AU Base Implementation Guide
6.0.0-preview - Preview

AU Base Implementation Guide - Downloaded Version 6.0.0-preview See the Directory of published versions

## Resource Profile: AU Base Patient

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-patient | Version: 6.0.0-preview
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:

- See each Identifier profile page for guidance related to that identifier type.
- This profile supports the sex, gender, and related concepts of Name to Use, Gender Identity, Individual Pronouns, Recorded Sex or Gender, Sex Assigned at Birth, and Sex Parameter for Clinical Use:
  - When exchanging concepts of sex or gender, refer to the guidance in Sex and Gender and the Gender Harmony Implementation Guide.
  - The `Patient.gender` value SHALL be regarded as a Recorded Sex or Gender (RSG) value. If assertions regarding the nature of the `Patient.gender` value are required, a single instance of the Person Recorded Sex or Gender extension can be included with these assertions and its `genderElementQualifier` subelement set to a value of "true".
- When constructing an address:
  - an international address can be represented using the core Address data type
  - an Australian address can be represented using the Australian Address data type profile
- See Representing Communication Preferences for guidance on how to represent languages that may be used to communicate with the patient about their health including preferred language and if an interpreter is required.

Extensions under consideration:

- Patient: Ethnicity

Usages:

- Examples for this Profile: Patient/example-sex-and-gender, Patient/example0, Patient/example1, Patient/example2... Show 6 more, Patient/example3, Patient/example4, Patient/example5, Patient/example6, Patient/example7 and Patient/example8

You can also check for usages in the FHIR IG Statistics

Changes since version 5.0.0:

- The data elements list has changed
- One or more text definitions, invariants or bindings have changed

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | A patient in an Australian healthcare context Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6
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
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus |  | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus |  | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration |  | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName |  | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired |  | 0..1 | boolean | Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension: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
extension: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
extension: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
extension: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. Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply. URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension:sexParameterForClinicalUse |  | 0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | Identifies this patient across multiple systems
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
birthDate | Σ 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
extension: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
extension: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
extension: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 | Σ | 0..* | AustralianAddress, Address | An address for the individual
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.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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()`
inv-pat-1 | warning | Patient | Individual 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').extension('value').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))`
inv-pat-2 | warning | Patient | Individual 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').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))`
inv-pat-3 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))`
inv-pat-4 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))`
inv-pat-5 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))`
inv-pat-6 | warning | Patient | Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source'))`

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | A patient in an Australian healthcare context Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus |  | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus |  | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration |  | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName |  | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired |  | 0..1 | boolean | Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension: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
extension: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
extension: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
extension: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. Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply. URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension:sexParameterForClinicalUse |  | 0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
identifier |  | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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
extension: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
extension:birthTime | C | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for deceased[x] |  | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
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
extension: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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Patient.contact.relationship | Base | extensible | Contact Relationship Type | ⏿3.1.0 | tx.ontoserver.csiro.au
Patient.communication.​language | Base | extensible | Common Languages in Australia | ⏿2.2.1 | tx.ontoserver.csiro.au

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`
inv-pat-1 | warning | Patient | Individual 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').extension('value').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))`
inv-pat-2 | warning | Patient | Individual 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').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))`
inv-pat-3 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))`
inv-pat-4 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))`
inv-pat-5 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))`
inv-pat-6 | warning | Patient | Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source'))`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | A patient in an Australian healthcare context Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus |  | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus |  | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration |  | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName |  | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired |  | 0..1 | boolean | Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension: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
extension: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
extension: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
extension: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. Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply. URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension:sexParameterForClinicalUse |  | 0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 | Σ C | 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
extension: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
extension: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
extension: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 | Σ | 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 Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: 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.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std.
Patient.contact.relationship | Base | extensible | Contact Relationship Type | ⏿3.1.0 | tx.ontoserver.csiro.au
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | extensible | Common Languages in Australia | ⏿2.2.1 | tx.ontoserver.csiro.au
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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()`
inv-pat-1 | warning | Patient | Individual 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').extension('value').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))`
inv-pat-2 | warning | Patient | Individual 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').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))`
inv-pat-3 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))`
inv-pat-4 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))`
inv-pat-5 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))`
inv-pat-6 | warning | Patient | Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source'))`
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:

- Australian Address (http://hl7.org.au/fhir/StructureDefinition/au-address)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org.au/fhir/StructureDefinition/indigenous-status
- http://hl7.org.au/fhir/StructureDefinition/veteran-status
- http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
- http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
- http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
- http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
- http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
- http://hl7.org/fhir/StructureDefinition/individual-pronouns
- http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
- http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
- http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator
- http://hl7.org/fhir/StructureDefinition/patient-birthTime

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Patient.deceased[x] (Closed)

Maturity: 3

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | A patient in an Australian healthcare context Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6
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
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus |  | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus |  | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration |  | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName |  | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired |  | 0..1 | boolean | Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension: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
extension: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
extension: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
extension: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. Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply. URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension:sexParameterForClinicalUse |  | 0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | Identifies this patient across multiple systems
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
birthDate | Σ 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
extension: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
extension: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
extension: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 | Σ | 0..* | AustralianAddress, Address | An address for the individual
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.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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()`
inv-pat-1 | warning | Patient | Individual 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').extension('value').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))`
inv-pat-2 | warning | Patient | Individual 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').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))`
inv-pat-3 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))`
inv-pat-4 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))`
inv-pat-5 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))`
inv-pat-6 | warning | Patient | Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source'))`

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | A patient in an Australian healthcare context Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus |  | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus |  | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration |  | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName |  | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired |  | 0..1 | boolean | Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension: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
extension: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
extension: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
extension: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. Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply. URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension:sexParameterForClinicalUse |  | 0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
identifier |  | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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
extension: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
extension:birthTime | C | 0..1 | dateTime | Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for deceased[x] |  | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
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
extension: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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Patient.contact.relationship | Base | extensible | Contact Relationship Type | ⏿3.1.0 | tx.ontoserver.csiro.au
Patient.communication.​language | Base | extensible | Common Languages in Australia | ⏿2.2.1 | tx.ontoserver.csiro.au

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`
inv-pat-1 | warning | Patient | Individual 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').extension('value').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))`
inv-pat-2 | warning | Patient | Individual 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').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))`
inv-pat-3 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))`
inv-pat-4 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))`
inv-pat-5 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))`
inv-pat-6 | warning | Patient | Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source'))`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | Patient | A patient in an Australian healthcare context Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus |  | 0..1 | Coding | Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus |  | 0..* | Coding | Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration |  | 0..1 | boolean | Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName |  | 0..1 | string | Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired |  | 0..1 | boolean | Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension: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
extension: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
extension: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
extension: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. Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply. URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension:sexParameterForClinicalUse |  | 0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 | Σ C | 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
extension: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
extension: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
extension: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 | Σ | 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 Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: 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.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | extensible | MaritalStatus | 📍4.0.1 | FHIR Std.
Patient.contact.relationship | Base | extensible | Contact Relationship Type | ⏿3.1.0 | tx.ontoserver.csiro.au
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | extensible | Common Languages in Australia | ⏿2.2.1 | tx.ontoserver.csiro.au
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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()`
inv-pat-1 | warning | Patient | Individual 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').extension('value').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))`
inv-pat-2 | warning | Patient | Individual 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').extension('value').value.all(memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))`
inv-pat-3 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))`
inv-pat-4 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))`
inv-pat-5 | warning | Patient | 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 | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').value.all(memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))`
inv-pat-6 | warning | Patient | Recorded sex or gender source shall be a member of the AU Recorded Sex or Gender (RSG) Source value set if any codes within that value set can apply | `extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('source').value.ofType(CodeableConcept).all(memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source'))`
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:

- Australian Address (http://hl7.org.au/fhir/StructureDefinition/au-address)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-birthPlace
- http://hl7.org.au/fhir/StructureDefinition/indigenous-status
- http://hl7.org.au/fhir/StructureDefinition/veteran-status
- http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
- http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
- http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
- http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
- http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
- http://hl7.org/fhir/StructureDefinition/individual-pronouns
- http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
- http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
- http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator
- http://hl7.org/fhir/StructureDefinition/patient-birthTime

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Patient.deceased[x] (Closed)

Maturity: 3

Other representations of profile: CSV, Excel, Schematron