MyHealth@Eu Laboratory Report
0.0.1 - qa-preview 150

MyHealth@Eu Laboratory Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: SubjectLabMyHEU - Detailed Descriptions

Draft as of 2024-11-21

Definitions for the Subject logical model.

Guidance on how to interpret the contents of this table can be found here

0. Subject
Definition

Identification of the patient/subject and Patient/subject related contact information as defined by the MyHealth@EU business requirement '13.01 Create the MyHealth@EU Laboratory Result Report Content'.

ShortPatient/subject
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Subject.identification
Definition

Identification of the patient/subject

ShortIdentification of the patient/subject
Control1..1
TypeBackboneElement
Obligations
    ObligationsActor
    SHALL:handle
    4. Subject.identification.familyName
    Definition

    The family name/surname/last name of the patient. This field can contain more than one element or multiple fields could be present.

    ShortFamily name/surname
    Control1..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Obligations
      ObligationsActor
      SHALL:handle
      6. Subject.identification.givenName
      Definition

      The given name/first name of the patient (also known as forename or first name). This field can contain more than one element.

      ShortGiven name
      Control1..*
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Obligations
        ObligationsActor
        SHALL:handle
        8. Subject.identification.dateOfBirth
        Definition

        The date of birth of the patient [ISO TS 22220]. As age of the patient might be important for correct interpretation of the test result values, complete date of birth should be provided. - Preferred system(s): Complete date, without time, following the ISO 8601

        ShortDate of birth
        Control1..1
        TypedateTime
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Obligations
          ObligationsActor
          SHALL:handle
          10. Subject.identification.identifier
          Definition

          An identifier of the patient that is unique within a defined scope. Example: National ID (birth number) for Czech patient. Multiple identifiers could be provided.

          ShortPersonal identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          Obligations
            ObligationsActor
            SHALL:handle
            12. Subject.identification.gender
            Definition

            This field must contain a recognised valid value for 'administrative gender'. If different, 'physiological gender' should be communicated elsewhere Preferred system(s): - Preferred system(s): HL7 Administrative Gender

            ShortGender
            Control0..1
            TypeCodeableConcept
            Obligations
              ObligationsActor
              SHALL:handle
              14. Subject.identification.sex
              Definition

              Sex for clinical use

              ShortSex for clinical use
              Control0..1
              TypeCodeableConcept
              16. Subject.addressTelecom
              Definition

              Patient/subject related contact information

              ShortPatient/subject related contact information
              Control0..*
              TypeBackboneElement
              18. Subject.addressTelecom.address
              Definition

              Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, ZIP code, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose. - Preferred system(s): ISO 3166

              ShortAddress
              Control0..*
              TypeAddress
              20. Subject.addressTelecom.address.street
              Definition

              The street where the patient has his/her domicile. Example: Oxford

              ShortStreet
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              22. Subject.addressTelecom.address.houseNumber
              Definition

              The house number of the patient

              ShortHouse Number
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              24. Subject.addressTelecom.address.postBox
              Definition

              Letter box for the patient

              ShortPost Box
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              26. Subject.addressTelecom.address.postalCode
              Definition

              The postal code where the patient has his/her domicile. Example: W1W 8LG

              ShortPostal Code
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              28. Subject.addressTelecom.address.stateOrProvince
              Definition

              The state or province where the patient has his/her domicile. Example: London

              ShortState or Province
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              30. Subject.addressTelecom.address.city
              Definition

              The city where the patient has his/her domicile. Example: London

              ShortCity
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              32. Subject.addressTelecom.address.countryCode
              Definition

              The country where the patient has his/her domicile (Country of affiliation). Example: UK

              ShortCountry Code
              Control1..1
              TypeCodeableConcept
              Obligations
                ObligationsActor
                SHALL:handle
                34. Subject.addressTelecom.address.use
                Definition

                home | work | temp | old | billing - purpose of this address

                ShortUse of Address
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                36. Subject.addressTelecom.address.type
                Definition

                postal | physical | both

                ShortType of address
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                38. Subject.addressTelecom.telecom
                Definition

                Telecommunication contact information (addresses) associated to a person. Multiple telecommunication addresses might be provided. - Preferred system(s):

                ShortTelecom
                Control0..*
                TypeContactPoint

                Guidance on how to interpret the contents of this table can be found here

                0. Subject
                Definition

                Identification of the patient/subject and Patient/subject related contact information as defined by the MyHealth@EU business requirement '13.01 Create the MyHealth@EU Laboratory Result Report Content'.

                ShortPatient/subject
                Control0..*
                Is Modifierfalse
                Logical ModelInstances of this logical model are not marked to be the target of a Reference
                2. Subject.identification
                Definition

                Identification of the patient/subject

                ShortIdentification of the patient/subject
                Control1..1
                TypeBackboneElement
                Obligations
                  ObligationsActor
                  SHALL:handle
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  4. Subject.identification.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  6. Subject.identification.familyName
                  Definition

                  The family name/surname/last name of the patient. This field can contain more than one element or multiple fields could be present.

                  ShortFamily name/surname
                  Control1..*
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Obligations
                    ObligationsActor
                    SHALL:handle
                    8. Subject.identification.givenName
                    Definition

                    The given name/first name of the patient (also known as forename or first name). This field can contain more than one element.

                    ShortGiven name
                    Control1..*
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Obligations
                      ObligationsActor
                      SHALL:handle
                      10. Subject.identification.dateOfBirth
                      Definition

                      The date of birth of the patient [ISO TS 22220]. As age of the patient might be important for correct interpretation of the test result values, complete date of birth should be provided. - Preferred system(s): Complete date, without time, following the ISO 8601

                      ShortDate of birth
                      Control1..1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Obligations
                        ObligationsActor
                        SHALL:handle
                        12. Subject.identification.identifier
                        Definition

                        An identifier of the patient that is unique within a defined scope. Example: National ID (birth number) for Czech patient. Multiple identifiers could be provided.

                        ShortPersonal identifier
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control0..*
                        TypeIdentifier
                        Obligations
                          ObligationsActor
                          SHALL:handle
                          14. Subject.identification.gender
                          Definition

                          This field must contain a recognised valid value for 'administrative gender'. If different, 'physiological gender' should be communicated elsewhere Preferred system(s): - Preferred system(s): HL7 Administrative Gender

                          ShortGender
                          Control0..1
                          TypeCodeableConcept
                          Obligations
                            ObligationsActor
                            SHALL:handle
                            16. Subject.identification.sex
                            Definition

                            Sex for clinical use

                            ShortSex for clinical use
                            Control0..1
                            TypeCodeableConcept
                            18. Subject.addressTelecom
                            Definition

                            Patient/subject related contact information

                            ShortPatient/subject related contact information
                            Control0..*
                            TypeBackboneElement
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            20. Subject.addressTelecom.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            22. Subject.addressTelecom.address
                            Definition

                            Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, ZIP code, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose. - Preferred system(s): ISO 3166

                            ShortAddress
                            Control0..*
                            TypeAddress
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            24. Subject.addressTelecom.address.use
                            Definition

                            home | work | temp | old | billing - purpose of this address


                            The purpose of this address.

                            ShortUse of Addresshome | work | temp | old | billing - purpose of this address
                            Comments

                            Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                            Control0..1
                            BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
                            (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                            The use of an address.

                            Typecode
                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Requirements

                            Allows an appropriate address to be chosen from a list of many.

                            Example<br/><b>General</b>:home
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            26. Subject.addressTelecom.address.type
                            Definition

                            postal | physical | both


                            Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                            ShortType of addresspostal | physical | both
                            Comments

                            The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).


                            The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                            Control0..1
                            BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
                            (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                            The type of an address (physical / postal).

                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Example<br/><b>General</b>:both
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            28. Subject.addressTelecom.address.city
                            Definition

                            The city where the patient has his/her domicile. Example: London


                            The name of the city, town, suburb, village or other community or delivery center.

                            ShortCityName of city, town etc.
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Alternate NamesMunicpality
                            Example<br/><b>General</b>:Erewhon
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            30. Subject.addressTelecom.address.postalCode
                            Definition

                            The postal code where the patient has his/her domicile. Example: W1W 8LG


                            A postal code designating a region defined by the postal service.

                            ShortPostal CodePostal code for area
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Alternate NamesZip
                            Example<br/><b>General</b>:9132
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            32. Subject.addressTelecom.address.street
                            Definition

                            The street where the patient has his/her domicile. Example: Oxford

                            ShortStreet
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            34. Subject.addressTelecom.address.houseNumber
                            Definition

                            The house number of the patient

                            ShortHouse Number
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            36. Subject.addressTelecom.address.postBox
                            Definition

                            Letter box for the patient

                            ShortPost Box
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            38. Subject.addressTelecom.address.stateOrProvince
                            Definition

                            The state or province where the patient has his/her domicile. Example: London

                            ShortState or Province
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            40. Subject.addressTelecom.address.countryCode
                            Definition

                            The country where the patient has his/her domicile (Country of affiliation). Example: UK

                            ShortCountry Code
                            Control1..1
                            TypeCodeableConcept
                            Obligations
                              ObligationsActor
                              SHALL:handle
                              42. Subject.addressTelecom.telecom
                              Definition

                              Telecommunication contact information (addresses) associated to a person. Multiple telecommunication addresses might be provided. - Preferred system(s):

                              ShortTelecom
                              Control0..*
                              TypeContactPoint

                              Guidance on how to interpret the contents of this table can be found here

                              0. Subject
                              Definition

                              Identification of the patient/subject and Patient/subject related contact information as defined by the MyHealth@EU business requirement '13.01 Create the MyHealth@EU Laboratory Result Report Content'.

                              ShortPatient/subject
                              Control0..*
                              Is Modifierfalse
                              Logical ModelInstances of this logical model are not marked to be the target of a Reference
                              2. Subject.identification
                              Definition

                              Identification of the patient/subject

                              ShortIdentification of the patient/subject
                              Control1..1
                              TypeBackboneElement
                              Obligations
                                ObligationsActor
                                SHALL:handle
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                4. Subject.identification.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                6. Subject.identification.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Subject.identification.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 8. Subject.identification.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  10. Subject.identification.familyName
                                  Definition

                                  The family name/surname/last name of the patient. This field can contain more than one element or multiple fields could be present.

                                  ShortFamily name/surname
                                  Control1..*
                                  Typestring
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Obligations
                                    ObligationsActor
                                    SHALL:handle
                                    12. Subject.identification.givenName
                                    Definition

                                    The given name/first name of the patient (also known as forename or first name). This field can contain more than one element.

                                    ShortGiven name
                                    Control1..*
                                    Typestring
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Obligations
                                      ObligationsActor
                                      SHALL:handle
                                      14. Subject.identification.dateOfBirth
                                      Definition

                                      The date of birth of the patient [ISO TS 22220]. As age of the patient might be important for correct interpretation of the test result values, complete date of birth should be provided. - Preferred system(s): Complete date, without time, following the ISO 8601

                                      ShortDate of birth
                                      Control1..1
                                      TypedateTime
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Obligations
                                        ObligationsActor
                                        SHALL:handle
                                        16. Subject.identification.identifier
                                        Definition

                                        An identifier of the patient that is unique within a defined scope. Example: National ID (birth number) for Czech patient. Multiple identifiers could be provided.

                                        ShortPersonal identifier
                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                        Control0..*
                                        TypeIdentifier
                                        Obligations
                                          ObligationsActor
                                          SHALL:handle
                                          18. Subject.identification.gender
                                          Definition

                                          This field must contain a recognised valid value for 'administrative gender'. If different, 'physiological gender' should be communicated elsewhere Preferred system(s): - Preferred system(s): HL7 Administrative Gender

                                          ShortGender
                                          Control0..1
                                          TypeCodeableConcept
                                          Obligations
                                            ObligationsActor
                                            SHALL:handle
                                            20. Subject.identification.sex
                                            Definition

                                            Sex for clinical use

                                            ShortSex for clinical use
                                            Control0..1
                                            TypeCodeableConcept
                                            22. Subject.addressTelecom
                                            Definition

                                            Patient/subject related contact information

                                            ShortPatient/subject related contact information
                                            Control0..*
                                            TypeBackboneElement
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            24. Subject.addressTelecom.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            26. Subject.addressTelecom.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on Subject.addressTelecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 28. Subject.addressTelecom.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              30. Subject.addressTelecom.address
                                              Definition

                                              Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, ZIP code, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose. - Preferred system(s): ISO 3166

                                              ShortAddress
                                              Control0..*
                                              TypeAddress
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              32. Subject.addressTelecom.address.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              34. Subject.addressTelecom.address.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on Subject.addressTelecom.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 36. Subject.addressTelecom.address.use
                                                Definition

                                                home | work | temp | old | billing - purpose of this address

                                                ShortUse of Address
                                                Comments

                                                Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                Control0..1
                                                BindingThe codes SHALL be taken from AddressUse
                                                (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                The use of an address.

