnicityCategory FHIR (required): see mapping VF_ethnicityCategory
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:detailed		0..*	Extension	Extended ethnicity codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
extension:genderIdentity	S	0..1	(Complex)	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
value[x]	S	0..1	CodeableConcept	Value of extension Binding: genderIdentity FHIR (required): see mapping VF_genderIdentity
extension:patient-religion	S	0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: Religion FHIR (required): see mapping VF_Religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:va-icn	SΣ	0..1	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.349
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	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	SΣ	0..1	string	Text representation of the full name
family	SΣC	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
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	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
period	Σ	0..1	Period	Time period when name was/is in use
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:$this
telecom:All Slices				Content/Rules for all slices
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
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
telecom:va-home	SΣ	0..1	ContactPoint	A contact detail for the individual
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: home
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
telecom:va-work	SΣ	0..1	ContactPoint	A contact detail for the individual
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: work
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
telecom:va-mobile	SΣ	0..1	ContactPoint	A contact detail for the individual
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: mobile
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
gender	SΣ	1..1	code	male | female | other | unknown Binding: adminGender FHIR (required): see mapping VF_adminGender
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣC	0..1	dateTime	Indicates if the individual is deceased or not Constraints: p-7-285
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by value:$this
address:All Slices				Content/Rules for all slices
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
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) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:va-home	SΣ	0..1	Address	An address for the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	home | work | temp | old | billing - purpose of this address Fixed Value: home
type		1..1	code	postal | physical | both Fixed Value: postal
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
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. Example General: home
type	SΣ	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) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
maritalStatus	S	0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatus FHIR (required): see mapping VF_MaritalStatus
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 Constraints: pat-1
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
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	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
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	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
period	Σ	0..1	Period	Time period when name was/is in use
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	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource Required Pattern: Veterans Health Administration
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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Patient.extension:race.​extension:ombCategory.​value[x]	Base	required	OMB Race Categories	📦7.0.0	US Core v7.0
Patient.extension:race.​extension:ombCategory.​value[x].code	Base	required	raceCategory FHIR	📦1.10.0	This IG
Patient.extension:race.​extension:detailed.value[x]	Base	required	Detailed Race	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x]	Base	required	OMB Ethnicity Categories	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x].code	Base	required	ethnicityCategory FHIR	📦1.10.0	This IG
Patient.extension:ethnicity.​extension:detailed.value[x]	Base	required	Detailed ethnicity	📦7.0.0	US Core v7.0
Patient.extension:genderIdentity.​value[x]	Base	required	genderIdentity FHIR	📦1.10.0	This IG
Patient.extension:patient-religion.​value[x]	Base	required	Religion FHIR	📦1.10.0	This IG
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.identifier:va-icn.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:va-icn.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	adminGender FHIR	📦1.10.0	This IG
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.address:va-home.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address:va-home.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address:va-home.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.maritalStatus	Base	required	MaritalStatus FHIR	📦1.10.0	This IG
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📦4.0.1	FHIR Std.
Patient.contact.name.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.contact.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.contact.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.contact.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.contact.address.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📦7.0.0	US Core v7.0
Patient.managingOrganization.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
p-7-285	best practice	Patient.deceased[x]:deceasedDateTime	If not null then source value from (2-.351)	true
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.	(name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from Patient

Summary

Must-Support: 11 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also complies with the profiles US Core Patient Profile (6.1.0) and US Core Patient Profile (7.0.0) Constraints: us-core-6
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..6	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Race Categories (required): The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: raceCategory FHIR (required): see mapping VF_raceCategory
extension:detailed		0..*	Extension	Extended race codes
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed Race (required)
extension:text	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
extension:ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: ethnicityCategory FHIR (required): see mapping VF_ethnicityCategory
extension:detailed		0..*	Extension	Extended ethnicity codes
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
extension:genderIdentity	S	0..1	(Complex)	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
value[x]	S	0..1	CodeableConcept	Value of extension Binding: genderIdentity FHIR (required): see mapping VF_genderIdentity
extension:patient-religion	S	0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: Religion FHIR (required): see mapping VF_Religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
identifier:va-icn	SΣ	0..1	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.349
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣC	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:$this
telecom:All Slices				Content/Rules for all slices
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
telecom:va-home	SΣ	0..1	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: home
telecom:va-work	SΣ	0..1	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: work
telecom:va-mobile	SΣ	0..1	ContactPoint	A contact detail for the individual
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: mobile
gender	SΣ	1..1	code	male | female | other | unknown Binding: adminGender FHIR (required): see mapping VF_adminGender
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣC	0..1	dateTime	Indicates if the individual is deceased or not Constraints: p-7-285
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by value:$this
address:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
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
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:va-home	SΣ	0..1	Address	An address for the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	home | work | temp | old | billing - purpose of this address Fixed Value: home
type		1..1	code	postal | physical | both Fixed Value: postal
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	SΣ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
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
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
maritalStatus	S	0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatus FHIR (required): see mapping VF_MaritalStatus
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name		0..1	HumanName	A name associated with the contact person
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
telecom		0..*	ContactPoint	A contact detail for the person
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.
address		0..1	Address	Address for the contact person
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
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
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)
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
display	SΣ	0..1	string	Text alternative for the resource Required Pattern: Veterans Health Administration
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:race.​extension:ombCategory.​value[x]	Base	required	OMB Race Categories	📦7.0.0	US Core v7.0
Patient.extension:race.​extension:ombCategory.​value[x].code	Base	required	raceCategory FHIR	📦1.10.0	This IG
Patient.extension:race.​extension:detailed.value[x]	Base	required	Detailed Race	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x]	Base	required	OMB Ethnicity Categories	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x].code	Base	required	ethnicityCategory FHIR	📦1.10.0	This IG
Patient.extension:ethnicity.​extension:detailed.value[x]	Base	required	Detailed ethnicity	📦7.0.0	US Core v7.0
Patient.extension:genderIdentity.​value[x]	Base	required	genderIdentity FHIR	📦1.10.0	This IG
Patient.extension:patient-religion.​value[x]	Base	required	Religion FHIR	📦1.10.0	This IG
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:va-icn.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:va-icn.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	adminGender FHIR	📦1.10.0	This IG
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.address:va-home.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address:va-home.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address:va-home.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.maritalStatus	Base	required	MaritalStatus FHIR	📦1.10.0	This IG
Patient.contact.name.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.contact.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.contact.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📦7.0.0	US Core v7.0
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
p-7-285	best practice	Patient.deceased[x]:deceasedDateTime	If not null then source value from (2-.351)	true
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.	(name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services This profile also complies with the profiles US Core Patient Profile (6.1.0) and US Core Patient Profile (7.0.0)
contact
name
text	S	0..1	string	Text representation of the full name
family	S	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	S	0..*	string	Given names (not always 'first'). Includes middle names Required Pattern: FIRST & MIDDLE
suffix	S	0..*	string	Parts that come after the name Required Pattern: SUFFIX
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)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services This profile also complies with the profiles US Core Patient Profile (6.1.0) and US Core Patient Profile (7.0.0) Constraints: us-core-6
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..6	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Race Categories (required): The 5 race category codes according to the OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997.
