FHIR Core Implementation Guide (CO)
0.1.0 - STU1 Colombia flag

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

Resource Profile: PatientCO - Detailed Descriptions

Draft as of 2024-11-19

Definitions for the PatientCO resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Patient
Definition

Identifying data, demographic and other administrative information about an individual who is a patient receiving care or other health-related services.

ShortInformation about a person who plays the role of patient and receives healthcare services.
2. Patient.meta
4. Patient.meta.profile
Pattern Valuehttp://co.fhir.guide/core/StructureDefinition/PatientCO
6. Patient.extension
SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Patient.extension:ExtensionPatientNationality
    Slice NameExtensionPatientNationality
    ShortPatient nationality
    Control0..*
    TypeExtension(Extension: Nationality) (Extension Type: Coding)
    Must Supporttrue
    10. Patient.extension:ExtensionBirthPlace
    Slice NameExtensionBirthPlace
    ShortGeographical location of birth of the patient
    Control0..1
    TypeExtension(Extension: BirthPlace) (Extension Type: Address)
    Must Supporttrue
    12. Patient.extension:ExtensionPatientEthnicity
    Slice NameExtensionPatientEthnicity
    ShortPatient ethnicity
    Control0..1
    TypeExtension(Extension: PatientEthnicity) (Extension Type: Coding)
    14. Patient.extension:ExtensionPatientPopulationGroup
    Slice NameExtensionPatientPopulationGroup
    ShortPatient population group
    Control0..*
    TypeExtension(Extension: PatientPopulationGroup) (Extension Type: Coding)
    16. Patient.extension:ExtensionPatientDisability
    Slice NameExtensionPatientDisability
    ShortPatient disability classification
    Control0..*
    TypeExtension(Extension: Disability) (Extension Type: Coding)
    18. Patient.extension:ExtensionPatientGenderIdentity
    Slice NameExtensionPatientGenderIdentity
    ShortPatient gender identity
    Control0..1
    TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
    20. Patient.identifier
    Definition

    Identifiers of the person playing the role of patient. [ES: Identificaciones de la persona que desempeña el rol de paciente]

    ShortPerson identifiers
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..?
    LabelIdentificación
    SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ id
    • 22. Patient.identifier:NationalPersonIdentifier
      Slice NameNationalPersonIdentifier
      Definition

      Colombian identification of the person playing the role of patient. [ES: Identificación nacional de la persona que desempeña el rol de paciente]

      ShortNational Person Identifier
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      Must Supporttrue
      LabelIdentificación nacional del paciente
      24. Patient.identifier:NationalPersonIdentifier.id
      Control1..?
      Pattern ValueNationalPersonIdentifier-0
      26. Patient.identifier:NationalPersonIdentifier.use
      Control1..?
      Fixed Valueofficial
      28. Patient.identifier:NationalPersonIdentifier.type
      Control1..?
      30. Patient.identifier:NationalPersonIdentifier.type.coding
      Control2..2
      SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ system
      • 32. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode
        Slice NameInternationalCode
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
        (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
        34. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.system
        Definition

        International code system of identifiers for persons. [ES: Codificación internacional de identificaciones para personas]

        ShortInternational code system
        Control1..?
        Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        36. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.code
        Control1..?
        Fixed ValuePN
        38. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.display
        Control1..?
        Fixed ValuePerson number
        40. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode
        Slice NameColombianCode
        Control1..1
        BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
        (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
        42. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.system
        Definition

        Colombian code system of identifiers for individuals. [ES: Codificación colombiana de identificaciones para personas]

        ShortNational code system
        Control1..?
        LabelTipo identificación
        Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
        44. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.code
        Definition

        Colombian identifier type code. [ES: Código colombiano del tipo de identificación]

        ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
        Control1..?
        Must Supporttrue
        LabelCódigo
        46. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.display
        Definition

        Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]

        ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
        Control1..?
        LabelTipo
        48. Patient.identifier:NationalPersonIdentifier.system
        Pattern Valuehttp://co.fhir.guide/NamingSystem/RNEC
        50. Patient.identifier:NationalPersonIdentifier.value
        Definition

        Value of the Colombian identification document. [ES: Valor del documento de identificación colombiano]

        ShortIdentifier value
        Control1..?
        Must Supporttrue
        LabelNúmero de identificación
        52. Patient.identifier:NationalPersonIdentifier.period
        Definition

        Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]

        ShortPeriod of validity
        LabelVigencia
        54. Patient.identifier:NationalPersonIdentifier.period.start
        Definition

        Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]

        ShortDate of issuance
        Control1..?
        Must Supporttrue
        LabelFecha de expedición
        56. Patient.identifier:NationalPersonIdentifier.period.end
        Definition

        Identifier expiration date. [ES: Fecha de vencimiento de la identificación]

        ShortExpiration date
        LabelFecha de vencimiento
        58. Patient.identifier:Passport
        Slice NamePassport
        Definition

        Passport of the person playing the role of patient. [ES: Pasaporte de la persona que desempeña el rol de paciente]

        ShortPassport
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        LabelPasaporte
        60. Patient.identifier:Passport.id
        Control1..?
        Pattern ValuePassport-0
        62. Patient.identifier:Passport.use
        Control1..?
        Fixed Valueofficial
        64. Patient.identifier:Passport.type
        Control1..?
        66. Patient.identifier:Passport.type.coding
        Control2..2
        SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 68. Patient.identifier:Passport.type.coding:InternationalCode
          Slice NameInternationalCode
          Control1..1
          BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
          (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
          70. Patient.identifier:Passport.type.coding:InternationalCode.system
          Control1..?
          Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
          72. Patient.identifier:Passport.type.coding:InternationalCode.code
          Control1..?
          Fixed ValuePPN
          74. Patient.identifier:Passport.type.coding:InternationalCode.display
          Control1..?
          Fixed ValuePassport number
          76. Patient.identifier:Passport.type.coding:ColombianCode
          Slice NameColombianCode
          Control1..1
          BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
          (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
          78. Patient.identifier:Passport.type.coding:ColombianCode.system
          Control1..?
          Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
          80. Patient.identifier:Passport.type.coding:ColombianCode.code
          Control1..?
          Fixed ValuePA
          82. Patient.identifier:Passport.type.coding:ColombianCode.display
          Control1..?
          Fixed ValuePasaporte
          84. Patient.identifier:Passport.system
          Pattern Valuehttp://co.fhir.guide/NamingSystem/Pasaportes
          86. Patient.identifier:Passport.value
          Definition

          Passport Nº. [ES: Pasaporte Nº]

          ShortPassport Nº
          Control1..?
          LabelPasaporte Nº
          88. Patient.identifier:Passport.period
          Definition

          Period of validity of passport. [ES: Periódo de vigencia del pasaporte]

          ShortPeriod of validity
          LabelVigencia
          90. Patient.identifier:Passport.period.start
          Definition

          Date of issuance of passport. [ES: Fecha de expedición del pasaporte]

          ShortDate of issue
          Control1..?
          LabelFecha de expedición
          92. Patient.identifier:Passport.period.end
          Definition

          Passport expiration date. [ES: Fecha de vencimiento del pasaporte]

          ShortDate of expiry
          Control1..?
          LabelFecha de vencimiento
          94. Patient.identifier:TaxIdentifier
          Slice NameTaxIdentifier
          Definition

          Tax Identifier of the person playing the role of patient. [ES: Registro único tributario de la persona que desempeña el rol de paciente]

          ShortTax Identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1
          LabelRUT
          96. Patient.identifier:TaxIdentifier.id
          Control1..?
          Pattern ValueTaxIdentifier-0
          98. Patient.identifier:TaxIdentifier.use
          Control1..?
          Fixed Valueofficial
          100. Patient.identifier:TaxIdentifier.type
          Control1..?
          102. Patient.identifier:TaxIdentifier.type.coding
          Control2..2
          SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ system
          • 104. Patient.identifier:TaxIdentifier.type.coding:InternationalCode
            Slice NameInternationalCode
            Control1..1
            BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
            (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
            106. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.system
            Control1..?
            Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
            108. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.code
            Control1..?
            Fixed ValueTAX
            110. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.display
            Control1..?
            Fixed ValueTax ID number
            112. Patient.identifier:TaxIdentifier.type.coding:ColombianCode
            Slice NameColombianCode
            Control1..1
            BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
            (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
            114. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.system
            Control1..?
            Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
            116. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.code
            Control1..?
            Fixed ValueRUT
            118. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.display
            Control1..?
            Fixed ValueRegistro Único Tributario
            120. Patient.identifier:TaxIdentifier.system
            Pattern Valuehttp://co.fhir.guide/NamingSystem/DIAN
            122. Patient.identifier:TaxIdentifier.value
            Definition

            Value of the Colombian tax registration number. [ES: Valor o número del registro único tributario colombiano]

            ShortTax ID number value
            Control1..?
            LabelRUT Número
            124. Patient.identifier:TaxIdentifier.period
            Definition

            Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]

            ShortPeriod of validity
            LabelVigencia
            126. Patient.identifier:TaxIdentifier.period.start
            Definition

            Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]

            ShortDate of issuance
            Control1..?
            LabelFecha de expedición
            128. Patient.identifier:TaxIdentifier.period.end
            Definition

            Identifier expiration date. [ES: Fecha de vencimiento de la identificación]

            ShortExpiration date
            LabelFecha de vencimiento
            130. Patient.identifier:TaxIdentifier.assigner
            132. Patient.identifier:TaxIdentifier.assigner.display
            Fixed ValueDIAN
            134. Patient.identifier:PatientMedicalRecordNumber
            Slice NamePatientMedicalRecordNumber
            Definition

            Patient's medical record number, assigned by each of the provider organizations where he/she receives health care services. [ES: Número de historia clínica del paciente, asignado por cada una de las organizaciones prestadoras donde recibe servicios de atención en salud.]

            ShortPatient Medical Record Number
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            Must Supporttrue
            LabelHistoria Clínica
            136. Patient.identifier:PatientMedicalRecordNumber.id
            Control1..?
            Pattern ValuePatientMedicalRecordNumber-0
            138. Patient.identifier:PatientMedicalRecordNumber.use
            Control1..?
            Fixed Valueusual
            140. Patient.identifier:PatientMedicalRecordNumber.type
            Control1..?
            BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
            (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
            142. Patient.identifier:PatientMedicalRecordNumber.type.coding
            144. Patient.identifier:PatientMedicalRecordNumber.type.coding.system
            Control1..?
            Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
            146. Patient.identifier:PatientMedicalRecordNumber.type.coding.code
            Control1..?
            Fixed ValueMR
            148. Patient.identifier:PatientMedicalRecordNumber.type.coding.display
            Control1..?
            Fixed ValueMedical record number
            150. Patient.identifier:PatientMedicalRecordNumber.system
            Definition

            Uniform Resource Identifier (URI) from the medical record information system of the provider organization (hospital, clinic, diagnostic center, etc.) that assigns the identification. [ES: Identificador de recursos uniforme (URI) del sistema de información de historia clínica de la organización prestadora (hospital, clínica, centro de diagnóstico, etc) que asigna la identificación.]

            ShortMedical Record Information System
            LabelSistema de Información de Historia Clínica
            Pattern Valuehttp://co.fhir.guide/NamingSystem/HIS
            152. Patient.identifier:PatientMedicalRecordNumber.value
            Definition

            Value of the patient's medical record number. [ES: Número de historia clínica del paciente]

            ShortMedical record number value
            Control1..?
            Must Supporttrue
            LabelNúmero Historia Clínica
            154. Patient.identifier:PatientMedicalRecordNumber.assigner
            Control1..?
            Must Supporttrue
            156. Patient.identifier:PatientMedicalRecordNumber.assigner.reference
            Control1..?
            158. Patient.identifier:PatientMedicalRecordNumber.assigner.type
            Fixed ValueOrganization
            160. Patient.identifier:DriverLicenseNumber
            Slice NameDriverLicenseNumber
            Definition

            Driver's license number, according to the National Traffic Registry System (RUNT). [ES: Número de Licencia de conducción, según el Sistema de Registro Único Nacional de Tránsito (RUNT).]

            ShortDriver's license number
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            Must Supporttrue
            LabelLicencia de conducción
            162. Patient.identifier:DriverLicenseNumber.id
            Control1..?
            Pattern ValueDriverLicenseNumber-0
            164. Patient.identifier:DriverLicenseNumber.use
            Control1..?
            Fixed Valueusual
            166. Patient.identifier:DriverLicenseNumber.type
            Control1..?
            BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
            (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
            168. Patient.identifier:DriverLicenseNumber.type.coding
            170. Patient.identifier:DriverLicenseNumber.type.coding.system
            Control1..?
            Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
            172. Patient.identifier:DriverLicenseNumber.type.coding.code
            Control1..?
            Fixed ValueDL
            174. Patient.identifier:DriverLicenseNumber.type.coding.display
            Control1..?
            Fixed ValueDriver's license number
            176. Patient.identifier:DriverLicenseNumber.system
            Definition

            Single National Traffic Registry System (RUNT). [ES: Sistema de Registro Único Nacional de Tránsito (RUNT).]

            ShortSingle National Traffic Registry (RUNT)
            LabelRUNT
            Fixed Valuehttp://co.fhir.guide/NamingSystem/RUNT
            178. Patient.identifier:DriverLicenseNumber.value
            Definition

            Value of the Driver's license. [ES: Número de licencia de conducción]

            ShortDriver's license number value
            Control1..?
            Must Supporttrue
            LabelNúmero de licencia de conducción
            180. Patient.identifier:DriverLicenseNumber.assigner
            Control1..?
            Must Supporttrue
            182. Patient.identifier:DriverLicenseNumber.assigner.reference
            Control1..?
            184. Patient.identifier:DriverLicenseNumber.assigner.type
            Fixed ValueOrganization
            186. Patient.identifier:OldIdentifiers
            Slice NameOldIdentifiers
            Definition

            Old (non-current), national identifications of the person playing the role of patient. [ES: Identificaciones nacionales viejas (no vigentes), de la persona que desempeña el rol de paciente]

            ShortOld National Person Identifier
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            LabelIdentificaciones no vigentes
            188. Patient.identifier:OldIdentifiers.id
            Control1..?
            Pattern ValueOldIdentifiers-0
            190. Patient.identifier:OldIdentifiers.use
            Control1..?
            Fixed Valueold
            192. Patient.identifier:OldIdentifiers.type
            Control1..?
            194. Patient.identifier:OldIdentifiers.type.coding
            Control2..2
            SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ system
            • 196. Patient.identifier:OldIdentifiers.type.coding:InternationalCode
              Slice NameInternationalCode
              Control1..1
              BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
              (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
              198. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.system
              Definition

              International code system of identifiers for persons. [ES: Codificación internacional de identificaciones para personas]

              ShortInternational code system
              Control1..?
              Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
              200. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.code
              Control1..?
              Fixed ValuePN
              202. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.display
              Control1..?
              Fixed ValuePerson number
              204. Patient.identifier:OldIdentifiers.type.coding:ColombianCode
              Slice NameColombianCode
              Control1..1
              BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
              (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
              206. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.system
              Definition

              Colombian code system of identifiers for individuals. [ES: Codificación colombiana de identificaciones para personas]

              ShortNational code system
              Control1..?
              LabelTipo identificación
              Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
              208. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.code
              Definition

              Colombian identifier type code. [ES: Código colombiano del tipo de identificación]

              ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
              Control1..?
              LabelCódigo
              210. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.display
              Definition

              Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]

              ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
              Control1..?
              LabelTipo
              212. Patient.identifier:OldIdentifiers.system
              Pattern Valuehttp://co.fhir.guide/NamingSystem/RNEC
              214. Patient.identifier:OldIdentifiers.value
              Definition

              Value of the Colombian identification document. [ES: Valor del documento de identificación colombiano]

              ShortIdentifier value
              Control1..?
              LabelNúmero de identificación
              216. Patient.identifier:OldIdentifiers.period
              Definition

              Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]

              ShortPeriod of validity
              LabelVigencia
              218. Patient.identifier:OldIdentifiers.period.start
              Definition

              Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]

              ShortDate of issuance
              Control1..?
              LabelFecha de expedición
              220. Patient.identifier:OldIdentifiers.period.end
              Definition

              Identifier expiration date. [ES: Fecha de vencimiento de la identificación]

              ShortExpiration date
              LabelFecha de vencimiento
              222. Patient.identifier:SoftwareAssignedIdentifiers
              Slice NameSoftwareAssignedIdentifiers
              Definition

              Patient registration number or ID assigned by a clinical sub-system (HIS, LIS, RIS, APP, etc). [ES: Número o ID de registro del paciente, asignado por un sub sistema clínico (HIS, LIS, RIS, APP, etc).]

              ShortPatient Medical Record Number
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              LabelRegistro de paciente en el sistema de información
              224. Patient.identifier:SoftwareAssignedIdentifiers.id
              Control1..?
              Pattern ValueSoftwareAssignedIdentifiers-0
              226. Patient.identifier:SoftwareAssignedIdentifiers.use
              Control1..?
              Fixed Valuesecondary
              228. Patient.identifier:SoftwareAssignedIdentifiers.system
              Definition

              Uniform Resource Identifier (URI) of the clinical information sub-system (HIS, LIS, RIS, APP, etc), in the provider organization (hospital, clinic, diagnostic center, etc) that assigns the identification. [ES: Identificador de recursos uniforme (URI) del sub-sistema de información clínica (HIS, LIS, RIS, APP, etc), en la organización prestadora (hospital, clínica, centro de diagnóstico, etc) que asigna la identificación.]

              ShortClinical information sub-system
              LabelSub-sistema de información clínica
              230. Patient.identifier:SoftwareAssignedIdentifiers.value
              Definition

              Patient registration number or ID in clinical sub-system. [ES: Número o ID de registro de paciente en el sub-sistema clínico]

              ShortPatient registration number or ID
              Control1..?
              LabelID de paciente
              232. Patient.identifier:SoftwareAssignedIdentifiers.assigner
              Control1..?
              234. Patient.identifier:SoftwareAssignedIdentifiers.assigner.reference
              Control1..?
              236. Patient.identifier:SoftwareAssignedIdentifiers.assigner.type
              Fixed ValueOrganization
              238. Patient.active
              Shorttrue | false
              Control1..?
              Must Supporttrue
              LabelActivo
              240. Patient.name
              Definition

              Name(s) of the person playing the role of the patient. [ES: Nombre(s) de la persona que desempeña el rol de paciente]

              ShortName(s) of patient
              Control1..2
              SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ use
              • 242. Patient.name:OfficialPatientName
                Slice NameOfficialPatientName
                Definition

                Official (legal) name of the person playing the role of patient. [ES: Nombre oficial (legal) de la persona que desempeña el rol de paciente]

                ShortPatient's official (legal) name
                Control1..1
                Must Supporttrue
                LabelNombre del paciente
                244. Patient.name:OfficialPatientName.use
                Control1..?
                Fixed Valueofficial
                246. Patient.name:OfficialPatientName.family
                ShortPatient's family name
                Control1..?
                LabelApellidos
                248. Patient.name:OfficialPatientName.family.extension
                SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 250. Patient.name:OfficialPatientName.family.extension:FathersFamilyName
                  Slice NameFathersFamilyName
                  Control0..1
                  TypeExtension(Extension: FathersFamilyName) (Extension Type: string)
                  252. Patient.name:OfficialPatientName.family.extension:MothersFamilyName
                  Slice NameMothersFamilyName
                  Control0..1
                  TypeExtension(Extension: MothersFamilyName) (Extension Type: string)
                  254. Patient.name:OfficialPatientName.given
                  ShortPatient's given name(s)
                  Control1..?
                  LabelNombre(s)
                  256. Patient.name:PatientIdentifyingName
                  Slice NamePatientIdentifyingName
                  Definition

                  Identity and/or preferred name, freely adopted by the person playing the role of patient (can be used as an alias). [ES: Nombre identitario y/o de preferencia, libremente adoptado por la persona que desempeña el rol de paciente (puede ser utilizado como un alias).]

                  ShortPatient's identifying name
                  Control0..1
                  258. Patient.name:PatientIdentifyingName.use
                  Control1..?
                  Fixed Valueusual
                  260. Patient.name:PatientIdentifyingName.text
                  Control1..?
                  262. Patient.name:TemporaryPatientName
                  Slice NameTemporaryPatientName
                  Definition

                  Temporary name, assigned in cases of newborns or when it is not possible to know the name of the person playing the role of patient. [ES: Nombre temporal, asignado en casos de recién nacidos o cuando no es posible saber cuál es el nombre de la persona que desempeña el rol de paciente.]

