OPENIMIS.FHIR.R4\openIMIS Patient

openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: openIMIS Patient

Official URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-patient				Version: 1.0.0
Active as of 2022-05-31			Responsible: openIMIS Initiative	Computable Name: OpenIMISPatient

Defines a Patient for openIMIS which maps to an Insuree

Usage:

Refer to this Resource Profile:
Examples for this Resource Profile: Patient/jane-doe, Patient/john-doe

Formal Views of Profile Content

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

This structure is derived from Patient

Summary

Mandatory: 14 elements (21 nested mandatory elements)
Must-Support: 22 elements
Prohibited: 14 elements

Structures

This structure refers to these other structures:

openIMIS Health Facility Organization (https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-health-facility-organization)

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Patient.identifier is sliced based on the value of value:type.coding.code (Closed)
The element Patient.telecom is sliced based on the value of value:system (Closed)
The element Patient.address is sliced based on the value of value:use (Closed)
The element Patient.photo is sliced based on the value of exists:url (Closed)

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id		0..1	string	Patient UUID
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
patient-is-head	S	0..1	boolean	Head of Family URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-is-head
patient-education-level		0..1	CodeableConcept	Patient Education Level URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-education-level Binding: Education Level (Patient) (example)
patient-profession		0..1	CodeableConcept	Patient Profession Level URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-profession Binding: Profession (Patient) (example)
patient-identification		0..1	(Complex)	Patient Identification URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-identification
patient-card-issued		0..1	boolean	Patient Card Issued URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-card-issued
patient-group-reference		0..1	Reference(openIMIS Group)	Patient Group Reference URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-group-reference
patient-vulnerability-status		0..1	boolean	Patient Vulnerability Status URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-vulnerability-status
Slices for identifier	S	1..*	Identifier	An identifier for this patient Slice: Unordered, Closed by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Description of identifier
coding
code		0..1	code	Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required)
value		1..1	string	The value that is unique
identifier:Code	S	0..1	Identifier	An identifier for this patient
type
coding
code		1..1	code	Patient/Insuree openIMIS Code Required Pattern: Code
value	I	0..1	string	The value that is unique insureeCodeMustBeUnder13Chars: Length MUST be <= 12.
identifier:UUID		0..1	Identifier	An identifier for this patient
type
coding
code		1..1	code	Patient/Insuree openIMIS UUID Required Pattern: UUID
active		0..1	boolean	Active Policy
name		1..1	HumanName	Patient/Insuree official name
use		0..1	code	usual \| official \| temp \| nickname \| anonymous \| old \| maiden Required Pattern: official
family	S	1..1	string	Family name (often called 'Surname')
given	S	1..1	string	Given names (not always 'first'). Includes middle names
Slices for telecom		0..2	ContactPoint	A contact detail for the individual Slice: Unordered, Closed by value:system
telecom:All Slices				Content/Rules for all slices
value		1..1	string	The actual contact point details
telecom:email		0..1	ContactPoint	Patient/Insuree email
system		1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Required Pattern: email
telecom:phone		0..1	ContactPoint	Patient/Insuree phone
system		1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Required Pattern: phone
gender	S	1..1	code	male \| female \| other \| unknown
birthDate	S	1..1	date	The date of birth for the individual
deceased[x]		0..0
Slices for address	S	1..1	Address	An address for the individual Slice: Unordered, Closed by value:use
address:All Slices				Content/Rules for all slices
extension		2..*	Extension	Municipality/Ward
address-municipality	S	1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference	S	1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
type		0..1	code	postal \| physical \| both Required Pattern: physical
line		0..1	string	Street name, number, direction & P.O. Box etc.
city	S	1..1	string	City/Village
district	S	1..1	string	District
state	S	1..1	string	State/Region
postalCode		0..0
country		0..0
address:FamilyAddress	S	0..1	Address	An address for the individual
address-municipality	S	1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference	S	1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
use		1..1	code	home \| work \| temp \| old \| billing - purpose of this address Required Pattern: home
address:InsureeAddress		0..1	Address	An address for the individual
address-municipality	S	1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference	S	1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
use		1..1	code	home \| work \| temp \| old \| billing - purpose of this address Required Pattern: temp
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status (Patient) (required)
multipleBirth[x]		0..0
Slices for photo	S	0..1	Attachment	Image of the patient Slice: Unordered, Closed by exists:url
photo:All Slices				Content/Rules for all slices
contentType	S	1..1	code	Mime type of the content, with charset etc.
hash		1..1	base64Binary	Hash of the data (sha-1, base64ed)
title	S	1..1	string	Label to display in place of the data
creation	S	1..1	dateTime	Date attachment was first created
photo:URL		0..1	Attachment	used in GET Patient
data		0..0
url		1..1	url	Uri where the data can be found
size		1..1	unsignedInt	Number of bytes of content (if url provided)
photo:Data		0..1	Attachment	used in POST & PUT Patient
data		1..1	base64Binary	Data inline, base64ed
url		0..0
contact		0..1	BackboneElement	Head of Family contact
relationship		0..1	CodeableConcept	The kind of relationship Binding: Contact Relationship (Patient) (extensible)
name		1..1	HumanName	A name associated with the contact person
use		0..0
text		0..0
family		1..1	string	Family name (often called 'Surname')
given		1..1	string	Given names (not always 'first'). Includes middle names
prefix		0..0
suffix		0..0
period		0..0
communication		0..0
generalPractitioner		0..*	Reference(openIMIS Health Facility Organization)	First Service Point
managingOrganization		0..0
link		0..0
Documentation for this format

Description & Constraints

Patient

0..*

Patient

Information about an individual or animal receiving health care services

0..1

string

Patient UUID

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

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension

Extension
Slice: Unordered, Open by value:url

patient-is-head

0..1

boolean

Head of Family
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-is-head

patient-education-level

0..1

CodeableConcept

Patient Education Level
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-education-level
Binding: Education Level (Patient) (example)

patient-profession

0..1

CodeableConcept

Patient Profession Level
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-profession
Binding: Profession (Patient) (example)

patient-identification

0..1

(Complex)

Patient Identification
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-identification

patient-card-issued

0..1

boolean

Patient Card Issued
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-card-issued

patient-group-reference

0..1

Reference(openIMIS Group)

Patient Group Reference
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-group-reference

patient-vulnerability-status

0..1

boolean

Patient Vulnerability Status
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-vulnerability-status

modifierExtension

0..*

Extension

Extensions that cannot be ignored

Slices for identifier

SΣ

1..*

Identifier

An identifier for this patient
Slice: Unordered, Closed by value:type.coding.code

identifier:All Slices

Content/Rules for all slices

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

1..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.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

0..1

code

Symbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)

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

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

1..1

string

The value that is unique
Example General: 123456

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)

identifier:Code

SΣ

0..1

Identifier

An identifier for this patient

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

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.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Patient/Insuree openIMIS Code
Required Pattern: Code

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

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

ΣI

0..1

string

The value that is unique
insureeCodeMustBeUnder13Chars: Length MUST be <= 12.
Example General: 123456

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)

identifier:UUID

0..1

Identifier

An identifier for this patient

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

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.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Patient/Insuree openIMIS UUID
Required Pattern: UUID

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

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

The value that is unique
Example General: 123456

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)

active

?!Σ

0..1

boolean

Active Policy

name

1..1

HumanName

Patient/Insuree official name

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

text

0..1

string

Text representation of the full name

family

SΣ

1..1

string

Family name (often called 'Surname')

given

SΣ

1..1

string

Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name

prefix

0..*

string

Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name

suffix

0..*

string

Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name

period

0..1

Period

Time period when name was/is in use

Slices for telecom

0..2

ContactPoint

A contact detail for the individual
Slice: Unordered, Closed by value:system

telecom:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

ΣI

0..1

code

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

value

1..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

0..1

positiveInt

Specify preferred order of use (1 = highest)

