Usage scenarios

The following are supported usage scenarios for this profile:

• Query for records associated with a patient
• Record or update a record associated with a patient
• Query for basic demographics and other administrative information about a patient
• Record or update basic demographics and other administrative information about a patient
• Read information about a patient referenced by another resource

Comparison with other national and international IGs

A resource conforming to this profile is conformant to:

• IPA-Patient
• Patient (IPS)
• US Core Patient if gender identity is not exchanged. US Core includes the US Gore Gender Identity extension; AU Core requires support of the international Gender Identity extension

Conformance in reverse is not guaranteed, i.e. a resource conforming to International Patient Access, International Patient Summary, or US Core MAY NOT conform to AU Core.

Gender Identity and related concepts

Name to Use (NtU)​

By making name.use a Must Support data element, this profile explicitly supports representation and exchange of the Name to Use data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1). Name to Use is represented using ‘usual’ in name.use. It should be noted that, name.period is not a Must Support data element in this version of the profile.

Pronouns​

By making Individual Pronouns extension a Must Support data element, this profile explicitly supports representation and exchange of the Pronouns data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1). The value element of the Individual Pronouns extension is constrained in this profile to be Australian Pronouns (extensible).

Gender Identity (GI)

By making Individual Gender Identity extension a Must Support data element, this profile explicitly supports representation and exchange of the Gender Identity data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1). The value element of the Individual Gender Identity extension is constrained in this profile to be Gender Identity Response (extensible).

Sex Assigned at Birth

Sex assigned at birth is represented using the Person Recorded Sex or Gender extension as profiled by AU Core Sex Assigned At Birth. It should be noted the Person Recorded Sex or Gender extension is not marked as Must Support in this version of the profile.

Profile specific implementation guidance

• An individual’s IHI SHOULD be used in Patient.identifier if available, in preference to Medicare or DVA numbers.
• See guidance on the construction of identifiers in each Identifier profile and the section on Business Identifiers in AU Base.
• See the Representing communication preferences section for guidance.
• When constructing an address:
  • an international address can be represented using the core Address data type
  • an Australian address SHOULD be represented using the Australian Address data type profile
• This profile supports the sex, gender, and related concepts of: Name to Use, Gender Identity, and Individual Pronouns:
  • When exchanging concepts of sex or gender, refer to the guidance on Sex and Gender in AU Base and the Gender Harmony Implementation Guide.
  • Sex Assigned at Birth is not marked as Must Support but may be exchanged using the Person Recorded Sex or Gender extension as profiled by AU Core Sex Assigned At Birth
  • Name to Use is represented using “usual” in name.use.
  • Gender Identity is represented with the Individual Gender Identity extension. In AU Core, the value element of the Individual Gender Identity extension is constrained to be Gender Identity Response value set (extensible).
    • When populating the value element of the Individual Gender Identity extension:
      • 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|
      • [I/They] use a different term (please specify) may be represented by sending only text and no coding
      • Prefer not to answer may be represented by sending the Data Absent Reason code “asked-declined”
      • Not stated or inadequately described may be represented by sending 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”
  • Pronouns is represented with the Individual Pronouns extension. In AU Core, the value element of the Individual Pronouns extension is constrained to be Australian Pronouns (extensible).
    • When populating the value element of the Individual Pronouns extension:
      • 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
      • 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 sending 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.
• Patient names can be provided as a text representation in name.text and/or parts such as name.family and name.given.
  • name.text specifies the entire name as it should be displayed and this may be provided instead of, or as well as, the specific parts. It is important to note that the presence of parts of a name, e.g. name.family and name.given, do not imply that name.text is known or must be supplied.
  • In this profile, the following sub-elements of name are marked as Must Support: name.use, name.text, name.family, and name.given
    • responders are required to support at least one of the following sub-elements: name.text, name.family, and name.given
    • requesters are required to all sub-elements marked Must Support: name.use, name.text, name.family, and name.given

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

This structure is derived from AUBasePatient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUBasePatient	A patient in the context of electronic exchange of health information au-core-pat-01: At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present au-core-pat-02: At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present
Slices for extension				Content/Rules for all slices
extension:indigenousStatus	SO	0..1	AustralianIndigenousStatus	Indigenous status Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
extension:genderIdentity	SO	0..*	PGenderIdentity	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
extension:individualPronouns	SO	0..*	Pronouns	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:ihi	SO	0..1	AUIHI	Individual Healthcare Identifier (IHI) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
name	SOC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
use	SO	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SO	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
family	SO	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
given	SO	0..*	string	Given names (not always 'first'). Includes middle names Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
telecom	SO	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
gender	SO	1..1	code	male | female | other | unknown Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
birthDate	SO	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
address	SO	0..*	AustralianAddress, Address	An address for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-04	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUBasePatient	A patient in the context of electronic exchange of health information 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 au-core-pat-01: At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present au-core-pat-02: At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
individualPronouns	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for extension				Content/Rules for all slices
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				Content/Rules for all slices
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	SOC	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' Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	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) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-04	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-add-0	error	Patient.address	The address shall at least have text or a line : text.exists() or line.exists()
inv-add-1	error	Patient.address	If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical'
inv-add-2	error	Patient.address	If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS')
inv-ihi-value-0	error	Patient.identifier:ihi	IHI shall be an exactly 16 digit number : value.matches('^([0-9]{16})$')
inv-ihi-value-1	error	Patient.identifier:ihi	IHI prefix is 800360 : value.startsWith('800360')
inv-ihi-value-2	error	Patient.identifier:ihi	IHI shall pass the Luhn algorithm check : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0)
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').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-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').all(extension('value').value.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').all(extension('type').value.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').all(extension('sourceDocument').value.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').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUBasePatient	A patient in the context of electronic exchange of health information 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 au-core-pat-01: At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present au-core-pat-02: At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present
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
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	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
individualPronouns	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SOC	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' Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SO	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) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	ContactRelationshipType https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 from https://tx.ontoserver.csiro.au/fhir
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-04	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-add-0	error	Patient.address	The address shall at least have text or a line : text.exists() or line.exists()
inv-add-1	error	Patient.address	If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical'
inv-add-2	error	Patient.address	If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS')
inv-ihi-value-0	error	Patient.identifier:ihi	IHI shall be an exactly 16 digit number : value.matches('^([0-9]{16})$')
inv-ihi-value-1	error	Patient.identifier:ihi	IHI prefix is 800360 : value.startsWith('800360')
inv-ihi-value-2	error	Patient.identifier:ihi	IHI shall pass the Luhn algorithm check : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0)
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').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-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').all(extension('value').value.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').all(extension('type').value.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').all(extension('sourceDocument').value.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').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
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()

Differential View

This structure is derived from AUBasePatient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUBasePatient	A patient in the context of electronic exchange of health information au-core-pat-01: At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present au-core-pat-02: At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present
Slices for extension				Content/Rules for all slices
extension:indigenousStatus	SO	0..1	AustralianIndigenousStatus	Indigenous status Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
extension:genderIdentity	SO	0..*	PGenderIdentity	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
extension:individualPronouns	SO	0..*	Pronouns	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:ihi	SO	0..1	AUIHI	Individual Healthcare Identifier (IHI) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
name	SOC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
use	SO	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SO	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
family	SO	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
given	SO	0..*	string	Given names (not always 'first'). Includes middle names Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
telecom	SO	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
gender	SO	1..1	code	male | female | other | unknown Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
birthDate	SO	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
address	SO	0..*	AustralianAddress, Address	An address for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-04	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUBasePatient	A patient in the context of electronic exchange of health information 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 au-core-pat-01: At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present au-core-pat-02: At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
individualPronouns	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
Slices for extension				Content/Rules for all slices
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				Content/Rules for all slices
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	SOC	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' Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	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) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-04	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-add-0	error	Patient.address	The address shall at least have text or a line : text.exists() or line.exists()
inv-add-1	error	Patient.address	If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical'
inv-add-2	error	Patient.address	If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS')
inv-ihi-value-0	error	Patient.identifier:ihi	IHI shall be an exactly 16 digit number : value.matches('^([0-9]{16})$')
inv-ihi-value-1	error	Patient.identifier:ihi	IHI prefix is 800360 : value.startsWith('800360')
inv-ihi-value-2	error	Patient.identifier:ihi	IHI shall pass the Luhn algorithm check : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0)
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').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-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').all(extension('value').value.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').all(extension('type').value.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').all(extension('sourceDocument').value.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').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	AUBasePatient	A patient in the context of electronic exchange of health information 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 au-core-pat-01: At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present au-core-pat-02: At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present
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
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	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
individualPronouns	SOC	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 Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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
Slices for identifier	SOC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:ihi	SOC	0..1	AUIHI	Individual Healthcare Identifier (IHI) inv-ihi-value-0: IHI shall be an exactly 16 digit number inv-ihi-value-1: IHI prefix is 800360 inv-ihi-value-2: IHI shall pass the Luhn algorithm check Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:medicare	SO	0..1	AUMedicareCardNumber	Medicare Card Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
identifier:dva	SO	0..1	AUDVANumber	Department of Veterans' Affairs (DVA) Number Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient au-core-pat-04: At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
text	SOΣ	0..1	string	Text representation of the full name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
family	SOΣ	0..1	string	Family name (often called 'Surname') Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SOC	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' Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	SO	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) Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
preferred	SO	0..1	boolean	Language preference indicator Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester
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	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	ContactRelationshipType https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 from https://tx.ontoserver.csiro.au/fhir
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 from https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-04	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-add-0	error	Patient.address	The address shall at least have text or a line : text.exists() or line.exists()
inv-add-1	error	Patient.address	If asserting no fixed address, the type shall be 'physical' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies type='physical'
inv-add-2	error	Patient.address	If asserting no fixed address, the address text shall begin with 'NO FIXED ADDRESS' : extension('http://hl7.org.au/fhir/StructureDefinition/no-fixed-address').exists() implies text.startsWith('NO FIXED ADDRESS')
inv-ihi-value-0	error	Patient.identifier:ihi	IHI shall be an exactly 16 digit number : value.matches('^([0-9]{16})$')
inv-ihi-value-1	error	Patient.identifier:ihi	IHI prefix is 800360 : value.startsWith('800360')
inv-ihi-value-2	error	Patient.identifier:ihi	IHI shall pass the Luhn algorithm check : (((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger())+(select(value.substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(11,1).toInteger())+(select(value.substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(13,1).toInteger())+(select(value.substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(15,1).toInteger()))mod 10=0)
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').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-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').all(extension('value').value.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').all(extension('type').value.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').all(extension('sourceDocument').value.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').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
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 AUBasePatient

Summary

Mandatory: 4 elements
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• AU IHI (http://hl7.org.au/fhir/StructureDefinition/au-ihi)
• AU Medicare Card Number (http://hl7.org.au/fhir/StructureDefinition/au-medicarecardnumber)
• AU DVA Number (http://hl7.org.au/fhir/StructureDefinition/au-dvanumber)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier

Maturity: 1