Estonian Base Implementation Guide
1.1.1 - trial-use Estonia flag

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Resource Profile: EEBase Patient

Official URL: https://fhir.ee/base/StructureDefinition/ee-patient Version: 1.1.1
Draft as of 2024-07-30 Computable Name: EEBasePatient

Patient is a FHIR resource intended for documenting demographical and/or administrative information about the individual on the receiving end of healthcare services. In context of Estonian healthcare data exchange, the patient MUST be identifiable by Person Identity System.

Usage:

Formal Views of Profile Content

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

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Patient
... identifier S 1..* Identifier An identifier for this patient
.... system S 1..1 uri The namespace for the identifier value
Binding: Patient Identifier Domain (required)
.... value S 1..1 string Patient identification code or document number.
.... period 0..1 Period Validity period of the identifier of identification document.
.... assigner 0..1 Reference(Organization) Organization that issued the document. Can be used as a reference to an organization or as free text.
... active S 1..1 boolean Whether this patient's record is in active use
... Slices for name S 0..* HumanName Patient name
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... use S 1..1 code usual | official | temp | nickname | anonymous | old | maiden
..... text S 0..1 string Text representation of the full name
..... family S 0..1 string Family name (often called 'Surname')
..... given S 0..* string Given names (not always 'first'). Includes middle names
.... name:official S 0..1 HumanName Ametlik nimi
..... use 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Fixed Value: official
..... family 1..1 string Perekonnanimi
..... given 1..1 string Eesnimi
..... prefix S 0..1 string Parts that come before the name
..... period S 0..1 Period Time period when name was/is in use
.... name:nickname S 0..1 HumanName Tundmatu või anonüümse patsiendi nimi
..... use 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Fixed Value: nickname
..... text 1..1 string Tundmatu patsiendi hüüdnimi
..... family 0..0
..... given 0..0
..... prefix 0..0
..... suffix 0..0
.... system S 1..1 code phone | fax | email | pager | url | sms | other
.... value S 1..1 string The actual contact point details
.... use S 0..1 code home | work | temp | old | mobile - purpose of this contact point
.... period S 0..1 Period Time period when the contact point was/is in use
... gender S 0..1 code male | female | other | unknown
Binding: Administrative Gender (required)
... birthDate S 0..1 date The date of birth for the individual
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime S 0..1 (Complex) Sünniaeg
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... value[x] S 1..1 dateTime Value of extension
..... age 0..1 Age Vanus
URL: https://fhir.ee/base/StructureDefinition/ee-patient-age
..... accuracyIndicator 0..1 Coding Kuupäeva täpsuse indikaator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding

... deceased[x] S 0..1 boolean, dateTime Indicates if the individual is deceased or not
.... Slices for extension Content/Rules for all slices
..... accuracyIndicator 0..1 Coding Date accuracy indicator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding

... address S 0..* EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
... contact
.... address 0..1 EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... organization 0..1 Reference(EEBase Organization) Organization that is associated with the contact
... generalPractitioner S 0..* Reference(EEBase Practitioner | EEBase PractitionerRole) Patient's nominated primary care provider
... managingOrganization 0..1 Reference(EEBase Organization) Organization that is the custodian of the patient record
... link S 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual individual
.... other 1..1 Reference(EEBase Patient | EEBase RelatedPerson) The other patient or related person resource that the link refers to

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.identifier.systemrequiredEEBasePatientIdentifierDomain
https://fhir.ee/ValueSet/patient-identifier-domain
Patient.genderrequiredEEAdministrativeGender
https://fhir.ee/ValueSet/administrative-gender
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patient Identifier Domain (required)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string Patient identification code or document number.
Example General: 123456
.... period Σ 0..1 Period Validity period of the identifier of identification document.
.... assigner Σ 0..1 Reference(Organization) Organization that issued the document. Can be used as a reference to an organization or as free text.
... active ?!SΣ 1..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 0..* HumanName Patient name
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... use ?!SΣ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... text SΣ 0..1 string Text representation of the full name
..... family SΣ 0..1 string Family name (often called 'Surname')
..... given SΣ 0..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... name:official SΣ 0..1 HumanName Ametlik nimi
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... family Σ 1..1 string Perekonnanimi
..... given Σ 1..1 string Eesnimi
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix SΣ 0..1 string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... period SΣ 0..1 Period Time period when name was/is in use
.... name:nickname SΣ 0..1 HumanName Tundmatu või anonüümse patsiendi nimi
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: nickname
..... text Σ 1..1 string Tundmatu patsiendi hüüdnimi
... telecom SΣ 0..* ContactPoint A contact detail for the individual
.... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣC 1..1 string The actual contact point details
.... use ?!SΣ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... period SΣ 0..1 Period Time period when the contact point was/is in use
... gender SΣ 0..1 code male | female | other | unknown
Binding: Administrative Gender (required)
... birthDate SΣ 0..1 date The date of birth for the individual
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime S 0..1 (Complex) Sünniaeg
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] S 1..1 dateTime Value of extension
..... age 0..1 Age Vanus
URL: https://fhir.ee/base/StructureDefinition/ee-patient-age
..... accuracyIndicator 0..1 Coding Kuupäeva täpsuse indikaator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


