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StructureDefinition-MyPatient-definitions.html
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StructureDefinition-MyPatient-definitions.html
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<!-- get modelType -->
<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE HTML>
<html xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en">
<head>
<meta content="text/html;charset=utf-8" http-equiv="Content-Type"/>
<title>MyPatient - Definitions - v0.1.0</title>
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<li><a href='toc.html'><b>Table of Contents</b></a></li><li><a href='artifacts.html'><b>Artifacts Summary</b></a></li><li><b>MyPatient</b></li>
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<!--ReleaseHeader--><p id="publish-box">h2ofhirig - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the <a href="https://github.com/IMI-H2O/h2o-fhir-ig/history.html">Directory of published versions</a></p><!--EndReleaseHeader-->
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<h2 id="root">Resource Profile: MyPatient - Detailed Descriptions</h2>
<table class="colsd">
<tr>
<td colspan="2">
Draft
as of 2024-03-26
</td>
</tr>
</table>
<p>Definitions for the MyPatient resource profile.</p>
<!-- insert intro if present -->
<div id="tabs">
<ul>
<li>
<a href="#tabs-diff">Differential Elements Table</a>
</li>
<li>
<a href="#tabs-key">Key Elements Table</a>
</li>
<li>
<a href="#tabs-snap">Snapshot Elements Table</a>
</li>
</ul>
<a name="tabs-diff"> </a>
<div id="tabs-diff">
<p>Guidance on how to interpret the contents of this table can be found <a href="https://build.fhir.org/ig/FHIR/ig-guidance//readingIgs.html#data-dictionaries">here</a></p><table class="dict"><tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="diff_Patient"> </a><span style="color: grey">0</span><b>. Patient</b><a href="#diff_Patient" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">LOINC Code</td><td></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="diff_Patient.name"> </a><span style="color: grey">2</span><b>. Patient.name</b><a href="#diff_Patient.name" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>1..?</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#mustSupport">Must Support</a></td><td>true</td></tr><tr><td style="white-space: nowrap">LOINC Code</td><td></td></tr>
</table>
</div>
<a name="tabs-key"> </a>
<div id="tabs-key">
<p>Guidance on how to interpret the contents of this table can be found <a href="https://build.fhir.org/ig/FHIR/ig-guidance//readingIgs.html#data-dictionaries">here</a></p><table class="dict"><tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient"> </a><span style="color: grey">0</span><b>. Patient</b><a href="#key_Patient" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">Demographics and other administrative information about an individual or animal receiving care or other health-related services.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">Information about an individual or animal receiving health care services</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">0</span>..<span style="color:DarkGray">*</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">false</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td><span style="color:DarkGray">SubjectOfCare Client Resident</span></td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">dom-2</b>: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())</span><br/><span style="color:DarkGray"><b title="Formal Invariant Identifier">dom-3</b>: 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())</span><br/><span style="color:DarkGray"><b title="Formal Invariant Identifier">dom-4</b>: 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())</span><br/><span style="color:DarkGray"><b title="Formal Invariant Identifier">dom-5</b>: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())</span><br/><span style="color:DarkGray"><b title="Formal Invariant Identifier">dom-6</b>: A resource should have narrative for robust management (text.`div`.exists())</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.implicitRules"> </a><span style="color: grey">2</span><b>. Patient.implicitRules</b><a href="#key_Patient.implicitRules" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">A set of rules under which this content was created</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">0</span>..<span style="color:DarkGray">1</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">true</span> because <span style="color:DarkGray">This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.modifierExtension"> </a><span style="color: grey">4</span><b>. Patient.modifierExtension</b><a href="#key_Patient.modifierExtension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</p>
<p style="color:DarkGray">Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">Extensions that cannot be ignored</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">0</span>..<span style="color:DarkGray">*</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">true</span> because <span style="color:DarkGray">Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="color:DarkGray">Modifier extensions allow for extensions that <em>cannot</em> be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the <a href="http://hl7.org/fhir/R4/extensibility.html#modifierExtension">definition of modifier extensions</a>.</p>
</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td><span style="color:DarkGray">extensions</span>, <span style="color:DarkGray">user content</span></td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span><br/><span style="color:DarkGray"><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (extension.exists() != value.exists())</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.active"> </a><span style="color: grey">6</span><b>. Patient.active</b><a href="#key_Patient.active" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">Whether this patient record is in active use.
Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.</p>
<p style="color:DarkGray">It is often used to filter patient lists to exclude inactive patients</p>
<p style="color:DarkGray">Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">Whether this patient's record is in active use</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">0</span>..<span style="color:DarkGray">1</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">true</span> because <span style="color:DarkGray">This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="color:DarkGray">Need to be able to mark a patient record as not to be used because it was created in error.</p>
</td></tr><tr><td>Meaning if Missing</td><td>This resource is generally assumed to be active if no value is provided for the active element</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.name"> </a><span style="color: grey">8</span><b>. Patient.name</b><a href="#key_Patient.name" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">A name associated with the individual.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">A name associated with the patient</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>1<span style="color:DarkGray;text-decoration:line-through">0</span>..<span style="color:DarkGray">*</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/datatypes.html#HumanName">HumanName</a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">false</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#mustSupport">Must Support</a></td><td>true</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="color:DarkGray">Need to be able to track the patient by multiple names. Examples are your official name and a partner name.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.deceased[x]"> </a><a name="key_Patient.deceasedBoolean"> </a><a name="key_Patient.deceased[x]:deceasedBoolean"> </a><a name="key_Patient.deceasedBoolean:deceasedBoolean"> </a><a name="key_Patient.deceasedDateTime"> </a><a name="key_Patient.deceased[x]:deceasedDateTime"> </a><a name="key_Patient.deceasedDateTime:deceasedDateTime"> </a><span style="color: grey">10</span><b>. Patient.deceased[x]</b><a href="#key_Patient.deceased[x]" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">Indicates if the individual is deceased or not.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">Indicates if the individual is deceased or not</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">0</span>..<span style="color:DarkGray">1</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td>Choice of: <span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></span>, <span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></span></td></tr><tr><td style="white-space: nowrap">[x] Note</td><td>See <a href="http://hl7.org/fhir/R4/formats.html#choice">Choice of Data Types</a> for further information about how to use [x]</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">true</span> because <span style="color:DarkGray">This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="color:DarkGray">The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.link"> </a><span style="color: grey">12</span><b>. Patient.link</b><a href="#key_Patient.link" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">Link to another patient resource that concerns the same actual patient.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">Link to another patient resource that concerns the same actual person</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">There is no assumption that linked patient records have mutual links.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">0</span>..<span style="color:DarkGray">*</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">true</span> because <span style="color:DarkGray">This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="color:DarkGray">There are multiple use cases:</p>
<ul style="color:DarkGray">
<li>Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and</li>
<li>Distribution of patient information across multiple servers.</li>
</ul>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.link.modifierExtension"> </a><span style="color: grey">14</span><b>. Patient.link.modifierExtension</b><a href="#key_Patient.link.modifierExtension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</p>
<p style="color:DarkGray">Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">Extensions that cannot be ignored even if unrecognized</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">0</span>..<span style="color:DarkGray">*</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">true</span> because <span style="color:DarkGray">Modifier extensions are expected to modify the meaning or interpretation of the element that contains them</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="color:DarkGray">Modifier extensions allow for extensions that <em>cannot</em> be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the <a href="http://hl7.org/fhir/R4/extensibility.html#modifierExtension">definition of modifier extensions</a>.</p>
</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td><span style="color:DarkGray">extensions</span>, <span style="color:DarkGray">user content</span>, <span style="color:DarkGray">modifiers</span></td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span><br/><span style="color:DarkGray"><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (extension.exists() != value.exists())</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.link.other"> </a><span style="color: grey">16</span><b>. Patient.link.other</b><a href="#key_Patient.link.other" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">The other patient resource that the link refers to.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">The other patient or related person resource that the link refers to</span></td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="color:DarkGray">Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">1</span>..<span style="color:DarkGray">1</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/references.html#Reference">Reference</a></span>(<span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/patient.html">Patient</a></span>, <span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a></span>)</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">false</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span></td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="key_Patient.link.type"> </a><span style="color: grey">18</span><b>. Patient.link.type</b><a href="#key_Patient.link.type" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="color:DarkGray">The type of link between this patient resource and another patient resource.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td><span style="color:DarkGray">replaced-by | replaces | refer | seealso</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td><span style="color:DarkGray">1</span>..<span style="color:DarkGray">1</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span><span style="color:DarkGray">The codes SHALL be taken from </span> <a href="http://hl7.org/fhir/R4/valueset-link-type.html">LinkType</a><span style="color:DarkGray;text-decoration:line-through">http://hl7.org/fhir/ValueSet/link-type|4.0.1</span><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#required">required</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/link-type|4.0.1</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/link-type|4.0.1" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p style="color:DarkGray">The type of link between this patient resource and another patient resource.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><span style="color:DarkGray"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td><span style="color:DarkGray">false</span></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><span style="color:DarkGray"><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))</span></td></tr>
