Guidance on how to interpret the contents of this table can be found here
| 0. Patient | |
| Definition | Demographics and other administrative information about an individual or animal receiving care or other health-related services. |
| Short | Information about an individual or animal receiving health care services |
| Control | 0..* |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | SubjectOfCare Client Resident |
| 2. Patient.extension:vital_status | |
| Slice Name | vital_status |
| Definition | Coded representation of a patient's vital status |
| Short | Vital Status |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(Vital Status) (Extension Type: CodeableConcept) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 4. Patient.identifier | |
| Definition | An identifier for this patient. |
| Short | An identifier for this patient |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Requirements | Patients are almost always assigned specific numerical identifiers. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 6. Patient.identifier.value | |
| Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
| Short | The value that is unique |
| Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 8. Patient.name | |
| Definition | A name associated with the individual. |
| Short | A name associated with the patient |
| Comments | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns. |
| Control | 1..* |
| Type | HumanName |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name. The Alphabetic representation of the name SHALL be always provided |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ips-pat-1: Patient.name.given, Patient.name.family or Patient.name.text SHALL be present ( family.exists() or given.exists() or text.exists()) |
| 10. Patient.name.text | |
| Definition | Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element |
| Short | Text representation of the full name |
| Comments | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | A renderable, unencoded form. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 12. Patient.name.family | |
| Definition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. |
| Short | Family name (often called 'Surname') |
| Comments | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Alternate Names | surname |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 14. Patient.name.given | |
| Definition | Given name. |
| Short | Given names (not always 'first'). Includes middle names |
| Comments | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. |
| Control | 0..* |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Alternate Names | first name, middle name |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. Patient.telecom | |
| Definition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted. |
| Short | A contact detail for the individual |
| Comments | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone). |
| Control | 0..* |
| Type | ContactPoint |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Requirements | People have (primary) ways to contact them in some way such as phone, email. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. Patient.gender | |
| Definition | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes. |
| Short | male | female | other | unknown |
| Comments | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from AdministrativeGender (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)The gender of a person used for administrative purposes. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | Needed for identification of the individual, in combination with (at least) name and birth date. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 20. Patient.birthDate | |
| Definition | The date of birth for the individual. |
| Short | The date of birth for the individual |
| Comments | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems). |
| Control | 1..1 |
| Type | date |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | Age of the individual drives many clinical processes. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| LOINC Code | 21112-8 |
| 22. Patient.deceased[x] | |
| Definition | Indicates if the individual is deceased or not. |
| Short | Indicates if the individual is deceased or not |
| Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. |
| Control | 0..1 |
| Type | Choice of: boolean, dateTime |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on Patient.deceased[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 24. Patient.deceased[x]:deceasedBoolean | |
| Slice Name | deceasedBoolean |
| Definition | Indicates if the individual is deceased or not. |
| Short | Indicates if the individual is deceased or not |
| Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. |
| Control | 0..1 |
| Type | boolean |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. Patient.deceased[x]:deceasedDateTime | |
| Slice Name | deceasedDateTime |
| Definition | Indicates if the individual is deceased or not. |
| Short | Indicates if the individual is deceased or not |
| Comments | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive. |
| Control | 0..1 |
| Type | dateTime |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different. |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. Patient.address | |
| Definition | An address for the individual. |
| Short | An address for the individual |
| Comments | Patient may have multiple addresses with different uses or applicable periods. |
| Control | 0..* |
| Type | Address |
| Is Modifier | false |
| Must Support | false |
| Summary | true |
| Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 30. Patient.generalPractitioner | |
| Definition | Patient's nominated care provider. |
| Short | Patient's nominated primary care provider |
| Comments | This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type. |
| Control | 0..* |
| Type | Reference(Organization, Practitioner, PractitionerRole) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | careProvider |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |