HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1
1.0.0 - STU1

HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1, publicado por HL7 Portugal. Este guia não é uma publicação autorizada; é a compilação contínua para a versão 1.0.0 construída pela FHIR (HL7® FHIR® Standard) CI Build. Esta versão é baseada no conteúdo atual de https://github.com/hl7-pt/patient-admin-ig/tree/master e muda regularmente. Veja o Diretório de versões publicadas

## Resource Profile: PTPatient - Detailed Descriptions

Active as of 2026-02-13

Definitions for the Patient-Pt resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Patient
Definição | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Curto | Information about an individual or animal receiving health care services
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | SubjectOfCare Client Resident
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Patient.id
Definição | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Curto | Logical id of this artifact
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Controlo | 10..1
Tipo | id string
É modificador | false
Deve apoiar | true
Resumo | true
4. Patient.implicitRules
Definição | 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.
Curto | A set of rules under which this content was created
Comentários | 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.
Controlo | 0..1
Tipo | uri
É modificador | true porque 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
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Patient.extension
Definição | An Extension 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.
Curto | ExtensionAdditional content defined by implementations
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Este elemento introduz um conjunto de fatias em `Patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
8. Patient.extension:birthplace-pt
Nome da fatia | birthplace-pt
Definição | Extensão para o local de nascimento do utente.
Curto | Birthplace Extension
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Birthplace Extension) (Extensão complexa)
É modificador | false
Deve apoiar | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
10. Patient.extension:nationality-pt
Nome da fatia | nationality-pt
Definição | Represents the patient's nationality
Curto | Nationality Extension
Controlo | 0..* Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Nationality Extension) (Tipo de extensão: CodeableConcept)
É modificador | false
Deve apoiar | true
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Patient.extension:notes
Nome da fatia | notes
Definição | Extensão para notas relativas ao registo do utente.
Curto | Extension
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(PTNotes) (Tipo de extensão: Annotation)
É modificador | false
Deve apoiar | true
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Patient.modifierExtension
Definição | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot 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 definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Patient.identifier
Definição | An identifier for this patient.
Curto | An identifier for this patient
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..*
Tipo | Identifier
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Patient.active
Definição | 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. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Curto | Whether this patient's record is in active use
Comentários | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Controlo | 0..1
Tipo | boolean
É modificador | true porque 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
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Need to be able to mark a patient record as not to be used because it was created in error.
Significado em caso de falta | This resource is generally assumed to be active if no value is provided for the active element
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Patient.name
Definição | A name associated with the individual.
Curto | A name associated with the patient
Comentários | 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.
Controlo | 10..1*
Tipo | HumanName
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Patient.telecom
Definição | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Curto | A contact detail for the individual
Comentários | 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).
Controlo | 0..*
Tipo | ContactPoint
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | People have (primary) ways to contact them in some way such as phone, email.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Patient.gender
Definição | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Curto | male | female | other | unknown
Comentários | 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.
Controlo | 10..1
Vínculo | Os códigos DEVERÃO ser retirados de AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Needed for identification of the individual, in combination with (at least) name and birth date.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Patient.birthDate
Definição | The date of birth for the individual.
Curto | The date of birth for the individual
Comentários | 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).
Controlo | 10..1
Tipo | date
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Age of the individual drives many clinical processes.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Código LOINC | 21112-8
28. Patient.deceased[x]
Definição | Indicates if the individual is deceased or not.
Curto | Indicates if the individual is deceased or not
Comentários | 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.
Controlo | 0..1
Tipo | Escolha de: boolean, dateTime
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | true porque 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.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | 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.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Patient.address
Definição | An address for the individual.
Curto | An address for the individual
Comentários | Patient may have multiple addresses with different uses or applicable periods.
Controlo | 0..*
Tipo | Address
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Patient.address.extension:address-pt
Nome da fatia | address-pt
Definição | Extensão complexa para endereço com tipo e códigos INE.
