AU Base Implementation Guide
4.2.2-ci-build - CI Build Australia flag

This page is part of the Australian Base IG (v4.2.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: AU Base Patient

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-patient Version: 4.2.2-ci-build
Standards status: Trial-use Maturity Level: 3 Computable Name: AUBasePatient

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

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.

Usage Notes

Profile specific implementation guidance:

  • This profile supports patient gender identity aligned to Australian Bureau of Statics Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 using the Individual Gender Identity extension and the Gender Identity Response value set.
    • Man or male may be represented by sending the SNOMED CT code 446151000124109|Identifies as male gender|
    • Woman or female may be represented by sending the SNOMED CT code 446141000124107|Identifies as female gender|
    • Non-binary may be represented by sending the SNOMED CT code 33791000087105|Identifies as nonbinary gender|, see example Patient/example4
    • [I/They] use a different term (please specify) may be represented by sending only text and no code, see example Patient/example7
    • Prefer not to answer may be represented by sending the Data Absent Reason code “asked-declined”, see example Patient/example0
    • Not stated or inadequately described may be represented by the Data Absent Reason code “unknown”
    • Where the workflow does not support obtaining a gender identity value, it may be represented by sending the Data Absent Reason code “not-asked”
  • This profile supports indvidual pronouns using the Individual Pronouns extension and the Australian Pronouns value set supplied as the individual pronoun value.
    • they/them/their/theirs/themselves may be represented by sending the LOINC Answer (LA) code LA29520-6
    • she/her/her/hers/herself may be represented by sending the LOINC Answer (LA) code LA29519-8, see example Patient/example-sex-and-gender
    • he/him/his/his/himself may be represented by sending the LOINC Answer (LA) code LA29518-0
    • Prefer not to answer may be represented by sending the Data Absent Reason code “asked-declined”
    • Asked but not known may be represented by sending the Data Absent Reason code “asked-unknown”
    • Not stated or inadequately described may be represented by the Data Absent Reason code “unknown”
    • Where the workflow does not support obtaining a pronoun, it may be represented by sending the Data Absent Reason code “not-asked”
    • Where a preferred pronoun is provided but is not one of the Australian Pronouns terms then a text only or alternative specific coded value can be supplied.
  • This profile supports a recorded sex or gender (RSG) value using the using the Person Recorded Sex Or Gender extension. RSG information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Blank cells in the table indicate that the given element is absent from the resource.
    RSG information to represent extension:value extension:type extension:sourceDocument extension:sourceField extension:jurisdiction
    Sex and gender information from a document, e.g. Australian passport or driver's license. The sex or gender value. "document" SHALL use an appropriate value from AU Recorded Sex or Gender (RSG) Source Document Type value set if any of the codes within the value set can apply to the concept being communicated, e.g. "passport". The name of the field within the source document where this information is recorded, e.g. "Sex". SHALL use an appropriate value from Jurisdiction ValueSet - AU Extended value set if any of the codes within the value set can apply to the concept being communicated. If representing an Australian document use "AU" or the applicable state or territory code.
    Sex and gender information in use in services and infrastructure, e.g. HI Services or My Health Record. The sex or gender value. SHALL use an appropriate value from AU Recorded Sex or Gender Type value set if any of the codes within the value set can apply to the concept being communicated, e.g. "au-hi-service".
  • When exchanging concepts of sex or gender, refer to the guidance in the Gender Harmony Implementation Guide.
  • Need for an interpreter service can be represented with the interpreterRequired extension set to “true”
    • If the language for interpreter service is known, the language is included in Patient.communication.language and Patient.communication.preferred is set to “true”.
    • If 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.
  • See each Identifier profile page for guidance related to that identifier type.

Extensions under consideration:

Usage:

Formal Views of Profile Content

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

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
inv-pat-3: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
inv-pat-4: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
... 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: Australian Indigenous Status . (required)
.... veteranStatus 0..* Coding Veteran / Australian Defence Force (ADF) status
URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status
Binding: Australian Veteran Status . (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 C 0..* (Complex) Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
.... individualPronouns C 0..* (Complex) Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
.... recordedSexOrGender C 0..* (Complex) Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
... identifier 0..* Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber Identifies this patient across multiple systems
... birthDate C 0..1 date Date of birth extended for time and accuracy indicator
.... 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: Date Accuracy Indicator . (required): Date accuracy coding

..... birthTime C 0..1 dateTime Birth time
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
.... deceased[x]:deceasedBoolean 0..1 boolean Deceased indicator
.... deceased[x]:deceasedDateTime 0..1 dateTime Deceased date time
..... 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: Date Accuracy Indicator . (required): Date accuracy coding

... address 0..* AustralianAddress, Address An address for the individual
... contact
.... relationship 0..* CodeableConcept The kind of relationship
Binding: Contact Relationship Type . (extensible)
.... address 0..1 Address, AustralianAddress Address for the contact person
... communication
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: Common Languages in Australia . (extensible)
... link 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual person

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.contact.relationshipextensibleContactRelationshipType .
https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3
Patient.communication.languageextensibleCommonLanguagesInAustralia .
https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2

Constraints

IdGradePath(s)DetailsRequirements
inv-pat-0errorPatientIf 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()
inv-pat-1warningPatientIndividual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2warningPatientIndividual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3warningPatientRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4warningPatientRecorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5warningPatientRecorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
inv-pat-3: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
inv-pat-4: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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: Australian Indigenous Status . (required)
.... veteranStatus 0..* Coding Veteran / Australian Defence Force (ADF) status
URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status
Binding: Australian Veteran Status . (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 C 0..* (Complex) Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
.... individualPronouns C 0..* (Complex) Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
.... recordedSexOrGender C 0..* (Complex) Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... birthDate ΣC 0..1 date Date of birth extended for time and accuracy indicator
.... 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: Date Accuracy Indicator . (required): Date accuracy coding


..... birthTime C 0..1 dateTime Birth time
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... 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
..... 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: Date Accuracy Indicator . (required): Date accuracy coding


... address C 0..* AustralianAddress, Address An address for the individual
inv-add-0: The address shall at least have text or a line
inv-add-1: If asserting no fixed address, the type shall be 'physical'
inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS'
... link ?!Σ 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-add-0errorPatient.addressThe address shall at least have text or a line
: text.exists() or line.exists()
inv-add-1errorPatient.addressIf 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-2errorPatient.addressIf 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-0errorPatientIf 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()
inv-pat-1warningPatientIndividual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2warningPatientIndividual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3warningPatientRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4warningPatientRecorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5warningPatientRecorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
inv-pat-3: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
inv-pat-4: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... 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: Australian Indigenous Status . (required)
.... veteranStatus 0..* Coding Veteran / Australian Defence Force (ADF) status
URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status
Binding: Australian Veteran Status . (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 C 0..* (Complex) Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
.... individualPronouns C 0..* (Complex) Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
.... recordedSexOrGender C 0..* (Complex) Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply
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: Date Accuracy Indicator . (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: Date Accuracy Indicator . (required): Date accuracy coding


..... value 0..1 dateTime Primitive value for dateTime
... address C 0..* AustralianAddress, Address An address for the individual
inv-add-0: The address shall at least have text or a line
inv-add-1: If asserting no fixed address, the type shall be 'physical'
inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS'
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: Contact Relationship Type . (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: Common Languages in Australia . (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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensibleContactRelationshipType .
https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languageextensibleCommonLanguagesInAustralia .
https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-add-0errorPatient.addressThe address shall at least have text or a line
: text.exists() or line.exists()
inv-add-1errorPatient.addressIf 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-2errorPatient.addressIf 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-0errorPatientIf 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()
inv-pat-1warningPatientIndividual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2warningPatientIndividual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3warningPatientRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4warningPatientRecorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5warningPatientRecorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* Patient A patient in an Australian healthcare context
inv-pat-0: If present, birth time's date shall be the birth date
inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
inv-pat-3: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
inv-pat-4: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
... 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: Australian Indigenous Status . (required)
.... veteranStatus 0..* Coding Veteran / Australian Defence Force (ADF) status
URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status
Binding: Australian Veteran Status . (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 C 0..* (Complex) Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
.... individualPronouns C 0..* (Complex) Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
.... recordedSexOrGender C 0..* (Complex) Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
... identifier 0..* Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber Identifies this patient across multiple systems
... birthDate C 0..1 date Date of birth extended for time and accuracy indicator
.... 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: Date Accuracy Indicator . (required): Date accuracy coding

..... birthTime C 0..1 dateTime Birth time
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
.... deceased[x]:deceasedBoolean 0..1 boolean Deceased indicator
.... deceased[x]:deceasedDateTime 0..1 dateTime Deceased date time
..... 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: Date Accuracy Indicator . (required): Date accuracy coding

... address 0..* AustralianAddress, Address An address for the individual
... contact
.... relationship 0..* CodeableConcept The kind of relationship
Binding: Contact Relationship Type . (extensible)
.... address 0..1 Address, AustralianAddress Address for the contact person
... communication
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: Common Languages in Australia . (extensible)
... link 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual person

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.contact.relationshipextensibleContactRelationshipType .
https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3
Patient.communication.languageextensibleCommonLanguagesInAustralia .
https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2

Constraints

IdGradePath(s)DetailsRequirements
inv-pat-0errorPatientIf 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()
inv-pat-1warningPatientIndividual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2warningPatientIndividual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3warningPatientRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4warningPatientRecorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5warningPatientRecorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
inv-pat-3: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
inv-pat-4: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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: Australian Indigenous Status . (required)
.... veteranStatus 0..* Coding Veteran / Australian Defence Force (ADF) status
URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status
Binding: Australian Veteran Status . (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 C 0..* (Complex) Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
.... individualPronouns C 0..* (Complex) Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
.... recordedSexOrGender C 0..* (Complex) Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... birthDate ΣC 0..1 date Date of birth extended for time and accuracy indicator
.... 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: Date Accuracy Indicator . (required): Date accuracy coding


..... birthTime C 0..1 dateTime Birth time
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
... 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
..... 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: Date Accuracy Indicator . (required): Date accuracy coding


... address C 0..* AustralianAddress, Address An address for the individual
inv-add-0: The address shall at least have text or a line
inv-add-1: If asserting no fixed address, the type shall be 'physical'
inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS'
... link ?!Σ 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-add-0errorPatient.addressThe address shall at least have text or a line
: text.exists() or line.exists()
inv-add-1errorPatient.addressIf 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-2errorPatient.addressIf 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-0errorPatientIf 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()
inv-pat-1warningPatientIndividual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2warningPatientIndividual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3warningPatientRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4warningPatientRecorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5warningPatientRecorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
inv-pat-1: Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
inv-pat-2: Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
inv-pat-3: Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
inv-pat-4: Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
inv-pat-5: Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... 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: Australian Indigenous Status . (required)
.... veteranStatus 0..* Coding Veteran / Australian Defence Force (ADF) status
URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status
Binding: Australian Veteran Status . (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 C 0..* (Complex) Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
.... individualPronouns C 0..* (Complex) Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
.... recordedSexOrGender C 0..* (Complex) Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply
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: Date Accuracy Indicator . (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: Date Accuracy Indicator . (required): Date accuracy coding


..... value 0..1 dateTime Primitive value for dateTime
... address C 0..* AustralianAddress, Address An address for the individual
inv-add-0: The address shall at least have text or a line
inv-add-1: If asserting no fixed address, the type shall be 'physical'
inv-add-2: If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS'
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
pat-1: SHALL at least contain a contact's details or a reference to an organization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: Contact Relationship Type . (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: Common Languages in Australia . (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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleMarital Status Codes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensibleContactRelationshipType .
https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languageextensibleCommonLanguagesInAustralia .
https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-add-0errorPatient.addressThe address shall at least have text or a line
: text.exists() or line.exists()
inv-add-1errorPatient.addressIf 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-2errorPatient.addressIf 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-0errorPatientIf 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()
inv-pat-1warningPatientIndividual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2warningPatientIndividual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3warningPatientRecorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4warningPatientRecorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5warningPatientRecorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply
: extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

 

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