CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Cross-Measure Patient Profile

This profile contains NHSN-specific Required and Must-Support elements for reporting Patient information on public-health surveillance measures to NHSN.

This profile inherits from the QI Core 6.0.0 Patient profile, which inherits from the US Core 6.1.0 Patient profile.

NHSN only recognizes the data element “sex”, with male and female as the only accepted responses. These data are mapped from either the patient.extension (sex), patient.extension (birthsex), or patient.gender FHIR standard data elements. These three FHIR standard data elements provide male/female options, per US Core 6.1.0.

For data submitted for patient.extension (sex), patient.extension (birthsex) and/or patient.gender that do not align with male or female, NHSN will label those responses as not reported. As national standards update, this resource will also be updated.

Please note that patient.extension(genderIdentity) appears in the Formal Views of the Profile Content in the Key Elements Table Tab and the Snapshot Table as [0..*] and reflects the USCDI/QI Core standard. The Differential Table Tab, which represents the NHSN specific requirements, does not contain the patient.extension (genderIdentity) data element and is not part of data collection.

This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures.

Usages:

• Use this Profile: NHSN MeasureReport Bundle and NHSN Subject Bundle
• Refer to this Profile: ACH Daily Event Diagnostic Report (Lab), ACH Daily Event Encounter, ACH Daily Event Medication Administration, ACH Daily Event Medication Request... Show 25 more, ACH Daily Event Lab Result Observation, ACH Daily Event Observation, ACH Daily Event Procedure, ACH Daily Event ServiceRequest, ACH Daily Event Specimen, ACH Monthly Event Condition, ACH Monthly Event Coverage, ACH Monthly Event Device, ACH Monthly Event Diagnostic Report (Lab), ACH Monthly Event Diagnostic Report - Report and Note, ACH Monthly Event Encounter, ACH Monthly Event MedicationAdministration, ACH Monthly Event MedicationRequest, ACH Monthly Event Lab Result Observation, ACH Monthly Event Observation - Vital Signs, ACH Monthly Event Observation, ACH Monthly Event Procedure, ACH Monthly Event ServiceRequest, ACH Monthly Event Specimen, LTC Monthly Event Encounter, LTC Monthly Event Medication Administration, LTC Monthly Event Medication Request, LTC Monthly Event Lab Result Observation, LTC Monthly Event Specimen and NHSN Individual MeasureReport
• Examples for this Profile: Patient/patient-example-ach-daily-influenzatherapeutic, Patient/patient-example-ach-daily-initialpopulationpass, Patient/patient-example-ach-daily-negativepcr, Patient/patient-example-ach-daily-rsvlabbtg... Show 5 more, Patient/patient-example-ach-monthly-pass1, Patient/patient-example-ach-monthly-pass2, Patient/patient-example-ach-monthly-pass3, Patient/patient-example-ltc-monthly-pneumonia and Patient/patient-example-ltc-monthly-uti

