Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Patient

Patient.name algoritme

Bovenop constraint zv-pat-1:

1. als name[].use gebruik dan de name[use="official"], anders de 1ste name[0]
2. als name[].text gebruik die, anders concatenate de 1ste name[].given[0] met de name[].family

Requests

1. Opvragen (search) naar patient op basis van de BSN

   GET <bronsysteem-ontsluiting-base/Patient?identifier=<BSN>

2. Of opvragen (search) middels POST, zie: FHIR STU3 http search

   POST <bronsysteem-ontsluiting-base/Patient/_search

   Content-Type: application/x-www-form-urlencoded

   identifier=<BSN>

3. Opvragen (read) patient op basis van de fhir_patient_id

   GET <ontsluiten-bronsysteem-base>/Patient/<fhir_patient_id>

Response

1. Bundle met 1 Patient

   Dit is de gewenste situatie.

2. Bundle met meer dan 1 Patient

   Dit kan gebeuren na een SEH opname als de patient nog niet samengevoegd is.

3. Bundle zonder patienten of een HTTP Response 401/404

   Dit gebeurt als de patient GEEN toestemming heeft gegeven of de patient simpelweg niet bestaat bij de bevraagde organisatie.

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

Changes since version 1.10.0:

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

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	nl-core-patient	Patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
preferredPharmacy		0..1	Reference(nl-core-organization)	References a patient's preferered pharmacy URL: http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
url		1..1	uri	"code"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: NationaliteitCodelijst (extensible): Indicates the country of citizenship.
extension:period		0..1	Extension	Extension
url		1..1	uri	"period"
Slices for valuePeriod				Content/Rules for all slices
valuePeriod:valuePeriod		0..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
legalStatus		0..2	(Complex)	legalStatus URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LegalStatus Binding: JuridischeStatusCodelijst (extensible)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
lifeStance		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LifeStance Binding: LevensovertuigingCodelijst (preferred): LevensovertuigingCodelijst
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	PatientIdentificationNumber Slice: Unordered, Open by value:system
identifier:BSN	SΣ	1..1	Identifier	BSN
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.nl/fhir/NamingSystem/bsn
value	Σ	1..1	string	BSN (Burgerservicenummer (Dutch person identification number)) Example General: 123456 Example Example of a burgerservicenummer: 123456782
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	nl-core-humanname	NameInformation zv-pat-1: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. zv-pat-2: To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present.
Slices for extension				Content/Rules for all slices
humannameAssemblyOrder		0..*	(Complex)	Preferred display order of name parts URL: http://hl7.org/fhir/StructureDefinition/humanname-assembly-order
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: HumanNameAssemblyOrder (required): A code that represents the preferred display order of the components of a human name
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name
gender	SΣ	0..1	code	Gender Binding: AdministrativeGender (required)
Slices for extension				Content/Rules for all slices
GeslachtCodelijst		0..1	(Complex)	Gender URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: GeslachtCodelijst (extensible): GeslachtCodelijst
birthDate	SΣ	0..1	date	Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.
deceased[x]	?!SΣ	0..1		DeathIndicator/DateOfDeath
deceasedBoolean			boolean
deceasedDateTime			dateTime
animal	?!Σ	0..1	BackboneElement	This patient is known to be an animal (non-human) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
species	Σ	1..1	CodeableConcept	E.g. Dog, Cow Binding: AnimalSpecies (example): The species of an animal.
generalPractitioner		0..1	Reference(nl-core-organization | nl-core-practitioner)	GeneralPractitioner
Slices for extension				Content/Rules for all slices
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
managingOrganization	SΣ	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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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 - type of link 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:nationality.extension:code.valueCodeableConcept:valueCodeableConcept	extensible	NationaliteitCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.16.32) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20171231000000
Patient.extension:legalStatus.value[x]:valueCodeableConcept	extensible	JuridischeStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
Patient.extension:lifeStance.value[x]:valueCodeableConcept	preferred	LevensovertuigingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.5.1--20171231000000
Patient.identifier:BSN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Patient.name.extension:humannameAssemblyOrder.valueCode:valueCode	required	HumanNameAssemblyOrder http://hl7.org/fhir/ValueSet/name-assembly-order from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.gender.extension:GeslachtCodelijst.value[x]:valueCodeableConcept	extensible	GeslachtCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20171231000000
Patient.animal.species	example	AnimalSpecies http://hl7.org/fhir/ValueSet/animal-species from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Patient	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
zv-pat-1	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. : (family.exists() or given.exists() or text.exists())
zv-pat-2	best practice	Patient.name	To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists()

