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Resource Profile: HL7® AT Core Patient Profile

HL7® Austria FHIR® Core Profile for patient data in Austria. The HL7® AT Core Patient is based upon the core FHIR® Patient Resource and designed to meet the applicable patient demographic data elements in Austria. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile. Note, this extension represents the common structure of Patient information within Austrian information systems.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..1	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:code		0..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Binding: https://termgit.elga.gv.at/ValueSet/elga-laendercodes (extensible)
coding
system		0..1	uri	URL for ISO 3166-1 alpha 3 2016 Fixed Value: http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/CodeSystem/at-core-cs-iso-3166-1-alpha-3
PatientReligion		0..1	(Complex)	Patient Religion URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion
Slices for identifier		0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (extensible)
identifier:socialSecurityNumber		0..1	Identifier	An identifier for this patient
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SS
display		0..1	string	Representation defined by the system Fixed Value: Social Security Number
system		1..1	uri	OID for the Social Security Number in Austria Fixed Value: urn:oid:1.2.40.0.10.1.4.3.1
value		0..1	string	The value that is unique
assigner
display		0..1	string	Text alternative for the resource Fixed Value: Dachverband der österreichischen Sozialversicherungsträger
identifier:bPK		0..*	Identifier	An identifier for this patient
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		0..1	string	Representation defined by the system Fixed Value: National unique individual identifier
system		1..1	uri	OID for the bPK in Austria Fixed Value: urn:oid:1.2.40.0.10.2.1.1.149
value		0..1	string	The value that is unique
assigner
display		0..1	string	Text alternative for the resource Fixed Value: Bundesministerium für Inneres
identifier:localPatientId		0..1	Identifier	An identifier for this patient
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PI
display		0..1	string	Representation defined by the system Fixed Value: Patient internal identifier
system		1..1	uri	Namespace that assigned the localPatientId.
value		0..1	string	The value that is unique
active		0..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	A name associated with the patient
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
telecom
system		0..1	code	phone | fax | email | pager | url | sms | other
value		0..1	string	The actual contact point details
use		0..1	code	home | work | temp | old | mobile - purpose of this contact point
gender		1..1	code	male | female | other | unknown
birthDate		0..1	date	The date of birth for the individual
Slices for deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedBoolean		0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime		0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
use		0..1	code	home | work | temp | old | billing - purpose of this address
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
Slices for multipleBirth[x]		0..1	boolean, integer	Whether patient is part of a multiple birth Slice: Unordered, Open by type:$this
multipleBirth[x]:multipleBirthBoolean		0..1	boolean	Whether patient is part of a multiple birth
multipleBirth[x]:multipleBirthInteger		0..1	integer	Whether patient is part of a multiple birth
photo		0..*	Attachment	Image of the patient
contact
relationship
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
telecom
system		0..1	code	phone | fax | email | pager | url | sms | other
value		0..1	string	The actual contact point details
use		0..1	code	home | work | temp | old | mobile - purpose of this contact point
address		0..1	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
use		0..1	code	home | work | temp | old | billing - purpose of this address
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
gender		0..1	code	male | female | other | unknown
organization		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
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization		0..1	Reference(Organization)	Organization that is the custodian of the patient record
link
other		1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type		1..1	code	replaced-by | replaces | refer | seealso
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	extensible	https://termgit.elga.gv.at/ValueSet/elga-laendercodes https://termgit.elga.gv.at/ValueSet/elga-laendercodes
Patient.identifier.type	extensible	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:bPK.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:localPatientId.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..1	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:code		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://termgit.elga.gv.at/ValueSet/elga-laendercodes (extensible)
extension:period		0..1	Extension	Time period of citizenship
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
PatientReligion		0..1	(Complex)	Patient Religion URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (extensible)
identifier:socialSecurityNumber	Σ	0..1	Identifier	An identifier for this patient
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
system	Σ	1..1	uri	OID for the Social Security Number in Austria Fixed Value: urn:oid:1.2.40.0.10.1.4.3.1
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:bPK	Σ	0..*	Identifier	An identifier for this patient
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
system	Σ	1..1	uri	OID for the bPK in Austria Fixed Value: urn:oid:1.2.40.0.10.2.1.1.149
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:localPatientId	Σ	0..1	Identifier	An identifier for this patient
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
system	Σ	1..1	uri	Namespace that assigned the localPatientId. Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
gender	Σ	1..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
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address	C	0..*	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) at-addr-1: If the extension for street name is used then the value for line must not be empty at-addr-2: If the extension for street number is used then the value for line must not be empty at-addr-3: If the extension for floor/door number is used then the value for line must not be empty
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
street		0..1	string	Name of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
streetNumber		0..1	string	Number of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
floorDoorNumber		0..1	string	Floor and/or door number URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
additionalInformation		0..1	string	Additional Information URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-address-additionalInformation
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Slices for multipleBirth[x]		0..1		Whether patient is part of a multiple birth Slice: Unordered, Closed by type:$this
multipleBirthBoolean			boolean
multipleBirthInteger			integer
multipleBirth[x]:multipleBirthBoolean		0..1	boolean	Whether patient is part of a multiple birth
multipleBirth[x]:multipleBirthInteger		0..1	integer	Whether patient is part of a multiple birth
photo		0..*	Attachment	Image of the patient
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	extensible	https://termgit.elga.gv.at/ValueSet/elga-laendercodes https://termgit.elga.gv.at/ValueSet/elga-laendercodes
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:socialSecurityNumber.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:bPK.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:bPK.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:localPatientId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:localPatientId.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-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
at-addr-1	error	Patient.address	If the extension for street name is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
at-addr-2	error	Patient.address	If the extension for street number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
at-addr-3	error	Patient.address	If the extension for floor/door number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..1	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
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
extension:code		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://termgit.elga.gv.at/ValueSet/elga-laendercodes (extensible)
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	0..1	uri	URL for ISO 3166-1 alpha 3 2016 Fixed Value: http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/CodeSystem/at-core-cs-iso-3166-1-alpha-3
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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
extension:period		0..1	Extension	Time period of citizenship
id		0..1	string	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"
PatientReligion		0..1	(Complex)	Patient Religion URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:socialSecurityNumber	Σ	0..1	Identifier	An identifier for this 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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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: SS
display	Σ	0..1	string	Representation defined by the system Fixed Value: Social Security Number
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	OID for the Social Security Number in Austria Fixed Value: urn:oid:1.2.40.0.10.1.4.3.1
value	Σ	0..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	0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource Fixed Value: Dachverband der österreichischen Sozialversicherungsträger
identifier:bPK	Σ	0..*	Identifier	An identifier for this 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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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: NI
display	Σ	0..1	string	Representation defined by the system Fixed Value: National unique individual identifier
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	OID for the bPK in Austria Fixed Value: urn:oid:1.2.40.0.10.2.1.1.149
value	Σ	0..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	0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource Fixed Value: Bundesministerium für Inneres
identifier:localPatientId	Σ	0..1	Identifier	An identifier for this 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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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: PI
display	Σ	0..1	string	Representation defined by the system Fixed Value: Patient internal identifier
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	Namespace that assigned the localPatientId. Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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	0..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	1..*	HumanName	A name associated with 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 | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	Σ	1..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
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address	C	0..*	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) at-addr-1: If the extension for street name is used then the value for line must not be empty at-addr-2: If the extension for street number is used then the value for line must not be empty at-addr-3: If the extension for floor/door number is used then the value for line must not be empty
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
street		0..1	string	Name of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
streetNumber		0..1	string	Number of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
floorDoorNumber		0..1	string	Floor and/or door number URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
additionalInformation		0..1	string	Additional Information URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-address-additionalInformation
value		0..1	string	Primitive value for string Max Length: 1048576
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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
Slices for multipleBirth[x]		0..1		Whether patient is part of a multiple birth Slice: Unordered, Closed by type:$this
multipleBirthBoolean			boolean
multipleBirthInteger			integer
multipleBirth[x]:multipleBirthBoolean		0..1	boolean	Whether patient is part of a multiple birth
multipleBirth[x]:multipleBirthInteger		0..1	integer	Whether patient is part of a multiple birth
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.
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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
name		0..1	HumanName	A name associated with the contact person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom		0..*	ContactPoint	A contact detail for the person
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	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	C	0..1	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) at-addr-1: If the extension for street name is used then the value for line must not be empty at-addr-2: If the extension for street number is used then the value for line must not be empty at-addr-3: If the extension for floor/door number is used then the value for line must not be empty
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
street		0..1	string	Name of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
streetNumber		0..1	string	Number of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
floorDoorNumber		0..1	string	Floor and/or door number URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
additionalInformation		0..1	string	Additional Information URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-address-additionalInformation
value		0..1	string	Primitive value for string Max Length: 1048576
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.extension:citizenship.extension:code.value[x]	extensible	https://termgit.elga.gv.at/ValueSet/elga-laendercodes https://termgit.elga.gv.at/ValueSet/elga-laendercodes
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:socialSecurityNumber.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.identifier:bPK.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:bPK.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:bPK.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.identifier:localPatientId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:localPatientId.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|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.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.contact.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.contact.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
at-addr-1	error	Patient.address, Patient.contact.address	If the extension for street name is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
at-addr-2	error	Patient.address, Patient.contact.address	If the extension for street number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
at-addr-3	error	Patient.address, Patient.contact.address	If the extension for floor/door number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
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: 2 elements (6 nested mandatory elements)
Fixed Value: 14 elements

