{
  "description": "This profile defines the UK constraints and extensions on the International FHIR resource [Patient](https://hl7.org/fhir/R4/Patient.html).",
  "_filename": "UKCore-Patient.json",
  "package_name": "fhir.r4.ukcore.stu3.currentbuild",
  "date": "2024-07-23",
  "derivation": "constraint",
  "publisher": "HL7 UK",
  "fhirVersion": "4.0.1",
  "purpose": "This profile allows exchange of demographics and other administrative information about an individual receiving care or other health-related services.",
  "name": "UKCorePatient",
  "abstract": false,
  "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "UK Core Patient",
  "package_version": "0.0.14-pre-release",
  "status": "active",
  "id": "4371172c-6557-43b7-b705-38c5bc027c4c",
  "kind": "resource",
  "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
  "version": "2.6.1",
  "differential": {
    "element": [ {
      "id": "Patient.extension:birthPlace",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-birthPlace" ]
      } ],
      "short": "The registered place of birth of the patient.",
      "sliceName": "birthPlace",
      "definition": "The registered place of birth of the patient."
    }, {
      "id": "Patient.extension:birthPlace.value[x]",
      "path": "Patient.extension.value[x]",
      "short": "The registered place of birth of the patient."
    }, {
      "id": "Patient.extension:birthSex",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex" ]
      } ],
      "short": "The patient's phenotypic sex at birth.",
      "sliceName": "birthSex",
      "definition": "The patient's phenotypic sex at birth."
    }, {
      "id": "Patient.extension:cadavericDonor",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" ]
      } ],
      "short": "Post-mortem donor status.",
      "sliceName": "cadavericDonor"
    }, {
      "id": "Patient.extension:cadavericDonor.value[x]",
      "path": "Patient.extension.value[x]",
      "short": "Post-mortem donor status.",
      "definition": "Flag indicating whether the patient authorized the donation of body parts after death."
    }, {
      "id": "Patient.extension:contactPreference",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactPreference" ]
      } ],
      "sliceName": "contactPreference"
    }, {
      "id": "Patient.extension:deathNotificationStatus",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus" ]
      } ],
      "sliceName": "deathNotificationStatus"
    }, {
      "id": "Patient.extension:ethnicCategory",
      "max": "1",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory" ]
      } ],
      "short": "The ethnicity of the subject.",
      "sliceName": "ethnicCategory"
    }, {
      "id": "Patient.extension:fetalStatus",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/6.0/StructureDefinition/extension-Patient.fetalStatus" ]
      } ],
      "sliceName": "fetalStatus",
      "isModifier": false
    }, {
      "id": "Patient.extension:residentialStatus",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus" ]
      } ],
      "short": "The residential status of the patient.",
      "sliceName": "residentialStatus"
    }, {
      "id": "Patient.extension:patientInterpreterRequired",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired" ]
      } ],
      "short": "Indicator showing whether the patient needs an interpreter.",
      "sliceName": "patientInterpreterRequired"
    }, {
      "id": "Patient.extension:patientInterpreterRequired.value[x]",
      "path": "Patient.extension.value[x]",
      "short": "Indicator showing whether the patient needs an interpreter",
      "definition": "Indicator showing if this Patient requires an interpreter to communicate healthcare information to the practitioner."
    }, {
      "id": "Patient.extension:nhsNumberUnavailableReason",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberUnavailableReason" ]
      } ],
      "short": "Reason why this Patient does not include an NHS Number identifier.",
      "sliceName": "nhsNumberUnavailableReason",
      "isModifier": false
    }, {
      "id": "Patient.identifier",
      "path": "Patient.identifier",
      "short": "An identifier for this patient.",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.identifier:nhsNumber",
      "max": "1",
      "path": "Patient.identifier",
      "short": "The patient's NHS number.",
      "sliceName": "nhsNumber",
      "mustSupport": false
    }, {
      "id": "Patient.identifier:nhsNumber.extension:nhsNumberVerificationStatus",
      "max": "1",
      "path": "Patient.identifier.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus" ]
      } ],
      "sliceName": "nhsNumberVerificationStatus",
      "mustSupport": false
    }, {
      "id": "Patient.identifier:nhsNumber.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "fixedUri": "https://fhir.nhs.uk/Id/nhs-number"
    }, {
      "id": "Patient.identifier:nhsNumber.value",
      "min": 1,
      "path": "Patient.identifier.value"
    }, {
      "id": "Patient.active",
      "path": "Patient.active",
      "short": "Whether this patient's record is in active use.",
      "mustSupport": true
    }, {
      "id": "Patient.name",
      "path": "Patient.name",
      "short": "A name associated with the patient.",
      "mustSupport": true
    }, {
      "id": "Patient.telecom",
      "path": "Patient.telecom",
      "short": "A contact detail for the individual.",
      "mustSupport": true
    }, {
      "id": "Patient.telecom.system.extension:otherContactSystem",
      "path": "Patient.telecom.system.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem" ]
      } ],
      "short": "Information about other contact methods which could be used in addition to those listed in `ContactPoint.system`.",
      "sliceName": "otherContactSystem"
    }, {
      "id": "Patient.gender",
      "path": "Patient.gender",
      "short": "The gender that the patient is considered to have for administration and record keeping purposes.",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate",
      "path": "Patient.birthDate",
      "short": "The date of birth for the individual.",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate.extension:birthTime",
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-birthTime" ]
      } ],
      "short": "The time of day that the patient was born. This SHOULD be included when the birth time is relevant.",
      "sliceName": "birthTime",
      "definition": "The time of day that the patient was born. This includes the date to ensure that the timezone information can be communicated effectively."
    }, {
      "id": "Patient.birthDate.extension:birthTime.value[x]",
      "path": "Patient.birthDate.extension.value[x]",
      "short": "Time of day of birth.",
      "definition": "The time of day that the patient was born. This includes the date to ensure that the timezone information can be communicated effectively."
    }, {
      "id": "Patient.address",
      "path": "Patient.address",
      "mustSupport": true
    }, {
      "id": "Patient.address.extension:addressKey",
      "path": "Patient.address.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AddressKey" ]
      } ],
      "short": "A patient's address key and type",
      "sliceName": "addressKey",
      "definition": "A patient's address key and type.",
      "mustSupport": false
    }, {
      "id": "Patient.maritalStatus",
      "path": "Patient.maritalStatus",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PersonMaritalStatusCode",
        "description": "An indicator to identify the legal marital status of a person"
      }
    }, {
      "id": "Patient.contact.extension:contactRank",
      "path": "Patient.contact.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank" ]
      } ],
      "short": "The preferred ranking or order of contact applied to a contact on a Patient's contact list.",
      "sliceName": "contactRank"
    }, {
      "id": "Patient.contact.extension:copyCorrespondenceIndicator",
      "path": "Patient.contact.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator" ]
      } ],
      "short": "Indicates that a must be copied in to all related correspondence.",
      "sliceName": "copyCorrespondenceIndicator"
    }, {
      "id": "Patient.contact.relationship",
      "path": "Patient.contact.relationship",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PersonRelationshipType"
      }
    }, {
      "id": "Patient.contact.telecom.system.extension:otherContactSystem",
      "path": "Patient.contact.telecom.system.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem" ]
      } ],
      "short": "Information about other contact methods which could be used in addition to those listed in `ContactPoint.system`.",
      "sliceName": "otherContactSystem"
    }, {
      "id": "Patient.communication.extension:proficiency",
      "max": "1",
      "path": "Patient.communication.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-proficiency" ]
      } ],
      "short": "The patient's proficiency level of the communication method.",
      "sliceName": "proficiency"
    }, {
      "id": "Patient.communication.extension:proficiency.extension:level",
      "path": "Patient.communication.extension.extension",
      "sliceName": "level"
    }, {
      "id": "Patient.communication.extension:proficiency.extension:level.value[x]",
      "path": "Patient.communication.extension.extension.value[x]",
      "short": "The proficiency level for the communication",
      "definition": "The proficiency level for the communication."
    }, {
      "id": "Patient.communication.extension:proficiency.extension:type",
      "path": "Patient.communication.extension.extension",
      "sliceName": "type"
    }, {
      "id": "Patient.communication.extension:proficiency.extension:type.value[x]",
      "path": "Patient.communication.extension.extension.value[x]",
      "short": "The proficiency type for the communication",
      "definition": "The proficiency type for the communication."
    }, {
      "id": "Patient.communication.language",
      "path": "Patient.communication.language",
      "short": "A ValueSet that identifies the language used by a person.",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/all-languages",
        "description": "A ValueSet that identifies the language used by a person."
      },
      "definition": "A ValueSet that identifies the language used by a person."
    }, {
      "id": "Patient.managingOrganization",
      "path": "Patient.managingOrganization",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "name": "HL7 UK",
    "telecom": [ {
      "use": "work",
      "rank": 1,
      "value": "ukcore@hl7.org.uk",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}