My Health Record FHIR IG

My Health Record FHIR IG - Local Development build (v1.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MHR Patient

The purpose of this profile is to provide a representation of a patient for exchange usage scenarios with the My Health Record system infrastructure in Australia. This profile is derived from the AU Core Patient profile and describes the data structures and obligations to be met when conforming to this profile.

Usages:

• Refer to this Profile: MHR AllergyIntolerance, MHR Organ or Tissue for Donation BodyStructure, MHR Advance Care Planning Document Composition, MHR Medical Conditions View Document Composition... Show 9 more, MHR Personal Health Notes Document Composition, MHR Condition, MHR Advance Care Planning Document DocumentReference, MHR DocumentReference, MHR Explanation of Benefit, MHR Flag, MHR Observation, MHR Procedure and MHR Authoring RelatedPerson
• Examples for this Profile: Patient/broadway-mike, Patient/hi-testdata-frazier-brady, Patient/hi-testdata-gainey-bert, Patient/hi-testdata-goodwin-bonny... Show 8 more, Patient/hi-testdata-matterson-lenny, Patient/hi-testdata-moss-cleo, Patient/mhr-anne-thompson, Patient/mhr-craig-daniel, Patient/mhr-field-sally, Patient/mhr-smith-oliver, Patient/mhr-smith-rosalia and Patient/mhr-zhang-wei

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, au-core-pat-01, au-core-pat-02
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired		0..1	boolean	Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension:dateOfArrival		0..1	date	The date a person first arrived in Australia, from another country, with the intention of living in Australia for one year or more URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
extension:genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOΣC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type
identifier:ihi	SOΣ	1..1	AUIHI	Identifies this patient across multiple systems Obligations Actor SHALL:handle MHR Gateway Requester
identifier:medicare	SOΣ	0..*	AUMedicareCardNumber	Identifies this patient across multiple systems
identifier:dva	SOΣ	0..1	AUDVANumber	Identifies this patient across multiple systems
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient Constraints: au-core-pat-03
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SOΣ	0..1	string	Text representation of the full name
family	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:handle MHR Gateway Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:handle MHR Gateway Requester
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual
system	SOΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SOΣ	0..1	string	The actual contact point details
use	?!SOΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:handle MHR Gateway Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:handle MHR Gateway Requester
Slices for extension				Content/Rules for all slices
extension:accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
extension:birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
Slices for extension				Content/Rules for all slices
extension:accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
address	SOΣ	0..*	AustralianAddress, Address	An address for the individual
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible)
preferred	SO	0..1	boolean	Language preference indicator
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 From https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-03	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-pat-0	error	Patient	If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString()
inv-pat-1	warning	Patient	Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2	warning	Patient	Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3	warning	Patient	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4	warning	Patient	Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5	warning	Patient	Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))

This structure is derived from AUCorePatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	AUCorePatient	A patient in the context of electronic exchange of health information
Slices for identifier				Content/Rules for all slices
identifier:ihi	O	1..1	AUIHI	Identifies this patient across multiple systems Obligations Actor SHALL:handle MHR Gateway Requester
name
family	O	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:handle MHR Gateway Requester
given	O	0..*	string	Given names (not always 'first'). Includes middle names Obligations Actor SHALL:handle MHR Gateway Requester
gender	O	1..1	code	male | female | other | unknown Obligations Actor SHALL:handle MHR Gateway Requester
birthDate	O	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, au-core-pat-01, au-core-pat-02
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired		0..1	boolean	Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension:dateOfArrival		0..1	date	The date a person first arrived in Australia, from another country, with the intention of living in Australia for one year or more URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
extension:genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOΣC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type
identifier:ihi	SOΣ	1..1	AUIHI	Identifies this patient across multiple systems Obligations Actor SHALL:handle MHR Gateway Requester
identifier:medicare	SOΣ	0..*	AUMedicareCardNumber	Identifies this patient across multiple systems
identifier:dva	SOΣ	0..1	AUDVANumber	Identifies this patient across multiple systems
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient Constraints: au-core-pat-03
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SOΣ	0..1	string	Text representation of the full name
family	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:handle MHR Gateway Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:handle MHR Gateway Requester
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SOΣ	0..1	string	The actual contact point details
use	?!SOΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:handle MHR Gateway Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:handle MHR Gateway Requester
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
extension:birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
value		0..1	dateTime	Primitive value for dateTime
address	SOΣ	0..*	AustralianAddress, Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Contact Relationship Type (extensible)
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address, AustralianAddress	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	SO	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	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible)
preferred	SO	0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	extensible	ContactRelationshipType https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 From https://tx.ontoserver.csiro.au/fhir
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 From https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-03	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-pat-0	error	Patient	If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString()
inv-pat-1	warning	Patient	Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2	warning	Patient	Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3	warning	Patient	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4	warning	Patient	Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5	warning	Patient	Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from AUCorePatient