</table>
</div>
<a name="tabs-snap"> </a>
<div id="tabs-snap">
<p>Guidance on how to interpret the contents of this table can be found <a href="https://build.fhir.org/ig/FHIR/ig-guidance//readingIgs.html#data-dictionaries">here</a></p><table class="dict"><tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient"> </a><span style="color: grey">0</span><b>. Patient</b><a href="#Patient" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Demographics and other administrative information about an individual or animal receiving care or other health-related services.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Information about an individual or animal receiving health care services</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>SubjectOfCare Client Resident</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">dom-2</b>: If the resource is contained in another resource, it SHALL NOT contain nested Resources (<code>contained.contained.empty()</code>)<br/><b title="Formal Invariant Identifier">dom-3</b>: 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 (<code>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()</code>)<br/><b title="Formal Invariant Identifier">dom-4</b>: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (<code>contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()</code>)<br/><b title="Formal Invariant Identifier">dom-5</b>: If a resource is contained in another resource, it SHALL NOT have a security label (<code>contained.meta.security.empty()</code>)<br/><b title="Formal Invariant Identifier">dom-6</b>: A resource should have narrative for robust management (<code>text.`div`.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.id"> </a><span style="color: grey">2</span><b>. Patient.id</b><a href="#Patient.id" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Logical id of this artifact</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">The only time that a resource does not have an id is when it is being submitted to the server using a create operation.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#id">id</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.meta"> </a><span style="color: grey">4</span><b>. Patient.meta</b><a href="#Patient.meta" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Metadata about the resource</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#Meta">Meta</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.implicitRules"> </a><span style="color: grey">6</span><b>. Patient.implicitRules</b><a href="#Patient.implicitRules" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>A set of rules under which this content was created</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.language"> </a><span style="color: grey">8</span><b>. Patient.language</b><a href="#Patient.language" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The base language in which the resource is written.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Language of the resource content</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span>The codes SHOULD be taken from <a href="http://hl7.org/fhir/R4/valueset-languages.html">CommonLanguages</a><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#preferred">preferred</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/languages</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/languages" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p>A human language.</p>
<table class="grid"><tr><td style="font-size: 11px"><b>Additional Bindings</b></td><td style="font-size: 11px">Purpose</td></tr><tr><td style="font-size: 11px"><a href="http://hl7.org/fhir/R5/valueset-all-languages.html" title="http://hl7.org/fhir/ValueSet/all-languages">AllLanguages</a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/extension-elementdefinition-maxvalueset.html" title="A required binding, for use when the binding strength is 'extensible' or 'preferred'">Max Binding</a></td></tr></table></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.text"> </a><span style="color: grey">10</span><b>. Patient.text</b><a href="#Patient.text" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Text summary of the resource, for human interpretation</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#Narrative">Narrative</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>narrative, html, xhtml, display</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contained"> </a><span style="color: grey">12</span><b>. Patient.contained</b><a href="#Patient.contained" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Contained, inline Resources</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/resource.html">Resource</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>inline resources, anonymous resources, contained resources</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.extension"> </a><span style="color: grey">14</span><b>. Patient.extension</b><a href="#Patient.extension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Additional content defined by implementations</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.modifierExtension"> </a><span style="color: grey">16</span><b>. Patient.modifierExtension</b><a href="#Patient.modifierExtension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</p>
<p style="font-size: 11px">Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Extensions that cannot be ignored</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Modifier extensions allow for extensions that <em>cannot</em> be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the <a href="http://hl7.org/fhir/R4/extensibility.html#modifierExtension">definition of modifier extensions</a>.</p>
</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.identifier"> </a><span style="color: grey">18</span><b>. Patient.identifier</b><a href="#Patient.identifier" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">An identifier for this patient.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>An identifier for this patient</td></tr><tr><td style="white-space: nowrap">Note</td><td>This is a business identifier, not a resource identifier (see <a href="http://hl7.org/fhir/R4/resource.html#identifiers">discussion</a>)</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Patients are almost always assigned specific numerical identifiers.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.active"> </a><span style="color: grey">20</span><b>. Patient.active</b><a href="#Patient.active" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Whether this patient record is in active use.
Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.</p>
<p style="font-size: 11px">It is often used to filter patient lists to exclude inactive patients</p>
<p style="font-size: 11px">Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Whether this patient's record is in active use</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Need to be able to mark a patient record as not to be used because it was created in error.</p>
</td></tr><tr><td>Meaning if Missing</td><td>This resource is generally assumed to be active if no value is provided for the active element</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.name"> </a><span style="color: grey">22</span><b>. Patient.name</b><a href="#Patient.name" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A name associated with the individual.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>A name associated with the patient</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>1..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#HumanName">HumanName</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#mustSupport">Must Support</a></td><td>true</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Need to be able to track the patient by multiple names. Examples are your official name and a partner name.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.telecom"> </a><span style="color: grey">24</span><b>. Patient.telecom</b><a href="#Patient.telecom" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>A contact detail for the individual</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#ContactPoint">ContactPoint</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">People have (primary) ways to contact them in some way such as phone, email.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.gender"> </a><span style="color: grey">26</span><b>. Patient.gender</b><a href="#Patient.gender" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>male | female | other | unknown</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span>The codes SHALL be taken from <a href="http://hl7.org/fhir/R4/valueset-administrative-gender.html">AdministrativeGender</a><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#required">required</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p>The gender of a person used for administrative purposes.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Needed for identification of the individual, in combination with (at least) name and birth date.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.birthDate"> </a><span style="color: grey">28</span><b>. Patient.birthDate</b><a href="#Patient.birthDate" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The date of birth for the individual.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>The date of birth for the individual</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Age of the individual drives many clinical processes.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr><tr><td style="white-space: nowrap">LOINC Code</td><td>21112-8</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.deceased[x]"> </a><a name="Patient.deceasedBoolean"> </a><a name="Patient.deceased[x]:deceasedBoolean"> </a><a name="Patient.deceasedBoolean:deceasedBoolean"> </a><a name="Patient.deceasedDateTime"> </a><a name="Patient.deceased[x]:deceasedDateTime"> </a><a name="Patient.deceasedDateTime:deceasedDateTime"> </a><span style="color: grey">30</span><b>. Patient.deceased[x]</b><a href="#Patient.deceased[x]" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Indicates if the individual is deceased or not.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Indicates if the individual is deceased or not</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td>Choice of: <a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a>, <a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td></tr><tr><td style="white-space: nowrap">[x] Note</td><td>See <a href="http://hl7.org/fhir/R4/formats.html#choice">Choice of Data Types</a> for further information about how to use [x]</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.address"> </a><span style="color: grey">32</span><b>. Patient.address</b><a href="#Patient.address" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">An address for the individual.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>An address for the individual</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Patient may have multiple addresses with different uses or applicable periods.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#Address">Address</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.maritalStatus"> </a><span style="color: grey">34</span><b>. Patient.maritalStatus</b><a href="#Patient.maritalStatus" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">This field contains a patient's most recent marital (civil) status.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Marital (civil) status of a patient</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span>Unless not suitable, these codes SHALL be taken from <a href="http://hl7.org/fhir/R4/valueset-marital-status.html">Marital Status Codes</a><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#extensible">extensible</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/marital-status</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/marital-status" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p>The domestic partnership status of a person.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Most, if not all systems capture it.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.multipleBirth[x]"> </a><a name="Patient.multipleBirthBoolean"> </a><a name="Patient.multipleBirth[x]:multipleBirthBoolean"> </a><a name="Patient.multipleBirthBoolean:multipleBirthBoolean"> </a><a name="Patient.multipleBirthInteger"> </a><a name="Patient.multipleBirth[x]:multipleBirthInteger"> </a><a name="Patient.multipleBirthInteger:multipleBirthInteger"> </a><span style="color: grey">36</span><b>. Patient.multipleBirth[x]</b><a href="#Patient.multipleBirth[x]" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Whether patient is part of a multiple birth</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td>Choice of: <a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a>, <a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td></tr><tr><td style="white-space: nowrap">[x] Note</td><td>See <a href="http://hl7.org/fhir/R4/formats.html#choice">Choice of Data Types</a> for further information about how to use [x]</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.photo"> </a><span style="color: grey">38</span><b>. Patient.photo</b><a href="#Patient.photo" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Image of the patient.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Image of the patient</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Guidelines:</p>