Curto | Endereço estruturado PT
Controlo | 0..1
Tipo | Extension(Endereço estruturado PT) (Extensão complexa)
É modificador | false
Deve apoiar | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. Patient.address.use
Definição | The purpose of this address.
Curto | home | work | temp | old | billing - purpose of this address
Comentários | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/address-use|4.0.1` ) The use of an address.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Allows an appropriate address to be chosen from a list of many.
Exemplo | General: home
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Patient.address.type
Definição | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Curto | postal | physical | both
Comentários | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/address-type|4.0.1` ) The type of an address (physical / postal).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: both
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Patient.address.text
Definição | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Curto | Text representation of the address
Comentários | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | A renderable, unencoded form.
Exemplo | General: 137 Nowhere Street, Erewhon 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Patient.address.line
Definição | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Curto | Street name, number, direction & P.O. Box etc.
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: 137 Nowhere Street
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Patient.address.city
Definição | The name of the city, town, suburb, village or other community or delivery center.
Curto | Name of city, town etc.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Municpality
Exemplo | General: Erewhon
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Patient.address.postalCode
Definição | A postal code designating a region defined by the postal service.
Curto | Postal code for area
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Zip
Exemplo | General: 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Patient.address.country
Definição | Country - a nation as commonly understood or generally accepted.
Curto | Country (e.g. can be ISO 3166 2 or 3 letter code)
Comentários | ISO 3166 3 letter codes can be used in place of a human readable country name.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Patient.contact
Definição | A contact party (e.g. guardian, partner, friend) for the patient.
Curto | A contact party (e.g. guardian, partner, friend) for the patient
Comentários | 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.
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Deve apoiar | true
Resumo | false
Requisitos | Need to track people you can contact about the patient.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: 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-1: 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())
50. Patient.contact.modifierExtension
Definição | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot 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 definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
52. Patient.contact.address
Definição | Address for the contact person.
Curto | Address for the contact person
Controlo | 0..1
Tipo | Address
É modificador | false
Deve apoiar | true
Resumo | false
Requisitos | Need to keep track where the contact person can be contacted per postal mail or visited.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Patient.contact.address.extension:address-pt
Nome da fatia | address-pt
Definição | Extensão complexa para endereço com tipo e códigos INE.
Curto | Endereço estruturado PT
Controlo | 0..1
Tipo | Extension(Endereço estruturado PT) (Extensão complexa)
É modificador | false
Deve apoiar | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
56. Patient.contact.address.use
Definição | The purpose of this address.
Curto | home | work | temp | old | billing - purpose of this address
Comentários | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/address-use|4.0.1` ) The use of an address.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Allows an appropriate address to be chosen from a list of many.
Exemplo | General: home
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Patient.contact.address.type
Definição | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Curto | postal | physical | both
Comentários | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource). The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/address-type|4.0.1` ) The type of an address (physical / postal).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: both
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Patient.contact.address.text
Definição | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Curto | Text representation of the address
Comentários | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | A renderable, unencoded form.
Exemplo | General: 137 Nowhere Street, Erewhon 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Patient.contact.address.line
Definição | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Curto | Street name, number, direction & P.O. Box etc.
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: 137 Nowhere Street
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Patient.contact.address.city
Definição | The name of the city, town, suburb, village or other community or delivery center.
Curto | Name of city, town etc.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Municpality
Exemplo | General: Erewhon
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Patient.contact.address.postalCode
Definição | A postal code designating a region defined by the postal service.
Curto | Postal code for area
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Zip
Exemplo | General: 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Patient.contact.address.country
Definição | Country - a nation as commonly understood or generally accepted.
Curto | Country (e.g. can be ISO 3166 2 or 3 letter code)
Comentários | ISO 3166 3 letter codes can be used in place of a human readable country name.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Patient.generalPractitioner
Definição | Patient's nominated care provider.