period

0..1

Period

Time period when the contact point was/is in use

telecom:email

0..1

ContactPoint

Patient/Insuree email

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

ΣI

1..1

code

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

Required Pattern: email

value

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

0..1

positiveInt

Specify preferred order of use (1 = highest)

period

0..1

Period

Time period when the contact point was/is in use

telecom:phone

0..1

ContactPoint

Patient/Insuree phone

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

ΣI

1..1

code

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

Required Pattern: phone

value

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

0..1

positiveInt

Specify preferred order of use (1 = highest)

period

0..1

Period

Time period when the contact point was/is in use

gender

SΣ

1..1

code

male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

birthDate

SΣ

1..1

date

The date of birth for the individual

Slices for address

SΣ

1..1

Address

An address for the individual
Slice: Unordered, Closed by value:use

address:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

Slices for extension

2..*

Extension

Municipality/Ward
Slice: Unordered, Open by value:url

address-municipality

1..1

string

Municipality (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality

address-location-reference

1..1

Reference(openIMIS Location)

Location Reference (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference

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

0..1

code

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Required Pattern: physical

text

0..1

string

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

0..1

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

1..1

string

City/Village
Example General: Erewhon

district

SΣ

1..1

string

District
Example General: Madison

state

SΣ

1..1

string

State/Region

period

0..1

Period

Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}

address:FamilyAddress

SΣ

0..1

Address

An address for the individual

0..1

string

Unique id for inter-element referencing

Slices for extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

address-municipality

1..1

string

Municipality (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality

address-location-reference

1..1

Reference(openIMIS Location)

Location Reference (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference

use

?!Σ

1..1

code

home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.

Required Pattern: home

type

0..1

code

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Example General: both

text

0..1

string

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

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

0..1

string

Name of city, town etc.
Example General: Erewhon

district

0..1

string

District name (aka county)
Example General: Madison

state

0..1

string

Sub-unit of country (abbreviations ok)

postalCode

0..1

string

Postal code for area
Example General: 9132

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
Example General: {"start":"2010-03-23","end":"2010-07-01"}

address:InsureeAddress

0..1

Address

An address for the individual

0..1

string

Unique id for inter-element referencing

Slices for extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

address-municipality

1..1

string

Municipality (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality

address-location-reference

1..1

Reference(openIMIS Location)

Location Reference (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference

use

?!Σ

1..1

code

home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.

Required Pattern: temp

type

0..1

code

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Example General: both

text

0..1

string

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

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

0..1

string

Name of city, town etc.
Example General: Erewhon

district

0..1

string

District name (aka county)
Example General: Madison

state

0..1

string

Sub-unit of country (abbreviations ok)

postalCode

0..1

string

Postal code for area
Example General: 9132

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
Example General: {"start":"2010-03-23","end":"2010-07-01"}

maritalStatus

0..1

CodeableConcept

Marital (civil) status of a patient
Binding: Marital Status (Patient) (required)

Slices for photo

0..1

Attachment

Image of the patient
Slice: Unordered, Closed by exists:url

photo:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

contentType

SΣ

1..1

code

Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.

Example General: text/plain; charset=UTF-8, image/png

language

0..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

data

0..1

base64Binary

Data inline, base64ed

url

0..1

url

Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

size

0..1

unsignedInt

Number of bytes of content (if url provided)

hash

1..1

base64Binary

Hash of the data (sha-1, base64ed)

title

SΣ

1..1

string

Label to display in place of the data
Example General: Official Corporate Logo

creation

SΣ

1..1

dateTime

Date attachment was first created

photo:URL

0..1

Attachment

used in GET Patient

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

contentType

0..1

code

Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.

Example General: text/plain; charset=UTF-8, image/png

language

0..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

url

1..1

url

Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

size

1..1

unsignedInt

Number of bytes of content (if url provided)

hash

0..1

base64Binary

Hash of the data (sha-1, base64ed)

title

0..1

string

Label to display in place of the data
Example General: Official Corporate Logo

creation

0..1

dateTime

Date attachment was first created

photo:Data

0..1

Attachment

used in POST & PUT Patient

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

contentType

0..1

code

Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.