                  ShortTemporary name of patient
                  Control0..1
                  264. Patient.name:TemporaryPatientName.use
                  Control1..?
                  Fixed Valuetemp
                  266. Patient.name:TemporaryPatientName.text
                  Control1..?
                  268. Patient.telecom
                  Definition

                  Telecommunications addresses [ES: Direcciones de telecomunicaciones]

                  ShortTelephone, mobile, email, etc.
                  SlicingThis element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ id
                  • 270. Patient.telecom:TelecomPhone
                    Slice NameTelecomPhone
                    Definition

                    Landline phone contact [ES: Teléfono fijo de contacto]

                    ShortTelephone
                    Control0..*
                    Must Supporttrue
                    LabelTeléfono
                    272. Patient.telecom:TelecomPhone.id
                    Control1..?
                    Pattern ValueTelecomPhone-0
                    274. Patient.telecom:TelecomPhone.system
                    Control1..?
                    Fixed Valuephone
                    276. Patient.telecom:TelecomPhone.value
                    ShortSyntax: +57(000)000-0000
                    Control1..?
                    278. Patient.telecom:TelecomMobile
                    Slice NameTelecomMobile
                    Definition

                    Contact mobile or cell phone [ES: Teléfono móvil o celular de contacto]

                    ShortMobile
                    Control0..*
                    Must Supporttrue
                    LabelCelular
                    280. Patient.telecom:TelecomMobile.id
                    Control1..?
                    Pattern ValueTelecomMobile-0
                    282. Patient.telecom:TelecomMobile.system
                    Control1..?
                    Fixed Valuephone
                    284. Patient.telecom:TelecomMobile.value
                    ShortSyntax: (000)000-0000
                    Control1..?
                    286. Patient.telecom:TelecomMobile.use
                    Control1..?
                    Fixed Valuemobile
                    288. Patient.telecom:TelecomEmail
                    Slice NameTelecomEmail
                    Definition

                    Contact email address [ES: Correo electrónico de contacto]

                    ShortE-mail
                    Control0..*
                    Must Supporttrue
                    LabelE-mail
                    290. Patient.telecom:TelecomEmail.id
                    Control1..?
                    Pattern ValueTelecomEmail-0
                    292. Patient.telecom:TelecomEmail.system
                    Control1..?
                    Fixed Valueemail
                    294. Patient.telecom:TelecomEmail.value
                    ShortSyntax: name@example.com
                    Control1..?
                    296. Patient.gender
                    Control1..?
                    BindingThe codes SHALL be taken from AdministrativeGender
                    (required to http://hl7.org/fhir/ValueSet/administrative-gender)
                    Must Supporttrue
                    298. Patient.birthDate
                    Control1..?
                    Must Supporttrue
                    LOINC Code
                    300. Patient.address
                    Definition

                    An address for the individual. [ES: Una dirección de la persona]

                    Control1..?
                    LabelDirección
                    SlicingThis element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ id
                    • 302. Patient.address:HomeAddress
                      Slice NameHomeAddress
                      Control1..1
                      304. Patient.address:HomeAddress.id
                      Control1..?
                      Pattern ValueHomeAddress-0
                      306. Patient.address:HomeAddress.extension:ExtensionResidenceZone
                      Slice NameExtensionResidenceZone
                      Definition

                      Extension used in the Patient.Address element, to register the area of residence

                      ShortUrbana | Rural
                      Control0..1
                      TypeExtension(Extension: ResidenceZone) (Extension Type: Coding)
                      308. Patient.address:HomeAddress.use
                      Control1..?
                      Fixed Valuehome
                      310. Patient.address:HomeAddress.type
                      Control1..?
                      Fixed Valuephysical
                      312. Patient.address:HomeAddress.text
                      Control1..?
                      314. Patient.address:HomeAddress.city
                      ShortColombian municipality
                      Control1..?
                      Must Supporttrue
                      LabelMunicipio
                      316. Patient.address:HomeAddress.city.extension
                      SlicingThis element introduces a set of slices on Patient.address.city.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 318. Patient.address:HomeAddress.city.extension:ExtensionDivipolaMunicipality
                        Slice NameExtensionDivipolaMunicipality
                        Definition

                        Extension used in the Patient.address.city element to register the DIVIPOLA code of the municipality

                        ShortDivipola municipality code
                        Control0..1
                        TypeExtension(Extension: DivipolaMunicipality) (Extension Type: Coding)
                        320. Patient.address:HomeAddress.district
                        ShortDistrict, locality or commune
                        LabelDistrito, localidad o comuna
                        322. Patient.address:HomeAddress.state
                        ShortColombian Department
                        Control1..?
                        Must Supporttrue
                        LabelDepartamento
                        324. Patient.address:HomeAddress.state.extension
                        SlicingThis element introduces a set of slices on Patient.address.state.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 326. Patient.address:HomeAddress.state.extension:ExtensionDivipolaDepartment
                          Slice NameExtensionDivipolaDepartment
                          Definition

                          Extension used in the Patient.address.state element to register the DIVIPOLA code of the department

                          ShortDivipola department code
                          Control0..1
                          TypeExtension(Extension: DivipolaDepartment) (Extension Type: Coding)
                          328. Patient.address:HomeAddress.country
                          ShortCountry
                          Control1..?
                          Must Supporttrue
                          LabelPaís
                          330. Patient.address:Otheraddress
                          Slice NameOtheraddress
                          Control0..1
                          332. Patient.address:Otheraddress.id
                          Control1..?
                          Pattern ValueOtheraddress-0
                          334. Patient.maritalStatus
                          ShortPatient's marital status
                          BindingThe codes SHALL be taken from Marital Status Codes
                          (required to http://hl7.org/fhir/ValueSet/marital-status)
                          Must Supporttrue
                          LabelEstado civil
                          336. Patient.maritalStatus.coding
                          Control0..1
                          338. Patient.maritalStatus.coding.system
                          Control1..?
                          Fixed Valuehttp://terminology.hl7.org/CodeSystem/v3-MaritalStatus
                          340. Patient.maritalStatus.coding.code
                          Definition

                          Code of the marital status concept, according to the controlled vocabulary defined by HL7. [ES: Codigo del concepto de estado civil, según el vocabulario controlado definido por HL7.]

                          ShortA | D | I | L | M | P | S | T | U | W | UNK
                          Control1..?
                          LabelCódigo
                          342. Patient.maritalStatus.coding.display
                          Definition

                          HL7-defined controlled vocabulary codable concept representation for marital status. [ES: Representación del concepto codificado de vocabulario controlado definido por HL7 para estado civil.]

                          ShortAnnulled | Divorced | Married | Widowed +
                          Control1..?
                          LabelNombre
                          344. Patient.maritalStatus.text
                          ShortPlain text representation of marital status

                          Guidance on how to interpret the contents of this table can be found here

                          0. Patient
                          Definition

                          Identifying data, demographic and other administrative information about an individual who is a patient receiving care or other health-related services.


                          Demographics and other administrative information about an individual or animal receiving care or other health-related services.

                          ShortInformation about a person who plays the role of patient and receives healthcare services.Information about an individual or animal receiving health care services
                          Control0..*
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesSubjectOfCare Client Resident
                          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                          dom-6: A resource should have narrative for robust management (text.`div`.exists())
                          2. Patient.implicitRules
                          Definition

                          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                          ShortA set of rules under which this content was created
                          Comments

                          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                          Control0..1
                          Typeuri
                          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          4. Patient.extension
                          Definition

                          An Extension


                          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortExtensionAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 6. Patient.extension:ExtensionPatientNationality
                            Slice NameExtensionPatientNationality
                            Definition

                            Extension used in the individual resources to register the nationality of the person.

                            ShortPatient nationality
                            Control0..*
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Extension: Nationality) (Extension Type: Coding)
                            Is Modifierfalse
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            8. Patient.extension:ExtensionBirthPlace
                            Slice NameExtensionBirthPlace
                            Definition

                            Extension used in the Patient resource to register the geographical location of birth of the person.

                            ShortGeographical location of birth of the patient
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Extension: BirthPlace) (Extension Type: Address)
                            Is Modifierfalse
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            10. Patient.extension:ExtensionPatientEthnicity
                            Slice NameExtensionPatientEthnicity
                            Definition

                            Extension used in the Patient resource, to record the ethnic group of the person.

                            ShortPatient ethnicity
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Extension: PatientEthnicity) (Extension Type: Coding)
                            Is Modifierfalse
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            12. Patient.extension:ExtensionPatientPopulationGroup
                            Slice NameExtensionPatientPopulationGroup
                            Definition

                            Extension used in the Patient resource, to record the population group of the person.

                            ShortPatient population group
                            Control0..*
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Extension: PatientPopulationGroup) (Extension Type: Coding)
                            Is Modifierfalse
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            14. Patient.extension:ExtensionPatientDisability
                            Slice NameExtensionPatientDisability
                            Definition

                            Extension used in the Patient resource, to record the disability classification of the person.

                            ShortPatient disability classification
                            Control0..*
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Extension: Disability) (Extension Type: Coding)
                            Is Modifierfalse
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            16. Patient.extension:ExtensionPatientGenderIdentity
                            Slice NameExtensionPatientGenderIdentity
                            Definition

                            Extension used in the Patient resource, to record the gender identity of the person.

                            ShortPatient gender identity
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
                            Is Modifierfalse
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            18. Patient.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                            Summaryfalse
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            20. Patient.identifier
                            Definition

                            Identifiers of the person playing the role of patient. [ES: Identificaciones de la persona que desempeña el rol de paciente]


                            An identifier for this patient.

                            ShortPerson identifiersAn identifier for this patient
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control10..*
                            TypeIdentifier
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            Patients are almost always assigned specific numerical identifiers.

                            LabelIdentificación
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ id
                            • 22. Patient.identifier:NationalPersonIdentifier
                              Slice NameNationalPersonIdentifier
                              Definition

                              Colombian identification of the person playing the role of patient. [ES: Identificación nacional de la persona que desempeña el rol de paciente]


                              An identifier for this patient.

                              ShortNational Person IdentifierAn identifier for this patient
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1*
                              TypeIdentifier
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Patients are almost always assigned specific numerical identifiers.

                              LabelIdentificación nacional del paciente
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              24. Patient.identifier:NationalPersonIdentifier.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control10..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Pattern ValueNationalPersonIdentifier-0
                              26. Patient.identifier:NationalPersonIdentifier.use
                              Definition

                              The purpose of this identifier.

                              Shortusual | official | temp | secondary | old (If known)
                              Comments

                              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                              Control10..1
                              BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                              Identifies the purpose for this identifier, if known .

                              Typecode
                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                              Fixed Valueofficial
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              28. Patient.identifier:NationalPersonIdentifier.type
                              Definition

                              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                              ShortDescription of identifier
                              Comments

                              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                              Control10..1
                              BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
                              (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                              A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Allows users to make use of identifiers when the identifier system is not known.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              30. Patient.identifier:NationalPersonIdentifier.type.coding
                              Definition

                              A reference to a code defined by a terminology system.

                              ShortCode defined by a terminology system
                              Comments

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Control20..2*
                              TypeCoding
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Allows for alternative encodings within a code system, and translations to other code systems.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ system
                              • 32. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode
                                Slice NameInternationalCode
                                Definition

                                A reference to a code defined by a terminology system.

                                ShortCode defined by a terminology system
                                Comments

                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                Control10..1*
                                BindingUnless not suitable, these codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                TypeCoding
                                Is Modifierfalse
                                Summarytrue
                                Requirements

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                34. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.system
                                Definition

                                International code system of identifiers for persons. [ES: Codificación internacional de identificaciones para personas]


                                The identification of the code system that defines the meaning of the symbol in the code.

                                ShortInternational code systemIdentity of the terminology system
                                Comments

                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                Control10..1
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be unambiguous about the source of the definition of the symbol.

                                Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                36. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.code
                                Definition

                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                ShortSymbol in syntax defined by the system
                                Control10..1
                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to refer to a particular code in the system.

                                Fixed ValuePN
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                38. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.display
                                Definition

                                A representation of the meaning of the code in the system, following the rules of the system.

                                ShortRepresentation defined by the system
                                Control10..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                Fixed ValuePerson number
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                40. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode
                                Slice NameColombianCode
                                Definition

                                A reference to a code defined by a terminology system.

                                ShortCode defined by a terminology system
                                Comments

                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                Control10..1*
                                BindingThe codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                TypeCoding
                                Is Modifierfalse
                                Summarytrue
                                Requirements

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                42. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.system
                                Definition

                                Colombian code system of identifiers for individuals. [ES: Codificación colombiana de identificaciones para personas]


                                The identification of the code system that defines the meaning of the symbol in the code.

                                ShortNational code systemIdentity of the terminology system
                                Comments

                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                Control10..1
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be unambiguous about the source of the definition of the symbol.

                                LabelTipo identificación
                                Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                44. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.code
                                Definition

                                Colombian identifier type code. [ES: Código colombiano del tipo de identificación]


                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SISymbol in syntax defined by the system
                                Control10..1
                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to refer to a particular code in the system.

                                LabelCódigo
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                46. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.display
                                Definition

                                Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]


                                A representation of the meaning of the code in the system, following the rules of the system.

                                ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +Representation defined by the system
                                Control10..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                LabelTipo
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                48. Patient.identifier:NationalPersonIdentifier.system
                                Definition

                                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                ShortThe namespace for the identifier value
                                Comments

                                Identifier.system is always case sensitive.

                                Control0..1
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                Pattern Valuehttp://co.fhir.guide/NamingSystem/RNEC
                                Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                50. Patient.identifier:NationalPersonIdentifier.value
                                Definition

                                Value of the Colombian identification document. [ES: Valor del documento de identificación colombiano]


                                The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                ShortIdentifier valueThe value that is unique
                                Comments

                                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                Control10..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                LabelNúmero de identificación
                                Example<br/><b>General</b>:123456
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                52. Patient.identifier:NationalPersonIdentifier.period
                                Definition

                                Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]


                                Time period during which identifier is/was valid for use.

                                ShortPeriod of validityTime period when id is/was valid for use
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summarytrue
                                LabelVigencia
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                54. Patient.identifier:NationalPersonIdentifier.period.start
                                Definition

                                Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]


                                The start of the period. The boundary is inclusive.

                                ShortDate of issuanceStarting time with inclusive boundary
                                Comments

                                If the low element is missing, the meaning is that the low boundary is not known.

                                Control10..1
                                This element is affected by the following invariants: per-1
                                TypedateTime
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                LabelFecha de expedición
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                56. Patient.identifier:NationalPersonIdentifier.period.end
                                Definition

                                Identifier expiration date. [ES: Fecha de vencimiento de la identificación]


                                The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                ShortExpiration dateEnd time with inclusive boundary, if not ongoing
                                Comments

                                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                Control0..1
                                This element is affected by the following invariants: per-1
                                TypedateTime
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                LabelFecha de vencimiento
                                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                58. Patient.identifier:Passport
                                Slice NamePassport
                                Definition

                                Passport of the person playing the role of patient. [ES: Pasaporte de la persona que desempeña el rol de paciente]


                                An identifier for this patient.

                                ShortPassportAn identifier for this patient
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..*
                                TypeIdentifier
                                Is Modifierfalse
                                Summarytrue
                                Requirements

                                Patients are almost always assigned specific numerical identifiers.

                                LabelPasaporte
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                60. Patient.identifier:Passport.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control10..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                Pattern ValuePassport-0
                                62. Patient.identifier:Passport.use
                                Definition

                                The purpose of this identifier.

                                Shortusual | official | temp | secondary | old (If known)
                                Comments

                                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                Control10..1
                                BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                Identifies the purpose for this identifier, if known .

                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                Fixed Valueofficial
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                64. Patient.identifier:Passport.type
                                Definition

                                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                ShortDescription of identifier
                                Comments

                                This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                Control10..1
                                BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
                                (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Summarytrue
                                Requirements

                                Allows users to make use of identifiers when the identifier system is not known.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                66. Patient.identifier:Passport.type.coding
                                Definition

                                A reference to a code defined by a terminology system.

                                ShortCode defined by a terminology system
                                Comments

                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                Control20..2*
                                TypeCoding
                                Is Modifierfalse
                                Summarytrue
                                Requirements

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ system
                                • 68. Patient.identifier:Passport.type.coding:InternationalCode
                                  Slice NameInternationalCode
                                  Definition

                                  A reference to a code defined by a terminology system.

                                  ShortCode defined by a terminology system
                                  Comments

                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                  Control10..1*
                                  BindingUnless not suitable, these codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                  (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                  TypeCoding
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  70. Patient.identifier:Passport.type.coding:InternationalCode.system
                                  Definition

                                  The identification of the code system that defines the meaning of the symbol in the code.

                                  ShortIdentity of the terminology system
                                  Comments

                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                  Control10..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to be unambiguous about the source of the definition of the symbol.

                                  Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  72. Patient.identifier:Passport.type.coding:InternationalCode.code
                                  Definition

                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                  ShortSymbol in syntax defined by the system
                                  Control10..1
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to refer to a particular code in the system.

                                  Fixed ValuePPN
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  74. Patient.identifier:Passport.type.coding:InternationalCode.display
                                  Definition

                                  A representation of the meaning of the code in the system, following the rules of the system.

                                  ShortRepresentation defined by the system
                                  Control10..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                  Fixed ValuePassport number
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  76. Patient.identifier:Passport.type.coding:ColombianCode
                                  Slice NameColombianCode
                                  Definition

                                  A reference to a code defined by a terminology system.

                                  ShortCode defined by a terminology system
                                  Comments

                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                  Control10..1*
                                  BindingThe codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                  (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                  TypeCoding
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  78. Patient.identifier:Passport.type.coding:ColombianCode.system
                                  Definition

                                  The identification of the code system that defines the meaning of the symbol in the code.

                                  ShortIdentity of the terminology system
                                  Comments

                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                  Control10..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to be unambiguous about the source of the definition of the symbol.

                                  Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  80. Patient.identifier:Passport.type.coding:ColombianCode.code
                                  Definition

                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                  ShortSymbol in syntax defined by the system
                                  Control10..1
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to refer to a particular code in the system.

                                  Fixed ValuePA
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  82. Patient.identifier:Passport.type.coding:ColombianCode.display
                                  Definition

                                  A representation of the meaning of the code in the system, following the rules of the system.

                                  ShortRepresentation defined by the system
                                  Control10..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                  Fixed ValuePasaporte
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  84. Patient.identifier:Passport.system
                                  Definition

                                  Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                  ShortThe namespace for the identifier value
                                  Comments

                                  Identifier.system is always case sensitive.

                                  Control0..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                  Pattern Valuehttp://co.fhir.guide/NamingSystem/Pasaportes
                                  Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  86. Patient.identifier:Passport.value
                                  Definition

                                  Passport Nº. [ES: Pasaporte Nº]


                                  The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                  ShortPassport NºThe value that is unique
                                  Comments

                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                  Control10..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  LabelPasaporte Nº
                                  Example<br/><b>General</b>:123456
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  88. Patient.identifier:Passport.period
                                  Definition

                                  Period of validity of passport. [ES: Periódo de vigencia del pasaporte]


                                  Time period during which identifier is/was valid for use.

                                  ShortPeriod of validityTime period when id is/was valid for use
                                  Control0..1
                                  TypePeriod
                                  Is Modifierfalse
                                  Summarytrue
                                  LabelVigencia
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  90. Patient.identifier:Passport.period.start
                                  Definition

                                  Date of issuance of passport. [ES: Fecha de expedición del pasaporte]


                                  The start of the period. The boundary is inclusive.

                                  ShortDate of issueStarting time with inclusive boundary
                                  Comments

                                  If the low element is missing, the meaning is that the low boundary is not known.

                                  Control10..1
                                  This element is affected by the following invariants: per-1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  LabelFecha de expedición
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  92. Patient.identifier:Passport.period.end
                                  Definition

                                  Passport expiration date. [ES: Fecha de vencimiento del pasaporte]


                                  The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                  ShortDate of expiryEnd time with inclusive boundary, if not ongoing
                                  Comments

                                  The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                  Control10..1
                                  This element is affected by the following invariants: per-1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  LabelFecha de vencimiento
                                  Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  94. Patient.identifier:TaxIdentifier
                                  Slice NameTaxIdentifier
                                  Definition

                                  Tax Identifier of the person playing the role of patient. [ES: Registro único tributario de la persona que desempeña el rol de paciente]


                                  An identifier for this patient.

                                  ShortTax IdentifierAn identifier for this patient
                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                  Control0..1*
                                  TypeIdentifier
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Patients are almost always assigned specific numerical identifiers.

                                  LabelRUT
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  96. Patient.identifier:TaxIdentifier.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control10..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  Pattern ValueTaxIdentifier-0
                                  98. Patient.identifier:TaxIdentifier.use
                                  Definition

                                  The purpose of this identifier.

                                  Shortusual | official | temp | secondary | old (If known)
                                  Comments

                                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                  Control10..1
                                  BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                  Identifies the purpose for this identifier, if known .

                                  Typecode
                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                  Fixed Valueofficial
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  100. Patient.identifier:TaxIdentifier.type
                                  Definition

                                  A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                  ShortDescription of identifier
                                  Comments

                                  This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                  Control10..1
                                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
                                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                  A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Allows users to make use of identifiers when the identifier system is not known.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  102. Patient.identifier:TaxIdentifier.type.coding
                                  Definition

                                  A reference to a code defined by a terminology system.

                                  ShortCode defined by a terminology system
                                  Comments

                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                  Control20..2*
                                  TypeCoding
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ system
                                  • 104. Patient.identifier:TaxIdentifier.type.coding:InternationalCode
                                    Slice NameInternationalCode
                                    Definition

                                    A reference to a code defined by a terminology system.

                                    ShortCode defined by a terminology system
                                    Comments

                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                    Control10..1*
                                    BindingUnless not suitable, these codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                    (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                    TypeCoding
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    106. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.system
                                    Definition

                                    The identification of the code system that defines the meaning of the symbol in the code.

                                    ShortIdentity of the terminology system
                                    Comments

                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                    Control10..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Need to be unambiguous about the source of the definition of the symbol.

                                    Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    108. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.code
                                    Definition

                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                    ShortSymbol in syntax defined by the system
                                    Control10..1
                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Need to refer to a particular code in the system.

                                    Fixed ValueTAX
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    110. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.display
                                    Definition

                                    A representation of the meaning of the code in the system, following the rules of the system.

                                    ShortRepresentation defined by the system
                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                    Fixed ValueTax ID number
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    112. Patient.identifier:TaxIdentifier.type.coding:ColombianCode
                                    Slice NameColombianCode
                                    Definition

                                    A reference to a code defined by a terminology system.

                                    ShortCode defined by a terminology system
                                    Comments

                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                    Control10..1*
                                    BindingThe codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                    (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                    TypeCoding
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    114. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.system
                                    Definition

                                    The identification of the code system that defines the meaning of the symbol in the code.

                                    ShortIdentity of the terminology system
                                    Comments

                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                    Control10..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Need to be unambiguous about the source of the definition of the symbol.

                                    Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    116. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.code
                                    Definition

                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                    ShortSymbol in syntax defined by the system
                                    Control10..1
                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Need to refer to a particular code in the system.

                                    Fixed ValueRUT
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    118. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.display
                                    Definition

                                    A representation of the meaning of the code in the system, following the rules of the system.

                                    ShortRepresentation defined by the system
                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                    Fixed ValueRegistro Único Tributario
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    120. Patient.identifier:TaxIdentifier.system
                                    Definition

                                    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                    ShortThe namespace for the identifier value
                                    Comments

                                    Identifier.system is always case sensitive.

                                    Control0..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                    Pattern Valuehttp://co.fhir.guide/NamingSystem/DIAN
                                    Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    122. Patient.identifier:TaxIdentifier.value
                                    Definition

                                    Value of the Colombian tax registration number. [ES: Valor o número del registro único tributario colombiano]


                                    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                    ShortTax ID number valueThe value that is unique
                                    Comments

                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    LabelRUT Número
                                    Example<br/><b>General</b>:123456
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    124. Patient.identifier:TaxIdentifier.period
                                    Definition

                                    Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]


                                    Time period during which identifier is/was valid for use.

                                    ShortPeriod of validityTime period when id is/was valid for use
                                    Control0..1
                                    TypePeriod
                                    Is Modifierfalse
                                    Summarytrue
                                    LabelVigencia
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    126. Patient.identifier:TaxIdentifier.period.start
                                    Definition

                                    Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]


                                    The start of the period. The boundary is inclusive.

                                    ShortDate of issuanceStarting time with inclusive boundary
                                    Comments

                                    If the low element is missing, the meaning is that the low boundary is not known.

                                    Control10..1
                                    This element is affected by the following invariants: per-1
                                    TypedateTime
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    LabelFecha de expedición
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    128. Patient.identifier:TaxIdentifier.period.end
                                    Definition

                                    Identifier expiration date. [ES: Fecha de vencimiento de la identificación]


                                    The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                    ShortExpiration dateEnd time with inclusive boundary, if not ongoing
                                    Comments

                                    The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                    Control0..1
                                    This element is affected by the following invariants: per-1
                                    TypedateTime
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    LabelFecha de vencimiento
                                    Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    130. Patient.identifier:PatientMedicalRecordNumber
                                    Slice NamePatientMedicalRecordNumber
                                    Definition

                                    Patient's medical record number, assigned by each of the provider organizations where he/she receives health care services. [ES: Número de historia clínica del paciente, asignado por cada una de las organizaciones prestadoras donde recibe servicios de atención en salud.]


                                    An identifier for this patient.

                                    ShortPatient Medical Record NumberAn identifier for this patient
                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control0..*
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Requirements

                                    Patients are almost always assigned specific numerical identifiers.

                                    LabelHistoria Clínica
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    132. Patient.identifier:PatientMedicalRecordNumber.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    Pattern ValuePatientMedicalRecordNumber-0
                                    134. Patient.identifier:PatientMedicalRecordNumber.use
                                    Definition

                                    The purpose of this identifier.

                                    Shortusual | official | temp | secondary | old (If known)
                                    Comments

                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                    Control10..1
                                    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                    Identifies the purpose for this identifier, if known .

                                    Typecode
                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                    Fixed Valueusual
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    136. Patient.identifier:PatientMedicalRecordNumber.type
                                    Definition

                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                    ShortDescription of identifier
                                    Comments

                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                    Control10..1
                                    BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodeshttp://hl7.org/fhir/ValueSet/identifier-type
                                    (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows users to make use of identifiers when the identifier system is not known.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    138. Patient.identifier:PatientMedicalRecordNumber.system
                                    Definition

                                    Uniform Resource Identifier (URI) from the medical record information system of the provider organization (hospital, clinic, diagnostic center, etc.) that assigns the identification. [ES: Identificador de recursos uniforme (URI) del sistema de información de historia clínica de la organización prestadora (hospital, clínica, centro de diagnóstico, etc) que asigna la identificación.]


                                    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                    ShortMedical Record Information SystemThe namespace for the identifier value
                                    Comments

                                    Identifier.system is always case sensitive.

                                    Control0..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                    LabelSistema de Información de Historia Clínica
                                    Pattern Valuehttp://co.fhir.guide/NamingSystem/HIS
                                    Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    140. Patient.identifier:PatientMedicalRecordNumber.value
                                    Definition

                                    Value of the patient's medical record number. [ES: Número de historia clínica del paciente]


                                    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                    ShortMedical record number valueThe value that is unique
                                    Comments

                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Summarytrue
                                    LabelNúmero Historia Clínica
                                    Example<br/><b>General</b>:123456
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    142. Patient.identifier:PatientMedicalRecordNumber.assigner
                                    Definition

                                    Organization that issued/manages the identifier.

                                    ShortOrganization that issued id (may be just text)
                                    Comments

                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                    Control10..1
                                    TypeReference(Organization)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    144. Patient.identifier:PatientMedicalRecordNumber.assigner.reference
                                    Definition

                                    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                    ShortLiteral reference, Relative, internal or absolute URL
                                    Comments

                                    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                    Control10..1
                                    This element is affected by the following invariants: ref-1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    146. Patient.identifier:PatientMedicalRecordNumber.assigner.type
                                    Definition

                                    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                    ShortType the reference refers to (e.g. "Patient")
                                    Comments

                                    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                    Control0..1
                                    BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
                                    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                    Aa resource (or, for logical models, the URI of the logical model).

                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Fixed ValueOrganization
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    148. Patient.identifier:DriverLicenseNumber
                                    Slice NameDriverLicenseNumber
                                    Definition

                                    Driver's license number, according to the National Traffic Registry System (RUNT). [ES: Número de Licencia de conducción, según el Sistema de Registro Único Nacional de Tránsito (RUNT).]


                                    An identifier for this patient.

                                    ShortDriver's license numberAn identifier for this patient
                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control0..1*
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Requirements

                                    Patients are almost always assigned specific numerical identifiers.

                                    LabelLicencia de conducción
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    150. Patient.identifier:DriverLicenseNumber.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    Pattern ValueDriverLicenseNumber-0
                                    152. Patient.identifier:DriverLicenseNumber.use
                                    Definition

                                    The purpose of this identifier.

                                    Shortusual | official | temp | secondary | old (If known)
                                    Comments

                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                    Control10..1
                                    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                    Identifies the purpose for this identifier, if known .

                                    Typecode
                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                    Fixed Valueusual
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    154. Patient.identifier:DriverLicenseNumber.type
                                    Definition

                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                    ShortDescription of identifier
                                    Comments

                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                    Control10..1
                                    BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodeshttp://hl7.org/fhir/ValueSet/identifier-type
                                    (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows users to make use of identifiers when the identifier system is not known.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    156. Patient.identifier:DriverLicenseNumber.system
                                    Definition

                                    Single National Traffic Registry System (RUNT). [ES: Sistema de Registro Único Nacional de Tránsito (RUNT).]


                                    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                    ShortSingle National Traffic Registry (RUNT)The namespace for the identifier value
                                    Comments

                                    Identifier.system is always case sensitive.

                                    Control0..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                    LabelRUNT
                                    Fixed Valuehttp://co.fhir.guide/NamingSystem/RUNT
                                    Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    158. Patient.identifier:DriverLicenseNumber.value
                                    Definition

                                    Value of the Driver's license. [ES: Número de licencia de conducción]


                                    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                    ShortDriver's license number valueThe value that is unique
                                    Comments

                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Summarytrue
                                    LabelNúmero de licencia de conducción
                                    Example<br/><b>General</b>:123456
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    160. Patient.identifier:DriverLicenseNumber.assigner
                                    Definition

                                    Organization that issued/manages the identifier.

                                    ShortOrganization that issued id (may be just text)
                                    Comments

                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                    Control10..1
                                    TypeReference(Organization)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    162. Patient.identifier:DriverLicenseNumber.assigner.reference
                                    Definition

                                    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                    ShortLiteral reference, Relative, internal or absolute URL
                                    Comments

                                    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                    Control10..1
                                    This element is affected by the following invariants: ref-1
                                    Typestring
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    164. Patient.identifier:DriverLicenseNumber.assigner.type
                                    Definition

                                    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                    ShortType the reference refers to (e.g. "Patient")
                                    Comments

                                    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                    Control0..1
                                    BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
                                    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                    Aa resource (or, for logical models, the URI of the logical model).

                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Fixed ValueOrganization
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    166. Patient.identifier:OldIdentifiers
                                    Slice NameOldIdentifiers
                                    Definition

                                    Old (non-current), national identifications of the person playing the role of patient. [ES: Identificaciones nacionales viejas (no vigentes), de la persona que desempeña el rol de paciente]


                                    An identifier for this patient.

                                    ShortOld National Person IdentifierAn identifier for this patient
                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control0..*
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Patients are almost always assigned specific numerical identifiers.

                                    LabelIdentificaciones no vigentes
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    168. Patient.identifier:OldIdentifiers.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control10..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    Pattern ValueOldIdentifiers-0
                                    170. Patient.identifier:OldIdentifiers.use
                                    Definition

                                    The purpose of this identifier.

                                    Shortusual | official | temp | secondary | old (If known)
                                    Comments

                                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                    Control10..1
                                    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                    Identifies the purpose for this identifier, if known .

                                    Typecode
                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                    Fixed Valueold
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    172. Patient.identifier:OldIdentifiers.type
                                    Definition

                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                    ShortDescription of identifier
                                    Comments

                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                    Control10..1
                                    BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
                                    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows users to make use of identifiers when the identifier system is not known.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    174. Patient.identifier:OldIdentifiers.type.coding
                                    Definition

                                    A reference to a code defined by a terminology system.

                                    ShortCode defined by a terminology system
                                    Comments

                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                    Control20..2*
                                    TypeCoding
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ system
                                    • 176. Patient.identifier:OldIdentifiers.type.coding:InternationalCode
                                      Slice NameInternationalCode
                                      Definition

                                      A reference to a code defined by a terminology system.

                                      ShortCode defined by a terminology system
                                      Comments

                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                      Control10..1*
                                      BindingUnless not suitable, these codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                      (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                      TypeCoding
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      178. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.system
                                      Definition

                                      International code system of identifiers for persons. [ES: Codificación internacional de identificaciones para personas]


                                      The identification of the code system that defines the meaning of the symbol in the code.

                                      ShortInternational code systemIdentity of the terminology system
                                      Comments

                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                      Control10..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to be unambiguous about the source of the definition of the symbol.

                                      Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      180. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.code
                                      Definition

                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                      ShortSymbol in syntax defined by the system
                                      Control10..1
                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to refer to a particular code in the system.

                                      Fixed ValuePN
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      182. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.display
                                      Definition

                                      A representation of the meaning of the code in the system, following the rules of the system.

                                      ShortRepresentation defined by the system
                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                      Fixed ValuePerson number
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      184. Patient.identifier:OldIdentifiers.type.coding:ColombianCode
                                      Slice NameColombianCode
                                      Definition

                                      A reference to a code defined by a terminology system.

                                      ShortCode defined by a terminology system
                                      Comments

                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                      Control10..1*
                                      BindingThe codes SHALL be taken from For codes, see http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                      (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                      TypeCoding
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      186. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.system
                                      Definition

                                      Colombian code system of identifiers for individuals. [ES: Codificación colombiana de identificaciones para personas]


                                      The identification of the code system that defines the meaning of the symbol in the code.

                                      ShortNational code systemIdentity of the terminology system
                                      Comments

                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                      Control10..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to be unambiguous about the source of the definition of the symbol.

                                      LabelTipo identificación
                                      Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      188. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.code
                                      Definition

                                      Colombian identifier type code. [ES: Código colombiano del tipo de identificación]


                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                      ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SISymbol in syntax defined by the system
                                      Control10..1
                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to refer to a particular code in the system.

                                      LabelCódigo
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      190. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.display
                                      Definition

                                      Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]


                                      A representation of the meaning of the code in the system, following the rules of the system.

                                      ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +Representation defined by the system
                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                      LabelTipo
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      192. Patient.identifier:OldIdentifiers.system
                                      Definition

                                      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                      ShortThe namespace for the identifier value
                                      Comments

                                      Identifier.system is always case sensitive.

                                      Control0..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                      Pattern Valuehttp://co.fhir.guide/NamingSystem/RNEC
                                      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      194. Patient.identifier:OldIdentifiers.value
                                      Definition

                                      Value of the Colombian identification document. [ES: Valor del documento de identificación colombiano]


                                      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                      ShortIdentifier valueThe value that is unique
                                      Comments

                                      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      LabelNúmero de identificación
                                      Example<br/><b>General</b>:123456
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      196. Patient.identifier:OldIdentifiers.period
                                      Definition

                                      Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]


                                      Time period during which identifier is/was valid for use.

                                      ShortPeriod of validityTime period when id is/was valid for use
                                      Control0..1
                                      TypePeriod
                                      Is Modifierfalse
                                      Summarytrue
                                      LabelVigencia
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      198. Patient.identifier:OldIdentifiers.period.start
                                      Definition

                                      Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]


                                      The start of the period. The boundary is inclusive.

                                      ShortDate of issuanceStarting time with inclusive boundary
                                      Comments

                                      If the low element is missing, the meaning is that the low boundary is not known.

                                      Control10..1
                                      This element is affected by the following invariants: per-1
                                      TypedateTime
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      LabelFecha de expedición
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      200. Patient.identifier:OldIdentifiers.period.end
                                      Definition

                                      Identifier expiration date. [ES: Fecha de vencimiento de la identificación]


                                      The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                      ShortExpiration dateEnd time with inclusive boundary, if not ongoing
                                      Comments

                                      The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                      Control0..1
                                      This element is affected by the following invariants: per-1
                                      TypedateTime
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      LabelFecha de vencimiento
                                      Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      202. Patient.identifier:SoftwareAssignedIdentifiers
                                      Slice NameSoftwareAssignedIdentifiers
                                      Definition

                                      Patient registration number or ID assigned by a clinical sub-system (HIS, LIS, RIS, APP, etc). [ES: Número o ID de registro del paciente, asignado por un sub sistema clínico (HIS, LIS, RIS, APP, etc).]


                                      An identifier for this patient.

                                      ShortPatient Medical Record NumberAn identifier for this patient
                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control0..*
                                      TypeIdentifier
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      Patients are almost always assigned specific numerical identifiers.

                                      LabelRegistro de paciente en el sistema de información
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      204. Patient.identifier:SoftwareAssignedIdentifiers.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      Pattern ValueSoftwareAssignedIdentifiers-0
                                      206. Patient.identifier:SoftwareAssignedIdentifiers.use
                                      Definition

                                      The purpose of this identifier.

                                      Shortusual | official | temp | secondary | old (If known)
                                      Comments

                                      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                      Control10..1
                                      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                                      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                      Identifies the purpose for this identifier, if known .

                                      Typecode
                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                      Fixed Valuesecondary
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      208. Patient.identifier:SoftwareAssignedIdentifiers.system
                                      Definition

                                      Uniform Resource Identifier (URI) of the clinical information sub-system (HIS, LIS, RIS, APP, etc), in the provider organization (hospital, clinic, diagnostic center, etc) that assigns the identification. [ES: Identificador de recursos uniforme (URI) del sub-sistema de información clínica (HIS, LIS, RIS, APP, etc), en la organización prestadora (hospital, clínica, centro de diagnóstico, etc) que asigna la identificación.]


                                      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                      ShortClinical information sub-systemThe namespace for the identifier value
                                      Comments

                                      Identifier.system is always case sensitive.

                                      Control0..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                      LabelSub-sistema de información clínica
                                      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      210. Patient.identifier:SoftwareAssignedIdentifiers.value
                                      Definition

                                      Patient registration number or ID in clinical sub-system. [ES: Número o ID de registro de paciente en el sub-sistema clínico]


                                      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                                      ShortPatient registration number or IDThe value that is unique
                                      Comments

                                      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                      Control10..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      LabelID de paciente
                                      Example<br/><b>General</b>:123456
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      212. Patient.identifier:SoftwareAssignedIdentifiers.assigner
                                      Definition

                                      Organization that issued/manages the identifier.

                                      ShortOrganization that issued id (may be just text)
                                      Comments

                                      The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                      Control10..1
                                      TypeReference(Organization)
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      214. Patient.identifier:SoftwareAssignedIdentifiers.assigner.reference
                                      Definition

                                      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                      ShortLiteral reference, Relative, internal or absolute URL
                                      Comments

                                      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                      Control10..1
                                      This element is affected by the following invariants: ref-1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      216. Patient.identifier:SoftwareAssignedIdentifiers.assigner.type
                                      Definition

                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                      ShortType the reference refers to (e.g. "Patient")
                                      Comments

                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                      Control0..1
                                      BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                      Aa resource (or, for logical models, the URI of the logical model).

                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Fixed ValueOrganization
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      218. Patient.active
                                      Definition

                                      Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                                      It is often used to filter patient lists to exclude inactive patients

                                      Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                                      Shorttrue | falseWhether this patient's record is in active use
                                      Comments

                                      If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

                                      Control10..1
                                      Typeboolean
                                      Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Need to be able to mark a patient record as not to be used because it was created in error.

                                      LabelActivo
                                      Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      220. Patient.name
                                      Definition

                                      Name(s) of the person playing the role of the patient. [ES: Nombre(s) de la persona que desempeña el rol de paciente]


                                      A name associated with the individual.

                                      ShortName(s) of patientA name associated with the patient
                                      Comments

                                      A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                      Control10..2*
                                      TypeHumanName
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ use
                                      • 222. Patient.name:OfficialPatientName
                                        Slice NameOfficialPatientName
                                        Definition

                                        Official (legal) name of the person playing the role of patient. [ES: Nombre oficial (legal) de la persona que desempeña el rol de paciente]


                                        A name associated with the individual.

                                        ShortPatient's official (legal) nameA name associated with the patient
                                        Comments

                                        A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                        Control10..1*
                                        TypeHumanName
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                        LabelNombre del paciente
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        224. Patient.name:OfficialPatientName.use
                                        Definition

                                        Identifies the purpose for this name.

                                        Shortusual | official | temp | nickname | anonymous | old | maiden
                                        Comments

                                        Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                        Control10..1
                                        BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                                        (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                        The use of a human name.

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                        Fixed Valueofficial
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        226. Patient.name:OfficialPatientName.family
                                        Definition

                                        The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                        ShortPatient's family nameFamily name (often called 'Surname')
                                        Comments

                                        Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                        Control10..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        LabelApellidos
                                        Alternate Namessurname
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        228. Patient.name:OfficialPatientName.family.extension
                                        Definition

                                        An Extension


                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortExtensionAdditional content defined by implementations
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 230. Patient.name:OfficialPatientName.family.extension:FathersFamilyName
                                          Slice NameFathersFamilyName
                                          Definition

                                          Extension used in the HumanName.family element to record the person's first (or paternal) family name.

                                          ShortFirst family name
                                          Control0..1
                                          This element is affected by the following invariants: ele-1
                                          TypeExtension(Extension: FathersFamilyName) (Extension Type: string)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          232. Patient.name:OfficialPatientName.family.extension:MothersFamilyName
                                          Slice NameMothersFamilyName
                                          Definition

                                          The extension used in the HumanName.family element to record the person's second (or mother's) family name.

                                          ShortSecond family name
                                          Control0..1
                                          This element is affected by the following invariants: ele-1
                                          TypeExtension(Extension: MothersFamilyName) (Extension Type: string)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          234. Patient.name:OfficialPatientName.given
                                          Definition

                                          Given name.

                                          ShortPatient's given name(s)Given names (not always 'first'). Includes middle names
                                          Comments

                                          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                          Control10..*
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          LabelNombre(s)
                                          Alternate Namesfirst name, middle name
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          236. Patient.name:PatientIdentifyingName
                                          Slice NamePatientIdentifyingName
                                          Definition

                                          Identity and/or preferred name, freely adopted by the person playing the role of patient (can be used as an alias). [ES: Nombre identitario y/o de preferencia, libremente adoptado por la persona que desempeña el rol de paciente (puede ser utilizado como un alias).]


                                          A name associated with the individual.

                                          ShortPatient's identifying nameA name associated with the patient
                                          Comments

                                          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                          Control0..1*
                                          TypeHumanName
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

                                          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          238. Patient.name:PatientIdentifyingName.use
                                          Definition

                                          Identifies the purpose for this name.

                                          Shortusual | official | temp | nickname | anonymous | old | maiden
                                          Comments

                                          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                          Control10..1
                                          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                                          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                          The use of a human name.

                                          Typecode
                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                          Fixed Valueusual
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          240. Patient.name:PatientIdentifyingName.text
                                          Definition

                                          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                          ShortText representation of the full name
                                          Comments

                                          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                          Control10..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          A renderable, unencoded form.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          242. Patient.name:TemporaryPatientName
                                          Slice NameTemporaryPatientName
                                          Definition

                                          Temporary name, assigned in cases of newborns or when it is not possible to know the name of the person playing the role of patient. [ES: Nombre temporal, asignado en casos de recién nacidos o cuando no es posible saber cuál es el nombre de la persona que desempeña el rol de paciente.]


                                          A name associated with the individual.

                                          ShortTemporary name of patientA name associated with the patient
                                          Comments

                                          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                          Control0..1*
                                          TypeHumanName
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

                                          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          244. Patient.name:TemporaryPatientName.use
                                          Definition

                                          Identifies the purpose for this name.

                                          Shortusual | official | temp | nickname | anonymous | old | maiden
                                          Comments

                                          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                          Control10..1
                                          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                                          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                          The use of a human name.

                                          Typecode
                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                          Fixed Valuetemp
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          246. Patient.name:TemporaryPatientName.text
                                          Definition

                                          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                          ShortText representation of the full name
                                          Comments

                                          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                          Control10..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          A renderable, unencoded form.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          248. Patient.telecom
                                          Definition

                                          Telecommunications addresses [ES: Direcciones de telecomunicaciones]


                                          A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                                          ShortTelephone, mobile, email, etc.A contact detail for the individual
                                          Comments

                                          A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                          Control0..*
                                          TypeContactPoint
                                          Is Modifierfalse
                                          Summarytrue
                                          Requirements

                                          People have (primary) ways to contact them in some way such as phone, email.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ id
                                          • 250. Patient.telecom:TelecomPhone
                                            Slice NameTelecomPhone
                                            Definition

                                            Landline phone contact [ES: Teléfono fijo de contacto]


                                            A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                                            ShortTelephoneA contact detail for the individual
                                            Comments

                                            A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                            Control0..*
                                            TypeContactPoint
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            People have (primary) ways to contact them in some way such as phone, email.

                                            LabelTeléfono
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            252. Patient.telecom:TelecomPhone.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            Pattern ValueTelecomPhone-0
                                            254. Patient.telecom:TelecomPhone.system
                                            Definition

                                            Telecommunications form for contact point - what communications system is required to make use of the contact.

                                            Shortphone | fax | email | pager | url | sms | other
                                            Control10..1
                                            This element is affected by the following invariants: cpt-2
                                            BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                            Telecommunications form for contact point.

                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Fixed Valuephone
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            256. Patient.telecom:TelecomPhone.value
                                            Definition

                                            The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                            ShortSyntax: +57(000)000-0000The actual contact point details
                                            Comments

                                            Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to support legacy numbers that are not in a tightly controlled format.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            258. Patient.telecom:TelecomPhone.use
                                            Definition

                                            Identifies the purpose for the contact point.

                                            Shorthome | work | temp | old | mobile - purpose of this contact point
                                            Comments

                                            Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                            Control0..1
                                            BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                            Use of contact point.

                                            Typecode
                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            260. Patient.telecom:TelecomMobile
                                            Slice NameTelecomMobile
                                            Definition

                                            Contact mobile or cell phone [ES: Teléfono móvil o celular de contacto]


                                            A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                                            ShortMobileA contact detail for the individual
                                            Comments

                                            A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                            Control0..*
                                            TypeContactPoint
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            People have (primary) ways to contact them in some way such as phone, email.

                                            LabelCelular
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            262. Patient.telecom:TelecomMobile.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            Pattern ValueTelecomMobile-0
                                            264. Patient.telecom:TelecomMobile.system
                                            Definition

                                            Telecommunications form for contact point - what communications system is required to make use of the contact.

                                            Shortphone | fax | email | pager | url | sms | other
                                            Control10..1
                                            This element is affected by the following invariants: cpt-2
                                            BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                            Telecommunications form for contact point.

                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Fixed Valuephone
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            266. Patient.telecom:TelecomMobile.value
                                            Definition

                                            The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                            ShortSyntax: (000)000-0000The actual contact point details
                                            Comments

                                            Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to support legacy numbers that are not in a tightly controlled format.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            268. Patient.telecom:TelecomMobile.use
                                            Definition

                                            Identifies the purpose for the contact point.

                                            Shorthome | work | temp | old | mobile - purpose of this contact point
                                            Comments

                                            Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                            Control10..1
                                            BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                            Use of contact point.

                                            Typecode
                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                            Fixed Valuemobile
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            270. Patient.telecom:TelecomEmail
                                            Slice NameTelecomEmail
                                            Definition

                                            Contact email address [ES: Correo electrónico de contacto]


                                            A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                                            ShortE-mailA contact detail for the individual
                                            Comments

                                            A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                            Control0..*
                                            TypeContactPoint
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            People have (primary) ways to contact them in some way such as phone, email.

                                            LabelE-mail
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            272. Patient.telecom:TelecomEmail.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            Pattern ValueTelecomEmail-0
                                            274. Patient.telecom:TelecomEmail.system
                                            Definition

                                            Telecommunications form for contact point - what communications system is required to make use of the contact.

                                            Shortphone | fax | email | pager | url | sms | other
                                            Control10..1
                                            This element is affected by the following invariants: cpt-2
                                            BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                            Telecommunications form for contact point.

                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Fixed Valueemail
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            276. Patient.telecom:TelecomEmail.value
                                            Definition

                                            The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                            ShortSyntax: name@example.comThe actual contact point details
                                            Comments

                                            Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                            Control10..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to support legacy numbers that are not in a tightly controlled format.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            278. Patient.telecom:TelecomEmail.use
                                            Definition

                                            Identifies the purpose for the contact point.

                                            Shorthome | work | temp | old | mobile - purpose of this contact point
                                            Comments

                                            Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                            Control0..1
                                            BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                            Use of contact point.

                                            Typecode
                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            280. Patient.gender
                                            Definition

                                            Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

                                            Shortmale | female | other | unknown
                                            Comments

                                            The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                            Control10..1
                                            BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
                                            (required to http://hl7.org/fhir/ValueSet/administrative-gender)
                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            Needed for identification of the individual, in combination with (at least) name and birth date.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            282. Patient.birthDate
                                            Definition

                                            The date of birth for the individual.

                                            ShortThe date of birth for the individual
                                            Comments

                                            At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

                                            Control10..1
                                            Typedate
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            Age of the individual drives many clinical processes.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            LOINC Code21112-8
                                            284. Patient.deceased[x]
                                            Definition

                                            Indicates if the individual is deceased or not.

                                            ShortIndicates if the individual is deceased or not
                                            Comments

                                            If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                            Control0..1
                                            TypeChoice of: boolean, dateTime
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            286. Patient.address
                                            Definition

                                            An address for the individual. [ES: Una dirección de la persona]


                                            An address for the individual.

                                            ShortAn address for the individual
                                            Comments

                                            Patient may have multiple addresses with different uses or applicable periods.

                                            Control10..*
                                            TypeAddress
                                            Is Modifierfalse
                                            Summarytrue
                                            Requirements

                                            May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                            LabelDirección
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ id
                                            • 288. Patient.address:HomeAddress
                                              Slice NameHomeAddress
                                              Definition

                                              An address for the individual.

                                              ShortAn address for the individual
                                              Comments

                                              Patient may have multiple addresses with different uses or applicable periods.

                                              Control10..1*
                                              TypeAddress
                                              Is Modifierfalse
                                              Summarytrue
                                              Requirements

                                              May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              290. Patient.address:HomeAddress.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control10..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              Pattern ValueHomeAddress-0
                                              292. Patient.address:HomeAddress.extension:ExtensionResidenceZone
                                              Slice NameExtensionResidenceZone
                                              Definition

                                              Extension used in the Patient.Address element, to register the area of residence

                                              ShortUrbana | Rural
                                              Control0..1
                                              TypeExtension(Extension: ResidenceZone) (Extension Type: Coding)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              294. Patient.address:HomeAddress.use
                                              Definition

                                              The purpose of this address.

                                              Shorthome | work | temp | old | billing - purpose of this address
                                              Comments

                                              Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                              Control10..1
                                              BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
                                              (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                              The use of an address.

                                              Typecode
                                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Requirements

                                              Allows an appropriate address to be chosen from a list of many.

                                              Fixed Valuehome
                                              Example<br/><b>General</b>:home
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              296. Patient.address:HomeAddress.type
                                              Definition

                                              Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                              Shortpostal | physical | both
                                              Comments

                                              The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).


                                              The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                              Control10..1
                                              BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
                                              (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                              The type of an address (physical / postal).

                                              Typecode
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Fixed Valuephysical
                                              Example<br/><b>General</b>:both
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              298. Patient.address:HomeAddress.text
                                              Definition

                                              Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                              ShortText representation of the address
                                              Comments

                                              Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                              Control10..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Requirements

                                              A renderable, unencoded form.

                                              Example<br/><b>General</b>:137 Nowhere Street, Erewhon 9132
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              300. Patient.address:HomeAddress.city
                                              Definition

                                              The name of the city, town, suburb, village or other community or delivery center.

                                              ShortColombian municipalityName of city, town etc.
                                              Control10..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summarytrue
                                              LabelMunicipio
                                              Alternate NamesMunicpality
                                              Example<br/><b>General</b>:Erewhon
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              302. Patient.address:HomeAddress.city.extension
                                              Definition

                                              An Extension


                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortExtensionAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on Patient.address.city.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 304. Patient.address:HomeAddress.city.extension:ExtensionDivipolaMunicipality
                                                Slice NameExtensionDivipolaMunicipality
                                                Definition

                                                Extension used in the Patient.address.city element to register the DIVIPOLA code of the municipality

                                                ShortDivipola municipality code
                                                Control0..1
                                                This element is affected by the following invariants: ele-1
                                                TypeExtension(Extension: DivipolaMunicipality) (Extension Type: Coding)
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                306. Patient.address:HomeAddress.district
                                                Definition

                                                The name of the administrative area (county).

                                                ShortDistrict, locality or communeDistrict name (aka county)
                                                Comments

                                                District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                LabelDistrito, localidad o comuna
                                                Alternate NamesCounty
                                                Example<br/><b>General</b>:Madison
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                308. Patient.address:HomeAddress.state
                                                Definition

                                                Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                                ShortColombian DepartmentSub-unit of country (abbreviations ok)
                                                Control10..1
                                                Typestring
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                LabelDepartamento
                                                Alternate NamesProvince, Territory
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                310. Patient.address:HomeAddress.state.extension
                                                Definition

                                                An Extension


                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortExtensionAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Patient.address.state.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 312. Patient.address:HomeAddress.state.extension:ExtensionDivipolaDepartment
                                                  Slice NameExtensionDivipolaDepartment
                                                  Definition

                                                  Extension used in the Patient.address.state element to register the DIVIPOLA code of the department

                                                  ShortDivipola department code
                                                  Control0..1
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension(Extension: DivipolaDepartment) (Extension Type: Coding)
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  314. Patient.address:HomeAddress.country
                                                  Definition

                                                  Country - a nation as commonly understood or generally accepted.

                                                  ShortCountryCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                  Comments

                                                  ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                  Control10..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  LabelPaís
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  316. Patient.address:Otheraddress
                                                  Slice NameOtheraddress
                                                  Definition

                                                  An address for the individual.

                                                  ShortAn address for the individual
                                                  Comments

                                                  Patient may have multiple addresses with different uses or applicable periods.

                                                  Control0..1*
                                                  TypeAddress
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Requirements

                                                  May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  318. Patient.address:Otheraddress.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control10..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  Pattern ValueOtheraddress-0
                                                  320. Patient.address:Otheraddress.use
                                                  Definition

                                                  The purpose of this address.

                                                  Shorthome | work | temp | old | billing - purpose of this address
                                                  Comments

                                                  Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                  Control0..1
                                                  BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
                                                  (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                  The use of an address.

                                                  Typecode
                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Allows an appropriate address to be chosen from a list of many.

                                                  Example<br/><b>General</b>:home
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  322. Patient.maritalStatus
                                                  Definition

                                                  This field contains a patient's most recent marital (civil) status.

                                                  ShortPatient's marital statusMarital (civil) status of a patient
                                                  Control0..1
                                                  BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Marital Status Codeshttp://hl7.org/fhir/ValueSet/marital-status
                                                  (required to http://hl7.org/fhir/ValueSet/marital-status)
                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summaryfalse
                                                  Requirements

                                                  Most, if not all systems capture it.

                                                  LabelEstado civil
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  324. Patient.maritalStatus.coding
                                                  Definition

                                                  A reference to a code defined by a terminology system.

                                                  ShortCode defined by a terminology system
                                                  Comments

                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                  Control0..1*
                                                  TypeCoding
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Requirements

                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  326. Patient.maritalStatus.coding.system
                                                  Definition

                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                  ShortIdentity of the terminology system
                                                  Comments

                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                  Control10..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                  Fixed Valuehttp://terminology.hl7.org/CodeSystem/v3-MaritalStatus
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  328. Patient.maritalStatus.coding.code
                                                  Definition

                                                  Code of the marital status concept, according to the controlled vocabulary defined by HL7. [ES: Codigo del concepto de estado civil, según el vocabulario controlado definido por HL7.]


                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                  ShortA | D | I | L | M | P | S | T | U | W | UNKSymbol in syntax defined by the system
                                                  Control10..1
                                                  Typecode
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Need to refer to a particular code in the system.

                                                  LabelCódigo
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  330. Patient.maritalStatus.coding.display
                                                  Definition

                                                  HL7-defined controlled vocabulary codable concept representation for marital status. [ES: Representación del concepto codificado de vocabulario controlado definido por HL7 para estado civil.]


                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                  ShortAnnulled | Divorced | Married | Widowed +Representation defined by the system
                                                  Control10..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                  LabelNombre
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  332. Patient.maritalStatus.text
                                                  Definition

                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                  ShortPlain text representation of marital statusPlain text representation of the concept
                                                  Comments

                                                  Very often the text is the same as a displayName of one of the codings.

                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  334. Patient.link
                                                  Definition

                                                  Link to another patient resource that concerns the same actual patient.

                                                  ShortLink to another patient resource that concerns the same actual person
                                                  Comments

                                                  There is no assumption that linked patient records have mutual links.

                                                  Control0..*
                                                  TypeBackboneElement
                                                  Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                                  Summarytrue
                                                  Requirements

                                                  There are multiple use cases:

                                                  • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                                  • Distribution of patient information across multiple servers.
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  336. Patient.link.modifierExtension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                  Summarytrue
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content, modifiers
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  338. Patient.link.other
                                                  Definition

                                                  The other patient resource that the link refers to.

                                                  ShortThe other patient or related person resource that the link refers to
                                                  Comments

                                                  Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

                                                  Control1..1
                                                  TypeReference(Patient, RelatedPerson)
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  340. Patient.link.type
                                                  Definition

                                                  The type of link between this patient resource and another patient resource.

                                                  Shortreplaced-by | replaces | refer | seealso
                                                  Control1..1
                                                  BindingThe codes SHALL be taken from LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1
                                                  (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

                                                  The type of link between this patient resource and another patient resource.

                                                  Typecode
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                                  Guidance on how to interpret the contents of this table can be found here

                                                  0. Patient
                                                  Definition

                                                  Identifying data, demographic and other administrative information about an individual who is a patient receiving care or other health-related services.

                                                  ShortInformation about a person who plays the role of patient and receives healthcare services.
                                                  Control0..*
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate NamesSubjectOfCare Client Resident
                                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                  dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                                                  dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                                  dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                  2. Patient.id
                                                  Definition

                                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                  ShortLogical id of this artifact
                                                  Comments

                                                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                  Control0..1
                                                  Typeid
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  4. Patient.meta
                                                  Definition

                                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                  ShortMetadata about the resource
                                                  Control0..1
                                                  TypeMeta
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  6. Patient.meta.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  8. Patient.meta.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Patient.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 10. Patient.meta.versionId
                                                    Definition

                                                    The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

                                                    ShortVersion specific identifier
                                                    Comments

                                                    The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

                                                    Control0..1
                                                    Typeid
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    12. Patient.meta.lastUpdated
                                                    Definition

                                                    When the resource last changed - e.g. when the version changed.

                                                    ShortWhen the resource version last changed
                                                    Comments

                                                    This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

                                                    Control0..1
                                                    Typeinstant
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    14. Patient.meta.source
                                                    Definition

                                                    A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

                                                    ShortIdentifies where the resource comes from
                                                    Comments

                                                    In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

                                                    This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

                                                    Control0..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    16. Patient.meta.profile
                                                    Definition

                                                    A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

                                                    ShortProfiles this resource claims to conform to
                                                    Comments

                                                    It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

                                                    Control0..*
                                                    Typecanonical(StructureDefinition)
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Pattern Valuehttp://co.fhir.guide/core/StructureDefinition/PatientCO
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    18. Patient.meta.security
                                                    Definition

                                                    Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                                    ShortSecurity Labels applied to this resource
                                                    Comments

                                                    The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                    Control0..*
                                                    BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                                    (extensible to http://hl7.org/fhir/ValueSet/security-labels)

                                                    Security Labels from the Healthcare Privacy and Security Classification System.

                                                    TypeCoding
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    20. Patient.meta.tag
                                                    Definition

                                                    Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

                                                    ShortTags applied to this resource
                                                    Comments

                                                    The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                    Control0..*
                                                    BindingFor example codes, see CommonTags
                                                    (example to http://hl7.org/fhir/ValueSet/common-tags)

                                                    Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

                                                    TypeCoding
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    22. Patient.implicitRules
                                                    Definition

                                                    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                    ShortA set of rules under which this content was created
                                                    Comments

                                                    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                    Control0..1
                                                    Typeuri
                                                    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    24. Patient.language
                                                    Definition

                                                    The base language in which the resource is written.

                                                    ShortLanguage of the resource content
                                                    Comments

                                                    Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                    Control0..1
                                                    BindingThe codes SHOULD be taken from CommonLanguages
                                                    (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                    A human language.

                                                    Additional BindingsPurpose
                                                    AllLanguagesMax Binding
                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    26. Patient.text
                                                    Definition

                                                    A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                    ShortText summary of the resource, for human interpretation
                                                    Comments

                                                    Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                    Control0..1
                                                    TypeNarrative
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesnarrative, html, xhtml, display
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    28. Patient.contained
                                                    Definition

                                                    These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                                    ShortContained, inline Resources
                                                    Comments

                                                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                    Control0..*
                                                    TypeResource
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesinline resources, anonymous resources, contained resources
                                                    30. Patient.extension
                                                    Definition

                                                    An Extension

                                                    ShortExtension
                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 32. Patient.extension:ExtensionPatientNationality
                                                      Slice NameExtensionPatientNationality
                                                      Definition

                                                      Extension used in the individual resources to register the nationality of the person.

                                                      ShortPatient nationality
                                                      Control0..*
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(Extension: Nationality) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      34. Patient.extension:ExtensionBirthPlace
                                                      Slice NameExtensionBirthPlace
                                                      Definition

                                                      Extension used in the Patient resource to register the geographical location of birth of the person.

                                                      ShortGeographical location of birth of the patient
                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(Extension: BirthPlace) (Extension Type: Address)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      36. Patient.extension:ExtensionPatientEthnicity
                                                      Slice NameExtensionPatientEthnicity
                                                      Definition

                                                      Extension used in the Patient resource, to record the ethnic group of the person.

                                                      ShortPatient ethnicity
                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(Extension: PatientEthnicity) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      38. Patient.extension:ExtensionPatientPopulationGroup
                                                      Slice NameExtensionPatientPopulationGroup
                                                      Definition

                                                      Extension used in the Patient resource, to record the population group of the person.

                                                      ShortPatient population group
                                                      Control0..*
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(Extension: PatientPopulationGroup) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      40. Patient.extension:ExtensionPatientDisability
                                                      Slice NameExtensionPatientDisability
                                                      Definition

                                                      Extension used in the Patient resource, to record the disability classification of the person.

                                                      ShortPatient disability classification
                                                      Control0..*
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(Extension: Disability) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      42. Patient.extension:ExtensionPatientGenderIdentity
                                                      Slice NameExtensionPatientGenderIdentity
                                                      Definition

                                                      Extension used in the Patient resource, to record the gender identity of the person.

                                                      ShortPatient gender identity
                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      44. Patient.modifierExtension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                      ShortExtensions that cannot be ignored
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                      Summaryfalse
                                                      Requirements

                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      46. Patient.identifier
                                                      Definition

                                                      Identifiers of the person playing the role of patient. [ES: Identificaciones de la persona que desempeña el rol de paciente]

                                                      ShortPerson identifiers
                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                      Control1..*
                                                      TypeIdentifier
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Requirements

                                                      Patients are almost always assigned specific numerical identifiers.

                                                      LabelIdentificación
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ id
                                                      • 48. Patient.identifier:NationalPersonIdentifier
                                                        Slice NameNationalPersonIdentifier
                                                        Definition

                                                        Colombian identification of the person playing the role of patient. [ES: Identificación nacional de la persona que desempeña el rol de paciente]

                                                        ShortNational Person Identifier
                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..1
                                                        TypeIdentifier
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Patients are almost always assigned specific numerical identifiers.

                                                        LabelIdentificación nacional del paciente
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        50. Patient.identifier:NationalPersonIdentifier.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control1..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        Pattern ValueNationalPersonIdentifier-0
                                                        52. Patient.identifier:NationalPersonIdentifier.extension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 54. Patient.identifier:NationalPersonIdentifier.use
                                                          Definition

                                                          The purpose of this identifier.

                                                          Shortusual | official | temp | secondary | old (If known)
                                                          Comments

                                                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                          Control1..1
                                                          BindingThe codes SHALL be taken from IdentifierUse
                                                          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                          Identifies the purpose for this identifier, if known .

                                                          Typecode
                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                          Fixed Valueofficial
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          56. Patient.identifier:NationalPersonIdentifier.type
                                                          Definition

                                                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                          ShortDescription of identifier
                                                          Comments

                                                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                          Control1..1
                                                          BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

                                                          Allows users to make use of identifiers when the identifier system is not known.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          58. Patient.identifier:NationalPersonIdentifier.type.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          60. Patient.identifier:NationalPersonIdentifier.type.extension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 62. Patient.identifier:NationalPersonIdentifier.type.coding
                                                            Definition

                                                            A reference to a code defined by a terminology system.

                                                            ShortCode defined by a terminology system
                                                            Comments

                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                            Control2..2
                                                            TypeCoding
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Requirements

                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ system
                                                            • 64. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode
                                                              Slice NameInternationalCode
                                                              Definition

                                                              A reference to a code defined by a terminology system.

                                                              ShortCode defined by a terminology system
                                                              Comments

                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                              Control1..1
                                                              BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                                              (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                                              TypeCoding
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Requirements

                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              66. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              68. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.extension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                              ShortAdditional content defined by implementations
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 70. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.system
                                                                Definition

                                                                International code system of identifiers for persons. [ES: Codificación internacional de identificaciones para personas]

                                                                ShortInternational code system
                                                                Comments

                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                Control1..1
                                                                Typeuri
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                72. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.version
                                                                Definition

                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                ShortVersion of the system - if relevant
                                                                Comments

                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                74. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.code
                                                                Definition

                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                ShortSymbol in syntax defined by the system
                                                                Control1..1
                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to refer to a particular code in the system.

                                                                Fixed ValuePN
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                76. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.display
                                                                Definition

                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                ShortRepresentation defined by the system
                                                                Control1..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                Fixed ValuePerson number
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                78. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.userSelected
                                                                Definition

                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                ShortIf this coding was chosen directly by the user
                                                                Comments

                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                Control0..1
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                80. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode
                                                                Slice NameColombianCode
                                                                Definition

                                                                A reference to a code defined by a terminology system.

                                                                ShortCode defined by a terminology system
                                                                Comments

                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                Control1..1
                                                                BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                                                (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                                                TypeCoding
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Requirements

                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                82. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                84. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 86. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.system
                                                                  Definition

                                                                  Colombian code system of identifiers for individuals. [ES: Codificación colombiana de identificaciones para personas]

                                                                  ShortNational code system
                                                                  Comments

                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                  Control1..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                  LabelTipo identificación
                                                                  Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  88. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.version
                                                                  Definition

                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                  ShortVersion of the system - if relevant
                                                                  Comments

                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  90. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.code
                                                                  Definition

                                                                  Colombian identifier type code. [ES: Código colombiano del tipo de identificación]

                                                                  ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                                                  Control1..1
                                                                  Typecode
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to refer to a particular code in the system.

                                                                  LabelCódigo
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  92. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.display
                                                                  Definition

                                                                  Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]

                                                                  ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                                                  Control1..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                  LabelTipo
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  94. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.userSelected
                                                                  Definition

                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                  ShortIf this coding was chosen directly by the user
                                                                  Comments

                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                  Control0..1
                                                                  Typeboolean
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  96. Patient.identifier:NationalPersonIdentifier.type.text
                                                                  Definition

                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                  ShortPlain text representation of the concept
                                                                  Comments

                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  98. Patient.identifier:NationalPersonIdentifier.system
                                                                  Definition

                                                                  Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                  ShortThe namespace for the identifier value
                                                                  Comments

                                                                  Identifier.system is always case sensitive.

                                                                  Control0..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                  Pattern Valuehttp://co.fhir.guide/NamingSystem/RNEC
                                                                  Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  100. Patient.identifier:NationalPersonIdentifier.value
                                                                  Definition

                                                                  Value of the Colombian identification document. [ES: Valor del documento de identificación colombiano]

                                                                  ShortIdentifier value
                                                                  Comments

                                                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                  Control1..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summarytrue
                                                                  LabelNúmero de identificación
                                                                  Example<br/><b>General</b>:123456
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  102. Patient.identifier:NationalPersonIdentifier.period
                                                                  Definition

                                                                  Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]

                                                                  ShortPeriod of validity
                                                                  Control0..1
                                                                  TypePeriod
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  LabelVigencia
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  104. Patient.identifier:NationalPersonIdentifier.period.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  106. Patient.identifier:NationalPersonIdentifier.period.extension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on Patient.identifier.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 108. Patient.identifier:NationalPersonIdentifier.period.start
                                                                    Definition

                                                                    Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]

                                                                    ShortDate of issuance
                                                                    Comments

                                                                    If the low element is missing, the meaning is that the low boundary is not known.

                                                                    Control1..1
                                                                    This element is affected by the following invariants: per-1
                                                                    TypedateTime
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    Summarytrue
                                                                    LabelFecha de expedición
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    110. Patient.identifier:NationalPersonIdentifier.period.end
                                                                    Definition

                                                                    Identifier expiration date. [ES: Fecha de vencimiento de la identificación]

                                                                    ShortExpiration date
                                                                    Comments

                                                                    The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                                    Control0..1
                                                                    This element is affected by the following invariants: per-1
                                                                    TypedateTime
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    LabelFecha de vencimiento
                                                                    Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    112. Patient.identifier:NationalPersonIdentifier.assigner
                                                                    Definition

                                                                    Organization that issued/manages the identifier.

                                                                    ShortOrganization that issued id (may be just text)
                                                                    Comments

                                                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                    Control0..1
                                                                    TypeReference(Organization)
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    114. Patient.identifier:Passport
                                                                    Slice NamePassport
                                                                    Definition

                                                                    Passport of the person playing the role of patient. [ES: Pasaporte de la persona que desempeña el rol de paciente]

                                                                    ShortPassport
                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                    Control0..*
                                                                    TypeIdentifier
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Requirements

                                                                    Patients are almost always assigned specific numerical identifiers.

                                                                    LabelPasaporte
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    116. Patient.identifier:Passport.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control1..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    Pattern ValuePassport-0
                                                                    118. Patient.identifier:Passport.extension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 120. Patient.identifier:Passport.use
                                                                      Definition

                                                                      The purpose of this identifier.

                                                                      Shortusual | official | temp | secondary | old (If known)
                                                                      Comments

                                                                      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                      Control1..1
                                                                      BindingThe codes SHALL be taken from IdentifierUse
                                                                      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                      Identifies the purpose for this identifier, if known .

                                                                      Typecode
                                                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                      Fixed Valueofficial
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      122. Patient.identifier:Passport.type
                                                                      Definition

                                                                      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                      ShortDescription of identifier
                                                                      Comments

                                                                      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                      Control1..1
                                                                      BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                      TypeCodeableConcept
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Allows users to make use of identifiers when the identifier system is not known.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      124. Patient.identifier:Passport.type.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      126. Patient.identifier:Passport.type.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 128. Patient.identifier:Passport.type.coding
                                                                        Definition

                                                                        A reference to a code defined by a terminology system.

                                                                        ShortCode defined by a terminology system
                                                                        Comments

                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                        Control2..2
                                                                        TypeCoding
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Requirements

                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ system
                                                                        • 130. Patient.identifier:Passport.type.coding:InternationalCode
                                                                          Slice NameInternationalCode
                                                                          Definition

                                                                          A reference to a code defined by a terminology system.

                                                                          ShortCode defined by a terminology system
                                                                          Comments

                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                          Control1..1
                                                                          BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                                                          (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                                                          TypeCoding
                                                                          Is Modifierfalse
                                                                          Summarytrue
                                                                          Requirements

                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          132. Patient.identifier:Passport.type.coding:InternationalCode.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          134. Patient.identifier:Passport.type.coding:InternationalCode.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 136. Patient.identifier:Passport.type.coding:InternationalCode.system
                                                                            Definition

                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                            ShortIdentity of the terminology system
                                                                            Comments

                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                            Control1..1
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                            Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            138. Patient.identifier:Passport.type.coding:InternationalCode.version
                                                                            Definition

                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                            ShortVersion of the system - if relevant
                                                                            Comments

                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            140. Patient.identifier:Passport.type.coding:InternationalCode.code
                                                                            Definition

                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                            ShortSymbol in syntax defined by the system
                                                                            Control1..1
                                                                            Typecode
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to refer to a particular code in the system.

                                                                            Fixed ValuePPN
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            142. Patient.identifier:Passport.type.coding:InternationalCode.display
                                                                            Definition

                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                            ShortRepresentation defined by the system
                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                            Fixed ValuePassport number
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            144. Patient.identifier:Passport.type.coding:InternationalCode.userSelected
                                                                            Definition

                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                            ShortIf this coding was chosen directly by the user
                                                                            Comments

                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                            Control0..1
                                                                            Typeboolean
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            146. Patient.identifier:Passport.type.coding:ColombianCode
                                                                            Slice NameColombianCode
                                                                            Definition

                                                                            A reference to a code defined by a terminology system.

                                                                            ShortCode defined by a terminology system
                                                                            Comments

                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                            Control1..1
                                                                            BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                                                            (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                                                            TypeCoding
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Requirements

                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            148. Patient.identifier:Passport.type.coding:ColombianCode.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            150. Patient.identifier:Passport.type.coding:ColombianCode.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 152. Patient.identifier:Passport.type.coding:ColombianCode.system
                                                                              Definition

                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                              ShortIdentity of the terminology system
                                                                              Comments

                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                              Control1..1
                                                                              Typeuri
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                              Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              154. Patient.identifier:Passport.type.coding:ColombianCode.version
                                                                              Definition

                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                              ShortVersion of the system - if relevant
                                                                              Comments

                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              156. Patient.identifier:Passport.type.coding:ColombianCode.code
                                                                              Definition

                                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                              ShortSymbol in syntax defined by the system
                                                                              Control1..1
                                                                              Typecode
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Need to refer to a particular code in the system.

                                                                              Fixed ValuePA
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              158. Patient.identifier:Passport.type.coding:ColombianCode.display
                                                                              Definition

                                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                                              ShortRepresentation defined by the system
                                                                              Control1..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                              Fixed ValuePasaporte
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              160. Patient.identifier:Passport.type.coding:ColombianCode.userSelected
                                                                              Definition

                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                              ShortIf this coding was chosen directly by the user
                                                                              Comments

                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                              Control0..1
                                                                              Typeboolean
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              162. Patient.identifier:Passport.type.text
                                                                              Definition

                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                              ShortPlain text representation of the concept
                                                                              Comments

                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              164. Patient.identifier:Passport.system
                                                                              Definition

                                                                              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                              ShortThe namespace for the identifier value
                                                                              Comments

                                                                              Identifier.system is always case sensitive.

                                                                              Control0..1
                                                                              Typeuri
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                              Pattern Valuehttp://co.fhir.guide/NamingSystem/Pasaportes
                                                                              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              166. Patient.identifier:Passport.value
                                                                              Definition

                                                                              Passport Nº. [ES: Pasaporte Nº]

                                                                              ShortPassport Nº
                                                                              Comments

                                                                              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                              Control1..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              LabelPasaporte Nº
                                                                              Example<br/><b>General</b>:123456
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              168. Patient.identifier:Passport.period
                                                                              Definition

                                                                              Period of validity of passport. [ES: Periódo de vigencia del pasaporte]

                                                                              ShortPeriod of validity
                                                                              Control0..1
                                                                              TypePeriod
                                                                              Is Modifierfalse
                                                                              Summarytrue
                                                                              LabelVigencia
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              170. Patient.identifier:Passport.period.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              172. Patient.identifier:Passport.period.extension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on Patient.identifier.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 174. Patient.identifier:Passport.period.start
                                                                                Definition

                                                                                Date of issuance of passport. [ES: Fecha de expedición del pasaporte]

                                                                                ShortDate of issue
                                                                                Comments

                                                                                If the low element is missing, the meaning is that the low boundary is not known.

                                                                                Control1..1
                                                                                This element is affected by the following invariants: per-1
                                                                                TypedateTime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                LabelFecha de expedición
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                176. Patient.identifier:Passport.period.end
                                                                                Definition

                                                                                Passport expiration date. [ES: Fecha de vencimiento del pasaporte]

                                                                                ShortDate of expiry
                                                                                Comments

                                                                                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                                                Control1..1
                                                                                This element is affected by the following invariants: per-1
                                                                                TypedateTime
                                                                                Is Modifierfalse
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                LabelFecha de vencimiento
                                                                                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                178. Patient.identifier:Passport.assigner
                                                                                Definition

                                                                                Organization that issued/manages the identifier.

                                                                                ShortOrganization that issued id (may be just text)
                                                                                Comments

                                                                                The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                Control0..1
                                                                                TypeReference(Organization)
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                180. Patient.identifier:TaxIdentifier
                                                                                Slice NameTaxIdentifier
                                                                                Definition

                                                                                Tax Identifier of the person playing the role of patient. [ES: Registro único tributario de la persona que desempeña el rol de paciente]

                                                                                ShortTax Identifier
                                                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                Control0..1
                                                                                TypeIdentifier
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Requirements

                                                                                Patients are almost always assigned specific numerical identifiers.

                                                                                LabelRUT
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                182. Patient.identifier:TaxIdentifier.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control1..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                Pattern ValueTaxIdentifier-0
                                                                                184. Patient.identifier:TaxIdentifier.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 186. Patient.identifier:TaxIdentifier.use
                                                                                  Definition

                                                                                  The purpose of this identifier.

                                                                                  Shortusual | official | temp | secondary | old (If known)
                                                                                  Comments

                                                                                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                  Control1..1
                                                                                  BindingThe codes SHALL be taken from IdentifierUse
                                                                                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                  Identifies the purpose for this identifier, if known .

                                                                                  Typecode
                                                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                  Fixed Valueofficial
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  188. Patient.identifier:TaxIdentifier.type
                                                                                  Definition

                                                                                  A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                  ShortDescription of identifier
                                                                                  Comments

                                                                                  This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                  Control1..1
                                                                                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                  A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                  TypeCodeableConcept
                                                                                  Is Modifierfalse
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Allows users to make use of identifiers when the identifier system is not known.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  190. Patient.identifier:TaxIdentifier.type.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  192. Patient.identifier:TaxIdentifier.type.extension
                                                                                  Definition

                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                  ShortAdditional content defined by implementations
                                                                                  Comments

                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 194. Patient.identifier:TaxIdentifier.type.coding
                                                                                    Definition

                                                                                    A reference to a code defined by a terminology system.

                                                                                    ShortCode defined by a terminology system
                                                                                    Comments

                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                    Control2..2
                                                                                    TypeCoding
                                                                                    Is Modifierfalse
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ system
                                                                                    • 196. Patient.identifier:TaxIdentifier.type.coding:InternationalCode
                                                                                      Slice NameInternationalCode
                                                                                      Definition

                                                                                      A reference to a code defined by a terminology system.

                                                                                      ShortCode defined by a terminology system
                                                                                      Comments

                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                      Control1..1
                                                                                      BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                                                                      (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                                                                      TypeCoding
                                                                                      Is Modifierfalse
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      198. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      200. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 202. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.system
                                                                                        Definition

                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                        ShortIdentity of the terminology system
                                                                                        Comments

                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                        Control1..1
                                                                                        Typeuri
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                        Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        204. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.version
                                                                                        Definition

                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                        ShortVersion of the system - if relevant
                                                                                        Comments

                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        206. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.code
                                                                                        Definition

                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                        ShortSymbol in syntax defined by the system
                                                                                        Control1..1
                                                                                        Typecode
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to refer to a particular code in the system.

                                                                                        Fixed ValueTAX
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        208. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.display
                                                                                        Definition

                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                        ShortRepresentation defined by the system
                                                                                        Control1..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                        Fixed ValueTax ID number
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        210. Patient.identifier:TaxIdentifier.type.coding:InternationalCode.userSelected
                                                                                        Definition

                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                        ShortIf this coding was chosen directly by the user
                                                                                        Comments

                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                        Control0..1
                                                                                        Typeboolean
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        212. Patient.identifier:TaxIdentifier.type.coding:ColombianCode
                                                                                        Slice NameColombianCode
                                                                                        Definition

                                                                                        A reference to a code defined by a terminology system.

                                                                                        ShortCode defined by a terminology system
                                                                                        Comments

                                                                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                        Control1..1
                                                                                        BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                                                                        (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                                                                        TypeCoding
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        214. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.id
                                                                                        Definition

                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        216. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.extension
                                                                                        Definition

                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                        ShortAdditional content defined by implementations
                                                                                        Comments

                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Alternate Namesextensions, user content
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 218. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.system
                                                                                          Definition

                                                                                          The identification of the code system that defines the meaning of the symbol in the code.

                                                                                          ShortIdentity of the terminology system
                                                                                          Comments

                                                                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                          Control1..1
                                                                                          Typeuri
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to be unambiguous about the source of the definition of the symbol.

                                                                                          Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          220. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.version
                                                                                          Definition

                                                                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                          ShortVersion of the system - if relevant
                                                                                          Comments

                                                                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                          NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          222. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.code
                                                                                          Definition

                                                                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                          ShortSymbol in syntax defined by the system
                                                                                          Control1..1
                                                                                          Typecode
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to refer to a particular code in the system.

                                                                                          Fixed ValueRUT
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          224. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.display
                                                                                          Definition

                                                                                          A representation of the meaning of the code in the system, following the rules of the system.

                                                                                          ShortRepresentation defined by the system
                                                                                          Control1..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                          Fixed ValueRegistro Único Tributario
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          226. Patient.identifier:TaxIdentifier.type.coding:ColombianCode.userSelected
                                                                                          Definition

                                                                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                          ShortIf this coding was chosen directly by the user
                                                                                          Comments

                                                                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                          Control0..1
                                                                                          Typeboolean
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          228. Patient.identifier:TaxIdentifier.type.text
                                                                                          Definition

                                                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                          ShortPlain text representation of the concept
                                                                                          Comments

                                                                                          Very often the text is the same as a displayName of one of the codings.

                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          230. Patient.identifier:TaxIdentifier.system
                                                                                          Definition

                                                                                          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                          ShortThe namespace for the identifier value
                                                                                          Comments

                                                                                          Identifier.system is always case sensitive.

                                                                                          Control0..1
                                                                                          Typeuri
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                          Pattern Valuehttp://co.fhir.guide/NamingSystem/DIAN
                                                                                          Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          232. Patient.identifier:TaxIdentifier.value
                                                                                          Definition

                                                                                          Value of the Colombian tax registration number. [ES: Valor o número del registro único tributario colombiano]

                                                                                          ShortTax ID number value
                                                                                          Comments

                                                                                          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                          Control1..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          LabelRUT Número
                                                                                          Example<br/><b>General</b>:123456
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          234. Patient.identifier:TaxIdentifier.period
                                                                                          Definition

                                                                                          Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]

                                                                                          ShortPeriod of validity
                                                                                          Control0..1
                                                                                          TypePeriod
                                                                                          Is Modifierfalse
                                                                                          Summarytrue
                                                                                          LabelVigencia
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          236. Patient.identifier:TaxIdentifier.period.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          238. Patient.identifier:TaxIdentifier.period.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          SlicingThis element introduces a set of slices on Patient.identifier.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                          • value @ url
                                                                                          • 240. Patient.identifier:TaxIdentifier.period.start
                                                                                            Definition

                                                                                            Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]

                                                                                            ShortDate of issuance
                                                                                            Comments

                                                                                            If the low element is missing, the meaning is that the low boundary is not known.

                                                                                            Control1..1
                                                                                            This element is affected by the following invariants: per-1
                                                                                            TypedateTime
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            LabelFecha de expedición
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            242. Patient.identifier:TaxIdentifier.period.end
                                                                                            Definition

                                                                                            Identifier expiration date. [ES: Fecha de vencimiento de la identificación]

                                                                                            ShortExpiration date
                                                                                            Comments

                                                                                            The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                                                            Control0..1
                                                                                            This element is affected by the following invariants: per-1
                                                                                            TypedateTime
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            LabelFecha de vencimiento
                                                                                            Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            244. Patient.identifier:TaxIdentifier.assigner
                                                                                            Definition

                                                                                            Organization that issued/manages the identifier.

                                                                                            ShortOrganization that issued id (may be just text)
                                                                                            Comments

                                                                                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                            Control0..1
                                                                                            TypeReference(Organization)
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            246. Patient.identifier:TaxIdentifier.assigner.id
                                                                                            Definition

                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                            ShortUnique id for inter-element referencing
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            248. Patient.identifier:TaxIdentifier.assigner.extension
                                                                                            Definition

                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                            ShortAdditional content defined by implementations
                                                                                            Comments

                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Alternate Namesextensions, user content
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 250. Patient.identifier:TaxIdentifier.assigner.reference
                                                                                              Definition

                                                                                              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                                                              ShortLiteral reference, Relative, internal or absolute URL
                                                                                              Comments

                                                                                              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: ref-1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              252. Patient.identifier:TaxIdentifier.assigner.type
                                                                                              Definition

                                                                                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                              ShortType the reference refers to (e.g. "Patient")
                                                                                              Comments

                                                                                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                              Control0..1
                                                                                              BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                              Aa resource (or, for logical models, the URI of the logical model).

                                                                                              Typeuri
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              254. Patient.identifier:TaxIdentifier.assigner.identifier
                                                                                              Definition

                                                                                              An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                                              ShortLogical reference, when literal reference is not known
                                                                                              Comments

                                                                                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                              Control0..1
                                                                                              TypeIdentifier
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              256. Patient.identifier:TaxIdentifier.assigner.display
                                                                                              Definition

                                                                                              Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                              ShortText alternative for the resource
                                                                                              Comments

                                                                                              This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                                                              Control0..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Fixed ValueDIAN
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              258. Patient.identifier:PatientMedicalRecordNumber
                                                                                              Slice NamePatientMedicalRecordNumber
                                                                                              Definition

                                                                                              Patient's medical record number, assigned by each of the provider organizations where he/she receives health care services. [ES: Número de historia clínica del paciente, asignado por cada una de las organizaciones prestadoras donde recibe servicios de atención en salud.]

                                                                                              ShortPatient Medical Record Number
                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                              Control0..*
                                                                                              TypeIdentifier
                                                                                              Is Modifierfalse
                                                                                              Must Supporttrue
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Patients are almost always assigned specific numerical identifiers.

                                                                                              LabelHistoria Clínica
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              260. Patient.identifier:PatientMedicalRecordNumber.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control1..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              Pattern ValuePatientMedicalRecordNumber-0
                                                                                              262. Patient.identifier:PatientMedicalRecordNumber.extension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 264. Patient.identifier:PatientMedicalRecordNumber.use
                                                                                                Definition

                                                                                                The purpose of this identifier.

                                                                                                Shortusual | official | temp | secondary | old (If known)
                                                                                                Comments

                                                                                                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                Control1..1
                                                                                                BindingThe codes SHALL be taken from IdentifierUse
                                                                                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                Identifies the purpose for this identifier, if known .

                                                                                                Typecode
                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                Fixed Valueusual
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                266. Patient.identifier:PatientMedicalRecordNumber.type
                                                                                                Definition

                                                                                                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                ShortDescription of identifier
                                                                                                Comments

                                                                                                This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                Control1..1
                                                                                                BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                                                                                (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                                                                                TypeCodeableConcept
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows users to make use of identifiers when the identifier system is not known.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                268. Patient.identifier:PatientMedicalRecordNumber.type.id
                                                                                                Definition

                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                270. Patient.identifier:PatientMedicalRecordNumber.type.extension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                ShortAdditional content defined by implementations
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Alternate Namesextensions, user content
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                • value @ url
                                                                                                • 272. Patient.identifier:PatientMedicalRecordNumber.type.coding
                                                                                                  Definition

                                                                                                  A reference to a code defined by a terminology system.

                                                                                                  ShortCode defined by a terminology system
                                                                                                  Comments

                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                  Control0..*
                                                                                                  TypeCoding
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  274. Patient.identifier:PatientMedicalRecordNumber.type.coding.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  276. Patient.identifier:PatientMedicalRecordNumber.type.coding.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                  • value @ url
                                                                                                  • 278. Patient.identifier:PatientMedicalRecordNumber.type.coding.system
                                                                                                    Definition

                                                                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                    ShortIdentity of the terminology system
                                                                                                    Comments

                                                                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                    Control1..1
                                                                                                    Typeuri
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                                                                    Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    280. Patient.identifier:PatientMedicalRecordNumber.type.coding.version
                                                                                                    Definition

                                                                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                    ShortVersion of the system - if relevant
                                                                                                    Comments

                                                                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                    NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    282. Patient.identifier:PatientMedicalRecordNumber.type.coding.code
                                                                                                    Definition

                                                                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                    ShortSymbol in syntax defined by the system
                                                                                                    Control1..1
                                                                                                    Typecode
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Need to refer to a particular code in the system.

                                                                                                    Fixed ValueMR
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    284. Patient.identifier:PatientMedicalRecordNumber.type.coding.display
                                                                                                    Definition

                                                                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                    ShortRepresentation defined by the system
                                                                                                    Control1..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                    Fixed ValueMedical record number
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    286. Patient.identifier:PatientMedicalRecordNumber.type.coding.userSelected
                                                                                                    Definition

                                                                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                    ShortIf this coding was chosen directly by the user
                                                                                                    Comments

                                                                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                    Control0..1
                                                                                                    Typeboolean
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    288. Patient.identifier:PatientMedicalRecordNumber.type.text
                                                                                                    Definition

                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                    ShortPlain text representation of the concept
                                                                                                    Comments

                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    290. Patient.identifier:PatientMedicalRecordNumber.system
                                                                                                    Definition

                                                                                                    Uniform Resource Identifier (URI) from the medical record information system of the provider organization (hospital, clinic, diagnostic center, etc.) that assigns the identification. [ES: Identificador de recursos uniforme (URI) del sistema de información de historia clínica de la organización prestadora (hospital, clínica, centro de diagnóstico, etc) que asigna la identificación.]

                                                                                                    ShortMedical Record Information System
                                                                                                    Comments

                                                                                                    Identifier.system is always case sensitive.

                                                                                                    Control0..1
                                                                                                    Typeuri
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                    LabelSistema de Información de Historia Clínica
                                                                                                    Pattern Valuehttp://co.fhir.guide/NamingSystem/HIS
                                                                                                    Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    292. Patient.identifier:PatientMedicalRecordNumber.value
                                                                                                    Definition

                                                                                                    Value of the patient's medical record number. [ES: Número de historia clínica del paciente]

                                                                                                    ShortMedical record number value
                                                                                                    Comments

                                                                                                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                    Control1..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    LabelNúmero Historia Clínica
                                                                                                    Example<br/><b>General</b>:123456
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    294. Patient.identifier:PatientMedicalRecordNumber.period
                                                                                                    Definition

                                                                                                    Time period during which identifier is/was valid for use.

                                                                                                    ShortTime period when id is/was valid for use
                                                                                                    Control0..1
                                                                                                    TypePeriod
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    296. Patient.identifier:PatientMedicalRecordNumber.assigner
                                                                                                    Definition

                                                                                                    Organization that issued/manages the identifier.

                                                                                                    ShortOrganization that issued id (may be just text)
                                                                                                    Comments

                                                                                                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                    Control1..1
                                                                                                    TypeReference(Organization)
                                                                                                    Is Modifierfalse
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    298. Patient.identifier:PatientMedicalRecordNumber.assigner.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    300. Patient.identifier:PatientMedicalRecordNumber.assigner.extension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    SlicingThis element introduces a set of slices on Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                    • value @ url
                                                                                                    • 302. Patient.identifier:PatientMedicalRecordNumber.assigner.reference
                                                                                                      Definition

                                                                                                      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                                                                      ShortLiteral reference, Relative, internal or absolute URL
                                                                                                      Comments

                                                                                                      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                                                                      Control1..1
                                                                                                      This element is affected by the following invariants: ref-1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      304. Patient.identifier:PatientMedicalRecordNumber.assigner.type
                                                                                                      Definition

                                                                                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                      ShortType the reference refers to (e.g. "Patient")
                                                                                                      Comments

                                                                                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                      Control0..1
                                                                                                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                      Aa resource (or, for logical models, the URI of the logical model).

                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Fixed ValueOrganization
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      306. Patient.identifier:PatientMedicalRecordNumber.assigner.identifier
                                                                                                      Definition

                                                                                                      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                                                      ShortLogical reference, when literal reference is not known
                                                                                                      Comments

                                                                                                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                      Control0..1
                                                                                                      TypeIdentifier
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      308. Patient.identifier:PatientMedicalRecordNumber.assigner.display
                                                                                                      Definition

                                                                                                      Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                      ShortText alternative for the resource
                                                                                                      Comments

                                                                                                      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      310. Patient.identifier:DriverLicenseNumber
                                                                                                      Slice NameDriverLicenseNumber
                                                                                                      Definition

                                                                                                      Driver's license number, according to the National Traffic Registry System (RUNT). [ES: Número de Licencia de conducción, según el Sistema de Registro Único Nacional de Tránsito (RUNT).]

                                                                                                      ShortDriver's license number
                                                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                      Control0..1
                                                                                                      TypeIdentifier
                                                                                                      Is Modifierfalse
                                                                                                      Must Supporttrue
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Patients are almost always assigned specific numerical identifiers.