Curto | Patient's nominated primary care provider
Comentários | 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. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Controlo | 0..*
Tipo | Reference(Organization, Practitioner, PractitionerRole)
É modificador | false
Deve apoiar | true
Tipos de suporte obrigatório | Não há regras de suporte obrigatório sobre a escolha de tipos/perfis
Resumo | false
Nomes alternativos | careProvider
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Patient.generalPractitioner.extension:patient-primary-care-period
Nome da fatia | patient-primary-care-period
Definição | Extensão para período de inscrição nos cuidados primários do utente.
Curto | Extension
Controlo | 0..*
Tipo | Extension(PTPatientPrimaryCarePeriod) (Tipo de extensão: Period)
É modificador | false
Deve apoiar | true
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
74. Patient.managingOrganization
Definição | Organization that is the custodian of the patient record.
Curto | Organization that is the custodian of the patient record
Comentários | 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).
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | Need to know who recognizes this patient record, manages and updates it.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Patient.link
Definição | Link to another patient resource that concerns the same actual patient.
Curto | Link to another patient resource that concerns the same actual person
Comentários | There is no assumption that linked patient records have mutual links.
Controlo | 0..*
Tipo | BackboneElement
É modificador | true porque 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'
Resumo | true
Requisitos | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Patient.link.modifierExtension
Definição | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot 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 definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
80. Patient.link.other
Definição | The other patient resource that the link refers to.
Curto | The other patient or related person resource that the link refers to
Comentários | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Controlo | 1..1
Tipo | Reference(Patient, RelatedPerson)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Patient.link.type
Definição | The type of link between this patient resource and another patient resource.
Curto | replaced-by | replaces | refer | seealso
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Patient
2. Patient.id
Controlo | 1..?
Deve apoiar | true
4. Patient.extension
Slicing | Este elemento introduz um conjunto de fatias em `Patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
6. Patient.extension:birthplace-pt
Nome da fatia | birthplace-pt
Controlo | 0..1
Tipo | Extension(Birthplace Extension) (Extensão complexa)
Deve apoiar | true
8. Patient.extension:nationality-pt
Nome da fatia | nationality-pt
Controlo | 0..*
Tipo | Extension(Nationality Extension) (Tipo de extensão: CodeableConcept)
Deve apoiar | true
10. Patient.extension:notes
Nome da fatia | notes
Controlo | 0..1
Tipo | Extension(PTNotes) (Tipo de extensão: Annotation)
Deve apoiar | true
12. Patient.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Deve apoiar | true
14. Patient.active
Deve apoiar | true
16. Patient.name
Controlo | 1..1
Deve apoiar | true
18. Patient.telecom
Deve apoiar | true
20. Patient.gender
Controlo | 1..?
Deve apoiar | true
22. Patient.birthDate
Controlo | 1..?
Deve apoiar | true
Código LOINC |
24. Patient.address
Deve apoiar | true
26. Patient.address.extension:address-pt
Nome da fatia | address-pt
Controlo | 0..1
Tipo | Extension(Endereço estruturado PT) (Extensão complexa)
Deve apoiar | true
28. Patient.address.use
Deve apoiar | true
30. Patient.address.type
Deve apoiar | true
32. Patient.address.text
Deve apoiar | true
34. Patient.address.line
Deve apoiar | true
36. Patient.address.city
Deve apoiar | true
38. Patient.address.postalCode
Deve apoiar | true
40. Patient.address.country
Deve apoiar | true
42. Patient.contact
Deve apoiar | true
44. Patient.contact.address
Deve apoiar | true
46. Patient.contact.address.extension:address-pt
Nome da fatia | address-pt
Controlo | 0..1
Tipo | Extension(Endereço estruturado PT) (Extensão complexa)
Deve apoiar | true
48. Patient.contact.address.use
Deve apoiar | true
50. Patient.contact.address.type
Deve apoiar | true
52. Patient.contact.address.text
Deve apoiar | true
54. Patient.contact.address.line
Deve apoiar | true
56. Patient.contact.address.city
Deve apoiar | true
58. Patient.contact.address.postalCode
Deve apoiar | true
60. Patient.contact.address.country
Deve apoiar | true
62. Patient.generalPractitioner
Deve apoiar | true
64. Patient.generalPractitioner.extension:patient-primary-care-period
Nome da fatia | patient-primary-care-period
Controlo | 0..*
Tipo | Extension(PTPatientPrimaryCarePeriod) (Tipo de extensão: Period)
Deve apoiar | true
66. Patient.managingOrganization
Deve apoiar | true

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Patient
Definição | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Curto | Information about an individual or animal receiving health care services
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | SubjectOfCare Client Resident
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. Patient.id
Definição | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Curto | Logical id of this artifact
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Controlo | 1..1
Tipo | id
É modificador | false
Deve apoiar | true
Resumo | true
4. Patient.meta
Definição | 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.
