Remote Anamnesis Implementation Guide
0.1.0 - ci-build

Remote Anamnesis Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Anamnesis_Patient

Official URL: http://remote-anamnesis.na.icar.cnr/StructureDefinition/patient-anamnesi | Version: 0.1.0
Active as of 2025-08-08 | Computable Name: Anamnesis_Patient

Representation of the patient using the Patient profile in the context of remote anamnesis

Usages:

- Refer to this Profile: AllergyIntolerance_Patient, Appointment_Patient, CarePlan_Patient, Condition_Patient... Show 10 more, Consent_Patient, DiagnosticReport_Patient, MedicationStatement_Patient, Observation_Axis, Observation_Circularity, Observation_OrientationAngle, Observation_Patient, Observation_PerimeterRegularity, Procedure_Patient and CancerRiskAssessment_Patient
- Examples for this Profile: Patient/Patient-Anamnesi-001, Patient/Patient-Anamnesi-002 and Patient/Patient-Anamnesi-003

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Patient's place of birth
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 1..1 | Identifier | Unique patient identifier (Fiscal Code) Slice: Unordered, Open by value:system
identifier:codiceFiscale | Σ | 0..1 | Identifier | Italian Fiscal Code (Codice Fiscale)
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | Namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | Σ C | 0..1 | string | Value of the identifier Constraints: pat-id-cf-1 Example General: 123456
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..1 | HumanName | Full name of the patient Constraints: it-pat-1
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 1..1 | string | Patient's surname
given | S Σ | 1..1 | string | Patient's given name This repeating element order: Given Names appear in the correct order for presenting the name
gender | S Σ | 1..1 | code | Patient's gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 1..1 | date | Patient's date of birth
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..1 | Address | Patient's residential address
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
country | Σ | 0..1 | string | Country of residence (for example Italy) Required Pattern: IT(exactly)
contact | S C | 0..* | BackboneElement | Emergency or reference contacts for the patient Constraints: pat-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
telecom | S | 0..* | ContactPoint | Phone/email of the reference contact
address | S | 0..1 | Address | Address of the reference contact
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.identifier:codiceFiscale.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
it-pat-1 | error | Patient.name | Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
pat-id-cf-1 | error | Patient.identifier:codiceFiscale.value | The Italian Fiscal Code must be 16 alphanumeric characters (3 for surname, 3 for given name, 2 digits for birth year, 1 letter for birth month, 2 digits for birth day and gender, 4 for municipality or foreign state of birth, 1 control character) : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$') |

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Patient's place of birth
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Slices for identifier | S | 1..1 | Identifier | Unique patient identifier (Fiscal Code) Slice: Unordered, Open by value:system
identifier:codiceFiscale |  | 0..1 | Identifier | Italian Fiscal Code (Codice Fiscale)
system |  | 1..1 | uri | Namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | C | 0..1 | string | Value of the identifier Constraints: pat-id-cf-1
name | S C | 1..1 | HumanName | Full name of the patient Constraints: it-pat-1
family | S | 1..1 | string | Patient's surname
given | S | 1..1 | string | Patient's given name
gender | S | 1..1 | code | Patient's gender
birthDate | S | 1..1 | date | Patient's date of birth
address | S | 0..1 | Address | Patient's residential address
country |  | 0..1 | string | Country of residence (for example Italy) Required Pattern: IT(exactly)
contact | S | 0..* | BackboneElement | Emergency or reference contacts for the patient
telecom | S | 0..* | ContactPoint | Phone/email of the reference contact
address | S | 0..1 | Address | Address of the reference contact
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
it-pat-1 | error | Patient.name | Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists() |
pat-id-cf-1 | error | Patient.identifier:codiceFiscale.value | The Italian Fiscal Code must be 16 alphanumeric characters (3 for surname, 3 for given name, 2 digits for birth year, 1 letter for birth month, 2 digits for birth day and gender, 4 for municipality or foreign state of birth, 1 control character) : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$') |

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Patient's place of birth
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 1..1 | Identifier | Unique patient identifier (Fiscal Code) Slice: Unordered, Open by value:system
identifier:codiceFiscale | Σ | 0..1 | Identifier | Italian Fiscal Code (Codice Fiscale)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | Namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | Σ C | 0..1 | string | Value of the identifier Constraints: pat-id-cf-1 Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..1 | HumanName | Full name of the patient Constraints: it-pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Patient's surname
given | S Σ | 1..1 | string | Patient's given name This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 1..1 | code | Patient's gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 1..1 | date | Patient's date of birth
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..1 | Address | Patient's residential address
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country of residence (for example Italy) Required Pattern: IT(exactly)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | S C | 0..* | BackboneElement | Emergency or reference contacts for the patient Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | Phone/email of the reference contact
address | S | 0..1 | Address | Address of the reference contact
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.identifier:codiceFiscale.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier:codiceFiscale.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` From the FHIR Standard
Patient.address.type | required | AddressType `http://hl7.org/fhir/ValueSet/address-type|4.0.1` From the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` From the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` From the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
it-pat-1 | error | Patient.name | Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
pat-id-cf-1 | error | Patient.identifier:codiceFiscale.value | The Italian Fiscal Code must be 16 alphanumeric characters (3 for surname, 3 for given name, 2 digits for birth year, 1 letter for birth month, 2 digits for birth day and gender, 4 for municipality or foreign state of birth, 1 control character) : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$') |

This structure is derived from Patient

Summary

Mandatory: 6 elements(1 nested mandatory element)
Must-Support: 10 elements
Fixed: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-birthPlace