                                                                                                      LabelLicencia de conducción
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      312. Patient.identifier:DriverLicenseNumber.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control1..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      Pattern ValueDriverLicenseNumber-0
                                                                                                      314. Patient.identifier:DriverLicenseNumber.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 316. Patient.identifier:DriverLicenseNumber.use
                                                                                                        Definition

                                                                                                        The purpose of this identifier.

                                                                                                        Shortusual | official | temp | secondary | old (If known)
                                                                                                        Comments

                                                                                                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                        Control1..1
                                                                                                        BindingThe codes SHALL be taken from IdentifierUse
                                                                                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                        Identifies the purpose for this identifier, if known .

                                                                                                        Typecode
                                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                        Fixed Valueusual
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        318. Patient.identifier:DriverLicenseNumber.type
                                                                                                        Definition

                                                                                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                        ShortDescription of identifier
                                                                                                        Comments

                                                                                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                        Control1..1
                                                                                                        BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                                                                                        (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                                                                                        TypeCodeableConcept
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Allows users to make use of identifiers when the identifier system is not known.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        320. Patient.identifier:DriverLicenseNumber.type.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        322. Patient.identifier:DriverLicenseNumber.type.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 324. Patient.identifier:DriverLicenseNumber.type.coding
                                                                                                          Definition

                                                                                                          A reference to a code defined by a terminology system.

                                                                                                          ShortCode defined by a terminology system
                                                                                                          Comments

                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                          Control0..*
                                                                                                          TypeCoding
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          326. Patient.identifier:DriverLicenseNumber.type.coding.id
                                                                                                          Definition

                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          328. Patient.identifier:DriverLicenseNumber.type.coding.extension
                                                                                                          Definition

                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                          ShortAdditional content defined by implementations
                                                                                                          Comments

                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Alternate Namesextensions, user content
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • value @ url
                                                                                                          • 330. Patient.identifier:DriverLicenseNumber.type.coding.system
                                                                                                            Definition

                                                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                            ShortIdentity of the terminology system
                                                                                                            Comments

                                                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                            Control1..1
                                                                                                            Typeuri
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                                                            Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            332. Patient.identifier:DriverLicenseNumber.type.coding.version
                                                                                                            Definition

                                                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                            ShortVersion of the system - if relevant
                                                                                                            Comments

                                                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            334. Patient.identifier:DriverLicenseNumber.type.coding.code
                                                                                                            Definition

                                                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                            ShortSymbol in syntax defined by the system
                                                                                                            Control1..1
                                                                                                            Typecode
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Need to refer to a particular code in the system.

                                                                                                            Fixed ValueDL
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            336. Patient.identifier:DriverLicenseNumber.type.coding.display
                                                                                                            Definition

                                                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                            ShortRepresentation defined by the system
                                                                                                            Control1..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                            Fixed ValueDriver's license number
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            338. Patient.identifier:DriverLicenseNumber.type.coding.userSelected
                                                                                                            Definition

                                                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                            ShortIf this coding was chosen directly by the user
                                                                                                            Comments

                                                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                            Control0..1
                                                                                                            Typeboolean
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            340. Patient.identifier:DriverLicenseNumber.type.text
                                                                                                            Definition

                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                            ShortPlain text representation of the concept
                                                                                                            Comments

                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            342. Patient.identifier:DriverLicenseNumber.system
                                                                                                            Definition

                                                                                                            Single National Traffic Registry System (RUNT). [ES: Sistema de Registro Único Nacional de Tránsito (RUNT).]

                                                                                                            ShortSingle National Traffic Registry (RUNT)
                                                                                                            Comments

                                                                                                            Identifier.system is always case sensitive.

                                                                                                            Control0..1
                                                                                                            Typeuri
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                            LabelRUNT
                                                                                                            Fixed Valuehttp://co.fhir.guide/NamingSystem/RUNT
                                                                                                            Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            344. Patient.identifier:DriverLicenseNumber.value
                                                                                                            Definition

                                                                                                            Value of the Driver's license. [ES: Número de licencia de conducción]

                                                                                                            ShortDriver's license number value
                                                                                                            Comments

                                                                                                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                            Control1..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Must Supporttrue
                                                                                                            Summarytrue
                                                                                                            LabelNúmero de licencia de conducción
                                                                                                            Example<br/><b>General</b>:123456
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            346. Patient.identifier:DriverLicenseNumber.period
                                                                                                            Definition

                                                                                                            Time period during which identifier is/was valid for use.

                                                                                                            ShortTime period when id is/was valid for use
                                                                                                            Control0..1
                                                                                                            TypePeriod
                                                                                                            Is Modifierfalse
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            348. Patient.identifier:DriverLicenseNumber.assigner
                                                                                                            Definition

                                                                                                            Organization that issued/manages the identifier.

                                                                                                            ShortOrganization that issued id (may be just text)
                                                                                                            Comments

                                                                                                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                            Control1..1
                                                                                                            TypeReference(Organization)
                                                                                                            Is Modifierfalse
                                                                                                            Must Supporttrue
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            350. Patient.identifier:DriverLicenseNumber.assigner.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            352. Patient.identifier:DriverLicenseNumber.assigner.extension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            SlicingThis element introduces a set of slices on Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                            • value @ url
                                                                                                            • 354. Patient.identifier:DriverLicenseNumber.assigner.reference
                                                                                                              Definition

                                                                                                              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                                                                              ShortLiteral reference, Relative, internal or absolute URL
                                                                                                              Comments

                                                                                                              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                                                                              Control1..1
                                                                                                              This element is affected by the following invariants: ref-1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              356. Patient.identifier:DriverLicenseNumber.assigner.type
                                                                                                              Definition

                                                                                                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                              ShortType the reference refers to (e.g. "Patient")
                                                                                                              Comments

                                                                                                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                              Control0..1
                                                                                                              BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                              Aa resource (or, for logical models, the URI of the logical model).

                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Fixed ValueOrganization
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              358. Patient.identifier:DriverLicenseNumber.assigner.identifier
                                                                                                              Definition

                                                                                                              An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                                                              ShortLogical reference, when literal reference is not known
                                                                                                              Comments

                                                                                                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                              Control0..1
                                                                                                              TypeIdentifier
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              360. Patient.identifier:DriverLicenseNumber.assigner.display
                                                                                                              Definition

                                                                                                              Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                              ShortText alternative for the resource
                                                                                                              Comments

                                                                                                              This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              362. Patient.identifier:OldIdentifiers
                                                                                                              Slice NameOldIdentifiers
                                                                                                              Definition

                                                                                                              Old (non-current), national identifications of the person playing the role of patient. [ES: Identificaciones nacionales viejas (no vigentes), de la persona que desempeña el rol de paciente]

                                                                                                              ShortOld National Person Identifier
                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                              Control0..*
                                                                                                              TypeIdentifier
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Patients are almost always assigned specific numerical identifiers.

                                                                                                              LabelIdentificaciones no vigentes
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              364. Patient.identifier:OldIdentifiers.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control1..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              Pattern ValueOldIdentifiers-0
                                                                                                              366. Patient.identifier:OldIdentifiers.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                              • value @ url
                                                                                                              • 368. Patient.identifier:OldIdentifiers.use
                                                                                                                Definition

                                                                                                                The purpose of this identifier.

                                                                                                                Shortusual | official | temp | secondary | old (If known)
                                                                                                                Comments

                                                                                                                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                                Control1..1
                                                                                                                BindingThe codes SHALL be taken from IdentifierUse
                                                                                                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                                Identifies the purpose for this identifier, if known .

                                                                                                                Typecode
                                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                                Fixed Valueold
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                370. Patient.identifier:OldIdentifiers.type
                                                                                                                Definition

                                                                                                                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                ShortDescription of identifier
                                                                                                                Comments

                                                                                                                This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                                Control1..1
                                                                                                                BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                                (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                                                A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                TypeCodeableConcept
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Allows users to make use of identifiers when the identifier system is not known.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                372. Patient.identifier:OldIdentifiers.type.id
                                                                                                                Definition

                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                374. Patient.identifier:OldIdentifiers.type.extension
                                                                                                                Definition

                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                ShortAdditional content defined by implementations
                                                                                                                Comments

                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Alternate Namesextensions, user content
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 376. Patient.identifier:OldIdentifiers.type.coding
                                                                                                                  Definition

                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                  ShortCode defined by a terminology system
                                                                                                                  Comments

                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                  Control2..2
                                                                                                                  TypeCoding
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                  • value @ system
                                                                                                                  • 378. Patient.identifier:OldIdentifiers.type.coding:InternationalCode
                                                                                                                    Slice NameInternationalCode
                                                                                                                    Definition

                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                    ShortCode defined by a terminology system
                                                                                                                    Comments

                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                    Control1..1
                                                                                                                    BindingUnless not suitable, these codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes
                                                                                                                    (extensible to http://terminology.fhir.guide/co/ValueSet/IdentifierTypeCodes)
                                                                                                                    TypeCoding
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    380. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    382. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                    • value @ url
                                                                                                                    • 384. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.system
                                                                                                                      Definition

                                                                                                                      International code system of identifiers for persons. [ES: Codificación internacional de identificaciones para personas]

                                                                                                                      ShortInternational code system
                                                                                                                      Comments

                                                                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                      Control1..1
                                                                                                                      Typeuri
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                      Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      386. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.version
                                                                                                                      Definition

                                                                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                      ShortVersion of the system - if relevant
                                                                                                                      Comments

                                                                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      388. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.code
                                                                                                                      Definition

                                                                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                                                      ShortSymbol in syntax defined by the system
                                                                                                                      Control1..1
                                                                                                                      Typecode
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Need to refer to a particular code in the system.

                                                                                                                      Fixed ValuePN
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      390. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.display
                                                                                                                      Definition

                                                                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                                                                      ShortRepresentation defined by the system
                                                                                                                      Control1..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                      Fixed ValuePerson number
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      392. Patient.identifier:OldIdentifiers.type.coding:InternationalCode.userSelected
                                                                                                                      Definition

                                                                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                      ShortIf this coding was chosen directly by the user
                                                                                                                      Comments

                                                                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                      Control0..1
                                                                                                                      Typeboolean
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      394. Patient.identifier:OldIdentifiers.type.coding:ColombianCode
                                                                                                                      Slice NameColombianCode
                                                                                                                      Definition

                                                                                                                      A reference to a code defined by a terminology system.

                                                                                                                      ShortCode defined by a terminology system
                                                                                                                      Comments

                                                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                      Control1..1
                                                                                                                      BindingThe codes SHALL be taken from http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes
                                                                                                                      (required to http://terminology.fhir.guide/co/ValueSet/ColombianPersonIdentifierCodes)
                                                                                                                      TypeCoding
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      396. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      398. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.extension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Alternate Namesextensions, user content
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                      • value @ url
                                                                                                                      • 400. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.system
                                                                                                                        Definition

                                                                                                                        Colombian code system of identifiers for individuals. [ES: Codificación colombiana de identificaciones para personas]

                                                                                                                        ShortNational code system
                                                                                                                        Comments

                                                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                        Control1..1
                                                                                                                        Typeuri
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                        LabelTipo identificación
                                                                                                                        Fixed Valuehttp://terminology.fhir.guide/co/CodeSystem/ColombianPersonIdentifier
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        402. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.version
                                                                                                                        Definition

                                                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                        ShortVersion of the system - if relevant
                                                                                                                        Comments

                                                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        404. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.code
                                                                                                                        Definition

                                                                                                                        Colombian identifier type code. [ES: Código colombiano del tipo de identificación]

                                                                                                                        ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                                                                                                        Control1..1
                                                                                                                        Typecode
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Need to refer to a particular code in the system.

                                                                                                                        LabelCódigo
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        406. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.display
                                                                                                                        Definition

                                                                                                                        Representation of the code defined by the Colombian system of identifiers of persons. [ES: Representación del código definido por el sistema de identificaciones colombianas de personas]

                                                                                                                        ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                                                                                                        Control1..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                        LabelTipo
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        408. Patient.identifier:OldIdentifiers.type.coding:ColombianCode.userSelected
                                                                                                                        Definition

                                                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                        ShortIf this coding was chosen directly by the user
                                                                                                                        Comments

                                                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                        Control0..1
                                                                                                                        Typeboolean
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        410. Patient.identifier:OldIdentifiers.type.text
                                                                                                                        Definition

                                                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                        ShortPlain text representation of the concept
                                                                                                                        Comments

                                                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        412. Patient.identifier:OldIdentifiers.system
                                                                                                                        Definition

                                                                                                                        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                                                                        ShortThe namespace for the identifier value
                                                                                                                        Comments

                                                                                                                        Identifier.system is always case sensitive.

                                                                                                                        Control0..1
                                                                                                                        Typeuri
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                                        Pattern Valuehttp://co.fhir.guide/NamingSystem/RNEC
                                                                                                                        Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        414. Patient.identifier:OldIdentifiers.value
                                                                                                                        Definition

                                                                                                                        Value of the Colombian identification document. [ES: Valor del documento de identificación colombiano]

                                                                                                                        ShortIdentifier value
                                                                                                                        Comments

                                                                                                                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                                        Control1..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        LabelNúmero de identificación
                                                                                                                        Example<br/><b>General</b>:123456
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        416. Patient.identifier:OldIdentifiers.period
                                                                                                                        Definition

                                                                                                                        Period of validity of the identifier. [ES: Periódo de vigencia de la identificación]

                                                                                                                        ShortPeriod of validity
                                                                                                                        Control0..1
                                                                                                                        TypePeriod
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        LabelVigencia
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        418. Patient.identifier:OldIdentifiers.period.id
                                                                                                                        Definition

                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                        Summaryfalse
                                                                                                                        420. Patient.identifier:OldIdentifiers.period.extension
                                                                                                                        Definition

                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                        Comments

                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                        Control0..*
                                                                                                                        TypeExtension
                                                                                                                        Is Modifierfalse
                                                                                                                        Summaryfalse
                                                                                                                        Alternate Namesextensions, user content
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        SlicingThis element introduces a set of slices on Patient.identifier.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                        • value @ url
                                                                                                                        • 422. Patient.identifier:OldIdentifiers.period.start
                                                                                                                          Definition

                                                                                                                          Date of issuance of the identifier. [ES: Fecha de expedición de la identificación]

                                                                                                                          ShortDate of issuance
                                                                                                                          Comments

                                                                                                                          If the low element is missing, the meaning is that the low boundary is not known.

                                                                                                                          Control1..1
                                                                                                                          This element is affected by the following invariants: per-1
                                                                                                                          TypedateTime
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          LabelFecha de expedición
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          424. Patient.identifier:OldIdentifiers.period.end
                                                                                                                          Definition

                                                                                                                          Identifier expiration date. [ES: Fecha de vencimiento de la identificación]

                                                                                                                          ShortExpiration date
                                                                                                                          Comments

                                                                                                                          The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                                                                                          Control0..1
                                                                                                                          This element is affected by the following invariants: per-1
                                                                                                                          TypedateTime
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          LabelFecha de vencimiento
                                                                                                                          Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          426. Patient.identifier:OldIdentifiers.assigner
                                                                                                                          Definition

                                                                                                                          Organization that issued/manages the identifier.

                                                                                                                          ShortOrganization that issued id (may be just text)
                                                                                                                          Comments

                                                                                                                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                                          Control0..1
                                                                                                                          TypeReference(Organization)
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          428. Patient.identifier:SoftwareAssignedIdentifiers
                                                                                                                          Slice NameSoftwareAssignedIdentifiers
                                                                                                                          Definition

                                                                                                                          Patient registration number or ID assigned by a clinical sub-system (HIS, LIS, RIS, APP, etc). [ES: Número o ID de registro del paciente, asignado por un sub sistema clínico (HIS, LIS, RIS, APP, etc).]

                                                                                                                          ShortPatient Medical Record Number
                                                                                                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                          Control0..*
                                                                                                                          TypeIdentifier
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Patients are almost always assigned specific numerical identifiers.

                                                                                                                          LabelRegistro de paciente en el sistema de información
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          430. Patient.identifier:SoftwareAssignedIdentifiers.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control1..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          Pattern ValueSoftwareAssignedIdentifiers-0
                                                                                                                          432. Patient.identifier:SoftwareAssignedIdentifiers.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 434. Patient.identifier:SoftwareAssignedIdentifiers.use
                                                                                                                            Definition

                                                                                                                            The purpose of this identifier.

                                                                                                                            Shortusual | official | temp | secondary | old (If known)
                                                                                                                            Comments

                                                                                                                            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                                                                                            Control1..1
                                                                                                                            BindingThe codes SHALL be taken from IdentifierUse
                                                                                                                            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                                                                                            Identifies the purpose for this identifier, if known .

                                                                                                                            Typecode
                                                                                                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                                                            Fixed Valuesecondary
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            436. Patient.identifier:SoftwareAssignedIdentifiers.type
                                                                                                                            Definition

                                                                                                                            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                            ShortDescription of identifier
                                                                                                                            Comments

                                                                                                                            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                                                            Control0..1
                                                                                                                            BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                                                                                            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                                                                                            A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                                                            TypeCodeableConcept
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Allows users to make use of identifiers when the identifier system is not known.

                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            438. Patient.identifier:SoftwareAssignedIdentifiers.system
                                                                                                                            Definition

                                                                                                                            Uniform Resource Identifier (URI) of the clinical information sub-system (HIS, LIS, RIS, APP, etc), in the provider organization (hospital, clinic, diagnostic center, etc) that assigns the identification. [ES: Identificador de recursos uniforme (URI) del sub-sistema de información clínica (HIS, LIS, RIS, APP, etc), en la organización prestadora (hospital, clínica, centro de diagnóstico, etc) que asigna la identificación.]

                                                                                                                            ShortClinical information sub-system
                                                                                                                            Comments

                                                                                                                            Identifier.system is always case sensitive.

                                                                                                                            Control0..1
                                                                                                                            Typeuri
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                                                            LabelSub-sistema de información clínica
                                                                                                                            Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            440. Patient.identifier:SoftwareAssignedIdentifiers.value
                                                                                                                            Definition

                                                                                                                            Patient registration number or ID in clinical sub-system. [ES: Número o ID de registro de paciente en el sub-sistema clínico]

                                                                                                                            ShortPatient registration number or ID
                                                                                                                            Comments

                                                                                                                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                                                            Control1..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            LabelID de paciente
                                                                                                                            Example<br/><b>General</b>:123456
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            442. Patient.identifier:SoftwareAssignedIdentifiers.period
                                                                                                                            Definition

                                                                                                                            Time period during which identifier is/was valid for use.

                                                                                                                            ShortTime period when id is/was valid for use
                                                                                                                            Control0..1
                                                                                                                            TypePeriod
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            444. Patient.identifier:SoftwareAssignedIdentifiers.assigner
                                                                                                                            Definition

                                                                                                                            Organization that issued/manages the identifier.

                                                                                                                            ShortOrganization that issued id (may be just text)
                                                                                                                            Comments

                                                                                                                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                                                            Control1..1
                                                                                                                            TypeReference(Organization)
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            446. Patient.identifier:SoftwareAssignedIdentifiers.assigner.id
                                                                                                                            Definition

                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                            Control0..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            448. Patient.identifier:SoftwareAssignedIdentifiers.assigner.extension
                                                                                                                            Definition

                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                            Comments

                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                            Control0..*
                                                                                                                            TypeExtension
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Alternate Namesextensions, user content
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            SlicingThis element introduces a set of slices on Patient.identifier.assigner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                            • value @ url
                                                                                                                            • 450. Patient.identifier:SoftwareAssignedIdentifiers.assigner.reference
                                                                                                                              Definition

                                                                                                                              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                                                                                                              ShortLiteral reference, Relative, internal or absolute URL
                                                                                                                              Comments

                                                                                                                              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                                                                                              Control1..1
                                                                                                                              This element is affected by the following invariants: ref-1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              452. Patient.identifier:SoftwareAssignedIdentifiers.assigner.type
                                                                                                                              Definition

                                                                                                                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                                              ShortType the reference refers to (e.g. "Patient")
                                                                                                                              Comments

                                                                                                                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                                              Control0..1
                                                                                                                              BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                                                                                                              Aa resource (or, for logical models, the URI of the logical model).

                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Fixed ValueOrganization
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              454. Patient.identifier:SoftwareAssignedIdentifiers.assigner.identifier
                                                                                                                              Definition

                                                                                                                              An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                                                                              ShortLogical reference, when literal reference is not known
                                                                                                                              Comments

                                                                                                                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                              Control0..1
                                                                                                                              TypeIdentifier
                                                                                                                              Is Modifierfalse
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              456. Patient.identifier:SoftwareAssignedIdentifiers.assigner.display
                                                                                                                              Definition

                                                                                                                              Plain text narrative that identifies the resource in addition to the resource reference.

                                                                                                                              ShortText alternative for the resource
                                                                                                                              Comments

                                                                                                                              This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              458. Patient.active
                                                                                                                              Definition

                                                                                                                              Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                                                                                                                              It is often used to filter patient lists to exclude inactive patients

                                                                                                                              Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                                                                                                                              Shorttrue | false
                                                                                                                              Comments

                                                                                                                              If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

                                                                                                                              Control1..1
                                                                                                                              Typeboolean
                                                                                                                              Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Must Supporttrue
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to be able to mark a patient record as not to be used because it was created in error.

                                                                                                                              LabelActivo
                                                                                                                              Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              460. Patient.name
                                                                                                                              Definition

                                                                                                                              Name(s) of the person playing the role of the patient. [ES: Nombre(s) de la persona que desempeña el rol de paciente]

                                                                                                                              ShortName(s) of patient
                                                                                                                              Comments

                                                                                                                              A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                                                              Control1..2
                                                                                                                              TypeHumanName
                                                                                                                              Is Modifierfalse
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                              • value @ use
                                                                                                                              • 462. Patient.name:OfficialPatientName
                                                                                                                                Slice NameOfficialPatientName
                                                                                                                                Definition

                                                                                                                                Official (legal) name of the person playing the role of patient. [ES: Nombre oficial (legal) de la persona que desempeña el rol de paciente]

                                                                                                                                ShortPatient's official (legal) name
                                                                                                                                Comments

                                                                                                                                A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                                                                Control1..1
                                                                                                                                TypeHumanName
                                                                                                                                Is Modifierfalse
                                                                                                                                Must Supporttrue
                                                                                                                                Summarytrue
                                                                                                                                Requirements

                                                                                                                                Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                                                                LabelNombre del paciente
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                464. Patient.name:OfficialPatientName.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control0..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                466. Patient.name:OfficialPatientName.extension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                Comments

                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                • value @ url
                                                                                                                                • 468. Patient.name:OfficialPatientName.use
                                                                                                                                  Definition

                                                                                                                                  Identifies the purpose for this name.

                                                                                                                                  Shortusual | official | temp | nickname | anonymous | old | maiden
                                                                                                                                  Comments

                                                                                                                                  Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                                                                                                                  Control1..1
                                                                                                                                  BindingThe codes SHALL be taken from NameUse
                                                                                                                                  (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                                                  The use of a human name.

