AU Core Implementation Guide
2.0.0-preview - Preview

AU Core Implementation Guide - Downloaded Version 2.0.0-preview See the Directory of published versions

## Resource Profile: AU Core Patient

Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient | Version: 2.0.0-preview
Standards status: Trial-use | Maturity Level: 2 | Computable Name: AUCorePatient
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.

This profile sets minimum expectations for a Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It is based on the AU Base Patient profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the Patient when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.

See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.

### 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

### Profile Specific Implementation Guidance

- When populating `Patient.identifier`, responders are not required to populate all known patient identifiers from the source system. Responders:
  - SHALL populate with at least one identifier
  - SHALL populate with at least one of the supported identifier types if known
  - SHOULD populate an IHI in preference to Medicare or DVA numbers where the IHI is known and MAY also provide a Medicare, DVA number, other identifier type or any combination of them
- See guidance on the construction of an identifier on the relevant Identifier profile page and the section on Business Identifiers in AU Base.
- This profile supports the sex, gender, and related concepts of: Name to Use, Gender Identity, and Individual Pronouns. See the Sex and Gender page for guidance on exchanging sex and gender related concepts conformant to AU Core.
  - 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
- 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
- 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 is intended to be displayed. 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 needs to 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 support all sub-elements marked Must Support: `name.use`, `name.text`, `name.family`, and `name.given`
- See the section on 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.

Usages:

- Refer to this Profile: AU Core AllergyIntolerance, AU Core Blood Pressure, AU Core Body Height, AU Core Body Temperature... Show 14 more, AU Core Body Weight, AU Core Condition, AU Core Pathology Result Observation, AU Core Diagnostic Result Observation, AU Core Encounter, AU Core Heart Rate, AU Core Immunization, AU Core MedicationRequest, AU Core MedicationStatement, AU Core Procedure, AU Core RelatedPerson, AU Core Respiration Rate, AU Core Smoking Status and AU Core Waist Circumference
- Examples for this Profile: Patient/banks-mia-leanne, Patient/bennelong-anne, Patient/howe-deangelo, Patient/ronny-irvine and Patient/wang-li
- CapabilityStatements using this Profile: AU Core Requester CapabilityStatement and AU Core Responder CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

- The resource metadata has changed (description)
- The data elements list has 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..* | AUBasePatient | A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6, au-core-pat-01, au-core-pat-02
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension: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
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 | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:individualPronouns | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:recordedSexOrGender | C | 0..* | (Complex) | A recorded sex or gender property for the individual 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
Slices for identifier | SO Σ C | 1..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 Σ | 0..1 | AUIHI | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:medicare | SO Σ | 0..* | AUMedicareCardNumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:dva | SO Σ | 0..1 | AUDVANumber | Identifies this patient across multiple systems
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 | SO Σ C | 1..* | HumanName | A name associated with the patient Constraints: au-core-pat-03
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | ?!SO Σ | 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 | SO Σ | 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 Σ | 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 Σ | 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 | SO Σ | 0..* | ContactPoint | A contact detail for the individual
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
system | SO Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value | SO Σ | 0..1 | string | The actual contact point details
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | ?!SO Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
gender | SO Σ | 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 | SO Σ C | 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
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 |  |  |  | Content/Rules for all slices
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 | SO Σ | 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
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 | Status | Usage | ValueSet | Version | Source
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
Patient.telecom.use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
Patient.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
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-03 | 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-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 AUBasePatient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | AUBasePatient | A patient in the context of electronic exchange of health information Constraints: au-core-pat-01, au-core-pat-02
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(5.2.0) | 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(5.2.0) | 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
extension:recordedSexOrGender |  | 0..* | RecordedSexOrGender(5.2.0) | A recorded sex or gender property for the individual
Slices for identifier | SO C | 1..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:medicare | SO | 0..* | AUMedicareCardNumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:dva | SO | 0..1 | AUDVANumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
name | SO C | 1..* | HumanName | A name associated with the patient Constraints: au-core-pat-03
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
system | SO | 0..1 | code | phone | fax | email | pager | url | sms | other
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value | SO | 0..1 | string | The actual contact point details
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | SO | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point
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) | Description | Expression
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-03 | 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | AUBasePatient | A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6, au-core-pat-01, au-core-pat-02
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 | 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
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 | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:individualPronouns | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:recordedSexOrGender | C | 0..* | (Complex) | A recorded sex or gender property for the individual 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
Slices for identifier | SO Σ C | 1..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 Σ | 0..1 | AUIHI | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:medicare | SO Σ | 0..* | AUMedicareCardNumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:dva | SO Σ | 0..1 | AUDVANumber | Identifies this patient across multiple systems
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 | SO Σ C | 1..* | HumanName | A name associated with the patient Constraints: au-core-pat-03
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 | ?!SO Σ | 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 | SO Σ | 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 Σ | 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 Σ | 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 | SO Σ | 0..* | ContactPoint | A contact detail for the individual
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
system | SO Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value | SO Σ | 0..1 | string | The actual contact point details
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | ?!SO Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
gender | SO Σ | 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 | SO Σ C | 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
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 | SO Σ | 0..* | AustralianAddress, Address | An address for the individual
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 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 | 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 | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
Patient.telecom.use | Base | required | ContactPointUse | 📍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
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-03 | 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-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 AUBasePatient

Summary

Mandatory: 4 elements
Must-Support: 22 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: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | AUBasePatient | A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6, au-core-pat-01, au-core-pat-02
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension: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
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 | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:individualPronouns | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:recordedSexOrGender | C | 0..* | (Complex) | A recorded sex or gender property for the individual 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
Slices for identifier | SO Σ C | 1..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 Σ | 0..1 | AUIHI | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:medicare | SO Σ | 0..* | AUMedicareCardNumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:dva | SO Σ | 0..1 | AUDVANumber | Identifies this patient across multiple systems
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 | SO Σ C | 1..* | HumanName | A name associated with the patient Constraints: au-core-pat-03
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | ?!SO Σ | 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 | SO Σ | 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 Σ | 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 Σ | 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 | SO Σ | 0..* | ContactPoint | A contact detail for the individual
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
system | SO Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value | SO Σ | 0..1 | string | The actual contact point details
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | ?!SO Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
gender | SO Σ | 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 | SO Σ C | 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
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 |  |  |  | Content/Rules for all slices
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 | SO Σ | 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
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 | Status | Usage | ValueSet | Version | Source
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
Patient.telecom.use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
Patient.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
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-03 | 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-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 AUBasePatient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | AUBasePatient | A patient in the context of electronic exchange of health information Constraints: au-core-pat-01, au-core-pat-02
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(5.2.0) | 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(5.2.0) | 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
extension:recordedSexOrGender |  | 0..* | RecordedSexOrGender(5.2.0) | A recorded sex or gender property for the individual
Slices for identifier | SO C | 1..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:medicare | SO | 0..* | AUMedicareCardNumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:dva | SO | 0..1 | AUDVANumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
name | SO C | 1..* | HumanName | A name associated with the patient Constraints: au-core-pat-03
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
system | SO | 0..1 | code | phone | fax | email | pager | url | sms | other
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value | SO | 0..1 | string | The actual contact point details
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | SO | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point
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) | Description | Expression
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-03 | 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()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | AUBasePatient | A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, inv-pat-6, au-core-pat-01, au-core-pat-02
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 | 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
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 | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:individualPronouns | SO 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
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
extension:recordedSexOrGender | C | 0..* | (Complex) | A recorded sex or gender property for the individual 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
Slices for identifier | SO Σ C | 1..* | Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier | 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 Σ | 0..1 | AUIHI | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:medicare | SO Σ | 0..* | AUMedicareCardNumber | Identifies this patient across multiple systems
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
identifier:dva | SO Σ | 0..1 | AUDVANumber | Identifies this patient across multiple systems
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 | SO Σ C | 1..* | HumanName | A name associated with the patient Constraints: au-core-pat-03
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 | ?!SO Σ | 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 | SO Σ | 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 Σ | 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 Σ | 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 | SO Σ | 0..* | ContactPoint | A contact detail for the individual
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
system | SO Σ C | 0..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
value | SO Σ | 0..1 | string | The actual contact point details
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
use | ?!SO Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
Obligations | Actor
SHALL:populate-if-known | AU Core Responder
SHALL:no-error | AU Core Requester
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
gender | SO Σ | 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 | SO Σ C | 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
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 | SO Σ | 0..* | AustralianAddress, Address | An address for the individual
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 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 | 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 | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.telecom.system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
Patient.telecom.use | Base | required | ContactPointUse | 📍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
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-03 | 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-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 AUBasePatient

Summary

Mandatory: 4 elements
Must-Support: 22 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: 2

Other representations of profile: CSV, Excel, Schematron

### Notes:

Below is an overview of the mandatory and optional search parameters and combined search parameters. See the AU Core CapabilityStatements for a complete list of supported RESTful interactions for this IG.

FHIR search operations are described here and the syntax used to describe AU Core interactions is defined here.

Any search parameter defined in FHIR may be 'allowed' by the system unless explicitly marked as "SHALL NOT". A few items are marked as MAY in this implementation guide to highlight their potential relevance.
Note: Support for _id is mandatory for a responder and optional for a requester. Where the expectation for a search parameter differs between actors, the table below will reflect the stronger conformance requirement.

Parameter(s) | Conformance | Type(s) | Requirements (when used alone or in combination)
--- | --- | --- | ---
_id | SHALL | `token` |
identifier | SHALL | `token` | The requester SHALL provide both the system and code values. The responder SHALL support both. The requester SHOULD support search using IHI, Medicare Number, and DVA Number identifiers as defined in the profile. The responder SHOULD support search using the using IHI, Medicare Number, and DVA Number identifiers as defined in the profile.
birthdate+family | SHOULD | `date`+`string` |
birthdate+name | SHOULD | `date`+`string` |
family | SHOULD | `string` |
family+gender | SHOULD | `string`+`token` |
gender+name | SHOULD | `token`+`string` |
name | SHOULD | `string` |
birthdate | MAY | `date` | A requester SHALL provide a value precise to the day. A responder SHALL support a value precise to the day. The requester SHOULD support these search comparators `gt`, `lt`, `ge`, `le`. The responder SHOULD support these search comparators `gt`, `lt`, `ge`, `le`. The requester SHOULD support `multipleAnd`, and if `multipleAnd` is supported, SHALL support the search comparators `gt`, `lt`, `ge`, `le`. The responder SHOULD support `multipleAnd`, and if `multipleAnd` is supported, SHALL support the search comparators `gt`, `lt`, `ge`, `le`.
gender | MAY | `token` | The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both.
indigenous-status | MAY | `token` | The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both.
gender-identity | MAY | `token` | The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both.

#### Mandatory Search Parameters

The following search parameters SHALL be supported:

1. SHALL support searching using the `_id` search parameter:

   `GET [base]/Patient?_id=[id]`

   Example:

   1. GET [base]/Patient?_id=5678

   Implementation Notes: Fetches a bundle with the requested Patient, instead of just the resource itself, and allows for the inclusion of additional search parameters such as _include, _revinclude, or _lastUpdated (how to search by id of the resource).

2. SHALL support searching using the `identifier` search parameter:

   `GET [base]/Patient?identifier=[system|][code]`

   Example:

   1. GET [base]/Patient?identifier=http://ns.electronichealth.net.au/id/medicare-number|32788511952
   2. GET [base]/Patient?identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608833357361
   3. GET [base]/Patient?identifier=http://example.org/fhir/mrn|12345

   Implementation Notes: Fetches a bundle containing all Patient resources matching the identifier (how to search by token)

#### Optional Search Parameters:

The following search parameters and search parameter combinations SHOULD be supported:

1. SHOULD support searching by a responder-defined search that matches any string field in HumanName, including family, given, prefix, suffix, and/or text using the `name` search parameter:

   `GET [base]/Patient?name=[string]`

   Example:

   1. GET [base]/Patient?name=Wang
   2. GET [base]/Patient?name=Wang

2. SHOULD support searching using the combination of the `gender` and `name` search parameters:

   `GET [base]/Patient?gender={system|}[code]&name=[string]`

   Example:

   1. GET [base]/Patient?name=Wang&gender=female

   Implementation Notes: Fetches a bundle of all Patient resources matching the specified gender and name (how to search by string and how to search by token)

3. SHOULD support searching using the combination of the `birthdate` and `family` search parameters:
   - SHOULD support these `date` comparators: `gt,lt,ge,le`
   - SHOULD support multipleAnd search on `date` (e.g.`date=[date]&date=[date]]&...`), and if multipleAnd is supported, SHALL support the search comparators `gt,lt,ge,le`

   `GET [base]/Patient?birthdate=[date]&family=[string]`

   Example:

   1. GET [base]/Patient?family=Wang&birthdate=2007-03-20

   Implementation Notes: Fetches a bundle of all Patient resources matching the specified birthdate and family (how to search by date and how to search by string)

4. SHOULD support searching using the combination of the `birthdate` and `name` search parameters:
   - SHOULD support these `date` comparators: `gt,lt,ge,le`
   - SHOULD support multipleAnd search on `date` (e.g.`date=[date]&date=[date]]&...`) and if multipleAnd, and if *multipleAnd is supported, SHALL support the search comparators `gt,lt,ge,le`

   `GET [base]/Patient?birthdate=[date]&name=[string]`

   Example:

   1. GET [base]/Patient?name=Wang&birthdate=2007-03-20gt

   Implementation Notes: Fetches a bundle of all Patient resources matching the name and a birthdate greater than that specified (how to search by date and how to search by string)

5. SHOULD support searching using the combination of the `family` and `gender` search parameters:

   `GET [base]/Patient?family=[string]&gender={system|}[code]`

   Example:

   1. GET [base]/Patient?family=Wang&gender=female

   Implementation Notes: Fetches a bundle of all Patient resources matching the specified family and gender (how to search by string and how to search by token)