AU Base Implementation Guide
4.1.2-preview - Preview
AU Base Implementation Guide
4.1.2-preview - Preview
This page is part of the Australian Base IG (v4.1.2-preview: AU Base) based on FHIR R4. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org.au/fhir/StructureDefinition/au-patient | Version: 4.1.2-preview | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: AUBasePatient | ||
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved. |
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This profile defines a patient structure that localises core concepts, including identifiers and terminology, for use in an Australian context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.
We have introduced support for the following extensions: Individual Pronouns and Person Recorded Sex Or Gender. These extensions are published in this guide to pre-adopt the material published in the R5 FHIR Extensions Pack. These extensions are an R4 (4.0.1) conversion of the canonical extension and may contain forwards incompatible data types when converted to R4 (see the extension page in this guide for information on any material differences). Implementers are advised to take note that this content may be removed or changed and to take caution if using these extensions.
Profile specific implementation guidance:
Patient.communication.language and Patient.communication.preferred is set to “true”.Patient.communication.preferred has not been included, or is set to “false”, systems should understand this as the language for the interpreter service is not known.Extensions under consideration:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Patient
| Path | Conformance | ValueSet |
| Patient.extension:genderIdentity.valueCodeableConcept | extensible | https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 |
| Patient.contact.relationship | extensible | https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 |
| Patient.communication.language | extensible | https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-pat-0 | error | Patient | If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString() |
| Path | Conformance | ValueSet |
| Patient.extension:genderIdentity.value[x] | example | GenderIdentity |
| Patient.extension:genderIdentity.value[x]:valueCodeableConcept | extensible | https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 |
| Patient.link.type | required | LinkType |
| Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| inv-add-0 | error | Patient.address | The address shall at least have text or a line : text.exists() or line.exists() | |
| inv-add-1 | error | Patient.address | If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical' | |
| inv-add-2 | error | Patient.address | If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS') | |
| inv-pat-0 | error | Patient | If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
  Patient | C | 0..* | Patient | A patient in an Australian healthcare context inv-pat-0: If present, birth time's date shall be the birth date | ||||
  id | Σ | 0..1 | id | Logical id of this artifact | ||||
 meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
 birthPlace | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace | |||||
| indigenousStatus | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-indigenous-status-1 (required) | |||||
| veteranStatus | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-veteran-status-1 (required) | |||||
| closingTheGapRegistration | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration | |||||
| mothersMaidenName | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName | |||||
| interpreterRequired | 0..1 | boolean | Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired | |||||
| dateOfArrival | 0..1 | date | The date a person first arrived in Australia, from another country, with the intention of living in Australia for one year or more URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival | |||||
 genderIdentity | 0..1 | CodeableConcept | The patient's gender identity shall be a member of the Gender Identity Response value set if any of the codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/patient-genderIdentity Binding: GenderIdentity (example) | |||||
  id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity" | |||||
  Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: GenderIdentity (example) | |||||
  value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 (extensible) | |||||
| individualPronouns | 0..* | (Complex) | The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns | |||||
| recordedSexOrGender | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber | Identifies this patient across multiple systems | |||||
| active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
| name | Σ | 0..* | HumanName | A name associated with the patient | ||||
| telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | ||||
| gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
| birthDate | ΣC | 0..1 | date | Date of birth extended for time and accuracy indicator | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| accuracyIndicator | 0..1 | Coding | Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: https://healthterminologies.gov.au/fhir/ValueSet/date-accuracy-indicator-1 (required): Date accuracy coding | |||||
| birthTime | C | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime | ||||
 value | 0..1 | date | Primitive value for date | |||||
| Slices for deceased[x] | ?!Σ | 0..1 | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this | |||||
 deceasedBoolean | boolean | |||||||
| deceasedDateTime | dateTime | |||||||
| deceased[x]:deceasedBoolean | ?!Σ | 0..1 | boolean | Deceased indicator | ||||
 deceased[x]:deceasedDateTime | ?!Σ | 0..1 | dateTime | Deceased date time | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| accuracyIndicator | 0..1 | Coding | Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: https://healthterminologies.gov.au/fhir/ValueSet/date-accuracy-indicator-1 (required): Date accuracy coding | |||||
 value | 0..1 | dateTime | Primitive value for dateTime | |||||
| address | C | 0..* | AustralianAddress, Address | An address for the individual | ||||
| maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person. | |||||
 multipleBirth[x] | 0..1 | Whether patient is part of a multiple birth | ||||||
| multipleBirthBoolean | boolean | |||||||
| multipleBirthInteger | integer | |||||||
| photo | 0..* | Attachment | Image of the patient | |||||
| contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relationship | 0..* | CodeableConcept | The kind of relationship Binding: https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 (extensible) | |||||
| name | 0..1 | HumanName | A name associated with the contact person | |||||
| telecom | 0..* | ContactPoint | A contact detail for the person | |||||
| address | 0..1 | Address, AustralianAddress | 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 | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
| period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 (extensible) | |||||
| preferred | 0..1 | boolean | Language preference indicator | |||||
| generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
| managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | ||||
 link | ?!Σ | 0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual person | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
| type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Patient.language | preferred | CommonLanguages
| ||||
| Patient.extension:genderIdentity.value[x] | example | GenderIdentity | ||||
| Patient.extension:genderIdentity.value[x]:valueCodeableConcept | extensible | https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 | ||||
| Patient.gender | required | AdministrativeGender | ||||
| Patient.maritalStatus | extensible | Marital Status Codes | ||||
| Patient.contact.relationship | extensible | https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 | ||||
| Patient.contact.gender | required | AdministrativeGender | ||||
| Patient.communication.language | extensible | https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 | ||||