                                                Typecode
                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                Allows an appropriate address to be chosen from a list of many.

                                                Example<br/><b>General</b>:home
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                38. Subject.addressTelecom.address.type
                                                Definition

                                                postal | physical | both

                                                ShortType of address
                                                Comments

                                                The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                Control0..1
                                                BindingThe codes SHALL be taken from AddressType
                                                (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                                The type of an address (physical / postal).

                                                Typecode
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Example<br/><b>General</b>:both
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                40. Subject.addressTelecom.address.text
                                                Definition

                                                Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                                ShortText representation of the address
                                                Comments

                                                Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Requirements

                                                A renderable, unencoded form.

                                                Example<br/><b>General</b>:137 Nowhere Street, Erewhon 9132
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                42. Subject.addressTelecom.address.line
                                                Definition

                                                This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                                ShortStreet name, number, direction & P.O. Box etc.
                                                Control0..*
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Example<br/><b>General</b>:137 Nowhere Street
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                44. Subject.addressTelecom.address.city
                                                Definition

                                                The city where the patient has his/her domicile. Example: London

                                                ShortCity
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Alternate NamesMunicpality
                                                Example<br/><b>General</b>:Erewhon
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                46. Subject.addressTelecom.address.district
                                                Definition

                                                The name of the administrative area (county).

                                                ShortDistrict name (aka county)
                                                Comments

                                                District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Alternate NamesCounty
                                                Example<br/><b>General</b>:Madison
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                48. Subject.addressTelecom.address.state
                                                Definition

                                                Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                                ShortSub-unit of country (abbreviations ok)
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Alternate NamesProvince, Territory
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                50. Subject.addressTelecom.address.postalCode
                                                Definition

                                                The postal code where the patient has his/her domicile. Example: W1W 8LG

                                                ShortPostal Code
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Alternate NamesZip
                                                Example<br/><b>General</b>:9132
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                52. Subject.addressTelecom.address.country
                                                Definition

                                                Country - a nation as commonly understood or generally accepted.

                                                ShortCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                Comments

                                                ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                54. Subject.addressTelecom.address.period
                                                Definition

                                                Time period when address was/is in use.

                                                ShortTime period when address was/is in use
                                                Control0..1
                                                TypePeriod
                                                Is Modifierfalse
                                                Summarytrue
                                                Requirements

                                                Allows addresses to be placed in historical context.

                                                Example<br/><b>General</b>:{ "start" : "2010-03-23", "end" : "2010-07-01" }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                56. Subject.addressTelecom.address.street
                                                Definition

                                                The street where the patient has his/her domicile. Example: Oxford

                                                ShortStreet
                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                58. Subject.addressTelecom.address.houseNumber
                                                Definition

                                                The house number of the patient

                                                ShortHouse Number
                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                60. Subject.addressTelecom.address.postBox
                                                Definition

                                                Letter box for the patient

                                                ShortPost Box
                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                62. Subject.addressTelecom.address.stateOrProvince
                                                Definition

                                                The state or province where the patient has his/her domicile. Example: London

                                                ShortState or Province
                                                Control0..1
                                                Typestring
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                64. Subject.addressTelecom.address.countryCode
                                                Definition

                                                The country where the patient has his/her domicile (Country of affiliation). Example: UK

                                                ShortCountry Code
                                                Control1..1
                                                TypeCodeableConcept
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handle
                                                  66. Subject.addressTelecom.telecom
                                                  Definition

                                                  Telecommunication contact information (addresses) associated to a person. Multiple telecommunication addresses might be provided. - Preferred system(s):

                                                  ShortTelecom
                                                  Control0..*
                                                  TypeContactPoint