                                                                                                                                  Typecode
                                                                                                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                                                                                  Fixed Valueofficial
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  470. Patient.name:OfficialPatientName.text
                                                                                                                                  Definition

                                                                                                                                  Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                                                                                  ShortText representation of the full name
                                                                                                                                  Comments

                                                                                                                                  Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  A renderable, unencoded form.

                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  472. Patient.name:OfficialPatientName.family
                                                                                                                                  Definition

                                                                                                                                  The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                                                                                                                  ShortPatient's family name
                                                                                                                                  Comments

                                                                                                                                  Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                                                                                  Control1..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  LabelApellidos
                                                                                                                                  Alternate Namessurname
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  474. Patient.name:OfficialPatientName.family.id
                                                                                                                                  Definition

                                                                                                                                  unique id for the element within a resource (for internal references)

                                                                                                                                  Shortxml:id (or equivalent in JSON)
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  476. Patient.name:OfficialPatientName.family.extension
                                                                                                                                  Definition

                                                                                                                                  An Extension

                                                                                                                                  ShortExtension
                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                  • value @ url
                                                                                                                                  • 478. Patient.name:OfficialPatientName.family.extension:FathersFamilyName
                                                                                                                                    Slice NameFathersFamilyName
                                                                                                                                    Definition

                                                                                                                                    Extension used in the HumanName.family element to record the person's first (or paternal) family name.

                                                                                                                                    ShortFirst family name
                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                    TypeExtension(Extension: FathersFamilyName) (Extension Type: string)
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supporttrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    480. Patient.name:OfficialPatientName.family.extension:MothersFamilyName
                                                                                                                                    Slice NameMothersFamilyName
                                                                                                                                    Definition

                                                                                                                                    The extension used in the HumanName.family element to record the person's second (or mother's) family name.

                                                                                                                                    ShortSecond family name
                                                                                                                                    Control0..1
                                                                                                                                    This element is affected by the following invariants: ele-1
                                                                                                                                    TypeExtension(Extension: MothersFamilyName) (Extension Type: string)
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supporttrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    482. Patient.name:OfficialPatientName.family.value
                                                                                                                                    Definition

                                                                                                                                    The actual value

                                                                                                                                    ShortPrimitive value for string
                                                                                                                                    Control0..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    Max Length:1048576
                                                                                                                                    484. Patient.name:OfficialPatientName.given
                                                                                                                                    Definition

                                                                                                                                    Given name.

                                                                                                                                    ShortPatient's given name(s)
                                                                                                                                    Comments

                                                                                                                                    If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                                                                                    Control1..*
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    LabelNombre(s)
                                                                                                                                    Alternate Namesfirst name, middle name
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    486. Patient.name:OfficialPatientName.prefix
                                                                                                                                    Definition

                                                                                                                                    Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                                                                                                                    ShortParts that come before the name
                                                                                                                                    Control0..*
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    488. Patient.name:OfficialPatientName.suffix
                                                                                                                                    Definition

                                                                                                                                    Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                                                                                                                    ShortParts that come after the name
                                                                                                                                    Control0..*
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    490. Patient.name:OfficialPatientName.period
                                                                                                                                    Definition

                                                                                                                                    Indicates the period of time when this name was valid for the named person.

                                                                                                                                    ShortTime period when name was/is in use
                                                                                                                                    Control0..1
                                                                                                                                    TypePeriod
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Allows names to be placed in historical context.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    492. Patient.name:PatientIdentifyingName
                                                                                                                                    Slice NamePatientIdentifyingName
                                                                                                                                    Definition

                                                                                                                                    Identity and/or preferred name, freely adopted by the person playing the role of patient (can be used as an alias). [ES: Nombre identitario y/o de preferencia, libremente adoptado por la persona que desempeña el rol de paciente (puede ser utilizado como un alias).]

                                                                                                                                    ShortPatient's identifying name
                                                                                                                                    Comments

                                                                                                                                    A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                                                                    Control0..1
                                                                                                                                    TypeHumanName
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    494. Patient.name:PatientIdentifyingName.id
                                                                                                                                    Definition

                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                    Control0..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    496. Patient.name:PatientIdentifyingName.extension
                                                                                                                                    Definition

                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                    Comments

                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                    • value @ url
                                                                                                                                    • 498. Patient.name:PatientIdentifyingName.use
                                                                                                                                      Definition

                                                                                                                                      Identifies the purpose for this name.

                                                                                                                                      Shortusual | official | temp | nickname | anonymous | old | maiden
                                                                                                                                      Comments

                                                                                                                                      Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                                                                                                                      Control1..1
                                                                                                                                      BindingThe codes SHALL be taken from NameUse
                                                                                                                                      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                                                      The use of a human name.

                                                                                                                                      Typecode
                                                                                                                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                                                                                      Fixed Valueusual
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      500. Patient.name:PatientIdentifyingName.text
                                                                                                                                      Definition

                                                                                                                                      Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                                                                                      ShortText representation of the full name
                                                                                                                                      Comments

                                                                                                                                      Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                      Control1..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      A renderable, unencoded form.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      502. Patient.name:PatientIdentifyingName.family
                                                                                                                                      Definition

                                                                                                                                      The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                                                                                                                      ShortFamily name (often called 'Surname')
                                                                                                                                      Comments

                                                                                                                                      Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Alternate Namessurname
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      504. Patient.name:PatientIdentifyingName.given
                                                                                                                                      Definition

                                                                                                                                      Given name.

                                                                                                                                      ShortGiven names (not always 'first'). Includes middle names
                                                                                                                                      Comments

                                                                                                                                      If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                                                                                      Control0..*
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Alternate Namesfirst name, middle name
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      506. Patient.name:PatientIdentifyingName.prefix
                                                                                                                                      Definition

                                                                                                                                      Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                                                                                                                      ShortParts that come before the name
                                                                                                                                      Control0..*
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      508. Patient.name:PatientIdentifyingName.suffix
                                                                                                                                      Definition

                                                                                                                                      Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                                                                                                                      ShortParts that come after the name
                                                                                                                                      Control0..*
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      510. Patient.name:PatientIdentifyingName.period
                                                                                                                                      Definition

                                                                                                                                      Indicates the period of time when this name was valid for the named person.

                                                                                                                                      ShortTime period when name was/is in use
                                                                                                                                      Control0..1
                                                                                                                                      TypePeriod
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Allows names to be placed in historical context.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      512. Patient.name:TemporaryPatientName
                                                                                                                                      Slice NameTemporaryPatientName
                                                                                                                                      Definition

                                                                                                                                      Temporary name, assigned in cases of newborns or when it is not possible to know the name of the person playing the role of patient. [ES: Nombre temporal, asignado en casos de recién nacidos o cuando no es posible saber cuál es el nombre de la persona que desempeña el rol de paciente.]

                                                                                                                                      ShortTemporary name of patient
                                                                                                                                      Comments

                                                                                                                                      A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                                                                      Control0..1
                                                                                                                                      TypeHumanName
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      514. Patient.name:TemporaryPatientName.id
                                                                                                                                      Definition

                                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                      Summaryfalse
                                                                                                                                      516. Patient.name:TemporaryPatientName.extension
                                                                                                                                      Definition

                                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                                      Comments

                                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                      Control0..*
                                                                                                                                      TypeExtension
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summaryfalse
                                                                                                                                      Alternate Namesextensions, user content
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                      SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                      • value @ url
                                                                                                                                      • 518. Patient.name:TemporaryPatientName.use
                                                                                                                                        Definition

                                                                                                                                        Identifies the purpose for this name.

                                                                                                                                        Shortusual | official | temp | nickname | anonymous | old | maiden
                                                                                                                                        Comments

                                                                                                                                        Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                                                                                                                        Control1..1
                                                                                                                                        BindingThe codes SHALL be taken from NameUse
                                                                                                                                        (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                                                        The use of a human name.

                                                                                                                                        Typecode
                                                                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                                                                                        Fixed Valuetemp
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        520. Patient.name:TemporaryPatientName.text
                                                                                                                                        Definition

                                                                                                                                        Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                                                                                        ShortText representation of the full name
                                                                                                                                        Comments

                                                                                                                                        Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                        Control1..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        A renderable, unencoded form.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        522. Patient.name:TemporaryPatientName.family
                                                                                                                                        Definition

                                                                                                                                        The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                                                                                                                        ShortFamily name (often called 'Surname')
                                                                                                                                        Comments

                                                                                                                                        Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                                                                                        Control0..1
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Alternate Namessurname
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        524. Patient.name:TemporaryPatientName.given
                                                                                                                                        Definition

                                                                                                                                        Given name.

                                                                                                                                        ShortGiven names (not always 'first'). Includes middle names
                                                                                                                                        Comments

                                                                                                                                        If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                                                                                        Control0..*
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Alternate Namesfirst name, middle name
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        526. Patient.name:TemporaryPatientName.prefix
                                                                                                                                        Definition

                                                                                                                                        Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                                                                                                                        ShortParts that come before the name
                                                                                                                                        Control0..*
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        528. Patient.name:TemporaryPatientName.suffix
                                                                                                                                        Definition

                                                                                                                                        Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                                                                                                                        ShortParts that come after the name
                                                                                                                                        Control0..*
                                                                                                                                        Typestring
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        530. Patient.name:TemporaryPatientName.period
                                                                                                                                        Definition

                                                                                                                                        Indicates the period of time when this name was valid for the named person.

                                                                                                                                        ShortTime period when name was/is in use
                                                                                                                                        Control0..1
                                                                                                                                        TypePeriod
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        Allows names to be placed in historical context.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        532. Patient.telecom
                                                                                                                                        Definition

                                                                                                                                        Telecommunications addresses [ES: Direcciones de telecomunicaciones]

                                                                                                                                        ShortTelephone, mobile, email, etc.
                                                                                                                                        Comments

                                                                                                                                        A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                                                        Control0..*
                                                                                                                                        TypeContactPoint
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        People have (primary) ways to contact them in some way such as phone, email.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        SlicingThis element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                        • value @ id
                                                                                                                                        • 534. Patient.telecom:TelecomPhone
                                                                                                                                          Slice NameTelecomPhone
                                                                                                                                          Definition

                                                                                                                                          Landline phone contact [ES: Teléfono fijo de contacto]

                                                                                                                                          ShortTelephone
                                                                                                                                          Comments

                                                                                                                                          A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                                                          Control0..*
                                                                                                                                          TypeContactPoint
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Must Supporttrue
                                                                                                                                          Summarytrue
                                                                                                                                          Requirements

                                                                                                                                          People have (primary) ways to contact them in some way such as phone, email.

                                                                                                                                          LabelTeléfono
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          536. Patient.telecom:TelecomPhone.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control1..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          Pattern ValueTelecomPhone-0
                                                                                                                                          538. Patient.telecom:TelecomPhone.extension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                          • value @ url
                                                                                                                                          • 540. Patient.telecom:TelecomPhone.system
                                                                                                                                            Definition

                                                                                                                                            Telecommunications form for contact point - what communications system is required to make use of the contact.

                                                                                                                                            Shortphone | fax | email | pager | url | sms | other
                                                                                                                                            Control1..1
                                                                                                                                            This element is affected by the following invariants: cpt-2
                                                                                                                                            BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                                                            (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                                                                                                                            Telecommunications form for contact point.

                                                                                                                                            Typecode
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Fixed Valuephone
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            542. Patient.telecom:TelecomPhone.value
                                                                                                                                            Definition

                                                                                                                                            The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                                                                                                                            ShortSyntax: +57(000)000-0000
                                                                                                                                            Comments

                                                                                                                                            Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                                                            Control1..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            544. Patient.telecom:TelecomPhone.use
                                                                                                                                            Definition

                                                                                                                                            Identifies the purpose for the contact point.

                                                                                                                                            Shorthome | work | temp | old | mobile - purpose of this contact point
                                                                                                                                            Comments

                                                                                                                                            Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                                                            Control0..1
                                                                                                                                            BindingThe codes SHALL be taken from ContactPointUse
                                                                                                                                            (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                                                                                                                            Use of contact point.

                                                                                                                                            Typecode
                                                                                                                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            546. Patient.telecom:TelecomPhone.rank
                                                                                                                                            Definition

                                                                                                                                            Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                                                            ShortSpecify preferred order of use (1 = highest)
                                                                                                                                            Comments

                                                                                                                                            Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                                                            Control0..1
                                                                                                                                            TypepositiveInt
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                            Summarytrue
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            548. Patient.telecom:TelecomPhone.period
                                                                                                                                            Definition

                                                                                                                                            Time period when the contact point was/is in use.

                                                                                                                                            ShortTime period when the contact point was/is in use
                                                                                                                                            Control0..1
                                                                                                                                            TypePeriod
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summarytrue
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            550. Patient.telecom:TelecomMobile
                                                                                                                                            Slice NameTelecomMobile
                                                                                                                                            Definition

                                                                                                                                            Contact mobile or cell phone [ES: Teléfono móvil o celular de contacto]

                                                                                                                                            ShortMobile
                                                                                                                                            Comments

                                                                                                                                            A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                                                            Control0..*
                                                                                                                                            TypeContactPoint
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Must Supporttrue
                                                                                                                                            Summarytrue
                                                                                                                                            Requirements

                                                                                                                                            People have (primary) ways to contact them in some way such as phone, email.

                                                                                                                                            LabelCelular
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            552. Patient.telecom:TelecomMobile.id
                                                                                                                                            Definition

                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                            Control1..1
                                                                                                                                            Typestring
                                                                                                                                            Is Modifierfalse
                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                            Summaryfalse
                                                                                                                                            Pattern ValueTelecomMobile-0
                                                                                                                                            554. Patient.telecom:TelecomMobile.extension
                                                                                                                                            Definition

                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                            Comments

                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                            Control0..*
                                                                                                                                            TypeExtension
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Summaryfalse
                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                            SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                            • value @ url
                                                                                                                                            • 556. Patient.telecom:TelecomMobile.system
                                                                                                                                              Definition

                                                                                                                                              Telecommunications form for contact point - what communications system is required to make use of the contact.

                                                                                                                                              Shortphone | fax | email | pager | url | sms | other
                                                                                                                                              Control1..1
                                                                                                                                              This element is affected by the following invariants: cpt-2
                                                                                                                                              BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                                                              (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                                                                                                                              Telecommunications form for contact point.

                                                                                                                                              Typecode
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Fixed Valuephone
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              558. Patient.telecom:TelecomMobile.value
                                                                                                                                              Definition

                                                                                                                                              The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                                                                                                                              ShortSyntax: (000)000-0000
                                                                                                                                              Comments

                                                                                                                                              Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                                                              Control1..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              560. Patient.telecom:TelecomMobile.use
                                                                                                                                              Definition

                                                                                                                                              Identifies the purpose for the contact point.

                                                                                                                                              Shorthome | work | temp | old | mobile - purpose of this contact point
                                                                                                                                              Comments

                                                                                                                                              Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                                                              Control1..1
                                                                                                                                              BindingThe codes SHALL be taken from ContactPointUse
                                                                                                                                              (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                                                                                                                              Use of contact point.

                                                                                                                                              Typecode
                                                                                                                                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                                                              Fixed Valuemobile
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              562. Patient.telecom:TelecomMobile.rank
                                                                                                                                              Definition

                                                                                                                                              Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                                                              ShortSpecify preferred order of use (1 = highest)
                                                                                                                                              Comments

                                                                                                                                              Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                                                              Control0..1
                                                                                                                                              TypepositiveInt
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Summarytrue
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              564. Patient.telecom:TelecomMobile.period
                                                                                                                                              Definition

                                                                                                                                              Time period when the contact point was/is in use.

                                                                                                                                              ShortTime period when the contact point was/is in use
                                                                                                                                              Control0..1
                                                                                                                                              TypePeriod
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Summarytrue
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              566. Patient.telecom:TelecomEmail
                                                                                                                                              Slice NameTelecomEmail
                                                                                                                                              Definition

                                                                                                                                              Contact email address [ES: Correo electrónico de contacto]

                                                                                                                                              ShortE-mail
                                                                                                                                              Comments

                                                                                                                                              A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                                                              Control0..*
                                                                                                                                              TypeContactPoint
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Must Supporttrue
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              People have (primary) ways to contact them in some way such as phone, email.

                                                                                                                                              LabelE-mail
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              568. Patient.telecom:TelecomEmail.id
                                                                                                                                              Definition

                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                              Control1..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                              Summaryfalse
                                                                                                                                              Pattern ValueTelecomEmail-0
                                                                                                                                              570. Patient.telecom:TelecomEmail.extension
                                                                                                                                              Definition

                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                              Comments

                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                              Control0..*
                                                                                                                                              TypeExtension
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Summaryfalse
                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                              SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                              • value @ url
                                                                                                                                              • 572. Patient.telecom:TelecomEmail.system
                                                                                                                                                Definition

                                                                                                                                                Telecommunications form for contact point - what communications system is required to make use of the contact.

                                                                                                                                                Shortphone | fax | email | pager | url | sms | other
                                                                                                                                                Control1..1
                                                                                                                                                This element is affected by the following invariants: cpt-2
                                                                                                                                                BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                                                                (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                                                                                                                                Telecommunications form for contact point.

                                                                                                                                                Typecode
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summarytrue
                                                                                                                                                Fixed Valueemail
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                574. Patient.telecom:TelecomEmail.value
                                                                                                                                                Definition

                                                                                                                                                The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                                                                                                                                ShortSyntax: name@example.com
                                                                                                                                                Comments

                                                                                                                                                Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                                                                Control1..1
                                                                                                                                                Typestring
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                576. Patient.telecom:TelecomEmail.use
                                                                                                                                                Definition

                                                                                                                                                Identifies the purpose for the contact point.

                                                                                                                                                Shorthome | work | temp | old | mobile - purpose of this contact point
                                                                                                                                                Comments

                                                                                                                                                Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                                                                Control0..1
                                                                                                                                                BindingThe codes SHALL be taken from ContactPointUse
                                                                                                                                                (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                                                                                                                                Use of contact point.

                                                                                                                                                Typecode
                                                                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                578. Patient.telecom:TelecomEmail.rank
                                                                                                                                                Definition

                                                                                                                                                Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                                                                ShortSpecify preferred order of use (1 = highest)
                                                                                                                                                Comments

                                                                                                                                                Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                                                                Control0..1
                                                                                                                                                TypepositiveInt
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summarytrue
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                580. Patient.telecom:TelecomEmail.period
                                                                                                                                                Definition

                                                                                                                                                Time period when the contact point was/is in use.

                                                                                                                                                ShortTime period when the contact point was/is in use
                                                                                                                                                Control0..1
                                                                                                                                                TypePeriod
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summarytrue
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                582. Patient.gender
                                                                                                                                                Definition

                                                                                                                                                Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

                                                                                                                                                Shortmale | female | other | unknown
                                                                                                                                                Comments

                                                                                                                                                The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                                                                                                                                Control1..1
                                                                                                                                                BindingThe codes SHALL be taken from AdministrativeGender
                                                                                                                                                (required to http://hl7.org/fhir/ValueSet/administrative-gender)
                                                                                                                                                Typecode
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Must Supporttrue
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Needed for identification of the individual, in combination with (at least) name and birth date.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                584. Patient.birthDate
                                                                                                                                                Definition

                                                                                                                                                The date of birth for the individual.

                                                                                                                                                ShortThe date of birth for the individual
                                                                                                                                                Comments

                                                                                                                                                At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

                                                                                                                                                Control1..1
                                                                                                                                                Typedate
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Must Supporttrue
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Age of the individual drives many clinical processes.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                LOINC Code21112-8
                                                                                                                                                586. Patient.deceased[x]
                                                                                                                                                Definition

                                                                                                                                                Indicates if the individual is deceased or not.

                                                                                                                                                ShortIndicates if the individual is deceased or not
                                                                                                                                                Comments

                                                                                                                                                If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                                                                                                                                Control0..1
                                                                                                                                                TypeChoice of: boolean, dateTime
                                                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                588. Patient.address
                                                                                                                                                Definition

                                                                                                                                                An address for the individual. [ES: Una dirección de la persona]

                                                                                                                                                ShortAn address for the individual
                                                                                                                                                Comments

                                                                                                                                                Patient may have multiple addresses with different uses or applicable periods.

                                                                                                                                                Control1..*
                                                                                                                                                TypeAddress
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                                                                                LabelDirección
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                SlicingThis element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                • value @ id
                                                                                                                                                • 590. Patient.address:HomeAddress
                                                                                                                                                  Slice NameHomeAddress
                                                                                                                                                  Definition

                                                                                                                                                  An address for the individual.

                                                                                                                                                  ShortAn address for the individual
                                                                                                                                                  Comments

                                                                                                                                                  Patient may have multiple addresses with different uses or applicable periods.

                                                                                                                                                  Control1..1
                                                                                                                                                  TypeAddress
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Summarytrue
                                                                                                                                                  Requirements

                                                                                                                                                  May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  592. Patient.address:HomeAddress.id
                                                                                                                                                  Definition

                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                  Control1..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Pattern ValueHomeAddress-0
                                                                                                                                                  594. Patient.address:HomeAddress.extension
                                                                                                                                                  Definition

                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                  Comments

                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                  Control0..*
                                                                                                                                                  TypeExtension
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                  SlicingThis element introduces a set of slices on Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                  • value @ url
                                                                                                                                                  • 596. Patient.address:HomeAddress.extension:ExtensionResidenceZone
                                                                                                                                                    Slice NameExtensionResidenceZone
                                                                                                                                                    Definition

                                                                                                                                                    Extension used in the Patient.Address element, to register the area of residence

                                                                                                                                                    ShortUrbana | Rural
                                                                                                                                                    Control0..1
                                                                                                                                                    TypeExtension(Extension: ResidenceZone) (Extension Type: Coding)
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    598. Patient.address:HomeAddress.use
                                                                                                                                                    Definition

                                                                                                                                                    The purpose of this address.

                                                                                                                                                    Shorthome | work | temp | old | billing - purpose of this address
                                                                                                                                                    Comments

                                                                                                                                                    Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                                                                                                                    Control1..1
                                                                                                                                                    BindingThe codes SHALL be taken from AddressUse
                                                                                                                                                    (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                                                                                                                    The use of an address.

                                                                                                                                                    Typecode
                                                                                                                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                    Summarytrue
                                                                                                                                                    Requirements

                                                                                                                                                    Allows an appropriate address to be chosen from a list of many.

                                                                                                                                                    Fixed Valuehome
                                                                                                                                                    Example<br/><b>General</b>:home
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    600. Patient.address:HomeAddress.type
                                                                                                                                                    Definition

                                                                                                                                                    Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                                                                                                                                    Shortpostal | physical | both
                                                                                                                                                    Comments

                                                                                                                                                    The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                                                                                                    Control1..1
                                                                                                                                                    BindingThe codes SHALL be taken from AddressType
                                                                                                                                                    (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                                                                                                                                    The type of an address (physical / postal).