Curto | Metadata about the resource
Controlo | 0..1
Tipo | Meta
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Patient.implicitRules
Definição | 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.
Curto | A set of rules under which this content was created
Comentários | 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.
Controlo | 0..1
Tipo | uri
É modificador | true porque 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
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Patient.language
Definição | The base language in which the resource is written.
Curto | Language of the resource content
Comentários | 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).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Patient.text
Definição | 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.
Curto | Text summary of the resource, for human interpretation
Comentários | 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.
Controlo | 0..1
Tipo | Narrative
É modificador | false
Resumo | false
Nomes alternativos | narrative, html, xhtml, display
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Patient.contained
Definição | 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.
Curto | Contained, inline Resources
Comentários | 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.
Controlo | 0..*
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
14. Patient.extension
Definição | An Extension
Curto | Extension
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
16. Patient.extension:birthplace-pt
Nome da fatia | birthplace-pt
Definição | Extensão para o local de nascimento do utente.
Curto | Birthplace Extension
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Birthplace Extension) (Extensão complexa)
É modificador | false
Deve apoiar | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Patient.extension:nationality-pt
Nome da fatia | nationality-pt
Definição | Represents the patient's nationality
Curto | Nationality Extension
Controlo | 0..* Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(Nationality Extension) (Tipo de extensão: CodeableConcept)
É modificador | false
Deve apoiar | true
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Patient.extension:notes
Nome da fatia | notes
Definição | Extensão para notas relativas ao registo do utente.
Curto | Extension
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ele-1
Tipo | Extension(PTNotes) (Tipo de extensão: Annotation)
É modificador | false
Deve apoiar | true
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. Patient.modifierExtension
Definição | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot 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 definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
24. Patient.identifier
Definição | An identifier for this patient.
Curto | An identifier for this patient
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..*
Tipo | Identifier
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | Patients are almost always assigned specific numerical identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Patient.active
Definição | 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. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Curto | Whether this patient's record is in active use
Comentários | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Controlo | 0..1
Tipo | boolean
É modificador | true porque 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
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Need to be able to mark a patient record as not to be used because it was created in error.
Significado em caso de falta | This resource is generally assumed to be active if no value is provided for the active element
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Patient.name
Definição | A name associated with the individual.
Curto | A name associated with the patient
Comentários | 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.
Controlo | 1..1
Tipo | HumanName
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Patient.telecom
Definição | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Curto | A contact detail for the individual
Comentários | 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).
Controlo | 0..*
Tipo | ContactPoint
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | People have (primary) ways to contact them in some way such as phone, email.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Patient.gender
Definição | Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Curto | male | female | other | unknown
Comentários | 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.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Needed for identification of the individual, in combination with (at least) name and birth date.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Patient.birthDate
Definição | The date of birth for the individual.
Curto | The date of birth for the individual
Comentários | 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).
Controlo | 1..1
Tipo | date
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Age of the individual drives many clinical processes.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Código LOINC | 21112-8
36. Patient.deceased[x]
Definição | Indicates if the individual is deceased or not.