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Patient.identifier

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Patient's place of birth
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 1..1 | Identifier | Unique patient identifier (Fiscal Code) Slice: Unordered, Open by value:system
identifier:codiceFiscale | Σ | 0..1 | Identifier | Italian Fiscal Code (Codice Fiscale)
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | Namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | Σ C | 0..1 | string | Value of the identifier Constraints: pat-id-cf-1 Example General: 123456
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..1 | HumanName | Full name of the patient Constraints: it-pat-1
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family | S Σ | 1..1 | string | Patient's surname
given | S Σ | 1..1 | string | Patient's given name This repeating element order: Given Names appear in the correct order for presenting the name
gender | S Σ | 1..1 | code | Patient's gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 1..1 | date | Patient's date of birth
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..1 | Address | Patient's residential address
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
country | Σ | 0..1 | string | Country of residence (for example Italy) Required Pattern: IT(exactly)
contact | S C | 0..* | BackboneElement | Emergency or reference contacts for the patient Constraints: pat-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
telecom | S | 0..* | ContactPoint | Phone/email of the reference contact
address | S | 0..1 | Address | Address of the reference contact
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.identifier:codiceFiscale.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
it-pat-1 | error | Patient.name | Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
pat-id-cf-1 | error | Patient.identifier:codiceFiscale.value | The Italian Fiscal Code must be 16 alphanumeric characters (3 for surname, 3 for given name, 2 digits for birth year, 1 letter for birth month, 2 digits for birth day and gender, 4 for municipality or foreign state of birth, 1 control character) : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$') |

Differential View

This structure is derived from Patient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Patient's place of birth
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
Slices for identifier | S | 1..1 | Identifier | Unique patient identifier (Fiscal Code) Slice: Unordered, Open by value:system
identifier:codiceFiscale |  | 0..1 | Identifier | Italian Fiscal Code (Codice Fiscale)
system |  | 1..1 | uri | Namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | C | 0..1 | string | Value of the identifier Constraints: pat-id-cf-1
name | S C | 1..1 | HumanName | Full name of the patient Constraints: it-pat-1
family | S | 1..1 | string | Patient's surname
given | S | 1..1 | string | Patient's given name
gender | S | 1..1 | code | Patient's gender
birthDate | S | 1..1 | date | Patient's date of birth
address | S | 0..1 | Address | Patient's residential address
country |  | 0..1 | string | Country of residence (for example Italy) Required Pattern: IT(exactly)
contact | S | 0..* | BackboneElement | Emergency or reference contacts for the patient
telecom | S | 0..* | ContactPoint | Phone/email of the reference contact
address | S | 0..1 | Address | Address of the reference contact
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
it-pat-1 | error | Patient.name | Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists() |
pat-id-cf-1 | error | Patient.identifier:codiceFiscale.value | The Italian Fiscal Code must be 16 alphanumeric characters (3 for surname, 3 for given name, 2 digits for birth year, 1 letter for birth month, 2 digits for birth day and gender, 4 for municipality or foreign state of birth, 1 control character) : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$') |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Patient's place of birth
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birthPlace |  | 0..1 | Address | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ | 1..1 | Identifier | Unique patient identifier (Fiscal Code) Slice: Unordered, Open by value:system
identifier:codiceFiscale | Σ | 0..1 | Identifier | Italian Fiscal Code (Codice Fiscale)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | Namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value | Σ C | 0..1 | string | Value of the identifier Constraints: pat-id-cf-1 Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ C | 1..1 | HumanName | Full name of the patient Constraints: it-pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text | Σ | 0..1 | string | Text representation of the full name
family | S Σ | 1..1 | string | Patient's surname
given | S Σ | 1..1 | string | Patient's given name This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual
gender | S Σ | 1..1 | code | Patient's gender Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 1..1 | date | Patient's date of birth
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | S Σ | 0..1 | Address | Patient's residential address
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Example General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Example General: 9132
country | Σ | 0..1 | string | Country of residence (for example Italy) Required Pattern: IT(exactly)
period | Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | S C | 0..* | BackboneElement | Emergency or reference contacts for the patient Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom | S | 0..* | ContactPoint | Phone/email of the reference contact
address | S | 0..1 | Address | Address of the reference contact
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Patient.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.identifier:codiceFiscale.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier:codiceFiscale.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Patient.name.use | required | NameUse `http://hl7.org/fhir/ValueSet/name-use|4.0.1` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.address.use | required | AddressUse `http://hl7.org/fhir/ValueSet/address-use|4.0.1` From the FHIR Standard
Patient.address.type | required | AddressType `http://hl7.org/fhir/ValueSet/address-type|4.0.1` From the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` From the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` From the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
it-pat-1 | error | Patient.name | Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists() |
pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
pat-id-cf-1 | error | Patient.identifier:codiceFiscale.value | The Italian Fiscal Code must be 16 alphanumeric characters (3 for surname, 3 for given name, 2 digits for birth year, 1 letter for birth month, 2 digits for birth day and gender, 4 for municipality or foreign state of birth, 1 control character) : matches('^[A-Za-z]{6}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{2}[A-Za-z]{1}[0-9LMNPQRSTUV]{3}[A-Za-z]{1}$') |

This structure is derived from Patient

Summary

Mandatory: 6 elements(1 nested mandatory element)
Must-Support: 10 elements
Fixed: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-birthPlace

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Patient.identifier

Other representations of profile: CSV, Excel, Schematron