... deceased[x] ?!SΣ 0..1 Indicates if the individual is deceased or not
.... deceased[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... accuracyIndicator 0..1 Coding Date accuracy indicator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address S 0..* EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
... generalPractitioner S 0..* Reference(EEBase Practitioner | EEBase PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(EEBase Organization) Organization that is the custodian of the patient record
... link ?!SΣ 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual individual
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(EEBase Patient | EEBase 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, or Patient/RelatedPerson when using the seealso code


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Patient.identifier.systemrequiredEEBasePatientIdentifierDomain
https://fhir.ee/ValueSet/patient-identifier-domain
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:official.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:nickname.userequiredFixed Value: nickname
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0
from the FHIR Standard
Patient.genderrequiredEEAdministrativeGender
https://fhir.ee/ValueSet/administrative-gender
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|5.0.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier An identifier for this patient
.... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patient Identifier Domain (required)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string Patient identification code or document number.
Example General: 123456
.... period Σ 0..1 Period Validity period of the identifier of identification document.
.... assigner Σ 0..1 Reference(Organization) Organization that issued the document. Can be used as a reference to an organization or as free text.
... active ?!SΣ 1..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 0..* HumanName Patient name
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... text SΣ 0..1 string Text representation of the full name
..... family SΣ 0..1 string Family name (often called 'Surname')
..... given SΣ 0..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
.... name:official SΣ 0..1 HumanName Ametlik nimi
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... text Σ 0..1 string Text representation of the full name
..... family Σ 1..1 string Perekonnanimi
..... given Σ 1..1 string Eesnimi
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix SΣ 0..1 string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period SΣ 0..1 Period Time period when name was/is in use
.... name:nickname SΣ 0..1 HumanName Tundmatu või anonüümse patsiendi nimi
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: nickname
..... text Σ 1..1 string Tundmatu patsiendi hüüdnimi
..... period Σ 0..1 Period Time period when name was/is in use
... telecom SΣ 0..* ContactPoint A contact detail for the individual
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣC 1..1 string The actual contact point details
.... use ?!SΣ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period SΣ 0..1 Period Time period when the contact point was/is in use
... gender SΣ 0..1 code male | female | other | unknown
Binding: Administrative Gender (required)
... birthDate SΣ 0..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime S 0..1 (Complex) Sünniaeg
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] S 1..1 dateTime Value of extension
..... age 0..1 Age Vanus
URL: https://fhir.ee/base/StructureDefinition/ee-patient-age
..... accuracyIndicator 0..1 Coding Kuupäeva täpsuse indikaator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


.... value 0..1 date Primitive value for date
... deceased[x] ?!SΣ 0..1 Indicates if the individual is deceased or not
.... deceased[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... accuracyIndicator 0..1 Coding Date accuracy indicator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address S 0..* EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: MaritalStatusCodes (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 C 0..1 HumanName A name associated with the contact person
.... telecom C 0..* ContactPoint A contact detail for the person
.... address 0..1 EEBaseAddress 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(EEBase 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: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner S 0..* Reference(EEBase Practitioner | EEBase PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(EEBase Organization) Organization that is the custodian of the patient record
... link ?!SΣ 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual individual
.... 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(EEBase Patient | EEBase 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, or Patient/RelatedPerson when using the seealso code


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Patient.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier.systemrequiredEEBasePatientIdentifierDomain
https://fhir.ee/ValueSet/patient-identifier-domain
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:official.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:nickname.userequiredFixed Value: nickname
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0
from the FHIR Standard
Patient.genderrequiredEEAdministrativeGender
https://fhir.ee/ValueSet/administrative-gender
Patient.maritalStatusextensibleMaritalStatusCodes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0
from the FHIR Standard
Patient.communication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|5.0.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Patient
... identifier S 1..* Identifier An identifier for this patient
.... system S 1..1 uri The namespace for the identifier value
Binding: Patient Identifier Domain (required)
.... value S 1..1 string Patient identification code or document number.
.... period 0..1 Period Validity period of the identifier of identification document.
.... assigner 0..1 Reference(Organization) Organization that issued the document. Can be used as a reference to an organization or as free text.
... active S 1..1 boolean Whether this patient's record is in active use
... Slices for name S 0..* HumanName Patient name
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... use S 1..1 code usual | official | temp | nickname | anonymous | old | maiden
..... text S 0..1 string Text representation of the full name
..... family S 0..1 string Family name (often called 'Surname')
..... given S 0..* string Given names (not always 'first'). Includes middle names
.... name:official S 0..1 HumanName Ametlik nimi
..... use 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Fixed Value: official
..... family 1..1 string Perekonnanimi
..... given 1..1 string Eesnimi
..... prefix S 0..1 string Parts that come before the name
..... period S 0..1 Period Time period when name was/is in use
.... name:nickname S 0..1 HumanName Tundmatu või anonüümse patsiendi nimi
..... use 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Fixed Value: nickname
..... text 1..1 string Tundmatu patsiendi hüüdnimi
..... family 0..0
..... given 0..0
..... prefix 0..0
..... suffix 0..0
.... system S 1..1 code phone | fax | email | pager | url | sms | other
.... value S 1..1 string The actual contact point details
.... use S 0..1 code home | work | temp | old | mobile - purpose of this contact point
.... period S 0..1 Period Time period when the contact point was/is in use
... gender S 0..1 code male | female | other | unknown
Binding: Administrative Gender (required)
... birthDate S 0..1 date The date of birth for the individual
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime S 0..1 (Complex) Sünniaeg
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... value[x] S 1..1 dateTime Value of extension
..... age 0..1 Age Vanus
URL: https://fhir.ee/base/StructureDefinition/ee-patient-age
..... accuracyIndicator 0..1 Coding Kuupäeva täpsuse indikaator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding

... deceased[x] S 0..1 boolean, dateTime Indicates if the individual is deceased or not
.... Slices for extension Content/Rules for all slices
..... accuracyIndicator 0..1 Coding Date accuracy indicator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding

... address S 0..* EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
... contact
.... address 0..1 EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... organization 0..1 Reference(EEBase Organization) Organization that is associated with the contact
... generalPractitioner S 0..* Reference(EEBase Practitioner | EEBase PractitionerRole) Patient's nominated primary care provider
... managingOrganization 0..1 Reference(EEBase Organization) Organization that is the custodian of the patient record
... link S 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual individual
.... other 1..1 Reference(EEBase Patient | EEBase RelatedPerson) The other patient or related person resource that the link refers to

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.identifier.systemrequiredEEBasePatientIdentifierDomain
https://fhir.ee/ValueSet/patient-identifier-domain
Patient.genderrequiredEEAdministrativeGender
https://fhir.ee/ValueSet/administrative-gender

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patient Identifier Domain (required)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string Patient identification code or document number.
Example General: 123456
.... period Σ 0..1 Period Validity period of the identifier of identification document.
.... assigner Σ 0..1 Reference(Organization) Organization that issued the document. Can be used as a reference to an organization or as free text.
... active ?!SΣ 1..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 0..* HumanName Patient name
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... use ?!SΣ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... text SΣ 0..1 string Text representation of the full name
..... family SΣ 0..1 string Family name (often called 'Surname')
..... given SΣ 0..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... name:official SΣ 0..1 HumanName Ametlik nimi
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... family Σ 1..1 string Perekonnanimi
..... given Σ 1..1 string Eesnimi
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix SΣ 0..1 string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... period SΣ 0..1 Period Time period when name was/is in use
.... name:nickname SΣ 0..1 HumanName Tundmatu või anonüümse patsiendi nimi
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: nickname
..... text Σ 1..1 string Tundmatu patsiendi hüüdnimi
... telecom SΣ 0..* ContactPoint A contact detail for the individual
.... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣC 1..1 string The actual contact point details
.... use ?!SΣ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... period SΣ 0..1 Period Time period when the contact point was/is in use
... gender SΣ 0..1 code male | female | other | unknown
Binding: Administrative Gender (required)
... birthDate SΣ 0..1 date The date of birth for the individual
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime S 0..1 (Complex) Sünniaeg
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] S 1..1 dateTime Value of extension
..... age 0..1 Age Vanus
URL: https://fhir.ee/base/StructureDefinition/ee-patient-age
..... accuracyIndicator 0..1 Coding Kuupäeva täpsuse indikaator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