Curto | Indicates if the individual is deceased or not
Comentários | 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.
Controlo | 0..1
Tipo | Escolha de: boolean, dateTime
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | true porque 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.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | 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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Patient.address
Definição | An address for the individual.
Curto | An address for the individual
Comentários | Patient may have multiple addresses with different uses or applicable periods.
Controlo | 0..*
Tipo | Address
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Patient.address.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
42. Patient.address.extension
Definição | 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.
Curto | Additional content defined by implementations
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.address.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
44. Patient.address.extension:address-pt
Nome da fatia | address-pt
Definição | Extensão complexa para endereço com tipo e códigos INE.
Curto | Endereço estruturado PT
Controlo | 0..1
Tipo | Extension(Endereço estruturado PT) (Extensão complexa)
É modificador | false
Deve apoiar | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
46. Patient.address.use
Definição | The purpose of this address.
Curto | home | work | temp | old | billing - purpose of this address
Comentários | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressUse (required to `http://hl7.org/fhir/ValueSet/address-use|4.0.1` ) The use of an address.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Allows an appropriate address to be chosen from a list of many.
Exemplo | General: home
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Patient.address.type
Definição | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Curto | postal | physical | both
Comentários | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressType (required to `http://hl7.org/fhir/ValueSet/address-type|4.0.1` ) The type of an address (physical / postal).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: both
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Patient.address.text
Definição | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Curto | Text representation of the address
Comentários | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | A renderable, unencoded form.
Exemplo | General: 137 Nowhere Street, Erewhon 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Patient.address.line
Definição | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Curto | Street name, number, direction & P.O. Box etc.
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: 137 Nowhere Street
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Patient.address.city
Definição | The name of the city, town, suburb, village or other community or delivery center.
Curto | Name of city, town etc.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Municpality
Exemplo | General: Erewhon
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Patient.address.district
Definição | The name of the administrative area (county).
Curto | District name (aka county)
Comentários | District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | County
Exemplo | General: Madison
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Patient.address.state
Definição | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
Curto | Sub-unit of country (abbreviations ok)
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Province, Territory
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Patient.address.postalCode
Definição | A postal code designating a region defined by the postal service.
Curto | Postal code for area
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Zip
Exemplo | General: 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Patient.address.country
Definição | Country - a nation as commonly understood or generally accepted.
Curto | Country (e.g. can be ISO 3166 2 or 3 letter code)
Comentários | ISO 3166 3 letter codes can be used in place of a human readable country name.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Patient.address.period
Definição | Time period when address was/is in use.
Curto | Time period when address was/is in use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Requisitos | Allows addresses to be placed in historical context.
Exemplo | General: { "start" : "2010-03-23", "end" : "2010-07-01" }
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Patient.maritalStatus
Definição | This field contains a patient's most recent marital (civil) status.
Curto | Marital (civil) status of a patient
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Marital Status Codes (extensible to `http://hl7.org/fhir/ValueSet/marital-status|4.0.1` ) The domestic partnership status of a person.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Most, if not all systems capture it.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Patient.multipleBirth[x]
Definição | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
Curto | Whether patient is part of a multiple birth
Comentários | 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).
Controlo | 0..1
Tipo | Escolha de: boolean, integer
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Patient.photo
Definição | Image of the patient.
Curto | Image of the patient
Comentários | Guidelines: Use id photos, not clinical photos. Limit dimensions to thumbnail. Keep byte count low to ease resource updates.
Controlo | 0..*
Tipo | Attachment
É modificador | false
Resumo | false
Requisitos | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Patient.contact
Definição | A contact party (e.g. guardian, partner, friend) for the patient.
Curto | A contact party (e.g. guardian, partner, friend) for the patient
Comentários | 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.
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Deve apoiar | true
Resumo | false
Requisitos | Need to track people you can contact about the patient.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) pat-1: 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()`)
74. Patient.contact.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
76. Patient.contact.extension
Definição | 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.
Curto | Additional content defined by implementations
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
78. Patient.contact.modifierExtension
Definição | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot 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 definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
80. Patient.contact.relationship
Definição | The nature of the relationship between the patient and the contact person.
Curto | The kind of relationship
Controlo | 0..*
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de PatientContactRelationship (extensible to `http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1` ) The nature of the relationship between a patient and a contact person for that patient.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Patient.contact.name
Definição | A name associated with the contact person.
Curto | A name associated with the contact person
Controlo | 0..1
Tipo | HumanName
É modificador | false
Resumo | false
Requisitos | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Patient.contact.telecom
Definição | A contact detail for the person, e.g. a telephone number or an email address.
Curto | A contact detail for the person
Comentários | 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.
Controlo | 0..*
Tipo | ContactPoint
É modificador | false
Resumo | false
Requisitos | People have (primary) ways to contact them in some way such as phone, email.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Patient.contact.address
Definição | Address for the contact person.
Curto | Address for the contact person
Controlo | 0..1
Tipo | Address
É modificador | false
Deve apoiar | true
Resumo | false
Requisitos | Need to keep track where the contact person can be contacted per postal mail or visited.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Patient.contact.address.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
90. Patient.contact.address.extension
Definição | 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.
Curto | Additional content defined by implementations
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.contact.address.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
92. Patient.contact.address.extension:address-pt
Nome da fatia | address-pt
Definição | Extensão complexa para endereço com tipo e códigos INE.
Curto | Endereço estruturado PT
Controlo | 0..1
Tipo | Extension(Endereço estruturado PT) (Extensão complexa)
É modificador | false
Deve apoiar | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
94. Patient.contact.address.use
Definição | The purpose of this address.
Curto | home | work | temp | old | billing - purpose of this address
Comentários | Applications can assume that an address is current unless it explicitly says that it is temporary or old.
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressUse (required to `http://hl7.org/fhir/ValueSet/address-use|4.0.1` ) The use of an address.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | Allows an appropriate address to be chosen from a list of many.
Exemplo | General: home
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Patient.contact.address.type
Definição | Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
Curto | postal | physical | both
Comentários | The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AddressType (required to `http://hl7.org/fhir/ValueSet/address-type|4.0.1` ) The type of an address (physical / postal).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: both
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Patient.contact.address.text
Definição | Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.
Curto | Text representation of the address
Comentários | Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Requisitos | A renderable, unencoded form.
Exemplo | General: 137 Nowhere Street, Erewhon 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Patient.contact.address.line
Definição | This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Curto | Street name, number, direction & P.O. Box etc.
Controlo | 0..*
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Exemplo | General: 137 Nowhere Street
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Patient.contact.address.city
Definição | The name of the city, town, suburb, village or other community or delivery center.
Curto | Name of city, town etc.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Municpality
Exemplo | General: Erewhon
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Patient.contact.address.district
Definição | The name of the administrative area (county).
Curto | District name (aka county)
Comentários | District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | County
Exemplo | General: Madison
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Patient.contact.address.state
Definição | Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).
Curto | Sub-unit of country (abbreviations ok)
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Nomes alternativos | Province, Territory
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Patient.contact.address.postalCode
Definição | A postal code designating a region defined by the postal service.
Curto | Postal code for area
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Nomes alternativos | Zip
Exemplo | General: 9132
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Patient.contact.address.country
Definição | Country - a nation as commonly understood or generally accepted.
Curto | Country (e.g. can be ISO 3166 2 or 3 letter code)
Comentários | ISO 3166 3 letter codes can be used in place of a human readable country name.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiar | true
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Patient.contact.address.period
Definição | Time period when address was/is in use.
Curto | Time period when address was/is in use
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | true
Requisitos | Allows addresses to be placed in historical context.