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	S This element must be supported. C	1..*	QICorePatient(6.0.0)	(NHSN-MS) A patient who is the subject of the measure report. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures. Constraints: patient-full-name
Patient.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) The logical id of the Patient resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:race		0..1	(Complex)	(QI-Core)(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Patient.Slices for extension.extension:ethnicity		0..1	(Complex)	(QI-Core)(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Patient.Slices for extension.extension:tribalAffiliation		0..*	(Complex)	(QI-Core)(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
Patient.Slices for extension.extension:birthsex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Birth Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
Patient.Slices for extension.extension:sex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
Patient.Slices for extension.extension:genderIdentity		0..*	CodeableConcept	(QI-Core)(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) (USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) The purpose of this identifier usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:All Slices.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when id is/was valid for use
Patient.Slices for identifier.identifier:medicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) Medical Record Number (MRN) identifier for the patient
Patient.Slices for identifier.identifier:medicalRecordNumber.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:medicalRecordNumber.type	Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) Medical Record Number (MRN) identifier for the patient Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
Patient.Slices for identifier.identifier:medicalRecordNumber.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.version		0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.display		0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:medicalRecordNumber.type.text		0..1	string	Plain text representation of the concept
Patient.Slices for identifier.identifier:medicalRecordNumber.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:medicalRecordNumber.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:medicalRecordNumber.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	(NHSN-MS) (USCDI) A name associated with the patient Constraints: us-core-6
Patient.name.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) A full text representation of the name
Patient.name.family	S This element must be supported. Σ This element is included in summaries. C	0..1	string	(NHSN-MS) (USCDI) Family name (often called 'Surname')
Patient.name.given	S This element must be supported. Σ This element is included in summaries. C	0..*	string	(NHSN-MS) (USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (QI-Core)(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when name was/is in use
Patient.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	(NHSN-MS) (QI-Core)(USCDI) A contact detail for the individual
Patient.telecom.Slices for extension				Content/Rules for all slices
Patient.telecom.Slices for extension.extension:telecom-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.telecom.system	S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) The type of contact point phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Patient.telecom.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The actual contact point details
Patient.telecom.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
Patient.telecom.rank	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Specify preferred order of use (1 = highest)
Patient.telecom.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when the contact point was/is in use
Patient.gender	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (USCDI) The administrative gender of the patient male | female | other | unknown Binding: AdministrativeGender (required)
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	(NHSN-MS) (QI-Core)(USCDI) The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	(NHSN-MS) (QI-Core)(USCDI) An address for the individual
Patient.address.Slices for extension				Content/Rules for all slices
Patient.address.Slices for extension.extension:address-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.address.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Patient.address.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Patient.address.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Patient.address.line	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Patient.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Name of city, town etc. Example General: Erewhon
Patient.address.district	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) District name (aka county) Example General: Madison
Patient.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Sub-unit of country Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
Patient.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) US Zip Codes Example General: 9132
Patient.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Patient.communication		0..*	BackboneElement	(QI-Core)(USCDI) A language which may be used to communicate with the patient about his or her health
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language	S This element must be supported.	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	(NHSN-MS) Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(QICore Patient) {b}	(NHSN-MS) The other patient or related person resource that the link refers to
Patient.link.other.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Patient.link.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) The type of link between this patient resource and another patient resource replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
patient-full-name	error	Patient	name.given and name.family are present in at least one name.	name.where(family.exists() and given.exists()).exists()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from QICorePatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	S This element must be supported. C	1..*	QICorePatient(6.0.0)	(NHSN-MS) A patient who is the subject of the measure report. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures. Constraints: patient-full-name
Patient.id	S This element must be supported.	1..1	id	(NHSN-MS) The logical id of the Patient resource
Patient.meta
Patient.meta.Slices for extension				Content/Rules for all slices
