EgdeEHG_IG - Local Development build (v0.1.7). See the Directory of published versions

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Resource Profile: Patient - Egde Health Gateway - profile for Norwegian patients

Based on Basisprofil for Norwegian Patient information. Defined by The Norwegian Directorate of eHealth and HL7 Norway. Should be used as a basis for further profiling in use-cases where specific identity information is needed. The basis profile is open, but derived profiles should close down the information elements according to specification relevant to the use-case.

Usage:

• Refer to this Resource Profile:
• Examples for this Resource Profile: Patient/PA5566, Patient/PAT22394, Patient/PAT444333, Patient/Pat432432, Patient/d8d7f11b-c056-44e7-b8fa-e8e8182e02e4

Formal Views of Profile Content

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

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

This structure is derived from NoBasisPatient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	NoBasisPatient	Information about an individual or animal receiving health care services
identifier		1..*	Identifier	Identifier for this patient
identifier:FNR	S	0..1	Identifier	Norwegian FNR
identifier:DNR	S	0..1	Identifier	The D-nummer of the patient
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	NoBasisPatient	Information about an individual or animal receiving health care services
implicitRules	?!ΣN	0..1	uri	A set of rules under which this content was created
citizenship	N	0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:code	N	0..1	Extension	​Nation code of citizenship Binding: urn:iso:std:iso:3166 (example)
extension	N	0..0
url		1..1	uri	"code"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:period	N	0..1	Extension	Time period of citizenship
extension	N	0..0
url		1..1	uri	"period"
value[x]	N	1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	Σ	1..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	SΣ	0..1	Identifier	Norwegian FNR
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣN	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	ΣN	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
identifier:FHN	ΣN	0..*	Identifier	Felles hjelpenummer used for the patient
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣN	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	ΣN	1..1	string	The actual Hjelpenummer Example General: 123456
identifier:DNR	SΣ	0..1	Identifier	The D-nummer of the patient
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣN	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	ΣN	1..1	string	The actual D-nummer Example General: 123456
identifier:HNR	ΣN	0..*	Identifier	A locally assigned H-nummer
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	ΣN	1..1	string	The value that is unique Example General: 123456
assigner	ΣCN	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!ΣN	0..1	boolean	Whether this patient's record is in active use
deceased[x]	?!ΣN	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
link	?!ΣN	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣCN	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	ΣN	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
Patient.extension:citizenship.extension:code []	example	urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse
Patient.identifier:FHN.use	required	IdentifierUse
Patient.identifier:DNR.use	required	IdentifierUse
Patient.identifier:HNR.use	required	IdentifierUse
Patient.link.type	required	LinkType

