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Resource Profile: no-basis-Patient

Basisprofil for Norwegian Patient information. Defined by The Norwegian Directorate of eHealth and HL7 Norway. Should be used as a basis for further profiling in use-cases where specific identity information is needed. The basis profile is open, but derived profiles should close down the information elements according to specification relevant to the use-case.

Usage:

• Refer to this Resource Profile: no-basis-AllergyIntolerance, no-basis-MedicationStatement and no-basis-RelatedPerson
• Examples for this Resource Profile: Patient/EspenEksempel, Patient/JanniceSoreng and Patient/JanniceSorengTo

Formal Views of Profile Content

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

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example)
Slices for identifier		0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR		0..*	Identifier	Norwegian FNR
system		1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value		1..1	string	The actual Fødselsnummer Example Fødselsnummer: 13057444850
identifier:FHN		0..*	Identifier	Felles hjelpenummer used for the patient
system		1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value		1..1	string	The actual Hjelpenummer
identifier:DNR		0..*	Identifier	The D-nummer of the patient
system		1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value		1..1	string	The actual D-nummer
identifier:HNR		0..*	Identifier	A locally assigned H-nummer
type
coding
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.578.1.12.4.1.1.8327
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HNR
system		1..1	uri	The namespace for the identifier value Fixed Value: HNR
value		1..1	string	The value that is unique
assigner		1..1	Reference(Organization)	Organization that issued id (may be just text)
name		0..*	NoBasisHumanName	Norwegian human name
address		0..*	NoBasisAddress	Norwegian address
contact
name		0..1	NoBasisHumanName	Norwegian human name
address		0..1	NoBasisAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	example	urn:iso:std:iso:3166 urn:iso:std:iso:3166

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example)
extension:period		0..1	Extension	Time period of citizenship
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	Σ	0..*	Identifier	Norwegian FNR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	Σ	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
identifier:FHN	Σ	0..*	Identifier	Felles hjelpenummer used for the patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	Σ	1..1	string	The actual Hjelpenummer Example General: 123456
identifier:DNR	Σ	0..*	Identifier	The D-nummer of the patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	Σ	1..1	string	The actual D-nummer Example General: 123456
identifier:HNR	Σ	0..*	Identifier	A locally assigned H-nummer
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: HNR
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name		0..*	NoBasisHumanName	Norwegian human name
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	NoBasisAddress	Norwegian address
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	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	example	urn:iso:std:iso:3166 urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:FHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:DNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:HNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
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
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()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
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
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example)
extension:period		0..1	Extension	Time period of citizenship
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	Σ	0..*	Identifier	Norwegian FNR
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	Σ	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:FHN	Σ	0..*	Identifier	Felles hjelpenummer used for the patient
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	Σ	1..1	string	The actual Hjelpenummer Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:DNR	Σ	0..*	Identifier	The D-nummer of the patient
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	Σ	1..1	string	The actual D-nummer Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HNR	Σ	0..*	Identifier	A locally assigned H-nummer
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.578.1.12.4.1.1.8327
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: HNR
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: HNR
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name		0..*	NoBasisHumanName	Norwegian human name
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	NoBasisAddress	Norwegian address
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	NoBasisHumanName	Norwegian human name
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	NoBasisAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
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	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.extension:citizenship.extension:code.value[x]	example	urn:iso:std:iso:3166 urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:FNR.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:FHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:FHN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:DNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:DNR.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:HNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:HNR.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type 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	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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
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()
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 Patient

Summary

Mandatory: 0 element(11 nested mandatory elements)
Fixed: 6 elements

Structures

This structure refers to these other structures:

• no-basis-HumanName (http://hl7.no/fhir/StructureDefinition/no-basis-HumanName)
• no-basis-Address (http://hl7.no/fhir/StructureDefinition/no-basis-Address)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-citizenship

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example)
Slices for identifier		0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR		0..*	Identifier	Norwegian FNR
system		1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value		1..1	string	The actual Fødselsnummer Example Fødselsnummer: 13057444850
identifier:FHN		0..*	Identifier	Felles hjelpenummer used for the patient
system		1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value		1..1	string	The actual Hjelpenummer
identifier:DNR		0..*	Identifier	The D-nummer of the patient
system		1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value		1..1	string	The actual D-nummer
identifier:HNR		0..*	Identifier	A locally assigned H-nummer
type
coding
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.578.1.12.4.1.1.8327
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HNR
system		1..1	uri	The namespace for the identifier value Fixed Value: HNR
value		1..1	string	The value that is unique
assigner		1..1	Reference(Organization)	Organization that issued id (may be just text)
name		0..*	NoBasisHumanName	Norwegian human name
address		0..*	NoBasisAddress	Norwegian address
contact
name		0..1	NoBasisHumanName	Norwegian human name
address		0..1	NoBasisAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	example	urn:iso:std:iso:3166 urn:iso:std:iso:3166

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	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		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example)
extension:period		0..1	Extension	Time period of citizenship
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	Σ	0..*	Identifier	Norwegian FNR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	Σ	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
identifier:FHN	Σ	0..*	Identifier	Felles hjelpenummer used for the patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	Σ	1..1	string	The actual Hjelpenummer Example General: 123456
identifier:DNR	Σ	0..*	Identifier	The D-nummer of the patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	Σ	1..1	string	The actual D-nummer Example General: 123456
identifier:HNR	Σ	0..*	Identifier	A locally assigned H-nummer
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: HNR
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name		0..*	NoBasisHumanName	Norwegian human name
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	NoBasisAddress	Norwegian address
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	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	example	urn:iso:std:iso:3166 urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:FHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:DNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:HNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
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
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
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
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example)
extension:period		0..1	Extension	Time period of citizenship
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	Σ	0..*	Identifier	Norwegian FNR
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	Σ	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:FHN	Σ	0..*	Identifier	Felles hjelpenummer used for the patient
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	Σ	1..1	string	The actual Hjelpenummer Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:DNR	Σ	0..*	Identifier	The D-nummer of the patient
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	Σ	1..1	string	The actual D-nummer Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HNR	Σ	0..*	Identifier	A locally assigned H-nummer
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 | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.578.1.12.4.1.1.8327
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: HNR
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: HNR
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name		0..*	NoBasisHumanName	Norwegian human name
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	NoBasisAddress	Norwegian address
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	NoBasisHumanName	Norwegian human name
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	NoBasisAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
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	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.extension:citizenship.extension:code.value[x]	example	urn:iso:std:iso:3166 urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:FNR.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:FHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:FHN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:DNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:DNR.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:HNR.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:HNR.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type 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	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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
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()
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 Patient

Summary

Mandatory: 0 element(11 nested mandatory elements)
Fixed: 6 elements

Structures

This structure refers to these other structures:

• no-basis-HumanName (http://hl7.no/fhir/StructureDefinition/no-basis-HumanName)
• no-basis-Address (http://hl7.no/fhir/StructureDefinition/no-basis-Address)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-citizenship

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron