description: '### identifier\r\n\r\nAt least one patient identifier, **MUST** be provided. Where a traced NHS number is available for a patient this MUST be included. \r\n\r\nLocal identiers such as MRN **MUST** include a *system* which identifies NHS provider/assigning authority.'
package_name: uk.nhsdigital.r4
derivation: constraint
name: NHSDigital-Patient
type: Patient
elements:
  address:
    mustSupport: true
    index: 19
    extensions:
      addressKey: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey', max: 1, type: Extension, index: 21}
    elements:
      extension:
        index: 20
        slicing:
          rules: open
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            addressKey:
              match: {url: null}
              schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey', index: 21}
              max: 1
  managingOrganization:
    elements:
      identifier:
        index: 29
        elements:
          system:
            pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/ods-organization-code'}
            index: 30
    required: [identifier]
  name:
    mustSupport: true
    index: 10
    elements:
      use: {index: 11}
      family: {mustSupport: true, index: 12}
      given: {mustSupport: true, index: 13}
  birthDate: {mustSupport: true, index: 18}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        nominatedPharmacy:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NominatedPharmacy', index: 1}
        nhsCommunication:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSCommunication', index: 2}
          max: 1
        deathNotificationStatus:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus', index: 3}
        medicalApplianceSupplier:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicalApplianceSupplier', index: 4}
          max: 1
        preferredDispenserOrganization:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PreferredDispenserOrganization', index: 5}
          max: 1
        contactPreference:
          match: {url: null}
          schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference', index: 6}
  identifier:
    mustSupport: true
    index: 7
    slicing:
      slices:
        nhsNumber:
          match: {}
          schema:
            mustSupport: true
            _required: true
            index: 8
            elements:
              system: {mustSupport: true, index: 9}
  telecom:
    mustSupport: true
    index: 14
    elements:
      system:
        extensions:
          otherContactSystem: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem', max: 1, type: Extension, index: 16}
        elements:
          extension:
            index: 15
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: null
              slices:
                otherContactSystem:
                  match: {url: null}
                  schema: {type: Extension, url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem', index: 16}
                  max: 1
  generalPractitioner:
    constraint:
      nhsd-5: {human: generalPractitioner - a display name should be provided, severity: warning, expression: (display.exists())}
    mustSupport: true
    index: 23
    elements:
      identifier:
        index: 24
        elements:
          system: {index: 25}
          value: {index: 26}
        required: [value, system]
    required: [identifier]
    slicing:
      rules: openAtEnd
      discriminator:
      - {path: identifier.system, type: value}
      min: 1
      max: 1
      slices:
        registeredGPPractice:
          match:
            identifier: {system: 'https://fhir.nhs.uk/Id/ods-organization-code'}
          schema:
            _required: true
            index: 27
            elements:
              identifier:
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/ods-organization-code'}
                    index: 28
  gender: {mustSupport: false, index: 17}
  contact: {mustSupport: false, index: 22}
package_version: 2.1.25-discovery
extensions:
  nominatedPharmacy: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NominatedPharmacy', type: Extension, index: 1}
  nhsCommunication: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSCommunication', max: 1, type: Extension, index: 2}
  deathNotificationStatus: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus', type: Extension, index: 3}
  medicalApplianceSupplier: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicalApplianceSupplier', max: 1, type: Extension, index: 4}
  preferredDispenserOrganization: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PreferredDispenserOrganization', max: 1, type: Extension, index: 5}
  contactPreference: {url: 'https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference', type: Extension, index: 6}
class: profile
kind: resource
url: https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient
version: null
required: [gender, name, address, identifier, birthDate, generalPractitioner]