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** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Patient.identifier:HNR.assigner, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	NoBasisPatient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	ΣN	0..1	Meta	Metadata about the resource
implicitRules	?!ΣN	0..1	uri	A set of rules under which this content was created
language	N	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
citizenship	N	0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code	N	0..1	Extension	​Nation code of citizenship Binding: urn:iso:std:iso:3166 (example)
id		0..1	string	Unique id for inter-element referencing
extension	N	0..0
url		1..1	uri	"code"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:period	N	0..1	Extension	Time period of citizenship
id		0..1	string	Unique id for inter-element referencing
extension	N	0..0
url		1..1	uri	"period"
value[x]	N	1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	Σ	1..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	SΣ	0..1	Identifier	Norwegian FNR
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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	ΣN	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	ΣN	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:FHN	ΣN	0..*	Identifier	Felles hjelpenummer used for the patient
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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	ΣN	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	ΣN	1..1	string	The actual Hjelpenummer Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:DNR	SΣ	0..1	Identifier	The D-nummer of the patient
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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	ΣN	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	ΣN	1..1	string	The actual D-nummer Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HNR	ΣN	0..*	Identifier	A locally assigned H-nummer
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.578.1.12.4.1.1.8327
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Fixed Value: HNR
display	ΣN	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	ΣN	0..1	string	Plain text representation of the concept
system	ΣN	0..1	uri	The namespace for the identifier value Fixed Value: HNR
value	ΣN	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!ΣN	0..1	boolean	Whether this patient's record is in active use
name	ΣN	0..*	NoBasisHumanName	Norwegian human name
telecom	ΣCN	0..*	ContactPoint	A contact detail for the individual
gender	ΣN	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	ΣN	0..1	date	The date of birth for the individual
deceased[x]	?!ΣN	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	ΣN	0..*	NoBasisAddress	Norwegian address
maritalStatus	N	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]	N	0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo	CN	0..*	Attachment	Image of the patient
contact	CN	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship	N	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	N	0..1	NoBasisHumanName	Norwegian human name
telecom	CN	0..*	ContactPoint	A contact detail for the person
address	N	0..1	NoBasisAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
gender	N	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	CN	0..1	Reference(Organization)	Organization that is associated with the contact
period	CN	0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	N	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	N	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	N	0..1	boolean	Language preference indicator
generalPractitioner	CN	0..*	Reference(Organization | Practitioner | PractitionerRole | no-basis-Practitioner | no-basis-PractitionerRole | no-basis-Organization)	Patient's nominated primary care provider
managingOrganization	ΣCN	0..1	Reference(Organization | no-basis-Organization)	Organization that is the custodian of the patient record
link	?!ΣN	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣCN	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	ΣN	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
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.extension:citizenship.extension:code []	example	urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse
Patient.identifier:FNR.type	extensible	Identifier Type Codes
Patient.identifier:FHN.use	required	IdentifierUse
Patient.identifier:FHN.type	extensible	Identifier Type Codes
Patient.identifier:DNR.use	required	IdentifierUse
Patient.identifier:DNR.type	extensible	Identifier Type Codes
Patient.identifier:HNR.use	required	IdentifierUse
Patient.identifier:HNR.type	extensible	Identifier Type Codes
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	extensible	Marital Status Codes
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	Patient.photo	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.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** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
per-1	error	Patient.identifier:FNR.period, Patient.identifier:FHN.period, Patient.identifier:DNR.period, Patient.identifier:HNR.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:FNR.assigner, Patient.identifier:FHN.assigner, Patient.identifier:DNR.assigner, Patient.identifier:HNR.assigner, Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from NoBasisPatient

Summary

Mandatory: 1 element
Must-Support: 2 elements

Differential View

This structure is derived from NoBasisPatient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	NoBasisPatient	Information about an individual or animal receiving health care services
identifier		1..*	Identifier	Identifier for this patient
identifier:FNR	S	0..1	Identifier	Norwegian FNR
identifier:DNR	S	0..1	Identifier	The D-nummer of the patient
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	NoBasisPatient	Information about an individual or animal receiving health care services
implicitRules	?!ΣN	0..1	uri	A set of rules under which this content was created
citizenship	N	0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
extension:code	N	0..1	Extension	​Nation code of citizenship Binding: urn:iso:std:iso:3166 (example)
extension	N	0..0
url		1..1	uri	"code"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:period	N	0..1	Extension	Time period of citizenship
extension	N	0..0
url		1..1	uri	"period"
value[x]	N	1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	Σ	1..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	SΣ	0..1	Identifier	Norwegian FNR
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣN	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	ΣN	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
identifier:FHN	ΣN	0..*	Identifier	Felles hjelpenummer used for the patient
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣN	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	ΣN	1..1	string	The actual Hjelpenummer Example General: 123456
identifier:DNR	SΣ	0..1	Identifier	The D-nummer of the patient
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣN	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	ΣN	1..1	string	The actual D-nummer Example General: 123456
identifier:HNR	ΣN	0..*	Identifier	A locally assigned H-nummer
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	ΣN	1..1	string	The value that is unique Example General: 123456
assigner	ΣCN	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!ΣN	0..1	boolean	Whether this patient's record is in active use
deceased[x]	?!ΣN	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
link	?!ΣN	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣCN	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	ΣN	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
Patient.extension:citizenship.extension:code []	example	urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse
Patient.identifier:FHN.use	required	IdentifierUse
Patient.identifier:DNR.use	required	IdentifierUse
Patient.identifier:HNR.use	required	IdentifierUse
Patient.link.type	required	LinkType