Summary

Mandatory: 2 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, au-core-pat-01, au-core-pat-02
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired		0..1	boolean	Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension:dateOfArrival		0..1	date	The date a person first arrived in Australia, from another country, with the intention of living in Australia for one year or more URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
extension:genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOΣC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type
identifier:ihi	SOΣ	1..1	AUIHI	Identifies this patient across multiple systems Obligations Actor SHALL:handle MHR Gateway Requester
identifier:medicare	SOΣ	0..*	AUMedicareCardNumber	Identifies this patient across multiple systems
identifier:dva	SOΣ	0..1	AUDVANumber	Identifies this patient across multiple systems
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient Constraints: au-core-pat-03
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SOΣ	0..1	string	Text representation of the full name
family	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:handle MHR Gateway Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:handle MHR Gateway Requester
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual
system	SOΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SOΣ	0..1	string	The actual contact point details
use	?!SOΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:handle MHR Gateway Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:handle MHR Gateway Requester
Slices for extension				Content/Rules for all slices
extension:accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
extension:birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
Slices for extension				Content/Rules for all slices
extension:accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
address	SOΣ	0..*	AustralianAddress, Address	An address for the individual
communication	SO	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible)
preferred	SO	0..1	boolean	Language preference indicator
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 From https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-03	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-pat-0	error	Patient	If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString()
inv-pat-1	warning	Patient	Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2	warning	Patient	Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3	warning	Patient	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4	warning	Patient	Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5	warning	Patient	Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))

Differential View

This structure is derived from AUCorePatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	AUCorePatient	A patient in the context of electronic exchange of health information
Slices for identifier				Content/Rules for all slices
identifier:ihi	O	1..1	AUIHI	Identifies this patient across multiple systems Obligations Actor SHALL:handle MHR Gateway Requester
name
family	O	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:handle MHR Gateway Requester
given	O	0..*	string	Given names (not always 'first'). Includes middle names Obligations Actor SHALL:handle MHR Gateway Requester
gender	O	1..1	code	male | female | other | unknown Obligations Actor SHALL:handle MHR Gateway Requester
birthDate	O	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	AUCorePatient	A patient in the context of electronic exchange of health information Constraints: inv-pat-0, inv-pat-1, inv-pat-2, inv-pat-3, inv-pat-4, inv-pat-5, au-core-pat-01, au-core-pat-02
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
extension:indigenousStatus	SO	0..1	Coding	Indigenous status URL: http://hl7.org.au/fhir/StructureDefinition/indigenous-status Binding: Australian Indigenous Status (required)
extension:veteranStatus		0..*	Coding	Veteran / Australian Defence Force (ADF) status URL: http://hl7.org.au/fhir/StructureDefinition/veteran-status Binding: Australian Veteran Status (required)
extension:closingTheGapRegistration		0..1	boolean	Closing the Gap co-payment eligibility indicator URL: http://hl7.org.au/fhir/StructureDefinition/closing-the-gap-registration
extension:mothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired		0..1	boolean	Whether an interpreter is required URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension:dateOfArrival		0..1	date	The date a person first arrived in Australia, from another country, with the intention of living in Australia for one year or more URL: http://hl7.org.au/fhir/StructureDefinition/date-of-arrival
extension:genderIdentity	SOC	0..*	(Complex)	Gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity
extension:individualPronouns	SOC	0..*	(Complex)	Pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns
extension:recordedSexOrGender	C	0..*	(Complex)	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply. Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply. Recorded sex or gender jurisdiction shall be a member of the Jurisdiction - ValueSet AU Extended value set if any codes within that value set can apply URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SOΣC	1..*	Identifier, AUIHI, AUMedicareCardNumber, AUDVANumber, AUHealthCareCardNumber, AUPensionerConcessionCardNumber, AUCwlthSeniorsHealthCardNumber, AUMedicalRecordNumber, AUInsuranceMemberNumber, AUPatientInternalIdentifier	Identifies this patient across multiple systems Slice: Unordered, Open by pattern:type
identifier:ihi	SOΣ	1..1	AUIHI	Identifies this patient across multiple systems Obligations Actor SHALL:handle MHR Gateway Requester
identifier:medicare	SOΣ	0..*	AUMedicareCardNumber	Identifies this patient across multiple systems
identifier:dva	SOΣ	0..1	AUDVANumber	Identifies this patient across multiple systems
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SOΣC	1..*	HumanName	A name associated with the patient Constraints: au-core-pat-03
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SOΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	SOΣ	0..1	string	Text representation of the full name
family	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:handle MHR Gateway Requester
given	SOΣ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name Obligations Actor SHALL:handle MHR Gateway Requester
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SOΣ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SOΣ	0..1	string	The actual contact point details
use	?!SOΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SOΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Obligations Actor SHALL:handle MHR Gateway Requester
birthDate	SOΣC	1..1	date	Date of birth extended for time and accuracy indicator Obligations Actor SHALL:handle MHR Gateway Requester
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accuracyIndicator		0..1	Coding	Birth date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
extension:birthTime	C	0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Deceased indicator
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Deceased date time
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accuracyIndicator		0..1	Coding	Deceased date accuracy indicator URL: http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator Binding: Date Accuracy Indicator (required): Date accuracy coding
value		0..1	dateTime	Primitive value for dateTime
address	SOΣ	0..*	AustralianAddress, Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: Contact Relationship Type (extensible)
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address, AustralianAddress	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	SO	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	SO	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Common Languages in Australia (extensible)
preferred	SO	0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 From the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 From the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 From the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status From the FHIR Standard
Patient.contact.relationship	extensible	ContactRelationshipType https://healthterminologies.gov.au/fhir/ValueSet/contact-relationship-type-3 From https://tx.ontoserver.csiro.au/fhir
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 From the FHIR Standard
Patient.communication.language	extensible	CommonLanguagesInAustralia https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-2 From https://tx.ontoserver.csiro.au/fhir
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pat-01	error	Patient	At least one patient identifier shall be valid, or if not available, the Data Absent Reason extension shall be present : (identifier.where(system.count() + value.count() >1)).exists() xor identifier.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-02	error	Patient	At least one patient name shall have a family name, or if not available, the Data Absent Reason extension shall be present : name.family.exists() xor name.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
au-core-pat-03	error	Patient.name	At least text, family name, or given name shall be present, or if neither is available, the Data Absent Reason extension shall be present : (text.exists() or family.exists() or given.exists()) xor extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
inv-pat-0	error	Patient	If present, birth time's date shall be the birth date : birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString()
inv-pat-1	warning	Patient	Individual gender identity shall be a member of the Gender Identity Response value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-genderIdentity').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/gender-identity-response-1'))
inv-pat-2	warning	Patient	Individual pronouns shall be a member of the Australian Pronouns value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-pronouns').all(extension('value').value.memberOf('https://healthterminologies.gov.au/fhir/ValueSet/australian-pronouns-1'))
inv-pat-3	warning	Patient	Recorded sex or gender type shall be a member of the AU Recorded Sex or Gender Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('type').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('type').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-type'))
inv-pat-4	warning	Patient	Recorded sex or gender source document type shall be a member of the AU Recorded Sex or Gender (RSG) Source Document Type value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('sourceDocument').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('sourceDocument').value.memberOf('http://terminology.hl7.org.au/ValueSet/rsg-source-document-type'))
inv-pat-5	warning	Patient	Recorded sex or gender jurisdiction shall be a member of the Jurisdiction ValueSet - AU Extended value set if any codes within that value set can apply : extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension('jurisdiction').empty() or extension('http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').all(extension('jurisdiction').value.memberOf('http://terminology.hl7.org.au/ValueSet/jurisdiction-extended'))
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from AUCorePatient

Summary

Mandatory: 2 elements

Other representations of profile: CSV, Excel, Schematron