... deceased[x] ?!SΣ 0..1 Indicates if the individual is deceased or not
.... deceased[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... accuracyIndicator 0..1 Coding Date accuracy indicator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address S 0..* EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
... generalPractitioner S 0..* Reference(EEBase Practitioner | EEBase PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(EEBase Organization) Organization that is the custodian of the patient record
... link ?!SΣ 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual individual
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(EEBase Patient | EEBase 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, or Patient/RelatedPerson when using the seealso code


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Patient.identifier.systemrequiredEEBasePatientIdentifierDomain
https://fhir.ee/ValueSet/patient-identifier-domain
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:official.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:nickname.userequiredFixed Value: nickname
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0
from the FHIR Standard
Patient.genderrequiredEEAdministrativeGender
https://fhir.ee/ValueSet/administrative-gender
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|5.0.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..* Identifier An identifier for this patient
.... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patient Identifier Domain (required)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string Patient identification code or document number.
Example General: 123456
.... period Σ 0..1 Period Validity period of the identifier of identification document.
.... assigner Σ 0..1 Reference(Organization) Organization that issued the document. Can be used as a reference to an organization or as free text.
... active ?!SΣ 1..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 0..* HumanName Patient name
Slice: Unordered, Open by value:use
.... name:All Slices Content/Rules for all slices
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... text SΣ 0..1 string Text representation of the full name
..... family SΣ 0..1 string Family name (often called 'Surname')
..... given SΣ 0..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
.... name:official SΣ 0..1 HumanName Ametlik nimi
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: official
..... text Σ 0..1 string Text representation of the full name
..... family Σ 1..1 string Perekonnanimi
..... given Σ 1..1 string Eesnimi
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix SΣ 0..1 string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period SΣ 0..1 Period Time period when name was/is in use
.... name:nickname SΣ 0..1 HumanName Tundmatu või anonüümse patsiendi nimi
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Fixed Value: nickname
..... text Σ 1..1 string Tundmatu patsiendi hüüdnimi
..... period Σ 0..1 Period Time period when name was/is in use
... telecom SΣ 0..* ContactPoint A contact detail for the individual
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system SΣC 1..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value SΣC 1..1 string The actual contact point details
.... use ?!SΣ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period SΣ 0..1 Period Time period when the contact point was/is in use
... gender SΣ 0..1 code male | female | other | unknown
Binding: Administrative Gender (required)
... birthDate SΣ 0..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... birthTime S 0..1 (Complex) Sünniaeg
URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
...... value[x] S 1..1 dateTime Value of extension
..... age 0..1 Age Vanus
URL: https://fhir.ee/base/StructureDefinition/ee-patient-age
..... accuracyIndicator 0..1 Coding Kuupäeva täpsuse indikaator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


.... value 0..1 date Primitive value for date
... deceased[x] ?!SΣ 0..1 Indicates if the individual is deceased or not
.... deceased[x]All Types Content/Rules for all Types
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... accuracyIndicator 0..1 Coding Date accuracy indicator
URL: https://fhir.ee/base/StructureDefinition/ee-date-accuracy-indicator
Binding: Date Accuracy Indicator (required): Date accuracy coding


.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address S 0..* EEBaseAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: MaritalStatusCodes (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 C 0..1 HumanName A name associated with the contact person
.... telecom C 0..* ContactPoint A contact detail for the person
.... address 0..1 EEBaseAddress 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(EEBase 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: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner S 0..* Reference(EEBase Practitioner | EEBase PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(EEBase Organization) Organization that is the custodian of the patient record
... link ?!SΣ 0..* BackboneElement Link to a Patient or RelatedPerson resource that concerns the same actual individual
.... 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(EEBase Patient | EEBase 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, or Patient/RelatedPerson when using the seealso code


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Patient.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier.systemrequiredEEBasePatientIdentifierDomain
https://fhir.ee/ValueSet/patient-identifier-domain
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:official.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.name:nickname.userequiredFixed Value: nickname
http://hl7.org/fhir/ValueSet/name-use|5.0.0
from the FHIR Standard
Patient.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0
from the FHIR Standard
Patient.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0
from the FHIR Standard
Patient.genderrequiredEEAdministrativeGender
https://fhir.ee/ValueSet/administrative-gender
Patient.maritalStatusextensibleMaritalStatusCodes
http://hl7.org/fhir/ValueSet/marital-status
from the FHIR Standard
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0
from the FHIR Standard
Patient.communication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|5.0.0
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

 

Other representations of profile: CSV, Excel, Schematron

Notes: