This page is part of the MyHealth@Eu Core (v1.0.0: Wave 9) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: Patient (Core)

This profile sets minimum expectations for the Patient resource common to most of the use cases. When the ips-pat-1 invariant is satisfied (Patient.name.given, Patient.name.family or Patient.name.text SHALL be present) then this profile complies with the IPS patient profile.

Usages:

• Refer to this Profile: Allergy Intolerance (Core), BodyStructure (Core), Composition (Core), Condition (Core)... Show 7 more, DiagnosticReport (Core), Flag (Core), Immunization (Core), Observation: Medical Test Result (Core), MedicationRequest (Core), MedicationStatement (Core) and Procedure (Core)
• Examples for this Profile: Patient/1d4bbc93-63b7-4f2b-8f0f-8380aa138f49

You can also check for usages in the FHIR IG Statistics

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		0..*	PatientEuCore	Information about an individual or animal receiving health care services
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	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:nationality		0..1	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: eHDSI Country (required)
extension:period		0..1	Extension	Nationality Period
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Patient identifiers Obligations Actor SHOULD:handle MyHealth@EU Handler
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	OΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1 Obligations Actor SHALL:handle MyHealth@EU Handler
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
gender	OΣ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHOULD:handle MyHealth@EU Handler
birthDate	OΣ	1..1	date	The date of birth for the individual Obligations Actor SHALL:handle MyHealth@EU Handler
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	AddressMyHealth	An address for the individual
link	?!Σ	0..*	BackboneElement	Link to another patient 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.extension:nationality.​extension:code.value[x]	Base	required	eHDSI Country	📦9.1.0	MyHealthEu MVC package v9.1
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from PatientEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
extension:nationality		0..1	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Binding: eHDSI Country (required)
identifier	O	0..*	Identifier	Patient identifiers Obligations Actor SHOULD:handle MyHealth@EU Handler
name	OC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1 Obligations Actor SHALL:handle MyHealth@EU Handler
gender	O	0..1	code	Administrative Gender Obligations Actor SHOULD:handle MyHealth@EU Handler
birthDate	O	1..1	date	The date of birth for the individual Obligations Actor SHALL:handle MyHealth@EU Handler
address		0..*	AddressMyHealth	An address for the individual
contact
relationship		0..*	CodeableConcept	Contact relationship Binding: eHDSI Personal Relationship (extensible)
address		0..1	AddressMyHealth	Contact person address
communication
language		1..1	CodeableConcept	Communication language Binding: eHDSI Language (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:nationality.​extension:code.value[x]	Base	required	eHDSI Country	📦9.1.0	MyHealthEu MVC package v9.1
Patient.contact.relationship	Base	extensible	eHDSI Personal Relationship	📦9.1.0	MyHealthEu MVC package v9.1
Patient.communication.​language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1

Constraints

Id	Grade	Path(s)	Description	Expression
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
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	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:nationality		0..1	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code		0..1	Extension	Extension
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: eHDSI Country (required)
extension:period		0..1	Extension	Nationality Period
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Patient identifiers Obligations Actor SHOULD:handle MyHealth@EU Handler
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	OΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1 Obligations Actor SHALL:handle MyHealth@EU Handler
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	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	Σ	0..1	string	Family name. Example spanish: Valero Iglesias
given	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
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	Σ	0..*	ContactPoint	A contact detail for the patient
gender	OΣ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHOULD:handle MyHealth@EU Handler
birthDate	OΣ	1..1	date	The date of birth for the individual Obligations Actor SHALL:handle MyHealth@EU Handler
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	AddressMyHealth	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital status 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	Contact relationship Binding: eHDSI Personal Relationship (extensible)
name		0..1	HumanName	Contact name
telecom		0..*	ContactPoint	Contact details for the person
address		0..1	AddressMyHealth	Contact person address
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	Communication language Binding: eHDSI Language (required)
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider.
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient 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.extension:nationality.​extension:code.value[x]	Base	required	eHDSI Country	📦9.1.0	MyHealthEu MVC package v9.1
Patient.name.use	Base	required	NameUse	📍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	eHDSI Personal Relationship	📦9.1.0	MyHealthEu MVC package v9.1
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
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 PatientEuCore