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** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Patient.identifier:HNR.assigner, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	NoBasisPatient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	ΣN	0..1	Meta	Metadata about the resource
implicitRules	?!ΣN	0..1	uri	A set of rules under which this content was created
language	N	0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
citizenship	N	0..*	(Complex)	The citizenship of the patient URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code	N	0..1	Extension	​Nation code of citizenship Binding: urn:iso:std:iso:3166 (example)
id		0..1	string	Unique id for inter-element referencing
extension	N	0..0
url		1..1	uri	"code"
value[x]	N	1..1	CodeableConcept	Value of extension
extension:period	N	0..1	Extension	Time period of citizenship
id		0..1	string	Unique id for inter-element referencing
extension	N	0..0
url		1..1	uri	"period"
value[x]	N	1..1	Period	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	Σ	1..*	Identifier	Identifier for this patient Slice: Unordered, Open by value:system
identifier:FNR	SΣ	0..1	Identifier	Norwegian FNR
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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	ΣN	1..1	uri	Identification of the Norwegian FNR Fixed Value: urn:oid:2.16.578.1.12.4.1.4.1
value	ΣN	1..1	string	The actual Fødselsnummer Example General: 123456 Example Fødselsnummer: 13057444850
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:FHN	ΣN	0..*	Identifier	Felles hjelpenummer used for the patient
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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	ΣN	1..1	uri	Identification of the Norwegian felles hjelpenummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.3
value	ΣN	1..1	string	The actual Hjelpenummer Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:DNR	SΣ	0..1	Identifier	The D-nummer of the patient
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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	ΣN	1..1	uri	The identification of the D-nummer Fixed Value: urn:oid:2.16.578.1.12.4.1.4.2
value	ΣN	1..1	string	The actual D-nummer Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:HNR	ΣN	0..*	Identifier	A locally assigned H-nummer
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!ΣN	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	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.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣN	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.578.1.12.4.1.1.8327
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system Fixed Value: HNR
display	ΣN	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
text	ΣN	0..1	string	Plain text representation of the concept
system	ΣN	0..1	uri	The namespace for the identifier value Fixed Value: HNR
value	ΣN	1..1	string	The value that is unique Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use
assigner	ΣCN	1..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!ΣN	0..1	boolean	Whether this patient's record is in active use
name	ΣN	0..*	NoBasisHumanName	Norwegian human name
telecom	ΣCN	0..*	ContactPoint	A contact detail for the individual
gender	ΣN	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	ΣN	0..1	date	The date of birth for the individual
deceased[x]	?!ΣN	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	ΣN	0..*	NoBasisAddress	Norwegian address
maritalStatus	N	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]	N	0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo	CN	0..*	Attachment	Image of the patient
contact	CN	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship	N	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	N	0..1	NoBasisHumanName	Norwegian human name
telecom	CN	0..*	ContactPoint	A contact detail for the person
address	N	0..1	NoBasisAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
gender	N	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	CN	0..1	Reference(Organization)	Organization that is associated with the contact
period	CN	0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	N	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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	N	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	N	0..1	boolean	Language preference indicator
generalPractitioner	CN	0..*	Reference(Organization | Practitioner | PractitionerRole | no-basis-Practitioner | no-basis-PractitionerRole | no-basis-Organization)	Patient's nominated primary care provider
managingOrganization	ΣCN	0..1	Reference(Organization | no-basis-Organization)	Organization that is the custodian of the patient record
link	?!ΣN	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	ΣCN	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	ΣN	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
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.extension:citizenship.extension:code []	example	urn:iso:std:iso:3166
Patient.identifier:FNR.use	required	IdentifierUse
Patient.identifier:FNR.type	extensible	Identifier Type Codes
Patient.identifier:FHN.use	required	IdentifierUse
Patient.identifier:FHN.type	extensible	Identifier Type Codes
Patient.identifier:DNR.use	required	IdentifierUse
Patient.identifier:DNR.type	extensible	Identifier Type Codes
Patient.identifier:HNR.use	required	IdentifierUse
Patient.identifier:HNR.type	extensible	Identifier Type Codes
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	extensible	Marital Status Codes
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	Patient.photo	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.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** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()
per-1	error	Patient.identifier:FNR.period, Patient.identifier:FHN.period, Patient.identifier:DNR.period, Patient.identifier:HNR.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:FNR.assigner, Patient.identifier:FHN.assigner, Patient.identifier:DNR.assigner, Patient.identifier:HNR.assigner, Patient.contact.organization, Patient.generalPractitioner, Patient.managingOrganization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from NoBasisPatient

Summary

Mandatory: 1 element
Must-Support: 2 elements

Other representations of profile: CSV, Excel, Schematron