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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.

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

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example) ele-1: All FHIR elements must have a @value or children
extension:period		0..1	Extension	Time period of citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:FNR	Σ	0..*	Identifier	Norwegian FNR ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identification of the Norwegian FNR ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	Σ	1..1	string	The actual Fødselsnummer ele-1: All FHIR elements must have a @value or children Example General: 123456 Example Fødselsnummer: 13057444850
identifier:FHN	Σ	0..*	Identifier	Felles hjelpenummer used for the patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identification of the Norwegian felles hjelpenummer ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	Σ	1..1	string	The actual Hjelpenummer ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:DNR	Σ	0..*	Identifier	The D-nummer of the patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The identification of the D-nummer ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	Σ	1..1	string	The actual D-nummer ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:HNR	Σ	0..*	Identifier	A locally assigned H-nummer ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: HNR
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name	Σ	0..*	NoBasisHumanName	A name associated with the patient ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	NoBasisAddress	Norwegian address ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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()

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
extension: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	A name associated with the patient
address		0..*	NoBasisAddress	Norwegian address
contact
name		0..1	NoBasisHumanName	A name associated with the contact person
address		0..1	NoBasisAddress	Address for the contact person
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
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
extension: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	Σ	0..*	NoBasisHumanName	A name associated with the patient
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	Σ	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	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	NoBasisAddress	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		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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:citizenship		0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: urn:iso:std:iso:3166 (example) ele-1: All FHIR elements must have a @value or children
extension:period		0..1	Extension	Time period of citizenship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:FNR	Σ	0..*	Identifier	Norwegian FNR ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identification of the Norwegian FNR ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	Σ	1..1	string	The actual Fødselsnummer ele-1: All FHIR elements must have a @value or children Example General: 123456 Example Fødselsnummer: 13057444850
identifier:FHN	Σ	0..*	Identifier	Felles hjelpenummer used for the patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identification of the Norwegian felles hjelpenummer ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	Σ	1..1	string	The actual Hjelpenummer ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:DNR	Σ	0..*	Identifier	The D-nummer of the patient ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The identification of the D-nummer ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	Σ	1..1	string	The actual D-nummer ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:HNR	Σ	0..*	Identifier	A locally assigned H-nummer ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: HNR
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name	Σ	0..*	NoBasisHumanName	A name associated with the patient ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	NoBasisAddress	Norwegian address ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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()

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
extension: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	A name associated with the patient
address		0..*	NoBasisAddress	Norwegian address
contact
name		0..1	NoBasisHumanName	A name associated with the contact person
address		0..1	NoBasisAddress	Address for the contact person
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

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
extension: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	Σ	0..*	NoBasisHumanName	A name associated with the patient
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	Σ	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	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	NoBasisAddress	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		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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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