Structures

This structure refers to these other structures:

• HL7® AT Core Address Profile (https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-address)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion

Slices

This structure defines the following Slices:

• The element Patient.identifier is sliced based on the value of value:type.coding.code
• The element Patient.deceased[x] is sliced based on the value of type:$this
• The element Patient.multipleBirth[x] is sliced based on the value of type:$this

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..1	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:code		0..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Binding: https://termgit.elga.gv.at/ValueSet/elga-laendercodes (extensible)
coding
system		0..1	uri	URL for ISO 3166-1 alpha 3 2016 Fixed Value: http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/CodeSystem/at-core-cs-iso-3166-1-alpha-3
PatientReligion		0..1	(Complex)	Patient Religion URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion
Slices for identifier		0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (extensible)
identifier:socialSecurityNumber		0..1	Identifier	An identifier for this patient
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SS
display		0..1	string	Representation defined by the system Fixed Value: Social Security Number
system		1..1	uri	OID for the Social Security Number in Austria Fixed Value: urn:oid:1.2.40.0.10.1.4.3.1
value		0..1	string	The value that is unique
assigner
display		0..1	string	Text alternative for the resource Fixed Value: Dachverband der österreichischen Sozialversicherungsträger
identifier:bPK		0..*	Identifier	An identifier for this patient
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		0..1	string	Representation defined by the system Fixed Value: National unique individual identifier
system		1..1	uri	OID for the bPK in Austria Fixed Value: urn:oid:1.2.40.0.10.2.1.1.149
value		0..1	string	The value that is unique
assigner
display		0..1	string	Text alternative for the resource Fixed Value: Bundesministerium für Inneres
identifier:localPatientId		0..1	Identifier	An identifier for this patient
type		0..1	CodeableConcept	Description of identifier Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PI
display		0..1	string	Representation defined by the system Fixed Value: Patient internal identifier
system		1..1	uri	Namespace that assigned the localPatientId.
value		0..1	string	The value that is unique
active		0..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	A name associated with the patient
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
suffix		0..*	string	Parts that come after the name
telecom
system		0..1	code	phone | fax | email | pager | url | sms | other
value		0..1	string	The actual contact point details
use		0..1	code	home | work | temp | old | mobile - purpose of this contact point
gender		1..1	code	male | female | other | unknown
birthDate		0..1	date	The date of birth for the individual
Slices for deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedBoolean		0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime		0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
use		0..1	code	home | work | temp | old | billing - purpose of this address
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
Slices for multipleBirth[x]		0..1	boolean, integer	Whether patient is part of a multiple birth Slice: Unordered, Open by type:$this
multipleBirth[x]:multipleBirthBoolean		0..1	boolean	Whether patient is part of a multiple birth
multipleBirth[x]:multipleBirthInteger		0..1	integer	Whether patient is part of a multiple birth
photo		0..*	Attachment	Image of the patient
contact
relationship
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
name
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
telecom
system		0..1	code	phone | fax | email | pager | url | sms | other
value		0..1	string	The actual contact point details
use		0..1	code	home | work | temp | old | mobile - purpose of this contact point
address		0..1	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
use		0..1	code	home | work | temp | old | billing - purpose of this address
text		0..1	string	Text representation of the address
line		0..*	string	Street name, number, direction & P.O. Box etc.
city		0..1	string	Name of city, town etc.
state		0..1	string	Sub-unit of country (abbreviations ok)
postalCode		0..1	string	Postal code for area
country		0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
gender		0..1	code	male | female | other | unknown
organization		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
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization		0..1	Reference(Organization)	Organization that is the custodian of the patient record
link
other		1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type		1..1	code	replaced-by | replaces | refer | seealso
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	extensible	https://termgit.elga.gv.at/ValueSet/elga-laendercodes https://termgit.elga.gv.at/ValueSet/elga-laendercodes
Patient.identifier.type	extensible	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:bPK.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:localPatientId.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..1	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:code		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://termgit.elga.gv.at/ValueSet/elga-laendercodes (extensible)
extension:period		0..1	Extension	Time period of citizenship
extension		0..0
url		1..1	uri	"period"
value[x]		1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
PatientReligion		0..1	(Complex)	Patient Religion URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (extensible)
identifier:socialSecurityNumber	Σ	0..1	Identifier	An identifier for this patient
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