                                                                                                                                                    Typecode
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                    Summarytrue
                                                                                                                                                    Fixed Valuephysical
                                                                                                                                                    Example<br/><b>General</b>:both
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    602. Patient.address:HomeAddress.text
                                                                                                                                                    Definition

                                                                                                                                                    Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                                                                                                                                    ShortText representation of the address
                                                                                                                                                    Comments

                                                                                                                                                    Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                                    Control1..1
                                                                                                                                                    Typestring
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                    Summarytrue
                                                                                                                                                    Requirements

                                                                                                                                                    A renderable, unencoded form.

                                                                                                                                                    Example<br/><b>General</b>:137 Nowhere Street, Erewhon 9132
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    604. Patient.address:HomeAddress.line
                                                                                                                                                    Definition

                                                                                                                                                    This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                                                                                                                                    ShortStreet name, number, direction & P.O. Box etc.
                                                                                                                                                    Control0..*
                                                                                                                                                    Typestring
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                    Summarytrue
                                                                                                                                                    Example<br/><b>General</b>:137 Nowhere Street
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    606. Patient.address:HomeAddress.city
                                                                                                                                                    Definition

                                                                                                                                                    The name of the city, town, suburb, village or other community or delivery center.

                                                                                                                                                    ShortColombian municipality
                                                                                                                                                    Control1..1
                                                                                                                                                    Typestring
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                    Must Supporttrue
                                                                                                                                                    Summarytrue
                                                                                                                                                    LabelMunicipio
                                                                                                                                                    Alternate NamesMunicpality
                                                                                                                                                    Example<br/><b>General</b>:Erewhon
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    608. Patient.address:HomeAddress.city.id
                                                                                                                                                    Definition

                                                                                                                                                    unique id for the element within a resource (for internal references)

                                                                                                                                                    Shortxml:id (or equivalent in JSON)
                                                                                                                                                    Control0..1
                                                                                                                                                    Typestring
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                    Summaryfalse
                                                                                                                                                    610. Patient.address:HomeAddress.city.extension
                                                                                                                                                    Definition

                                                                                                                                                    An Extension

                                                                                                                                                    ShortExtension
                                                                                                                                                    Control0..*
                                                                                                                                                    TypeExtension
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Summaryfalse
                                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                    SlicingThis element introduces a set of slices on Patient.address.city.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                    • value @ url
                                                                                                                                                    • 612. Patient.address:HomeAddress.city.extension:ExtensionDivipolaMunicipality
                                                                                                                                                      Slice NameExtensionDivipolaMunicipality
                                                                                                                                                      Definition

                                                                                                                                                      Extension used in the Patient.address.city element to register the DIVIPOLA code of the municipality

                                                                                                                                                      ShortDivipola municipality code
                                                                                                                                                      Control0..1
                                                                                                                                                      This element is affected by the following invariants: ele-1
                                                                                                                                                      TypeExtension(Extension: DivipolaMunicipality) (Extension Type: Coding)
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Must Supporttrue
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      614. Patient.address:HomeAddress.city.value
                                                                                                                                                      Definition

                                                                                                                                                      The actual value

                                                                                                                                                      ShortPrimitive value for string
                                                                                                                                                      Control0..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Max Length:1048576
                                                                                                                                                      616. Patient.address:HomeAddress.district
                                                                                                                                                      Definition

                                                                                                                                                      The name of the administrative area (county).

                                                                                                                                                      ShortDistrict, locality or commune
                                                                                                                                                      Comments

                                                                                                                                                      District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                                                                                                                      Control0..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Summarytrue
                                                                                                                                                      LabelDistrito, localidad o comuna
                                                                                                                                                      Alternate NamesCounty
                                                                                                                                                      Example<br/><b>General</b>:Madison
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      618. Patient.address:HomeAddress.state
                                                                                                                                                      Definition

                                                                                                                                                      Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                                                                                                                                      ShortColombian Department
                                                                                                                                                      Control1..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Must Supporttrue
                                                                                                                                                      Summarytrue
                                                                                                                                                      LabelDepartamento
                                                                                                                                                      Alternate NamesProvince, Territory
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      620. Patient.address:HomeAddress.state.id
                                                                                                                                                      Definition

                                                                                                                                                      unique id for the element within a resource (for internal references)

                                                                                                                                                      Shortxml:id (or equivalent in JSON)
                                                                                                                                                      Control0..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                      Summaryfalse
                                                                                                                                                      622. Patient.address:HomeAddress.state.extension
                                                                                                                                                      Definition

                                                                                                                                                      An Extension

                                                                                                                                                      ShortExtension
                                                                                                                                                      Control0..*
                                                                                                                                                      TypeExtension
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Summaryfalse
                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                      SlicingThis element introduces a set of slices on Patient.address.state.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                      • value @ url
                                                                                                                                                      • 624. Patient.address:HomeAddress.state.extension:ExtensionDivipolaDepartment
                                                                                                                                                        Slice NameExtensionDivipolaDepartment
                                                                                                                                                        Definition

                                                                                                                                                        Extension used in the Patient.address.state element to register the DIVIPOLA code of the department

                                                                                                                                                        ShortDivipola department code
                                                                                                                                                        Control0..1
                                                                                                                                                        This element is affected by the following invariants: ele-1
                                                                                                                                                        TypeExtension(Extension: DivipolaDepartment) (Extension Type: Coding)
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                        626. Patient.address:HomeAddress.state.value
                                                                                                                                                        Definition

                                                                                                                                                        The actual value

                                                                                                                                                        ShortPrimitive value for string
                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Max Length:1048576
                                                                                                                                                        628. Patient.address:HomeAddress.postalCode
                                                                                                                                                        Definition

                                                                                                                                                        A postal code designating a region defined by the postal service.

                                                                                                                                                        ShortPostal code for area
                                                                                                                                                        Control0..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Summarytrue
                                                                                                                                                        Alternate NamesZip
                                                                                                                                                        Example<br/><b>General</b>:9132
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        630. Patient.address:HomeAddress.country
                                                                                                                                                        Definition

                                                                                                                                                        Country - a nation as commonly understood or generally accepted.

                                                                                                                                                        ShortCountry
                                                                                                                                                        Comments

                                                                                                                                                        ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                                                                                                                        Control1..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Summarytrue
                                                                                                                                                        LabelPaís
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        632. Patient.address:HomeAddress.period
                                                                                                                                                        Definition

                                                                                                                                                        Time period when address was/is in use.

                                                                                                                                                        ShortTime period when address was/is in use
                                                                                                                                                        Control0..1
                                                                                                                                                        TypePeriod
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        Allows addresses to be placed in historical context.

                                                                                                                                                        Example<br/><b>General</b>:{ "start" : "2010-03-23", "end" : "2010-07-01" }
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        634. Patient.address:Otheraddress
                                                                                                                                                        Slice NameOtheraddress
                                                                                                                                                        Definition

                                                                                                                                                        An address for the individual.

                                                                                                                                                        ShortAn address for the individual
                                                                                                                                                        Comments

                                                                                                                                                        Patient may have multiple addresses with different uses or applicable periods.

                                                                                                                                                        Control0..1
                                                                                                                                                        TypeAddress
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        636. Patient.address:Otheraddress.id
                                                                                                                                                        Definition

                                                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                                                        Control1..1
                                                                                                                                                        Typestring
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Pattern ValueOtheraddress-0
                                                                                                                                                        638. Patient.address:Otheraddress.extension
                                                                                                                                                        Definition

                                                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                                                        Comments

                                                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                        Control0..*
                                                                                                                                                        TypeExtension
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Summaryfalse
                                                                                                                                                        Alternate Namesextensions, user content
                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                        SlicingThis element introduces a set of slices on Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                        • value @ url
                                                                                                                                                        • 640. Patient.address:Otheraddress.use
                                                                                                                                                          Definition

                                                                                                                                                          The purpose of this address.

                                                                                                                                                          Shorthome | work | temp | old | billing - purpose of this address
                                                                                                                                                          Comments

                                                                                                                                                          Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                                                                                                                          Control0..1
                                                                                                                                                          BindingThe codes SHALL be taken from AddressUse
                                                                                                                                                          (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                                                                                                                          The use of an address.

                                                                                                                                                          Typecode
                                                                                                                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          Allows an appropriate address to be chosen from a list of many.

                                                                                                                                                          Example<br/><b>General</b>:home
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          642. Patient.address:Otheraddress.type
                                                                                                                                                          Definition

                                                                                                                                                          Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                                                                                                                                          Shortpostal | physical | both
                                                                                                                                                          Comments

                                                                                                                                                          The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                                                                                                          Control0..1
                                                                                                                                                          BindingThe codes SHALL be taken from AddressType
                                                                                                                                                          (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                                                                                                                                          The type of an address (physical / postal).

                                                                                                                                                          Typecode
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Example<br/><b>General</b>:both
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          644. Patient.address:Otheraddress.text
                                                                                                                                                          Definition

                                                                                                                                                          Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                                                                                                                                          ShortText representation of the address
                                                                                                                                                          Comments

                                                                                                                                                          Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          A renderable, unencoded form.

                                                                                                                                                          Example<br/><b>General</b>:137 Nowhere Street, Erewhon 9132
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          646. Patient.address:Otheraddress.line
                                                                                                                                                          Definition

                                                                                                                                                          This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                                                                                                                                          ShortStreet name, number, direction & P.O. Box etc.
                                                                                                                                                          Control0..*
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Example<br/><b>General</b>:137 Nowhere Street
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          648. Patient.address:Otheraddress.city
                                                                                                                                                          Definition

                                                                                                                                                          The name of the city, town, suburb, village or other community or delivery center.

                                                                                                                                                          ShortName of city, town etc.
                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Alternate NamesMunicpality
                                                                                                                                                          Example<br/><b>General</b>:Erewhon
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          650. Patient.address:Otheraddress.district
                                                                                                                                                          Definition

                                                                                                                                                          The name of the administrative area (county).

                                                                                                                                                          ShortDistrict name (aka county)
                                                                                                                                                          Comments

                                                                                                                                                          District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Alternate NamesCounty
                                                                                                                                                          Example<br/><b>General</b>:Madison
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          652. Patient.address:Otheraddress.state
                                                                                                                                                          Definition

                                                                                                                                                          Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                                                                                                                                          ShortSub-unit of country (abbreviations ok)
                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Alternate NamesProvince, Territory
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          654. Patient.address:Otheraddress.postalCode
                                                                                                                                                          Definition

                                                                                                                                                          A postal code designating a region defined by the postal service.

                                                                                                                                                          ShortPostal code for area
                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Alternate NamesZip
                                                                                                                                                          Example<br/><b>General</b>:9132
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          656. Patient.address:Otheraddress.country
                                                                                                                                                          Definition

                                                                                                                                                          Country - a nation as commonly understood or generally accepted.

                                                                                                                                                          ShortCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                                                                                                                          Comments

                                                                                                                                                          ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                          Summarytrue
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          658. Patient.address:Otheraddress.period
                                                                                                                                                          Definition

                                                                                                                                                          Time period when address was/is in use.

                                                                                                                                                          ShortTime period when address was/is in use
                                                                                                                                                          Control0..1
                                                                                                                                                          TypePeriod
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Summarytrue
                                                                                                                                                          Requirements

                                                                                                                                                          Allows addresses to be placed in historical context.

                                                                                                                                                          Example<br/><b>General</b>:{ "start" : "2010-03-23", "end" : "2010-07-01" }
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          660. Patient.maritalStatus
                                                                                                                                                          Definition

                                                                                                                                                          This field contains a patient's most recent marital (civil) status.

                                                                                                                                                          ShortPatient's marital status
                                                                                                                                                          Control0..1
                                                                                                                                                          BindingThe codes SHALL be taken from Marital Status Codes
                                                                                                                                                          (required to http://hl7.org/fhir/ValueSet/marital-status)
                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Must Supporttrue
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Requirements

                                                                                                                                                          Most, if not all systems capture it.

                                                                                                                                                          LabelEstado civil
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          662. Patient.maritalStatus.id
                                                                                                                                                          Definition

                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                          Summaryfalse
                                                                                                                                                          664. Patient.maritalStatus.extension
                                                                                                                                                          Definition

                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                          Comments

                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                          Control0..*
                                                                                                                                                          TypeExtension
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                          SlicingThis element introduces a set of slices on Patient.maritalStatus.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                          • value @ url
                                                                                                                                                          • 666. Patient.maritalStatus.coding
                                                                                                                                                            Definition

                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                            Comments

                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                            Control0..1
                                                                                                                                                            TypeCoding
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Summarytrue
                                                                                                                                                            Requirements

                                                                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            668. Patient.maritalStatus.coding.id
                                                                                                                                                            Definition

                                                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                                                            Control0..1
                                                                                                                                                            Typestring
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                            Summaryfalse
                                                                                                                                                            670. Patient.maritalStatus.coding.extension
                                                                                                                                                            Definition

                                                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                                                            Comments

                                                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                            Control0..*
                                                                                                                                                            TypeExtension
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Summaryfalse
                                                                                                                                                            Alternate Namesextensions, user content
                                                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                            SlicingThis element introduces a set of slices on Patient.maritalStatus.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                            • value @ url
                                                                                                                                                            • 672. Patient.maritalStatus.coding.system
                                                                                                                                                              Definition

                                                                                                                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                                                                                                                              ShortIdentity of the terminology system
                                                                                                                                                              Comments

                                                                                                                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                                                                                              Control1..1
                                                                                                                                                              Typeuri
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                                                                                                                              Fixed Valuehttp://terminology.hl7.org/CodeSystem/v3-MaritalStatus
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              674. Patient.maritalStatus.coding.version
                                                                                                                                                              Definition

                                                                                                                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                                                                                              ShortVersion of the system - if relevant
                                                                                                                                                              Comments

                                                                                                                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                                                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              676. Patient.maritalStatus.coding.code
                                                                                                                                                              Definition

                                                                                                                                                              Code of the marital status concept, according to the controlled vocabulary defined by HL7. [ES: Codigo del concepto de estado civil, según el vocabulario controlado definido por HL7.]

                                                                                                                                                              ShortA | D | I | L | M | P | S | T | U | W | UNK
                                                                                                                                                              Control1..1
                                                                                                                                                              Typecode
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Need to refer to a particular code in the system.

                                                                                                                                                              LabelCódigo
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              678. Patient.maritalStatus.coding.display
                                                                                                                                                              Definition

                                                                                                                                                              HL7-defined controlled vocabulary codable concept representation for marital status. [ES: Representación del concepto codificado de vocabulario controlado definido por HL7 para estado civil.]

                                                                                                                                                              ShortAnnulled | Divorced | Married | Widowed +
                                                                                                                                                              Control1..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                                                                                              LabelNombre
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              680. Patient.maritalStatus.coding.userSelected
                                                                                                                                                              Definition

                                                                                                                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                                                                                              ShortIf this coding was chosen directly by the user
                                                                                                                                                              Comments

                                                                                                                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                                                                                              Control0..1
                                                                                                                                                              Typeboolean
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              682. Patient.maritalStatus.text
                                                                                                                                                              Definition

                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                              ShortPlain text representation of marital status
                                                                                                                                                              Comments

                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              684. Patient.multipleBirth[x]
                                                                                                                                                              Definition

                                                                                                                                                              Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                                                                                                                                              ShortWhether patient is part of a multiple birth
                                                                                                                                                              Comments

                                                                                                                                                              Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                                                                                                                                                              Control0..1
                                                                                                                                                              TypeChoice of: boolean, integer
                                                                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              686. Patient.photo
                                                                                                                                                              Definition

                                                                                                                                                              Image of the patient.

                                                                                                                                                              ShortImage of the patient
                                                                                                                                                              Comments

                                                                                                                                                              Guidelines:

                                                                                                                                                              • Use id photos, not clinical photos.
                                                                                                                                                              • Limit dimensions to thumbnail.
                                                                                                                                                              • Keep byte count low to ease resource updates.
                                                                                                                                                              Control0..*
                                                                                                                                                              TypeAttachment
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              688. Patient.contact
                                                                                                                                                              Definition

                                                                                                                                                              A contact party (e.g. guardian, partner, friend) for the patient.

                                                                                                                                                              ShortA contact party (e.g. guardian, partner, friend) for the patient
                                                                                                                                                              Comments

                                                                                                                                                              Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeBackboneElement
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Need to track people you can contact about the patient.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
                                                                                                                                                              690. Patient.contact.id
                                                                                                                                                              Definition

                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                              Summaryfalse
                                                                                                                                                              692. Patient.contact.extension
                                                                                                                                                              Definition

                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              694. Patient.contact.modifierExtension
                                                                                                                                                              Definition

                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              696. Patient.contact.relationship
                                                                                                                                                              Definition

                                                                                                                                                              The nature of the relationship between the patient and the contact person.

                                                                                                                                                              ShortThe kind of relationship
                                                                                                                                                              Control0..*
                                                                                                                                                              BindingUnless not suitable, these codes SHALL be taken from PatientContactRelationship
                                                                                                                                                              (extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship)

                                                                                                                                                              The nature of the relationship between a patient and a contact person for that patient.

                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Used to determine which contact person is the most relevant to approach, depending on circumstances.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              698. Patient.contact.name
                                                                                                                                                              Definition

                                                                                                                                                              A name associated with the contact person.

                                                                                                                                                              ShortA name associated with the contact person
                                                                                                                                                              Control0..1
                                                                                                                                                              TypeHumanName
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              700. Patient.contact.telecom
                                                                                                                                                              Definition

                                                                                                                                                              A contact detail for the person, e.g. a telephone number or an email address.

                                                                                                                                                              ShortA contact detail for the person
                                                                                                                                                              Comments

                                                                                                                                                              Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeContactPoint
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              People have (primary) ways to contact them in some way such as phone, email.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              702. Patient.contact.address
                                                                                                                                                              Definition

                                                                                                                                                              Address for the contact person.

                                                                                                                                                              ShortAddress for the contact person
                                                                                                                                                              Control0..1
                                                                                                                                                              TypeAddress
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Need to keep track where the contact person can be contacted per postal mail or visited.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              704. Patient.contact.gender
                                                                                                                                                              Definition

                                                                                                                                                              Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

                                                                                                                                                              Shortmale | female | other | unknown
                                                                                                                                                              Control0..1
                                                                                                                                                              BindingThe codes SHALL be taken from AdministrativeGender
                                                                                                                                                              (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                                                                                                                              The gender of a person used for administrative purposes.

                                                                                                                                                              Typecode
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Needed to address the person correctly.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              706. Patient.contact.organization
                                                                                                                                                              Definition

                                                                                                                                                              Organization on behalf of which the contact is acting or for which the contact is working.

                                                                                                                                                              ShortOrganization that is associated with the contact
                                                                                                                                                              Control0..1
                                                                                                                                                              This element is affected by the following invariants: pat-1
                                                                                                                                                              TypeReference(Organization)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              For guardians or business related contacts, the organization is relevant.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              708. Patient.contact.period
                                                                                                                                                              Definition

                                                                                                                                                              The period during which this contact person or organization is valid to be contacted relating to this patient.

                                                                                                                                                              ShortThe period during which this contact person or organization is valid to be contacted relating to this patient
                                                                                                                                                              Control0..1
                                                                                                                                                              TypePeriod
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              710. Patient.communication
                                                                                                                                                              Definition

                                                                                                                                                              A language which may be used to communicate with the patient about his or her health.

                                                                                                                                                              ShortA language which may be used to communicate with the patient about his or her health
                                                                                                                                                              Comments

                                                                                                                                                              If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeBackboneElement
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              712. Patient.communication.id
                                                                                                                                                              Definition

                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                              Summaryfalse
                                                                                                                                                              714. Patient.communication.extension
                                                                                                                                                              Definition

                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              716. Patient.communication.modifierExtension
                                                                                                                                                              Definition

                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              718. Patient.communication.language
                                                                                                                                                              Definition

                                                                                                                                                              The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

                                                                                                                                                              ShortThe language which can be used to communicate with the patient about his or her health
                                                                                                                                                              Comments

                                                                                                                                                              The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                                                                                                                                              Control1..1
                                                                                                                                                              BindingThe codes SHOULD be taken from CommonLanguages
                                                                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                                                                                                                              A human language.

                                                                                                                                                              Additional BindingsPurpose
                                                                                                                                                              AllLanguagesMax Binding
                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              720. Patient.communication.preferred
                                                                                                                                                              Definition

                                                                                                                                                              Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

                                                                                                                                                              ShortLanguage preference indicator
                                                                                                                                                              Comments

                                                                                                                                                              This language is specifically identified for communicating healthcare information.

                                                                                                                                                              Control0..1
                                                                                                                                                              Typeboolean
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Requirements

                                                                                                                                                              People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              722. Patient.generalPractitioner
                                                                                                                                                              Definition

                                                                                                                                                              Patient's nominated care provider.

                                                                                                                                                              ShortPatient's nominated primary care provider
                                                                                                                                                              Comments

                                                                                                                                                              This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                                                                                                                                                              Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeReference(Organization, Practitioner, PractitionerRole)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate NamescareProvider
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              724. Patient.managingOrganization
                                                                                                                                                              Definition

                                                                                                                                                              Organization that is the custodian of the patient record.

                                                                                                                                                              ShortOrganization that is the custodian of the patient record
                                                                                                                                                              Comments

                                                                                                                                                              There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

                                                                                                                                                              Control0..1
                                                                                                                                                              TypeReference(Organization)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Need to know who recognizes this patient record, manages and updates it.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              726. Patient.link
                                                                                                                                                              Definition

                                                                                                                                                              Link to another patient resource that concerns the same actual patient.

                                                                                                                                                              ShortLink to another patient resource that concerns the same actual person
                                                                                                                                                              Comments

                                                                                                                                                              There is no assumption that linked patient records have mutual links.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeBackboneElement
                                                                                                                                                              Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              There are multiple use cases:

                                                                                                                                                              • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                                                                                                                                              • Distribution of patient information across multiple servers.
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              728. Patient.link.id
                                                                                                                                                              Definition

                                                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                              Summaryfalse
                                                                                                                                                              730. Patient.link.extension
                                                                                                                                                              Definition

                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summaryfalse
                                                                                                                                                              Alternate Namesextensions, user content
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              732. Patient.link.modifierExtension
                                                                                                                                                              Definition

                                                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                              Comments

                                                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                              Control0..*
                                                                                                                                                              TypeExtension
                                                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                              734. Patient.link.other
                                                                                                                                                              Definition

                                                                                                                                                              The other patient resource that the link refers to.

                                                                                                                                                              ShortThe other patient or related person resource that the link refers to
                                                                                                                                                              Comments

                                                                                                                                                              Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

                                                                                                                                                              Control1..1
                                                                                                                                                              TypeReference(Patient, RelatedPerson)
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Summarytrue
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              736. Patient.link.type
                                                                                                                                                              Definition

                                                                                                                                                              The type of link between this patient resource and another patient resource.

                                                                                                                                                              Shortreplaced-by | replaces | refer | seealso
                                                                                                                                                              Control1..1
                                                                                                                                                              BindingThe codes SHALL be taken from LinkType
                                                                                                                                                              (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

                                                                                                                                                              The type of link between this patient resource and another patient resource.

                                                                                                                                                              Typecode
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Summarytrue
                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))