This structure is derived from nl-core-patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	nl-core-patient	Patient
Slices for identifier				Content/Rules for all slices
identifier:BSN	S	1..1	Identifier	BSN
name	SC	1..*	nl-core-humanname	NameInformation zv-pat-1: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. zv-pat-2: To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present.
gender	S	0..1	code	Gender
birthDate	S	0..1	date	Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.
deceased[x]	S	0..1	boolean, dateTime	DeathIndicator/DateOfDeath
managingOrganization	S	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
zv-pat-1	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. : (family.exists() or given.exists() or text.exists())
zv-pat-2	best practice	Patient.name	To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	nl-core-patient	Patient
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: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages 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
preferredPharmacy		0..1	Reference(nl-core-organization)	References a patient's preferered pharmacy URL: http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy
nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
id		0..1	string	xml:id (or equivalent in JSON)
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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"code"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: NationaliteitCodelijst (extensible): Indicates the country of citizenship.
extension:period		0..1	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"period"
Slices for valuePeriod				Content/Rules for all slices
valuePeriod:valuePeriod		0..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
legalStatus		0..2	(Complex)	legalStatus URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LegalStatus Binding: JuridischeStatusCodelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
lifeStance		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LifeStance Binding: LevensovertuigingCodelijst (preferred): LevensovertuigingCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	PatientIdentificationNumber Slice: Unordered, Open by value:system
identifier:BSN	SΣ	1..1	Identifier	BSN
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.nl/fhir/NamingSystem/bsn
value	Σ	1..1	string	BSN (Burgerservicenummer (Dutch person identification number)) Example General: 123456 Example Example of a burgerservicenummer: 123456782
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	SΣC	1..*	nl-core-humanname	NameInformation zv-pat-1: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. zv-pat-2: To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameAssemblyOrder		0..*	(Complex)	Preferred display order of name parts URL: http://hl7.org/fhir/StructureDefinition/humanname-assembly-order
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: HumanNameAssemblyOrder (required): A code that represents the preferred display order of the components of a human name
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	Surname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameOwnPrefix		0..1	(Complex)	PrefixOwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannameOwnName		0..1	(Complex)	OwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerPrefix		0..1	(Complex)	PrefixSurname URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerName		0..1	(Complex)	LastNamePartner URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	0..*	string	Given This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090EnQualifier		0..1	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type
value		0..1	string	Primitive value for string Max Length:1048576
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..*	nl-core-contactpoint	A contact detail for the individual
gender	SΣ	0..1	code	Gender Binding: AdministrativeGender (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
GeslachtCodelijst		0..1	(Complex)	Gender URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: GeslachtCodelijst (extensible): GeslachtCodelijst
value		0..1	code	Primitive value for code
birthDate	SΣ	0..1	date	Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.
deceased[x]	?!SΣ	0..1		DeathIndicator/DateOfDeath
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	nl-core-address	AddressInformation
maritalStatus		0..1	CodeableConcept	MaritalStatus Binding: BurgerlijkeStaatCodelijst (extensible)
multipleBirth[x]		0..1		MultipleBirthIndicator
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	ContactPerson pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for relationship		0..*	CodeableConcept	The kind of relationship Slice: Unordered, Open by value:$this Binding: v2 Contact Role (extensible): The nature of the relationship between a patient and a contact person for that patient.
relationship:relationship		0..*	CodeableConcept	Relationship Binding: RelatieCodelijst (required)
relationship:role		0..*	CodeableConcept	Role Binding: RolCodelijst (required)
name		0..1	nl-core-humanname	NameInformation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameAssemblyOrder		0..*	(Complex)	Preferred display order of name parts URL: http://hl7.org/fhir/StructureDefinition/humanname-assembly-order