Summary

Structures

This structure refers to these other structures:

• Address (MyHealth@EU) (http://fhir.ehdsi.eu/core/StructureDefinition/Address-myhealth)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-nationality|5.2.0

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
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	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:nationality		0..1	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: eHDSI Country (required)
extension:period		0..1	Extension	Nationality Period
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Patient identifiers Obligations Actor SHOULD:handle MyHealth@EU Handler
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	OΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1 Obligations Actor SHALL:handle MyHealth@EU Handler
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
gender	OΣ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHOULD:handle MyHealth@EU Handler
birthDate	OΣ	1..1	date	The date of birth for the individual Obligations Actor SHALL:handle MyHealth@EU Handler
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	AddressMyHealth	An address for the individual
link	?!Σ	0..*	BackboneElement	Link to another patient 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.extension:nationality.​extension:code.value[x]	Base	required	eHDSI Country	📦9.1.0	MyHealthEu MVC package v9.1
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from PatientEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
extension:nationality		0..1	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Binding: eHDSI Country (required)
identifier	O	0..*	Identifier	Patient identifiers Obligations Actor SHOULD:handle MyHealth@EU Handler
name	OC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1 Obligations Actor SHALL:handle MyHealth@EU Handler
gender	O	0..1	code	Administrative Gender Obligations Actor SHOULD:handle MyHealth@EU Handler
birthDate	O	1..1	date	The date of birth for the individual Obligations Actor SHALL:handle MyHealth@EU Handler
address		0..*	AddressMyHealth	An address for the individual
contact
relationship		0..*	CodeableConcept	Contact relationship Binding: eHDSI Personal Relationship (extensible)
address		0..1	AddressMyHealth	Contact person address
communication
language		1..1	CodeableConcept	Communication language Binding: eHDSI Language (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:nationality.​extension:code.value[x]	Base	required	eHDSI Country	📦9.1.0	MyHealthEu MVC package v9.1
Patient.contact.relationship	Base	extensible	eHDSI Personal Relationship	📦9.1.0	MyHealthEu MVC package v9.1
Patient.communication.​language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1

Constraints

Id	Grade	Path(s)	Description	Expression
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore	Information about an individual or animal receiving health care services
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	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:gender-identity		0..*	(Complex)	Gender identity URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:pronouns		0..*	(Complex)	Pronouns URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
extension:nationality		0..1	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code		0..1	Extension	Extension
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: eHDSI Country (required)
extension:period		0..1	Extension	Nationality Period
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Patient identifiers Obligations Actor SHOULD:handle MyHealth@EU Handler
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	OΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1 Obligations Actor SHALL:handle MyHealth@EU Handler
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	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	Σ	0..1	string	Family name. Example spanish: Valero Iglesias
given	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
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	Σ	0..*	ContactPoint	A contact detail for the patient
gender	OΣ	0..1	code	Administrative Gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHOULD:handle MyHealth@EU Handler
birthDate	OΣ	1..1	date	The date of birth for the individual Obligations Actor SHALL:handle MyHealth@EU Handler
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	AddressMyHealth	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital status 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	Contact relationship Binding: eHDSI Personal Relationship (extensible)
name		0..1	HumanName	Contact name
telecom		0..*	ContactPoint	Contact details for the person
address		0..1	AddressMyHealth	Contact person address
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	Communication language Binding: eHDSI Language (required)
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider.
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient 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.extension:nationality.​extension:code.value[x]	Base	required	eHDSI Country	📦9.1.0	MyHealthEu MVC package v9.1
Patient.name.use	Base	required	NameUse	📍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	eHDSI Personal Relationship	📦9.1.0	MyHealthEu MVC package v9.1
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	required	eHDSI Language	📦9.1.0	MyHealthEu MVC package v9.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
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 PatientEuCore

Summary

Structures

This structure refers to these other structures:

• Address (MyHealth@EU) (http://fhir.ehdsi.eu/core/StructureDefinition/Address-myhealth)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-nationality|5.2.0

Maturity: 2

Other representations of profile: CSV, Excel, Schematron