| Patient.link.type | required | LinkType |
| Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| inv-add-0 | error | Patient.address | The address shall at least have text or a line : text.exists() or line.exists() | |
| inv-add-1 | error | Patient.address | If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical' | |
| inv-add-2 | error | Patient.address | If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS') | |
| inv-pat-0 | error | Patient | If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString() | |
| 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() |
This structure is derived from Patient
Summary
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 3
Differential View
This structure is derived from Patient
| Path | Conformance | ValueSet |
| Patient.extension:genderIdentity.valueCodeableConcept | extensible | https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 |
| Patient.contact.relationship | extensible | https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 |
| Patient.communication.language | extensible | https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-pat-0 | error | Patient | If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString() |
Key Elements View
| Path | Conformance | ValueSet |
| Patient.extension:genderIdentity.value[x] | example | GenderIdentity |
| Patient.extension:genderIdentity.value[x]:valueCodeableConcept | extensible | https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 |
| Patient.link.type | required | LinkType |
| Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| inv-add-0 | error | Patient.address | The address shall at least have text or a line : text.exists() or line.exists() | |
| inv-add-1 | error | Patient.address | If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical' | |
| inv-add-2 | error | Patient.address | If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS') | |
| inv-pat-0 | error | Patient | If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Patient | C | 0..* | Patient | A patient in an Australian healthcare context inv-pat-0: If present, birth time's date shall be the birth date | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| birthPlace | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace | |||||
| indigenousStatus | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-indigenous-status-1 (required) | |||||
| veteranStatus | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-veteran-status-1 (required) | |||||
| closingTheGapRegistration | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration | |||||
| mothersMaidenName | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName | |||||
| interpreterRequired | 0..1 | boolean | Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired | |||||
| dateOfArrival | 0..1 | date | The date a person first arrived in Australia, from another country, with the intention of living in Australia for one year or more URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival | |||||
| genderIdentity | 0..1 | CodeableConcept | The patient's gender identity shall be a member of the Gender Identity Response value set if any of the codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/patient-genderIdentity Binding: GenderIdentity (example) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: GenderIdentity (example) | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 (extensible) | |||||
| individualPronouns | 0..* | (Complex) | The pronouns to use when communicating about an individual. URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns | |||||
| recordedSexOrGender | 0..* | (Complex) | A recorded sex or gender property for the individual URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber | Identifies this patient across multiple systems | |||||
| active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
| name | Σ | 0..* | HumanName | A name associated with the patient | ||||
| telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | ||||
| gender | Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
| birthDate | ΣC | 0..1 | date | Date of birth extended for time and accuracy indicator | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| accuracyIndicator | 0..1 | Coding | Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: https://healthterminologies.gov.au/fhir/ValueSet/date-accuracy-indicator-1 (required): Date accuracy coding | |||||
| birthTime | C | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime | ||||
| value | 0..1 | date | Primitive value for date | |||||
| Slices for deceased[x] | ?!Σ | 0..1 | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this | |||||
| deceasedBoolean | boolean | |||||||
| deceasedDateTime | dateTime | |||||||
| deceased[x]:deceasedBoolean | ?!Σ | 0..1 | boolean | Deceased indicator | ||||
| deceased[x]:deceasedDateTime | ?!Σ | 0..1 | dateTime | Deceased date time | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| accuracyIndicator | 0..1 | Coding | Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: https://healthterminologies.gov.au/fhir/ValueSet/date-accuracy-indicator-1 (required): Date accuracy coding | |||||
| value | 0..1 | dateTime | Primitive value for dateTime | |||||
| address | C | 0..* | AustralianAddress, Address | An address for the individual | ||||
| maritalStatus | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person. | |||||
| multipleBirth[x] | 0..1 | Whether patient is part of a multiple birth | ||||||
| multipleBirthBoolean | boolean | |||||||
| multipleBirthInteger | integer | |||||||
| photo | 0..* | Attachment | Image of the patient | |||||
| contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relationship | 0..* | CodeableConcept | The kind of relationship Binding: https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 (extensible) | |||||
| name | 0..1 | HumanName | A name associated with the contact person | |||||
| telecom | 0..* | ContactPoint | A contact detail for the person | |||||
| address | 0..1 | Address, AustralianAddress | 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 | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
| period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 (extensible) | |||||
| preferred | 0..1 | boolean | Language preference indicator | |||||
| generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |||||
| managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | ||||
| link | ?!Σ | 0..* | BackboneElement | Link to a Patient or RelatedPerson resource that concerns the same actual person | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | ||||
| type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Patient.language | preferred | CommonLanguages
| ||||
| Patient.extension:genderIdentity.value[x] | example | GenderIdentity | ||||
| Patient.extension:genderIdentity.value[x]:valueCodeableConcept | extensible | https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1 | ||||
| Patient.gender | required | AdministrativeGender | ||||
| Patient.maritalStatus | extensible | Marital Status Codes | ||||
| Patient.contact.relationship | extensible | https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 | ||||
| Patient.contact.gender | required | AdministrativeGender | ||||
| Patient.communication.language | extensible | https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 | ||||
| Patient.link.type | required | LinkType |
| Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| inv-add-0 | error | Patient.address | The address shall at least have text or a line : text.exists() or line.exists() | |
| inv-add-1 | error | Patient.address | If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical' | |
| inv-add-2 | error | Patient.address | If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS') | |
| inv-pat-0 | error | Patient | If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString() | |
| 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() |
This structure is derived from Patient
Summary
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#4.1.2-preview based on FHIR 4.0.1. Generated 2023-11-15
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