<ul>
<li style="font-size: 11px">Use id photos, not clinical photos.</li>
<li style="font-size: 11px">Limit dimensions to thumbnail.</li>
<li style="font-size: 11px">Keep byte count low to ease resource updates.</li>
</ul>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#Attachment">Attachment</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact"> </a><span style="color: grey">40</span><b>. Patient.contact</b><a href="#Patient.contact" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A contact party (e.g. guardian, partner, friend) for the patient.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>A contact party (e.g. guardian, partner, friend) for the patient</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Need to track people you can contact about the patient.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">pat-1</b>: SHALL at least contain a contact's details or a reference to an organization (<code>name.exists() or telecom.exists() or address.exists() or organization.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.id"> </a><span style="color: grey">42</span><b>. Patient.contact.id</b><a href="#Patient.contact.id" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Unique id for inter-element referencing</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap">XML Format</td><td>In the XML format, this property is represented as an attribute.</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.extension"> </a><span style="color: grey">44</span><b>. Patient.contact.extension</b><a href="#Patient.contact.extension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Additional content defined by implementations</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.modifierExtension"> </a><span style="color: grey">46</span><b>. Patient.contact.modifierExtension</b><a href="#Patient.contact.modifierExtension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</p>
<p style="font-size: 11px">Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Extensions that cannot be ignored even if unrecognized</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Modifier extensions allow for extensions that <em>cannot</em> be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the <a href="http://hl7.org/fhir/R4/extensibility.html#modifierExtension">definition of modifier extensions</a>.</p>
</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content, modifiers</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.relationship"> </a><span style="color: grey">48</span><b>. Patient.contact.relationship</b><a href="#Patient.contact.relationship" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The nature of the relationship between the patient and the contact person.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>The kind of relationship</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span>Unless not suitable, these codes SHALL be taken from <a href="http://hl7.org/fhir/R4/valueset-patient-contactrelationship.html">PatientContactRelationship</a><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#extensible">extensible</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/patient-contactrelationship</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/patient-contactrelationship" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p>The nature of the relationship between a patient and a contact person for that patient.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Used to determine which contact person is the most relevant to approach, depending on circumstances.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.name"> </a><span style="color: grey">50</span><b>. Patient.contact.name</b><a href="#Patient.contact.name" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A name associated with the contact person.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>A name associated with the contact person</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#HumanName">HumanName</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.telecom"> </a><span style="color: grey">52</span><b>. Patient.contact.telecom</b><a href="#Patient.contact.telecom" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A contact detail for the person, e.g. a telephone number or an email address.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>A contact detail for the person</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#ContactPoint">ContactPoint</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">People have (primary) ways to contact them in some way such as phone, email.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.address"> </a><span style="color: grey">54</span><b>. Patient.contact.address</b><a href="#Patient.contact.address" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Address for the contact person.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Address for the contact person</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#Address">Address</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Need to keep track where the contact person can be contacted per postal mail or visited.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.gender"> </a><span style="color: grey">56</span><b>. Patient.contact.gender</b><a href="#Patient.contact.gender" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>male | female | other | unknown</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span>The codes SHALL be taken from <a href="http://hl7.org/fhir/R4/valueset-administrative-gender.html">AdministrativeGender</a><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#required">required</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p>The gender of a person used for administrative purposes.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Needed to address the person correctly.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.organization"> </a><span style="color: grey">58</span><b>. Patient.contact.organization</b><a href="#Patient.contact.organization" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Organization on behalf of which the contact is acting or for which the contact is working.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Organization that is associated with the contact</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1<br/>This element is affected by the following invariants: pat-1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/references.html#Reference">Reference</a>(<a href="http://hl7.org/fhir/R4/organization.html">Organization</a>)</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">For guardians or business related contacts, the organization is relevant.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.contact.period"> </a><span style="color: grey">60</span><b>. Patient.contact.period</b><a href="#Patient.contact.period" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The period during which this contact person or organization is valid to be contacted relating to this patient.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>The period during which this contact person or organization is valid to be contacted relating to this patient</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#Period">Period</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.communication"> </a><span style="color: grey">62</span><b>. Patient.communication</b><a href="#Patient.communication" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">A language which may be used to communicate with the patient about his or her health.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>A language which may be used to communicate with the patient about his or her health</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">If no language is specified, this <em>implies</em> that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.communication.id"> </a><span style="color: grey">64</span><b>. Patient.communication.id</b><a href="#Patient.communication.id" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Unique id for inter-element referencing</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap">XML Format</td><td>In the XML format, this property is represented as an attribute.</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.communication.extension"> </a><span style="color: grey">66</span><b>. Patient.communication.extension</b><a href="#Patient.communication.extension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Additional content defined by implementations</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.communication.modifierExtension"> </a><span style="color: grey">68</span><b>. Patient.communication.modifierExtension</b><a href="#Patient.communication.modifierExtension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</p>
<p style="font-size: 11px">Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Extensions that cannot be ignored even if unrecognized</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Modifier extensions allow for extensions that <em>cannot</em> be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the <a href="http://hl7.org/fhir/R4/extensibility.html#modifierExtension">definition of modifier extensions</a>.</p>
</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content, modifiers</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.communication.language"> </a><span style="color: grey">70</span><b>. Patient.communication.language</b><a href="#Patient.communication.language" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>The language which can be used to communicate with the patient about his or her health</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>1..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span>The codes SHOULD be taken from <a href="http://hl7.org/fhir/R4/valueset-languages.html">CommonLanguages</a><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#preferred">preferred</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/languages</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/languages" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p>A human language.</p>
<table class="grid"><tr><td style="font-size: 11px"><b>Additional Bindings</b></td><td style="font-size: 11px">Purpose</td></tr><tr><td style="font-size: 11px"><a href="http://hl7.org/fhir/R5/valueset-all-languages.html" title="http://hl7.org/fhir/ValueSet/all-languages">AllLanguages</a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/extension-elementdefinition-maxvalueset.html" title="A required binding, for use when the binding strength is 'extensible' or 'preferred'">Max Binding</a></td></tr></table></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.communication.preferred"> </a><span style="color: grey">72</span><b>. Patient.communication.preferred</b><a href="#Patient.communication.preferred" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Language preference indicator</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">This language is specifically identified for communicating healthcare information.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.generalPractitioner"> </a><span style="color: grey">74</span><b>. Patient.generalPractitioner</b><a href="#Patient.generalPractitioner" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Patient's nominated care provider.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Patient's nominated primary care provider</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.
Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.</p>
<p style="font-size: 11px">Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/references.html#Reference">Reference</a>(<a href="http://hl7.org/fhir/R4/organization.html">Organization</a>, <a href="http://hl7.org/fhir/R4/practitioner.html">Practitioner</a>, <a href="http://hl7.org/fhir/R4/practitionerrole.html">PractitionerRole</a>)</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>careProvider</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.managingOrganization"> </a><span style="color: grey">76</span><b>. Patient.managingOrganization</b><a href="#Patient.managingOrganization" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Organization that is the custodian of the patient record.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Organization that is the custodian of the patient record</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/references.html#Reference">Reference</a>(<a href="http://hl7.org/fhir/R4/organization.html">Organization</a>)</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Need to know who recognizes this patient record, manages and updates it.</p>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.link"> </a><span style="color: grey">78</span><b>. Patient.link</b><a href="#Patient.link" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Link to another patient resource that concerns the same actual patient.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Link to another patient resource that concerns the same actual person</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There is no assumption that linked patient records have mutual links.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">There are multiple use cases:</p>
<ul>
<li style="font-size: 11px">Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and</li>
<li style="font-size: 11px">Distribution of patient information across multiple servers.</li>
</ul>
</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.link.id"> </a><span style="color: grey">80</span><b>. Patient.link.id</b><a href="#Patient.link.id" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Unique id for inter-element referencing</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap">XML Format</td><td>In the XML format, this property is represented as an attribute.</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.link.extension"> </a><span style="color: grey">82</span><b>. Patient.link.extension</b><a href="#Patient.link.extension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Additional content defined by implementations</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>false</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.link.modifierExtension"> </a><span style="color: grey">84</span><b>. Patient.link.modifierExtension</b><a href="#Patient.link.modifierExtension" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.</p>
<p style="font-size: 11px">Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>Extensions that cannot be ignored even if unrecognized</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>0..*</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Requirements</td><td><p style="font-size: 11px">Modifier extensions allow for extensions that <em>cannot</em> be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the <a href="http://hl7.org/fhir/R4/extensibility.html#modifierExtension">definition of modifier extensions</a>.</p>
</td></tr><tr><td style="white-space: nowrap">Alternate Names</td><td>extensions, user content, modifiers</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)<br/><b title="Formal Invariant Identifier">ext-1</b>: Must have either extensions or value[x], not both (<code>extension.exists() != value.exists()</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.link.other"> </a><span style="color: grey">86</span><b>. Patient.link.other</b><a href="#Patient.link.other" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The other patient resource that the link refers to.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>The other patient or related person resource that the link refers to</td></tr><tr><td style="white-space: nowrap">Comments</td><td><p style="font-size: 11px">Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>1..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/references.html#Reference">Reference</a>(<a href="http://hl7.org/fhir/R4/patient.html">Patient</a>, <a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a>)</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
<tr><td colspan="2" class="structure"><span class="self-link-parent"><a name="Patient.link.type"> </a><span style="color: grey">88</span><b>. Patient.link.type</b><a href="#Patient.link.type" title="link to here" class="self-link"><svg viewBox="0 0 1792 1792" width="16" class="self-link" height="16"><path d="M1520 1216q0-40-28-68l-208-208q-28-28-68-28-42 0-72 32 3 3 19 18.5t21.5 21.5 15 19 13 25.5 3.5 27.5q0 40-28 68t-68 28q-15 0-27.5-3.5t-25.5-13-19-15-21.5-21.5-18.5-19q-33 31-33 73 0 40 28 68l206 207q27 27 68 27 40 0 68-26l147-146q28-28 28-67zm-703-705q0-40-28-68l-206-207q-28-28-68-28-39 0-68 27l-147 146q-28 28-28 67 0 40 28 68l208 208q27 27 68 27 42 0 72-31-3-3-19-18.5t-21.5-21.5-15-19-13-25.5-3.5-27.5q0-40 28-68t68-28q15 0 27.5 3.5t25.5 13 19 15 21.5 21.5 18.5 19q33-31 33-73zm895 705q0 120-85 203l-147 146q-83 83-203 83-121 0-204-85l-206-207q-83-83-83-203 0-123 88-209l-88-88q-86 88-208 88-120 0-204-84l-208-208q-84-84-84-204t85-203l147-146q83-83 203-83 121 0 204 85l206 207q83 83 83 203 0 123-88 209l88 88q86-88 208-88 120 0 204 84l208 208q84 84 84 204z"></path></svg></a></span></td></tr><tr><td style="white-space: nowrap">Definition</td><td><p style="font-size: 11px">The type of link between this patient resource and another patient resource.</p>
</td></tr><tr><td style="white-space: nowrap">Short</td><td>replaced-by | replaces | refer | seealso</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#conformance">Control</a></td><td>1..1</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/terminologies.html">Binding</a></td><td><span>The codes SHALL be taken from <a href="http://hl7.org/fhir/R4/valueset-link-type.html">LinkType</a><br/>(<a href="http://hl7.org/fhir/R4/terminologies.html#required">required</a> to <span class="copy-text-inline"><code>http://hl7.org/fhir/ValueSet/link-type|4.0.1</code><button data-clipboard-text="http://hl7.org/fhir/ValueSet/link-type|4.0.1" title="Click to Copy URL" class="btn-copy"></button></span>)</span><br/><p>The type of link between this patient resource and another patient resource.</p>
</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/datatypes.html">Type</a></td><td><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/conformance-rules.html#ismodifier">Is Modifier</a></td><td>false</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/elementdefinition.html#primitives">Primitive Value</a></td><td>This primitive element may be present, or absent, or replaced by an extension</td></tr><tr><td style="white-space: nowrap"><a href="http://hl7.org/fhir/R4/search.html#summary">Summary</a></td><td>true</td></tr><tr><td style="white-space: nowrap">Invariants</td><td><b title="Formal Invariant Identifier">ele-1</b>: All FHIR elements must have a @value or children (<code>hasValue() or (children().count() > id.count())</code>)</td></tr>
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