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	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: raceCategory FHIR (required): see mapping VF_raceCategory
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:detailed		0..*	Extension	Extended race codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed Race (required)
extension:text	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
extension:ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ombCategory	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
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	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: ethnicityCategory FHIR (required): see mapping VF_ethnicityCategory
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:detailed		0..*	Extension	Extended ethnicity codes
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"text"
value[x]	S	1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
extension:birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
extension:genderIdentity	S	0..1	(Complex)	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
value[x]	S	0..1	CodeableConcept	Value of extension Binding: genderIdentity FHIR (required): see mapping VF_genderIdentity
extension:patient-religion	S	0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: Religion FHIR (required): see mapping VF_Religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:$this
identifier:All Slices				Content/Rules for all slices
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:va-icn	SΣ	0..1	Identifier	An identifier for this patient Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		1..1	CodeableConcept	Description of identifier Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.349
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣ	1..*	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	SΣ	0..1	string	Text representation of the full name
family	SΣC	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣC	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
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	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
period	Σ	0..1	Period	Time period when name was/is in use
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:$this
telecom:All Slices				Content/Rules for all slices
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
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
telecom:va-home	SΣ	0..1	ContactPoint	A contact detail for the individual
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: home
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
telecom:va-work	SΣ	0..1	ContactPoint	A contact detail for the individual
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: work
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
telecom:va-mobile	SΣ	0..1	ContactPoint	A contact detail for the individual
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	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Required Pattern: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required) Required Pattern: mobile
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
gender	SΣ	1..1	code	male | female | other | unknown Binding: adminGender FHIR (required): see mapping VF_adminGender
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣC	0..1	dateTime	Indicates if the individual is deceased or not Constraints: p-7-285
Slices for address	SΣ	0..*	Address	An address for the individual Slice: Unordered, Open by value:$this
address:All Slices				Content/Rules for all slices
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
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) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
address:va-home	SΣ	0..1	Address	An address for the individual Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		1..1	code	home | work | temp | old | billing - purpose of this address Fixed Value: home
type		1..1	code	postal | physical | both Fixed Value: postal
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
district		0..1	string	District name (aka county)
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period		0..1	Period	Time period when address was/is in use
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. Example General: home
type	SΣ	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) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
maritalStatus	S	0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatus FHIR (required): see mapping VF_MaritalStatus
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 Constraints: pat-1
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
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	SΣ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	Family name (often called 'Surname') Required Pattern: LAST
given	SΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Required Pattern: FIRST & MIDDLE
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	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name Required Pattern: SUFFIX
period	Σ	0..1	Period	Time period when name was/is in use
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	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource Required Pattern: Veterans Health Administration
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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Patient.extension:race.​extension:ombCategory.​value[x]	Base	required	OMB Race Categories	📦7.0.0	US Core v7.0
Patient.extension:race.​extension:ombCategory.​value[x].code	Base	required	raceCategory FHIR	📦1.10.0	This IG
Patient.extension:race.​extension:detailed.value[x]	Base	required	Detailed Race	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x]	Base	required	OMB Ethnicity Categories	📦7.0.0	US Core v7.0
Patient.extension:ethnicity.​extension:ombCategory.​value[x].code	Base	required	ethnicityCategory FHIR	📦1.10.0	This IG
Patient.extension:ethnicity.​extension:detailed.value[x]	Base	required	Detailed ethnicity	📦7.0.0	US Core v7.0
Patient.extension:genderIdentity.​value[x]	Base	required	genderIdentity FHIR	📦1.10.0	This IG
Patient.extension:patient-religion.​value[x]	Base	required	Religion FHIR	📦1.10.0	This IG
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.identifier:va-icn.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:va-icn.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-home.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-work.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom:va-mobile.​use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	adminGender FHIR	📦1.10.0	This IG
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.address:va-home.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address:va-home.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address:va-home.​state	Base	extensible	USPS Two Letter Alphabetic Codes	📦7.0.0	US Core v7.0
Patient.maritalStatus	Base	required	MaritalStatus FHIR	📦1.10.0	This IG
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📦4.0.1	FHIR Std.
Patient.contact.name.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.contact.telecom.​system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.contact.telecom.​use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.contact.address.​use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.contact.address.​type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📦7.0.0	US Core v7.0
Patient.managingOrganization.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
p-7-285	best practice	Patient.deceased[x]:deceasedDateTime	If not null then source value from (2-.351)	true
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()
us-core-6	error	Patient	Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.	(name.family.exists() or name.given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from Patient

Summary

Must-Support: 11 elements