Patient.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:birthsex	S This element must be supported.	0..1	USCoreBirthSexExtension(6.1.0)	(NHSN-MS) US Core Birth Sex Extension
Patient.Slices for extension.extension:sex	S This element must be supported.	0..1	USCoreSexExtension	(NHSN-MS) US Core Sex Extension
Patient.Slices for identifier		1..*	Identifier	(NHSN-MS)(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.use	S This element must be supported.	0..1	code	(NHSN-MS) The purpose of this identifier usual | official | temp | secondary | old (If known)
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Description of identifier
Patient.Slices for identifier.identifier:All Slices.system		1..1	uri	(NHSN-MS)(USCDI) The namespace for the identifier value
Patient.Slices for identifier.identifier:All Slices.value		1..1	string	(NHSN-MS)(USCDI) The value that is unique within the system.
Patient.Slices for identifier.identifier:All Slices.period	S This element must be supported.	0..1	Period	(NHSN-MS) Time period when id is/was valid for use
Patient.Slices for identifier.identifier:medicalRecordNumber	S This element must be supported.	1..*	Identifier	(NHSN-MS) Medical Record Number (MRN) identifier for the patient
Patient.Slices for identifier.identifier:medicalRecordNumber.type		1..1	CodeableConcept	(NHSN-MS) Medical Record Number (MRN) identifier for the patient Required Pattern: At least the following
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
Patient.name		1..*	HumanName	(NHSN-MS)(USCDI) A name associated with the patient
Patient.name.use	S This element must be supported.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) usual | official | temp | nickname | anonymous | old | maiden
Patient.name.text	S This element must be supported.	0..1	string	(NHSN-MS) A full text representation of the name
Patient.name.family		0..1	string	(NHSN-MS)(USCDI) Family name (often called 'Surname')
Patient.name.given		0..*	string	(NHSN-MS)(USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	S This element must be supported.	0..*	string	(NHSN-MS) Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	S This element must be supported.	0..*	string	(NHSN-MS) (QI-Core)(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	S This element must be supported.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when name was/is in use
Patient.telecom	S This element must be supported.	0..*	ContactPoint	(NHSN-MS) (QI-Core)(USCDI) A contact detail for the individual
Patient.telecom.system		1..1	code	(NHSN-MS)(USCDI) The type of contact point phone | fax | email | pager | url | sms | other
Patient.telecom.value		1..1	string	(NHSN-MS)(USCDI) The actual contact point details
Patient.telecom.use		0..1	code	(NHSN-MS)(USCDI) home | work | temp | old | mobile - purpose of this contact point
Patient.telecom.rank	S This element must be supported.	0..1	positiveInt	(NHSN-MS) Specify preferred order of use (1 = highest)
Patient.telecom.period	S This element must be supported.	0..1	Period	(NHSN-MS) Time period when the contact point was/is in use
Patient.gender		1..1	code	(NHSN-MS)(USCDI) The administrative gender of the patient male | female | other | unknown
Patient.birthDate		1..1	date	(NHSN-MS)(QI-Core)(USCDI) The date of birth for the individual
Patient.deceased[x]	S This element must be supported.	0..1	boolean, dateTime	(NHSN-MS) (QI-Core)(USCDI) Indicates if the individual is deceased or not
Patient.address		0..*	Address	(NHSN-MS)(QI-Core)(USCDI) An address for the individual
Patient.address.use	S This element must be supported.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) home | work | temp | old | billing - purpose of this address
Patient.address.type	S This element must be supported.	0..1	code	(NHSN-MS) postal | physical | both
Patient.address.text	S This element must be supported.	0..1	string	(NHSN-MS) (USCDI) Text representation of the address
Patient.address.line		0..*	string	(NHSN-MS)(USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label
Patient.address.city		0..1	string	(NHSN-MS)(USCDI) Name of city, town etc.
Patient.address.district	S This element must be supported.	0..1	string	(NHSN-MS) District name (aka county)
Patient.address.state		0..1	string	(NHSN-MS)(USCDI) Sub-unit of country
Patient.address.postalCode		0..1	string	(NHSN-MS)(USCDI) US Zip Codes
Patient.address.country	S This element must be supported.	0..1	string	(NHSN-MS) (USCDI) Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.period	S This element must be supported.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when address was/is in use
Patient.link	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Link to another patient resource that concerns the same actual person
Patient.link.other	S This element must be supported.	1..1	Reference(QICore Patient) {b}	(NHSN-MS) The other patient or related person resource that the link refers to
Patient.link.other.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Patient.link.type	S This element must be supported.	1..1	code	(NHSN-MS) The type of link between this patient resource and another patient resource replaced-by | replaces | refer | seealso
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
patient-full-name	error	Patient	name.given and name.family are present in at least one name.	name.where(family.exists() and given.exists()).exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	S This element must be supported. C	1..*	QICorePatient(6.0.0)	(NHSN-MS) A patient who is the subject of the measure report. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures. Constraints: patient-full-name
Patient.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) The logical id of the Patient resource
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.meta.id		0..1	string	Unique id for inter-element referencing
Patient.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Patient.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Patient.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Patient.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Patient.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Patient.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Patient.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:race		0..1	(Complex)	(QI-Core)(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Patient.Slices for extension.extension:ethnicity		0..1	(Complex)	(QI-Core)(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Patient.Slices for extension.extension:tribalAffiliation		0..*	(Complex)	(QI-Core)(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
Patient.Slices for extension.extension:birthsex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Birth Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
Patient.Slices for extension.extension:sex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
Patient.Slices for extension.extension:genderIdentity		0..*	CodeableConcept	(QI-Core)(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) (USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) The purpose of this identifier usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:All Slices.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when id is/was valid for use
Patient.Slices for identifier.identifier:All Slices.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:medicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) Medical Record Number (MRN) identifier for the patient
Patient.Slices for identifier.identifier:medicalRecordNumber.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:medicalRecordNumber.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:medicalRecordNumber.type	Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) Medical Record Number (MRN) identifier for the patient Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
Patient.Slices for identifier.identifier:medicalRecordNumber.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.version		0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.display		0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:medicalRecordNumber.type.text		0..1	string	Plain text representation of the concept
Patient.Slices for identifier.identifier:medicalRecordNumber.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:medicalRecordNumber.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:medicalRecordNumber.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:medicalRecordNumber.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	(NHSN-MS) (USCDI) A name associated with the patient Constraints: us-core-6
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) A full text representation of the name
Patient.name.family	S This element must be supported. Σ This element is included in summaries. C	0..1	string	(NHSN-MS) (USCDI) Family name (often called 'Surname')
Patient.name.given	S This element must be supported. Σ This element is included in summaries. C	0..*	string	(NHSN-MS) (USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (QI-Core)(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when name was/is in use
Patient.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	(NHSN-MS) (QI-Core)(USCDI) A contact detail for the individual
Patient.telecom.id		0..1	string	Unique id for inter-element referencing
Patient.telecom.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.telecom.Slices for extension.extension:telecom-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.telecom.system	S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) The type of contact point phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Patient.telecom.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The actual contact point details
Patient.telecom.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
Patient.telecom.rank	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Specify preferred order of use (1 = highest)
Patient.telecom.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when the contact point was/is in use
Patient.gender	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (USCDI) The administrative gender of the patient male | female | other | unknown Binding: AdministrativeGender (required)
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	(NHSN-MS) (QI-Core)(USCDI) The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	(NHSN-MS) (QI-Core)(USCDI) An address for the individual
Patient.address.id		0..1	string	Unique id for inter-element referencing
Patient.address.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.address.Slices for extension.extension:address-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.address.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Patient.address.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Patient.address.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Patient.address.line	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Patient.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Name of city, town etc. Example General: Erewhon
Patient.address.district	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) District name (aka county) Example General: Madison
Patient.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Sub-unit of country Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
Patient.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) US Zip Codes Example General: 9132
Patient.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Patient.maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo		0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
Patient.contact.name		0..1	HumanName	A name associated with the contact person
Patient.contact.telecom		0..*	ContactPoint	A contact detail for the person
Patient.contact.address		0..1	Address	Address for the contact person
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	(QI-Core)(USCDI) A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language	S This element must be supported.	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	(NHSN-MS) Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(QICore Patient) {b}	(NHSN-MS) The other patient or related person resource that the link refers to
Patient.link.other.id		0..1	string	Unique id for inter-element referencing
Patient.link.other.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.link.other.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Patient.link.other.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Patient.link.other.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Patient.link.other.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Patient.link.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) The type of link between this patient resource and another patient resource replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Patient.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Patient.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.maritalStatus	Base	extensible	MaritalStatus	📦4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📦4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.other.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()
patient-full-name	error	Patient	name.given and name.family are present in at least one name.	name.where(family.exists() and given.exists()).exists()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from QICorePatient