Example General: text/plain; charset=UTF-8, image/png

language

0..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

data

1..1

base64Binary

Data inline, base64ed

size

0..1

unsignedInt

Number of bytes of content (if url provided)

hash

0..1

base64Binary

Hash of the data (sha-1, base64ed)

title

0..1

string

Label to display in place of the data
Example General: Official Corporate Logo

creation

0..1

dateTime

Date attachment was first created

contact

0..1

BackboneElement

Head of Family contact

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..1

CodeableConcept

The kind of relationship
Binding: Contact Relationship (Patient) (extensible)

name

1..1

HumanName

A name associated with the contact person

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

family

1..1

string

Family name (often called 'Surname')

given

1..1

string

Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name

telecom

0..*

ContactPoint

A contact detail for the person

address

0..1

Address

Address for the contact person

gender

0..1

code

male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

organization

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

generalPractitioner

0..*

Reference(openIMIS Health Facility Organization)

First Service Point

Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
patient-is-head		0..1	boolean	Head of Family URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-is-head
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Closed by value:type.coding.code
identifier:Code	Σ	0..1	Identifier	An identifier for this patient
name	Σ	1..1	HumanName	Patient/Insuree official name
family	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	1..1	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
gender	Σ	1..1	code	male \| female \| other \| unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	The date of birth for the individual
Slices for address	Σ	1..1	Address	An address for the individual Slice: Unordered, Closed by value:use
address:All Slices				Content/Rules for all slices
address-municipality		1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference		1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
city	Σ	1..1	string	City/Village
district	Σ	1..1	string	District
state	Σ	1..1	string	State/Region
address:FamilyAddress	Σ	0..1	Address	An address for the individual
address-municipality		1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference		1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
address:InsureeAddress	Σ	0..1	Address	An address for the individual
address-municipality		1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference		1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
photo		0..1	Attachment	Image of the patient Slice: Unordered, Closed by exists:url
photo:All Slices				Content/Rules for all slices
contentType	Σ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
title	Σ	1..1	string	Label to display in place of the data
creation	Σ	1..1	dateTime	Date attachment was first created
Documentation for this format

This structure is derived from Patient

Summary

Mandatory: 14 elements (21 nested mandatory elements)
Must-Support: 22 elements
Prohibited: 14 elements

Structures

This structure refers to these other structures:

openIMIS Health Facility Organization (https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-health-facility-organization)

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Patient.identifier is sliced based on the value of value:type.coding.code (Closed)
The element Patient.telecom is sliced based on the value of value:system (Closed)
The element Patient.address is sliced based on the value of value:use (Closed)
The element Patient.photo is sliced based on the value of exists:url (Closed)