system	Σ	1..1	uri	OID for the Social Security Number in Austria Fixed Value: urn:oid:1.2.40.0.10.1.4.3.1
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:bPK	Σ	0..*	Identifier	An identifier for this patient
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
system	Σ	1..1	uri	OID for the bPK in Austria Fixed Value: urn:oid:1.2.40.0.10.2.1.1.149
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:localPatientId	Σ	0..1	Identifier	An identifier for this patient
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
system	Σ	1..1	uri	Namespace that assigned the localPatientId. Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
gender	Σ	1..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
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address	C	0..*	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) at-addr-1: If the extension for street name is used then the value for line must not be empty at-addr-2: If the extension for street number is used then the value for line must not be empty at-addr-3: If the extension for floor/door number is used then the value for line must not be empty
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
street		0..1	string	Name of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
streetNumber		0..1	string	Number of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
floorDoorNumber		0..1	string	Floor and/or door number URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
additionalInformation		0..1	string	Additional Information URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-address-additionalInformation
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Slices for multipleBirth[x]		0..1		Whether patient is part of a multiple birth Slice: Unordered, Closed by type:$this
multipleBirthBoolean			boolean
multipleBirthInteger			integer
multipleBirth[x]:multipleBirthBoolean		0..1	boolean	Whether patient is part of a multiple birth
multipleBirth[x]:multipleBirthInteger		0..1	integer	Whether patient is part of a multiple birth
photo		0..*	Attachment	Image of the patient
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.extension:citizenship.extension:code.value[x]	extensible	https://termgit.elga.gv.at/ValueSet/elga-laendercodes https://termgit.elga.gv.at/ValueSet/elga-laendercodes
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:socialSecurityNumber.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:bPK.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:bPK.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:localPatientId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:localPatientId.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-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
at-addr-1	error	Patient.address	If the extension for street name is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
at-addr-2	error	Patient.address	If the extension for street number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
at-addr-3	error	Patient.address	If the extension for floor/door number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
citizenship		0..1	(Complex)	Nation(s) where the patient claims citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
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
extension:code		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"code"
value[x]		1..1	CodeableConcept	Value of extension Binding: https://termgit.elga.gv.at/ValueSet/elga-laendercodes (extensible)
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	0..1	uri	URL for ISO 3166-1 alpha 3 2016 Fixed Value: http://hl7.at/fhir/HL7ATCoreProfiles/4.0.1/CodeSystem/at-core-cs-iso-3166-1-alpha-3
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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
extension:period		0..1	Extension	Time period of citizenship
id		0..1	string	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"
PatientReligion		0..1	(Complex)	Patient Religion URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:type.coding.code
identifier:All Slices				Content/Rules for all slices
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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:socialSecurityNumber	Σ	0..1	Identifier	An identifier for this 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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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: SS
display	Σ	0..1	string	Representation defined by the system Fixed Value: Social Security Number
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	OID for the Social Security Number in Austria Fixed Value: urn:oid:1.2.40.0.10.1.4.3.1
value	Σ	0..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	0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource Fixed Value: Dachverband der österreichischen Sozialversicherungsträger
identifier:bPK	Σ	0..*	Identifier	An identifier for this 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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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: NI
display	Σ	0..1	string	Representation defined by the system Fixed Value: National unique individual identifier
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	OID for the bPK in Austria Fixed Value: urn:oid:1.2.40.0.10.2.1.1.149
value	Σ	0..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	0..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource Fixed Value: Bundesministerium für Inneres
identifier:localPatientId	Σ	0..1	Identifier	An identifier for this 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: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
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	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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: PI