Exemplo | General: { "start" : "2010-03-23", "end" : "2010-07-01" }
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Patient.contact.gender
Definição | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
Curto | male | female | other | unknown
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | Needed to address the person correctly.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Patient.contact.organization
Definição | Organization on behalf of which the contact is acting or for which the contact is working.
Curto | Organization that is associated with the contact
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: pat-1
Tipo | Reference(Organization)
É modificador | false
Resumo | false
Requisitos | For guardians or business related contacts, the organization is relevant.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Patient.contact.period
Definição | The period during which this contact person or organization is valid to be contacted relating to this patient.
Curto | The period during which this contact person or organization is valid to be contacted relating to this patient
Controlo | 0..1
Tipo | Period
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Patient.communication
Definição | A language which may be used to communicate with the patient about his or her health.
Curto | A language which may be used to communicate with the patient about his or her health
Comentários | If no language is specified, this implies 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.
Controlo | 0..*
Tipo | BackboneElement
É modificador | false
Resumo | false
Requisitos | 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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Patient.communication.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
124. Patient.communication.extension
Definição | 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.
Curto | Additional content defined by implementations
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
126. Patient.communication.modifierExtension
Definição | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot 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 definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
128. Patient.communication.language
Definição | 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.
Curto | The language which can be used to communicate with the patient about his or her health
Comentários | 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.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | CodeableConcept
É modificador | false
Resumo | false
Requisitos | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Patient.communication.preferred
Definição | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
Curto | Language preference indicator
Comentários | This language is specifically identified for communicating healthcare information.
Controlo | 0..1
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Requisitos | 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.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Patient.generalPractitioner
Definição | Patient's nominated care provider.
Curto | Patient's nominated primary care provider
Comentários | 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. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Controlo | 0..*
Tipo | Reference(Organization, Practitioner, PractitionerRole)
É modificador | false
Deve apoiar | true
Tipos de suporte obrigatório | Não há regras de suporte obrigatório sobre a escolha de tipos/perfis
Resumo | false
Nomes alternativos | careProvider
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Patient.generalPractitioner.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
136. Patient.generalPractitioner.extension
Definição | 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.
Curto | Additional content defined by implementations
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `Patient.generalPractitioner.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
138. Patient.generalPractitioner.extension:patient-primary-care-period
Nome da fatia | patient-primary-care-period
Definição | Extensão para período de inscrição nos cuidados primários do utente.
Curto | Extension
Controlo | 0..*
Tipo | Extension(PTPatientPrimaryCarePeriod) (Tipo de extensão: Period)
É modificador | false
Deve apoiar | true
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
140. Patient.generalPractitioner.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..1 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Patient.generalPractitioner.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..1
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Patient.generalPractitioner.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Patient.generalPractitioner.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Patient.managingOrganization
Definição | Organization that is the custodian of the patient record.
Curto | Organization that is the custodian of the patient record
Comentários | 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).
Controlo | 0..1
Tipo | Reference(Organization)
É modificador | false
Deve apoiar | true
Resumo | true
Requisitos | Need to know who recognizes this patient record, manages and updates it.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Patient.link
Definição | Link to another patient resource that concerns the same actual patient.
Curto | Link to another patient resource that concerns the same actual person
Comentários | There is no assumption that linked patient records have mutual links.
Controlo | 0..*
Tipo | BackboneElement
É modificador | true porque 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'
Resumo | true
Requisitos | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. Patient.link.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
154. Patient.link.extension
Definição | 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.
Curto | Additional content defined by implementations
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
156. Patient.link.modifierExtension
Definição | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | 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.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot 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 definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
158. Patient.link.other
Definição | The other patient resource that the link refers to.
Curto | The other patient or related person resource that the link refers to
Comentários | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Controlo | 1..1
Tipo | Reference(Patient, RelatedPerson)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Patient.link.type
Definição | The type of link between this patient resource and another patient resource.
Curto | replaced-by | replaces | refer | seealso
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de LinkType (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)