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: HumanNameAssemblyOrder (required): A code that represents the preferred display order of the components of a human name
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	Surname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameOwnPrefix		0..1	(Complex)	PrefixOwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannameOwnName		0..1	(Complex)	OwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerPrefix		0..1	(Complex)	PrefixSurname URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerName		0..1	(Complex)	LastNamePartner URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	0..*	string	Given This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090EnQualifier		0..1	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type
value		0..1	string	Primitive value for string Max Length:1048576
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..*	nl-core-contactpoint	A contact detail for the person
address		0..1	nl-core-address	AddressInformation
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
animal	?!Σ	0..1	BackboneElement	This patient is known to be an animal (non-human)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
species	Σ	1..1	CodeableConcept	E.g. Dog, Cow Binding: AnimalSpecies (example): The species of an animal.
breed	Σ	0..1	CodeableConcept	E.g. Poodle, Angus Binding: AnimalBreeds (example): The breed of an animal.
genderStatus	Σ	0..1	CodeableConcept	E.g. Neutered, Intact Binding: GenderStatus (example): The state of the animal's reproductive organs.
communication		0..*	BackboneElement	A list of Languages which may be used to communicate with the patient about his or her health
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
languageProficiency		0..*	(Complex)	Proficiency level of the communication URL: http://nictiz.nl/fhir/StructureDefinition/patient-proficiency
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Binding: LanguageAbilityMode (extensible)
extension:level		1..1	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"level"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Binding: LanguageAbilityProficiency (extensible)
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/patient-proficiency"
comment		0..*	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
language		1..1	CodeableConcept	CommunicationLanguage Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..1	Reference(nl-core-organization | nl-core-practitioner)	GeneralPractitioner
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
managingOrganization	SΣ	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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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 - type of link 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	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Patient.extension:nationality.extension:code.valueCodeableConcept:valueCodeableConcept	extensible	NationaliteitCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.16.32) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20171231000000
Patient.extension:legalStatus.value[x]:valueCodeableConcept	extensible	JuridischeStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
Patient.extension:lifeStance.value[x]:valueCodeableConcept	preferred	LevensovertuigingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.5.1--20171231000000
Patient.identifier:BSN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Patient.identifier:BSN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.extension:humannameAssemblyOrder.valueCode:valueCode	required	HumanNameAssemblyOrder http://hl7.org/fhir/ValueSet/name-assembly-order from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Patient.name.given.extension:iso21090EnQualifier.valueCode:valueCode	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.gender.extension:GeslachtCodelijst.value[x]:valueCodeableConcept	extensible	GeslachtCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20171231000000
Patient.maritalStatus	extensible	BurgerlijkeStaatCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20171231000000
Patient.contact.relationship	extensible	v2 Contact Role http://hl7.org/fhir/ValueSet/v2-0131 from the FHIR Standard
Patient.contact.relationship:relationship	required	RelatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20171231000000
Patient.contact.relationship:role	required	RolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20171231000000
Patient.contact.name.extension:humannameAssemblyOrder.valueCode:valueCode	required	HumanNameAssemblyOrder http://hl7.org/fhir/ValueSet/name-assembly-order from the FHIR Standard
Patient.contact.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Patient.contact.name.given.extension:iso21090EnQualifier.valueCode:valueCode	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.animal.species	example	AnimalSpecies http://hl7.org/fhir/ValueSet/animal-species from the FHIR Standard
Patient.animal.breed	example	AnimalBreeds http://hl7.org/fhir/ValueSet/animal-breeds from the FHIR Standard
Patient.animal.genderStatus	example	GenderStatus http://hl7.org/fhir/ValueSet/animal-genderstatus from the FHIR Standard
Patient.communication.extension:languageProficiency.extension:type.value[x]:valueCoding	extensible	v3 Code System LanguageAbilityMode http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode from the FHIR Standard