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 26 elements

Structures

This structure refers to these other structures:

• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

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

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	S This element must be supported. C	1..*	QICorePatient(6.0.0)	(NHSN-MS) A patient who is the subject of the measure report. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures. Constraints: patient-full-name
Patient.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) The logical id of the Patient resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:race		0..1	(Complex)	(QI-Core)(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Patient.Slices for extension.extension:ethnicity		0..1	(Complex)	(QI-Core)(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Patient.Slices for extension.extension:tribalAffiliation		0..*	(Complex)	(QI-Core)(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
Patient.Slices for extension.extension:birthsex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Birth Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
Patient.Slices for extension.extension:sex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
Patient.Slices for extension.extension:genderIdentity		0..*	CodeableConcept	(QI-Core)(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) (USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) The purpose of this identifier usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:All Slices.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when id is/was valid for use
Patient.Slices for identifier.identifier:medicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) Medical Record Number (MRN) identifier for the patient
Patient.Slices for identifier.identifier:medicalRecordNumber.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:medicalRecordNumber.type	Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) Medical Record Number (MRN) identifier for the patient Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
Patient.Slices for identifier.identifier:medicalRecordNumber.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.version		0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.display		0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:medicalRecordNumber.type.text		0..1	string	Plain text representation of the concept
Patient.Slices for identifier.identifier:medicalRecordNumber.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:medicalRecordNumber.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:medicalRecordNumber.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	(NHSN-MS) (USCDI) A name associated with the patient Constraints: us-core-6
Patient.name.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) A full text representation of the name
Patient.name.family	S This element must be supported. Σ This element is included in summaries. C	0..1	string	(NHSN-MS) (USCDI) Family name (often called 'Surname')
Patient.name.given	S This element must be supported. Σ This element is included in summaries. C	0..*	string	(NHSN-MS) (USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (QI-Core)(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when name was/is in use
Patient.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	(NHSN-MS) (QI-Core)(USCDI) A contact detail for the individual
Patient.telecom.Slices for extension				Content/Rules for all slices
Patient.telecom.Slices for extension.extension:telecom-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.telecom.system	S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) The type of contact point phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Patient.telecom.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The actual contact point details
Patient.telecom.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
Patient.telecom.rank	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Specify preferred order of use (1 = highest)
Patient.telecom.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when the contact point was/is in use
Patient.gender	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (USCDI) The administrative gender of the patient male | female | other | unknown Binding: AdministrativeGender (required)
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	(NHSN-MS) (QI-Core)(USCDI) The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	(NHSN-MS) (QI-Core)(USCDI) An address for the individual
Patient.address.Slices for extension				Content/Rules for all slices
Patient.address.Slices for extension.extension:address-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.address.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Patient.address.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Patient.address.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Patient.address.line	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Patient.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Name of city, town etc. Example General: Erewhon
Patient.address.district	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) District name (aka county) Example General: Madison
Patient.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Sub-unit of country Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
Patient.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) US Zip Codes Example General: 9132
Patient.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Patient.communication		0..*	BackboneElement	(QI-Core)(USCDI) A language which may be used to communicate with the patient about his or her health
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language	S This element must be supported.	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	(NHSN-MS) Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(QICore Patient) {b}	(NHSN-MS) The other patient or related person resource that the link refers to
Patient.link.other.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Patient.link.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) The type of link between this patient resource and another patient resource replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
patient-full-name	error	Patient	name.given and name.family are present in at least one name.	name.where(family.exists() and given.exists()).exists()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Differential View

This structure is derived from QICorePatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	S This element must be supported. C	1..*	QICorePatient(6.0.0)	(NHSN-MS) A patient who is the subject of the measure report. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures. Constraints: patient-full-name
Patient.id	S This element must be supported.	1..1	id	(NHSN-MS) The logical id of the Patient resource
Patient.meta
Patient.meta.Slices for extension				Content/Rules for all slices
Patient.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Patient.Slices for extension				Content/Rules for all slices
Patient.Slices for extension.extension:birthsex	S This element must be supported.	0..1	USCoreBirthSexExtension(6.1.0)	(NHSN-MS) US Core Birth Sex Extension
Patient.Slices for extension.extension:sex	S This element must be supported.	0..1	USCoreSexExtension	(NHSN-MS) US Core Sex Extension
Patient.Slices for identifier		1..*	Identifier	(NHSN-MS)(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.use	S This element must be supported.	0..1	code	(NHSN-MS) The purpose of this identifier usual | official | temp | secondary | old (If known)
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Description of identifier
Patient.Slices for identifier.identifier:All Slices.system		1..1	uri	(NHSN-MS)(USCDI) The namespace for the identifier value
Patient.Slices for identifier.identifier:All Slices.value		1..1	string	(NHSN-MS)(USCDI) The value that is unique within the system.
Patient.Slices for identifier.identifier:All Slices.period	S This element must be supported.	0..1	Period	(NHSN-MS) Time period when id is/was valid for use
Patient.Slices for identifier.identifier:medicalRecordNumber	S This element must be supported.	1..*	Identifier	(NHSN-MS) Medical Record Number (MRN) identifier for the patient
Patient.Slices for identifier.identifier:medicalRecordNumber.type		1..1	CodeableConcept	(NHSN-MS) Medical Record Number (MRN) identifier for the patient Required Pattern: At least the following
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
Patient.name		1..*	HumanName	(NHSN-MS)(USCDI) A name associated with the patient
Patient.name.use	S This element must be supported.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) usual | official | temp | nickname | anonymous | old | maiden
Patient.name.text	S This element must be supported.	0..1	string	(NHSN-MS) A full text representation of the name
Patient.name.family		0..1	string	(NHSN-MS)(USCDI) Family name (often called 'Surname')
Patient.name.given		0..*	string	(NHSN-MS)(USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	S This element must be supported.	0..*	string	(NHSN-MS) Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	S This element must be supported.	0..*	string	(NHSN-MS) (QI-Core)(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	S This element must be supported.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when name was/is in use
Patient.telecom	S This element must be supported.	0..*	ContactPoint	(NHSN-MS) (QI-Core)(USCDI) A contact detail for the individual
Patient.telecom.system		1..1	code	(NHSN-MS)(USCDI) The type of contact point phone | fax | email | pager | url | sms | other
Patient.telecom.value		1..1	string	(NHSN-MS)(USCDI) The actual contact point details
Patient.telecom.use		0..1	code	(NHSN-MS)(USCDI) home | work | temp | old | mobile - purpose of this contact point
Patient.telecom.rank	S This element must be supported.	0..1	positiveInt	(NHSN-MS) Specify preferred order of use (1 = highest)
Patient.telecom.period	S This element must be supported.	0..1	Period	(NHSN-MS) Time period when the contact point was/is in use
Patient.gender		1..1	code	(NHSN-MS)(USCDI) The administrative gender of the patient male | female | other | unknown
Patient.birthDate		1..1	date	(NHSN-MS)(QI-Core)(USCDI) The date of birth for the individual
Patient.deceased[x]	S This element must be supported.	0..1	boolean, dateTime	(NHSN-MS) (QI-Core)(USCDI) Indicates if the individual is deceased or not
Patient.address		0..*	Address	(NHSN-MS)(QI-Core)(USCDI) An address for the individual
Patient.address.use	S This element must be supported.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) home | work | temp | old | billing - purpose of this address
Patient.address.type	S This element must be supported.	0..1	code	(NHSN-MS) postal | physical | both
Patient.address.text	S This element must be supported.	0..1	string	(NHSN-MS) (USCDI) Text representation of the address
Patient.address.line		0..*	string	(NHSN-MS)(USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label
Patient.address.city		0..1	string	(NHSN-MS)(USCDI) Name of city, town etc.
Patient.address.district	S This element must be supported.	0..1	string	(NHSN-MS) District name (aka county)
Patient.address.state		0..1	string	(NHSN-MS)(USCDI) Sub-unit of country
Patient.address.postalCode		0..1	string	(NHSN-MS)(USCDI) US Zip Codes
Patient.address.country	S This element must be supported.	0..1	string	(NHSN-MS) (USCDI) Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.period	S This element must be supported.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when address was/is in use
Patient.link	S This element must be supported.	0..*	BackboneElement	(NHSN-MS) Link to another patient resource that concerns the same actual person
Patient.link.other	S This element must be supported.	1..1	Reference(QICore Patient) {b}	(NHSN-MS) The other patient or related person resource that the link refers to
Patient.link.other.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Patient.link.type	S This element must be supported.	1..1	code	(NHSN-MS) The type of link between this patient resource and another patient resource replaced-by | replaces | refer | seealso
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
patient-full-name	error	Patient	name.given and name.family are present in at least one name.	name.where(family.exists() and given.exists()).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	S This element must be supported. C	1..*	QICorePatient(6.0.0)	(NHSN-MS) A patient who is the subject of the measure report. This resource is required for all NHSN dQMs and must be referenced in all Individual MeasureReport resources for these measures. Constraints: patient-full-name
Patient.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) The logical id of the Patient resource
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.meta.id		0..1	string	Unique id for inter-element referencing
Patient.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Patient.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Patient.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Patient.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Patient.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Patient.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Patient.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:race		0..1	(Complex)	(QI-Core)(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
Patient.Slices for extension.extension:ethnicity		0..1	(Complex)	(QI-Core)(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
Patient.Slices for extension.extension:tribalAffiliation		0..*	(Complex)	(QI-Core)(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
Patient.Slices for extension.extension:birthsex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Birth Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
Patient.Slices for extension.extension:sex	S This element must be supported.	0..1	code	(NHSN-MS) US Core Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
Patient.Slices for extension.extension:genderIdentity		0..*	CodeableConcept	(QI-Core)(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) (USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:All Slices				Content/Rules for all slices
Patient.Slices for identifier.identifier:All Slices.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:All Slices.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:All Slices.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) The purpose of this identifier usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:All Slices.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Patient.Slices for identifier.identifier:All Slices.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) (USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:All Slices.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:All Slices.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when id is/was valid for use
Patient.Slices for identifier.identifier:All Slices.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:medicalRecordNumber	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	(NHSN-MS) Medical Record Number (MRN) identifier for the patient
Patient.Slices for identifier.identifier:medicalRecordNumber.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:medicalRecordNumber.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:medicalRecordNumber.type	Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) Medical Record Number (MRN) identifier for the patient Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
Patient.Slices for identifier.identifier:medicalRecordNumber.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.extension		0..*	Extension	Additional content defined by implementations
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.version		0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.display		0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:medicalRecordNumber.type.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:medicalRecordNumber.type.text		0..1	string	Plain text representation of the concept
Patient.Slices for identifier.identifier:medicalRecordNumber.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Patient.Slices for identifier.identifier:medicalRecordNumber.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
Patient.Slices for identifier.identifier:medicalRecordNumber.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:medicalRecordNumber.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries. C	1..*	HumanName	(NHSN-MS) (USCDI) A name associated with the patient Constraints: us-core-6
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) A full text representation of the name
Patient.name.family	S This element must be supported. Σ This element is included in summaries. C	0..1	string	(NHSN-MS) (USCDI) Family name (often called 'Surname')
Patient.name.given	S This element must be supported. Σ This element is included in summaries. C	0..*	string	(NHSN-MS) (USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name This repeating element order: Given Names appear in the correct order for presenting the name
Patient.name.prefix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (QI-Core)(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when name was/is in use
Patient.telecom	S This element must be supported. Σ This element is included in summaries.	0..*	ContactPoint	(NHSN-MS) (QI-Core)(USCDI) A contact detail for the individual
Patient.telecom.id		0..1	string	Unique id for inter-element referencing
Patient.telecom.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.telecom.Slices for extension.extension:telecom-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.telecom.system	S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) The type of contact point phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
Patient.telecom.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	(NHSN-MS) (USCDI) The actual contact point details
Patient.telecom.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
Patient.telecom.rank	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Specify preferred order of use (1 = highest)
Patient.telecom.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) Time period when the contact point was/is in use
Patient.gender	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (USCDI) The administrative gender of the patient male | female | other | unknown Binding: AdministrativeGender (required)
Patient.birthDate	S This element must be supported. Σ This element is included in summaries.	1..1	date	(NHSN-MS) (QI-Core)(USCDI) The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Indicates if the individual is deceased or not
Patient.deceased[x].deceasedBoolean			boolean
Patient.deceased[x].deceasedDateTime			dateTime
Patient.address	S This element must be supported. Σ This element is included in summaries.	0..*	Address	(NHSN-MS) (QI-Core)(USCDI) An address for the individual
Patient.address.id		0..1	string	Unique id for inter-element referencing
Patient.address.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.address.Slices for extension.extension:address-preferred		0..1	boolean	Preferred URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
Patient.address.use	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core)(USCDI) home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
Patient.address.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Patient.address.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
Patient.address.line	S This element must be supported. Σ This element is included in summaries.	0..*	string	(NHSN-MS) (USCDI) Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Patient.address.city	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Name of city, town etc. Example General: Erewhon
Patient.address.district	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) District name (aka county) Example General: Madison
Patient.address.state	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Sub-unit of country Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
Patient.address.postalCode	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) US Zip Codes Example General: 9132
Patient.address.country	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Country (e.g. can be ISO 3166 2 or 3 letter code)
Patient.address.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	(NHSN-MS) (QI-Core)(USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
Patient.maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo		0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
Patient.contact.name		0..1	HumanName	A name associated with the contact person
Patient.contact.telecom		0..*	ContactPoint	A contact detail for the person
Patient.contact.address		0..1	Address	Address for the contact person
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	(QI-Core)(USCDI) A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.language	S This element must be supported.	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	(NHSN-MS) Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(QICore Patient) {b}	(NHSN-MS) The other patient or related person resource that the link refers to
Patient.link.other.id		0..1	string	Unique id for inter-element referencing
Patient.link.other.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.link.other.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Patient.link.other.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Patient.link.other.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Patient.link.other.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Patient.link.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) The type of link between this patient resource and another patient resource replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Patient.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Patient.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:medicalRecordNumber.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📦4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📦4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.maritalStatus	Base	extensible	MaritalStatus	📦4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📦4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.other.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()
patient-full-name	error	Patient	name.given and name.family are present in at least one name.	name.where(family.exists() and given.exists()).exists()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from QICorePatient

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 26 elements

Structures

This structure refers to these other structures:

• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

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

Maturity: 2