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id		0..1	string	Patient UUID
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
patient-is-head	S	0..1	boolean	Head of Family URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-is-head
patient-education-level		0..1	CodeableConcept	Patient Education Level URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-education-level Binding: Education Level (Patient) (example)
patient-profession		0..1	CodeableConcept	Patient Profession Level URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-profession Binding: Profession (Patient) (example)
patient-identification		0..1	(Complex)	Patient Identification URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-identification
patient-card-issued		0..1	boolean	Patient Card Issued URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-card-issued
patient-group-reference		0..1	Reference(openIMIS Group)	Patient Group Reference URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-group-reference
patient-vulnerability-status		0..1	boolean	Patient Vulnerability Status URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-vulnerability-status
Slices for identifier	S	1..*	Identifier	An identifier for this patient Slice: Unordered, Closed by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
type		1..1	CodeableConcept	Description of identifier
coding
code		0..1	code	Symbol in syntax defined by the system Binding: openIMIS Identifiers Value Set (required)
value		1..1	string	The value that is unique
identifier:Code	S	0..1	Identifier	An identifier for this patient
type
coding
code		1..1	code	Patient/Insuree openIMIS Code Required Pattern: Code
value	I	0..1	string	The value that is unique insureeCodeMustBeUnder13Chars: Length MUST be <= 12.
identifier:UUID		0..1	Identifier	An identifier for this patient
type
coding
code		1..1	code	Patient/Insuree openIMIS UUID Required Pattern: UUID
active		0..1	boolean	Active Policy
name		1..1	HumanName	Patient/Insuree official name
use		0..1	code	usual \| official \| temp \| nickname \| anonymous \| old \| maiden Required Pattern: official
family	S	1..1	string	Family name (often called 'Surname')
given	S	1..1	string	Given names (not always 'first'). Includes middle names
Slices for telecom		0..2	ContactPoint	A contact detail for the individual Slice: Unordered, Closed by value:system
telecom:All Slices				Content/Rules for all slices
value		1..1	string	The actual contact point details
telecom:email		0..1	ContactPoint	Patient/Insuree email
system		1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Required Pattern: email
telecom:phone		0..1	ContactPoint	Patient/Insuree phone
system		1..1	code	phone \| fax \| email \| pager \| url \| sms \| other Required Pattern: phone
gender	S	1..1	code	male \| female \| other \| unknown
birthDate	S	1..1	date	The date of birth for the individual
deceased[x]		0..0
Slices for address	S	1..1	Address	An address for the individual Slice: Unordered, Closed by value:use
address:All Slices				Content/Rules for all slices
extension		2..*	Extension	Municipality/Ward
address-municipality	S	1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference	S	1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
type		0..1	code	postal \| physical \| both Required Pattern: physical
line		0..1	string	Street name, number, direction & P.O. Box etc.
city	S	1..1	string	City/Village
district	S	1..1	string	District
state	S	1..1	string	State/Region
postalCode		0..0
country		0..0
address:FamilyAddress	S	0..1	Address	An address for the individual
address-municipality	S	1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference	S	1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
use		1..1	code	home \| work \| temp \| old \| billing - purpose of this address Required Pattern: home
address:InsureeAddress		0..1	Address	An address for the individual
address-municipality	S	1..1	string	Municipality (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality
address-location-reference	S	1..1	Reference(openIMIS Location)	Location Reference (Address) URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference
use		1..1	code	home \| work \| temp \| old \| billing - purpose of this address Required Pattern: temp
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status (Patient) (required)
multipleBirth[x]		0..0
Slices for photo	S	0..1	Attachment	Image of the patient Slice: Unordered, Closed by exists:url
photo:All Slices				Content/Rules for all slices
contentType	S	1..1	code	Mime type of the content, with charset etc.
hash		1..1	base64Binary	Hash of the data (sha-1, base64ed)
title	S	1..1	string	Label to display in place of the data
creation	S	1..1	dateTime	Date attachment was first created
photo:URL		0..1	Attachment	used in GET Patient
data		0..0
url		1..1	url	Uri where the data can be found
size		1..1	unsignedInt	Number of bytes of content (if url provided)
photo:Data		0..1	Attachment	used in POST & PUT Patient
data		1..1	base64Binary	Data inline, base64ed
url		0..0
contact		0..1	BackboneElement	Head of Family contact
relationship		0..1	CodeableConcept	The kind of relationship Binding: Contact Relationship (Patient) (extensible)
name		1..1	HumanName	A name associated with the contact person
use		0..0
text		0..0
family		1..1	string	Family name (often called 'Surname')
given		1..1	string	Given names (not always 'first'). Includes middle names
prefix		0..0
suffix		0..0
period		0..0
communication		0..0
generalPractitioner		0..*	Reference(openIMIS Health Facility Organization)	First Service Point
managingOrganization		0..0
link		0..0
Documentation for this format

Snapshot View

Description & Constraints

Patient

0..*

Patient

Information about an individual or animal receiving health care services

0..1

string

Patient UUID

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

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension

Extension
Slice: Unordered, Open by value:url

patient-is-head

0..1

boolean

Head of Family
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-is-head

patient-education-level

0..1

CodeableConcept

Patient Education Level
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-education-level
Binding: Education Level (Patient) (example)

patient-profession

0..1

CodeableConcept

Patient Profession Level
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-profession
Binding: Profession (Patient) (example)

patient-identification

0..1

(Complex)

Patient Identification
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-identification

patient-card-issued

0..1

boolean

Patient Card Issued
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-card-issued

patient-group-reference

0..1

Reference(openIMIS Group)

Patient Group Reference
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-group-reference

patient-vulnerability-status

0..1

boolean

Patient Vulnerability Status
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/patient-vulnerability-status

modifierExtension

0..*

Extension

Extensions that cannot be ignored

Slices for identifier

SΣ

1..*

Identifier

An identifier for this patient
Slice: Unordered, Closed by value:type.coding.code

identifier:All Slices

Content/Rules for all slices

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

1..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.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

0..1

code

Symbol in syntax defined by the system
Binding: openIMIS Identifiers Value Set (required)

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

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

1..1

string

The value that is unique
Example General: 123456

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)

identifier:Code

SΣ

0..1

Identifier

An identifier for this patient

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

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.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Patient/Insuree openIMIS Code
Required Pattern: Code

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

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

ΣI

0..1

string

The value that is unique
insureeCodeMustBeUnder13Chars: Length MUST be <= 12.
Example General: 123456

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)

identifier:UUID

0..1

Identifier

An identifier for this patient

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

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.

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

coding

0..*

Coding

Code defined by a terminology system

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

0..1

uri

Identity of the terminology system

version

0..1

string

Version of the system - if relevant

code

1..1

code

Patient/Insuree openIMIS UUID
Required Pattern: UUID

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

0..1

uri

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

0..1

string

The value that is unique
Example General: 123456

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)

active

?!Σ

0..1

boolean

Active Policy

name

1..1

HumanName

Patient/Insuree official name

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

text

0..1

string

Text representation of the full name

family

SΣ

1..1

string

Family name (often called 'Surname')

given

SΣ

1..1

string

Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name

prefix

0..*

string

Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name

suffix

0..*

string

Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name

period

0..1

Period

Time period when name was/is in use

Slices for telecom

0..2

ContactPoint

A contact detail for the individual
Slice: Unordered, Closed by value:system

telecom:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

ΣI

0..1

code

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

value

1..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

0..1

positiveInt

Specify preferred order of use (1 = highest)

period

0..1

Period

Time period when the contact point was/is in use

telecom:email

0..1

ContactPoint

Patient/Insuree email

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

ΣI

1..1

code

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

Required Pattern: email

value

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

0..1

positiveInt

Specify preferred order of use (1 = highest)

period

0..1

Period

Time period when the contact point was/is in use

telecom:phone

0..1

ContactPoint

Patient/Insuree phone

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

system

ΣI

1..1

code

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

Required Pattern: phone

value

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

0..1

positiveInt

Specify preferred order of use (1 = highest)

period

0..1

Period

Time period when the contact point was/is in use

gender

SΣ

1..1

code

male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

birthDate

SΣ

1..1

date

The date of birth for the individual

Slices for address

SΣ

1..1

Address

An address for the individual
Slice: Unordered, Closed by value:use

address:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

Slices for extension

2..*

Extension

Municipality/Ward
Slice: Unordered, Open by value:url

address-municipality

1..1

string

Municipality (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality

address-location-reference

1..1

Reference(openIMIS Location)

Location Reference (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference

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

0..1

code

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Required Pattern: physical

text

0..1

string

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

0..1

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

1..1

string

City/Village
Example General: Erewhon

district

SΣ

1..1

string

District
Example General: Madison

state

SΣ

1..1

string

State/Region

period

0..1

Period

Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}

address:FamilyAddress

SΣ

0..1

Address

An address for the individual

0..1

string

Unique id for inter-element referencing

Slices for extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

address-municipality

1..1

string

Municipality (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality

address-location-reference

1..1

Reference(openIMIS Location)

Location Reference (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference

use

?!Σ

1..1

code

home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.

Required Pattern: home

type

0..1

code

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Example General: both

text

0..1

string

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

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

0..1

string

Name of city, town etc.
Example General: Erewhon

district

0..1

string

District name (aka county)
Example General: Madison

state

0..1

string

Sub-unit of country (abbreviations ok)

postalCode

0..1

string

Postal code for area
Example General: 9132

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
Example General: {"start":"2010-03-23","end":"2010-07-01"}

address:InsureeAddress

0..1

Address

An address for the individual

0..1

string

Unique id for inter-element referencing

Slices for extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

address-municipality

1..1

string

Municipality (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-municipality

address-location-reference

1..1

Reference(openIMIS Location)

Location Reference (Address)
URL: https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/address-location-reference

use

?!Σ

1..1

code

home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.

Required Pattern: temp

type

0..1

code

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Example General: both

text

0..1

string

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

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

0..1

string

Name of city, town etc.
Example General: Erewhon

district

0..1

string

District name (aka county)
Example General: Madison

state

0..1

string

Sub-unit of country (abbreviations ok)

postalCode

0..1

string

Postal code for area
Example General: 9132

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
Example General: {"start":"2010-03-23","end":"2010-07-01"}

maritalStatus

0..1

CodeableConcept

Marital (civil) status of a patient
Binding: Marital Status (Patient) (required)

Slices for photo

0..1

Attachment

Image of the patient
Slice: Unordered, Closed by exists:url

photo:All Slices

Content/Rules for all slices

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

contentType

SΣ

1..1

code

Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.

Example General: text/plain; charset=UTF-8, image/png

language

0..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

data

0..1

base64Binary

Data inline, base64ed

url

0..1

url

Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

size

0..1

unsignedInt

Number of bytes of content (if url provided)

hash

1..1

base64Binary

Hash of the data (sha-1, base64ed)

title

SΣ

1..1

string

Label to display in place of the data
Example General: Official Corporate Logo

creation

SΣ

1..1

dateTime

Date attachment was first created

photo:URL

0..1

Attachment

used in GET Patient

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

contentType

0..1

code

Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.

Example General: text/plain; charset=UTF-8, image/png

language

0..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

url

1..1

url

Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

size

1..1

unsignedInt

Number of bytes of content (if url provided)

hash

0..1

base64Binary

Hash of the data (sha-1, base64ed)

title

0..1

string

Label to display in place of the data
Example General: Official Corporate Logo

creation

0..1

dateTime

Date attachment was first created

photo:Data

0..1

Attachment

used in POST & PUT Patient

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

contentType

0..1

code

Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.

Example General: text/plain; charset=UTF-8, image/png

language

0..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

data

1..1

base64Binary

Data inline, base64ed

size

0..1

unsignedInt

Number of bytes of content (if url provided)

hash

0..1

base64Binary

Hash of the data (sha-1, base64ed)

title

0..1

string

Label to display in place of the data
Example General: Official Corporate Logo

creation

0..1

dateTime

Date attachment was first created

contact

0..1

BackboneElement

Head of Family contact

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..1

CodeableConcept

The kind of relationship
Binding: Contact Relationship (Patient) (extensible)

name

1..1

HumanName

A name associated with the contact person

0..1

string

Unique id for inter-element referencing

extension

0..*

Extension

Additional content defined by implementations
Slice: Unordered, Open by value:url

family

1..1

string

Family name (often called 'Surname')

given

1..1

string

Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name

telecom

0..*

ContactPoint

A contact detail for the person

address

0..1

Address

Address for the contact person

gender

0..1

code

male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

organization

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

generalPractitioner

0..*

Reference(openIMIS Health Facility Organization)

First Service Point

Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Patient.language	preferred	CommonLanguages Max Binding: AllLanguages
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	extensible	Identifier Type Codes
Patient.identifier.type.coding.code	required	OpenIMISIdentifierVS
Patient.identifier:Code.use	required	IdentifierUse
Patient.identifier:Code.type	extensible	Identifier Type Codes
Patient.identifier:UUID.use	required	IdentifierUse
Patient.identifier:UUID.type	extensible	Identifier Type Codes
Patient.name.use	required	Pattern: official
Patient.telecom.system	required	ContactPointSystem
Patient.telecom.use	required	ContactPointUse
Patient.telecom:email.system	required	Pattern: email
Patient.telecom:email.use	required	ContactPointUse
Patient.telecom:phone.system	required	Pattern: phone
Patient.telecom:phone.use	required	ContactPointUse
Patient.gender	required	AdministrativeGender
Patient.address.use	required	AddressUse
Patient.address.type	required	Pattern: physical
Patient.address:FamilyAddress.use	required	Pattern: home
Patient.address:FamilyAddress.type	required	AddressType
Patient.address:InsureeAddress.use	required	Pattern: temp
Patient.address:InsureeAddress.type	required	AddressType
Patient.maritalStatus	required	PatientMaritalStatusVS
Patient.photo.contentType	required	Mime Types
Patient.photo.language	preferred	CommonLanguages Max Binding: AllLanguages
Patient.photo:URL.contentType	required	Mime Types
Patient.photo:URL.language	preferred	CommonLanguages Max Binding: AllLanguages
Patient.photo:Data.contentType	required	Mime Types
Patient.photo:Data.language	preferred	CommonLanguages Max Binding: AllLanguages
Patient.contact.relationship	extensible	PatientContactRelationshipVS
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Max Binding: AllLanguages
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path	Details	Requirements
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	Patient.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:isHead	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:isHead	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:educationLevel	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:educationLevel	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:profession	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:profession	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:identification	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:identification	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:cardIssued	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:cardIssued	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:group	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:group	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.extension:vulnerability	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:vulnerability	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier:Code.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier:Code.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier:Code.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier:Code.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier:Code.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier:Code.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
insureeCodeMustBeUnder13Chars	error	Patient.identifier:Code.value	Length MUST be <= 12. : $this.length() <= 12
ele-1	error	Patient.identifier:Code.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:Code.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier:UUID.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier:UUID.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier:UUID.type.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier:UUID.type.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.identifier:UUID.type.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.identifier:UUID.type.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.type.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.identifier:UUID.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.active	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.name.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.name.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.family	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.given	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.prefix	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.suffix	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.name.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.telecom.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.telecom.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.telecom:email.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.telecom:email.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:email.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.telecom:phone.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.telecom:phone.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.rank	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.telecom:phone.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.gender	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.birthDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address.extension:municipality	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address.extension:municipality	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address.extension:location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address.extension:location	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.line	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.city	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.district	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.state	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address:FamilyAddress.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address:FamilyAddress.extension:municipality	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address:FamilyAddress.extension:municipality	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address:FamilyAddress.extension:location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address:FamilyAddress.extension:location	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address:FamilyAddress.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.line	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.city	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.district	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.state	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.postalCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.country	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:FamilyAddress.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address:InsureeAddress.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address:InsureeAddress.extension:municipality	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address:InsureeAddress.extension:municipality	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address:InsureeAddress.extension:location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.address:InsureeAddress.extension:location	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.address:InsureeAddress.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.line	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.city	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.district	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.state	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.postalCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.country	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.address:InsureeAddress.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.maritalStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.photo.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.photo.contentType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.data	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.url	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.size	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.hash	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo.creation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.photo:URL.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.photo:URL.contentType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL.url	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL.size	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL.hash	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:URL.creation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.photo:Data.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.photo:Data.contentType	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data.data	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data.size	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data.hash	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.photo:Data.creation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
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()
ele-1	error	Patient.contact.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.relationship	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.contact.name.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.contact.name.family	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.name.given	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.telecom	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.address	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.gender	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.organization	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.contact.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.communication.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.communication.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.communication.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.communication.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.communication.preferred	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.generalPractitioner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.link.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.link.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.link.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Patient.link.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Patient.link.other	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Patient.link.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())