Patient.communication.extension:languageProficiency.extension:level.value[x]:valueCoding	extensible	v3 Code System LanguageAbilityProficiency http://hl7.org/fhir/ValueSet/v3-LanguageAbilityProficiency from the FHIR Standard
Patient.communication.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Patient	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (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()
zv-pat-1	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. : (family.exists() or given.exists() or text.exists())
zv-pat-2	best practice	Patient.name	To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	nl-core-patient	Patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
preferredPharmacy		0..1	Reference(nl-core-organization)	References a patient's preferered pharmacy URL: http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension				Content/Rules for all slices
extension:code		0..1	Extension	Extension
url		1..1	uri	"code"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: NationaliteitCodelijst (extensible): Indicates the country of citizenship.
extension:period		0..1	Extension	Extension
url		1..1	uri	"period"
Slices for valuePeriod				Content/Rules for all slices
valuePeriod:valuePeriod		0..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
legalStatus		0..2	(Complex)	legalStatus URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LegalStatus Binding: JuridischeStatusCodelijst (extensible)
coding	Σ	1..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
lifeStance		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LifeStance Binding: LevensovertuigingCodelijst (preferred): LevensovertuigingCodelijst
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	PatientIdentificationNumber Slice: Unordered, Open by value:system
identifier:BSN	SΣ	1..1	Identifier	BSN
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.nl/fhir/NamingSystem/bsn
value	Σ	1..1	string	BSN (Burgerservicenummer (Dutch person identification number)) Example General: 123456 Example Example of a burgerservicenummer: 123456782
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	nl-core-humanname	NameInformation zv-pat-1: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. zv-pat-2: To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present.
Slices for extension				Content/Rules for all slices
humannameAssemblyOrder		0..*	(Complex)	Preferred display order of name parts URL: http://hl7.org/fhir/StructureDefinition/humanname-assembly-order
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: HumanNameAssemblyOrder (required): A code that represents the preferred display order of the components of a human name
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name
gender	SΣ	0..1	code	Gender Binding: AdministrativeGender (required)
Slices for extension				Content/Rules for all slices
GeslachtCodelijst		0..1	(Complex)	Gender URL: http://nictiz.nl/fhir/StructureDefinition/code-specification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: GeslachtCodelijst (extensible): GeslachtCodelijst
birthDate	SΣ	0..1	date	Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.
deceased[x]	?!SΣ	0..1		DeathIndicator/DateOfDeath
deceasedBoolean			boolean
deceasedDateTime			dateTime
animal	?!Σ	0..1	BackboneElement	This patient is known to be an animal (non-human) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
species	Σ	1..1	CodeableConcept	E.g. Dog, Cow Binding: AnimalSpecies (example): The species of an animal.
generalPractitioner		0..1	Reference(nl-core-organization | nl-core-practitioner)	GeneralPractitioner
Slices for extension				Content/Rules for all slices
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
managingOrganization	SΣ	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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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 - type of link 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:nationality.extension:code.valueCodeableConcept:valueCodeableConcept	extensible	NationaliteitCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.16.32) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20171231000000
Patient.extension:legalStatus.value[x]:valueCodeableConcept	extensible	JuridischeStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
Patient.extension:lifeStance.value[x]:valueCodeableConcept	preferred	LevensovertuigingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.5.1--20171231000000
Patient.identifier:BSN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Patient.name.extension:humannameAssemblyOrder.valueCode:valueCode	required	HumanNameAssemblyOrder http://hl7.org/fhir/ValueSet/name-assembly-order from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.gender.extension:GeslachtCodelijst.value[x]:valueCodeableConcept	extensible	GeslachtCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20171231000000
Patient.animal.species	example	AnimalSpecies http://hl7.org/fhir/ValueSet/animal-species from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Patient	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
zv-pat-1	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. : (family.exists() or given.exists() or text.exists())
zv-pat-2	best practice	Patient.name	To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists()

Differential View

This structure is derived from nl-core-patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	nl-core-patient	Patient
Slices for identifier				Content/Rules for all slices
identifier:BSN	S	1..1	Identifier	BSN
name	SC	1..*	nl-core-humanname	NameInformation zv-pat-1: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. zv-pat-2: To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present.
gender	S	0..1	code	Gender
birthDate	S	0..1	date	Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.
deceased[x]	S	0..1	boolean, dateTime	DeathIndicator/DateOfDeath
managingOrganization	S	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
zv-pat-1	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. : (family.exists() or given.exists() or text.exists())
zv-pat-2	best practice	Patient.name	To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	nl-core-patient	Patient
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: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages 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
preferredPharmacy		0..1	Reference(nl-core-organization)	References a patient's preferered pharmacy URL: http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy
nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality
id		0..1	string	xml:id (or equivalent in JSON)
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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"code"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: NationaliteitCodelijst (extensible): Indicates the country of citizenship.
extension:period		0..1	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"period"
Slices for valuePeriod				Content/Rules for all slices
valuePeriod:valuePeriod		0..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-nationality"
legalStatus		0..2	(Complex)	legalStatus URL: http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LegalStatus Binding: JuridischeStatusCodelijst (extensible)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
lifeStance		0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-LifeStance"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	LifeStance Binding: LevensovertuigingCodelijst (preferred): LevensovertuigingCodelijst
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	PatientIdentificationNumber Slice: Unordered, Open by value:system
identifier:BSN	SΣ	1..1	Identifier	BSN
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://fhir.nl/fhir/NamingSystem/bsn
value	Σ	1..1	string	BSN (Burgerservicenummer (Dutch person identification number)) Example General: 123456 Example Example of a burgerservicenummer: 123456782
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	SΣC	1..*	nl-core-humanname	NameInformation zv-pat-1: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. zv-pat-2: To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameAssemblyOrder		0..*	(Complex)	Preferred display order of name parts URL: http://hl7.org/fhir/StructureDefinition/humanname-assembly-order
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: HumanNameAssemblyOrder (required): A code that represents the preferred display order of the components of a human name
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	Surname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameOwnPrefix		0..1	(Complex)	PrefixOwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannameOwnName		0..1	(Complex)	OwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerPrefix		0..1	(Complex)	PrefixSurname URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerName		0..1	(Complex)	LastNamePartner URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	0..*	string	Given This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090EnQualifier		0..1	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type
value		0..1	string	Primitive value for string Max Length:1048576
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..*	nl-core-contactpoint	A contact detail for the individual
gender	SΣ	0..1	code	Gender Binding: AdministrativeGender (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
GeslachtCodelijst		0..1	(Complex)	Gender URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: GeslachtCodelijst (extensible): GeslachtCodelijst
value		0..1	code	Primitive value for code
birthDate	SΣ	0..1	date	Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.
deceased[x]	?!SΣ	0..1		DeathIndicator/DateOfDeath
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	nl-core-address	AddressInformation
maritalStatus		0..1	CodeableConcept	MaritalStatus Binding: BurgerlijkeStaatCodelijst (extensible)
multipleBirth[x]		0..1		MultipleBirthIndicator
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	ContactPerson pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for relationship		0..*	CodeableConcept	The kind of relationship Slice: Unordered, Open by value:$this Binding: v2 Contact Role (extensible): The nature of the relationship between a patient and a contact person for that patient.
relationship:relationship		0..*	CodeableConcept	Relationship Binding: RelatieCodelijst (required)
relationship:role		0..*	CodeableConcept	Role Binding: RolCodelijst (required)
name		0..1	nl-core-humanname	NameInformation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameAssemblyOrder		0..*	(Complex)	Preferred display order of name parts URL: http://hl7.org/fhir/StructureDefinition/humanname-assembly-order
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: HumanNameAssemblyOrder (required): A code that represents the preferred display order of the components of a human name
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	Surname
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
humannameOwnPrefix		0..1	(Complex)	PrefixOwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannameOwnName		0..1	(Complex)	OwnName URL: http://hl7.org/fhir/StructureDefinition/humanname-own-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-own-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerPrefix		0..1	(Complex)	PrefixSurname URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
humannamePartnerName		0..1	(Complex)	LastNamePartner URL: http://hl7.org/fhir/StructureDefinition/humanname-partner-name
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/humanname-partner-name"