display	Σ	0..1	string	Representation defined by the system Fixed Value: Patient internal identifier
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	Namespace that assigned the localPatientId. Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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	0..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	1..*	HumanName	A name associated with 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 | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	A contact detail for the individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	Σ	1..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
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Closed by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedBoolean	?!Σ	0..1	boolean	Indicates if the individual is deceased or not
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address	C	0..*	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) at-addr-1: If the extension for street name is used then the value for line must not be empty at-addr-2: If the extension for street number is used then the value for line must not be empty at-addr-3: If the extension for floor/door number is used then the value for line must not be empty
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
street		0..1	string	Name of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
streetNumber		0..1	string	Number of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
floorDoorNumber		0..1	string	Floor and/or door number URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
additionalInformation		0..1	string	Additional Information URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-address-additionalInformation
value		0..1	string	Primitive value for string Max Length: 1048576
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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
Slices for multipleBirth[x]		0..1		Whether patient is part of a multiple birth Slice: Unordered, Closed by type:$this
multipleBirthBoolean			boolean
multipleBirthInteger			integer
multipleBirth[x]:multipleBirthBoolean		0..1	boolean	Whether patient is part of a multiple birth
multipleBirth[x]:multipleBirthInteger		0..1	integer	Whether patient is part of a multiple birth
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.
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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
name		0..1	HumanName	A name associated with the contact person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom		0..*	ContactPoint	A contact detail for the person
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	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	C	0..1	HL7ATCoreAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats) at-addr-1: If the extension for street name is used then the value for line must not be empty at-addr-2: If the extension for street number is used then the value for line must not be empty at-addr-3: If the extension for floor/door number is used then the value for line must not be empty
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
street		0..1	string	Name of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
streetNumber		0..1	string	Number of the street URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
floorDoorNumber		0..1	string	Floor and/or door number URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator
additionalInformation		0..1	string	Additional Information URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-address-additionalInformation
value		0..1	string	Primitive value for string Max Length: 1048576
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.extension:citizenship.extension:code.value[x]	extensible	https://termgit.elga.gv.at/ValueSet/elga-laendercodes https://termgit.elga.gv.at/ValueSet/elga-laendercodes
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:socialSecurityNumber.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:socialSecurityNumber.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.identifier:bPK.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:bPK.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.identifier:bPK.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.identifier:localPatientId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:localPatientId.type	required	https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|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.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.contact.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.contact.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
at-addr-1	error	Patient.address, Patient.contact.address	If the extension for street name is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())
at-addr-2	error	Patient.address, Patient.contact.address	If the extension for street number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())
at-addr-3	error	Patient.address, Patient.contact.address	If the extension for floor/door number is used then the value for line must not be empty : line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())
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: 2 elements (6 nested mandatory elements)
Fixed Value: 14 elements

Structures

This structure refers to these other structures:

• HL7® AT Core Address Profile (https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-address)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-citizenship
• https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/at-core-ext-patient-religion

Slices

This structure defines the following Slices:

• The element Patient.identifier is sliced based on the value of value:type.coding.code
• The element Patient.deceased[x] is sliced based on the value of type:$this
• The element Patient.multipleBirth[x] is sliced based on the value of type:$this