Slices for valueString				Content/Rules for all slices
valueString:valueString		0..1	string	Value of extension
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	0..*	string	Given This repeating element order: Given Names appear in the correct order for presenting the name
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090EnQualifier		0..1	(Complex)	LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV URL: http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
Slices for valueCode				Content/Rules for all slices
valueCode:valueCode		0..1	code	Value of extension Binding: EntityNamePartQualifier (required): A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type
value		0..1	string	Primitive value for string Max Length:1048576
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..*	nl-core-contactpoint	A contact detail for the person
address		0..1	nl-core-address	AddressInformation
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
animal	?!Σ	0..1	BackboneElement	This patient is known to be an animal (non-human)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
species	Σ	1..1	CodeableConcept	E.g. Dog, Cow Binding: AnimalSpecies (example): The species of an animal.
breed	Σ	0..1	CodeableConcept	E.g. Poodle, Angus Binding: AnimalBreeds (example): The breed of an animal.
genderStatus	Σ	0..1	CodeableConcept	E.g. Neutered, Intact Binding: GenderStatus (example): The state of the animal's reproductive organs.
communication		0..*	BackboneElement	A list of Languages which may be used to communicate with the patient about his or her health
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
languageProficiency		0..*	(Complex)	Proficiency level of the communication URL: http://nictiz.nl/fhir/StructureDefinition/patient-proficiency
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Binding: LanguageAbilityMode (extensible)
extension:level		1..1	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"level"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding		1..1	Coding	Value of extension Binding: LanguageAbilityProficiency (extensible)
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/patient-proficiency"
comment		0..*	string	Comment URL: http://nictiz.nl/fhir/StructureDefinition/Comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
language		1..1	CodeableConcept	CommunicationLanguage Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..1	Reference(nl-core-organization | nl-core-practitioner)	GeneralPractitioner
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
managingOrganization	SΣ	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	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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 - type of link 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	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Patient.extension:nationality.extension:code.valueCodeableConcept:valueCodeableConcept	extensible	NationaliteitCodelijst (a valid code from urn:oid:2.16.840.1.113883.2.4.4.16.32) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20171231000000
Patient.extension:legalStatus.value[x]:valueCodeableConcept	extensible	JuridischeStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000
Patient.extension:lifeStance.value[x]:valueCodeableConcept	preferred	LevensovertuigingCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.5.1--20171231000000
Patient.identifier:BSN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use from the FHIR Standard
Patient.identifier:BSN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.extension:humannameAssemblyOrder.valueCode:valueCode	required	HumanNameAssemblyOrder http://hl7.org/fhir/ValueSet/name-assembly-order from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Patient.name.given.extension:iso21090EnQualifier.valueCode:valueCode	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.gender.extension:GeslachtCodelijst.value[x]:valueCodeableConcept	extensible	GeslachtCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20171231000000
Patient.maritalStatus	extensible	BurgerlijkeStaatCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20171231000000
Patient.contact.relationship	extensible	v2 Contact Role http://hl7.org/fhir/ValueSet/v2-0131 from the FHIR Standard
Patient.contact.relationship:relationship	required	RelatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20171231000000
Patient.contact.relationship:role	required	RolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20171231000000
Patient.contact.name.extension:humannameAssemblyOrder.valueCode:valueCode	required	HumanNameAssemblyOrder http://hl7.org/fhir/ValueSet/name-assembly-order from the FHIR Standard
Patient.contact.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use from the FHIR Standard
Patient.contact.name.given.extension:iso21090EnQualifier.valueCode:valueCode	required	EntityNamePartQualifier http://hl7.org/fhir/ValueSet/name-part-qualifier from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.animal.species	example	AnimalSpecies http://hl7.org/fhir/ValueSet/animal-species from the FHIR Standard
Patient.animal.breed	example	AnimalBreeds http://hl7.org/fhir/ValueSet/animal-breeds from the FHIR Standard
Patient.animal.genderStatus	example	GenderStatus http://hl7.org/fhir/ValueSet/animal-genderstatus from the FHIR Standard
Patient.communication.extension:languageProficiency.extension:type.value[x]:valueCoding	extensible	v3 Code System LanguageAbilityMode http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode from the FHIR Standard
Patient.communication.extension:languageProficiency.extension:level.value[x]:valueCoding	extensible	v3 Code System LanguageAbilityProficiency http://hl7.org/fhir/ValueSet/v3-LanguageAbilityProficiency from the FHIR Standard
Patient.communication.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Patient	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (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()
zv-pat-1	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present. : (family.exists() or given.exists() or text.exists())
zv-pat-2	best practice	Patient.name	To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists()

This structure is derived from nl-core-patient

Summary

Mandatory: 2 elements
Must-Support: 6 elements