{
"description": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
"_filename": "Patient.json",
"package_name": "hl7.fhir.r4.id.core",
"date": "2022-02-02T03:24:29.0074533Z",
"derivation": "specialization",
"meta": {
"lastUpdated": "2022-02-02T03:29:43.203+00:00"
},
"publisher": "Health Level Seven International (Patient Administration)",
"fhirVersion": "4.0.1",
"purpose": "Tracking patient is the center of the healthcare process.",
"name": "Patient",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/v3/cda",
"name": "CDA (R2)",
"identity": "cda"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://loinc.org",
"name": "LOINC code for the element",
"identity": "loinc"
} ],
"abstract": false,
"type": "Patient",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "0.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString": "Base.Individuals"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 5
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode": "patient"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pa"
} ],
"status": "active",
"id": "637ef9e2-c145-4e8f-b6d2-135b29f2a81c",
"kind": "resource",
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/Patient",
"version": "4.0.1",
"differential": {
"element": [ {
"id": "Patient",
"path": "Patient",
"alias": [ "SubjectOfCare Client Resident" ],
"short": "Information about an individual or animal receiving health care services",
"mapping": [ {
"map": "Patient[classCode=PAT]",
"identity": "rim"
}, {
"map": "ClinicalDocument.recordTarget.patientRole",
"identity": "cda"
} ],
"definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services."
}, {
"id": "Patient.extension",
"min": 0,
"path": "Patient.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.extension:birthPlace",
"min": 0,
"path": "Patient.extension",
"type": [ {
"code": "Extension",
"profile": [ "https://fhir.kemkes.go.id/r4/StructureDefinition/patient-birthPlace" ]
} ],
"sliceName": "birthPlace"
}, {
"id": "Patient.extension:birthPlace.value[x].extension",
"min": 0,
"path": "Patient.extension.value[x].extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.extension:birthPlace.value[x].extension:administrativeCode",
"min": 0,
"path": "Patient.extension.value[x].extension",
"sliceName": "administrativeCode"
}, {
"id": "Patient.extension:birthPlace.value[x].extension:administrativeCode.extension",
"min": 1,
"path": "Patient.extension.value[x].extension.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.extension:birthPlace.value[x].extension:administrativeCode.extension:city",
"min": 0,
"path": "Patient.extension.value[x].extension.extension",
"sliceName": "city"
}, {
"id": "Patient.extension:birthPlace.value[x].use",
"max": "0",
"path": "Patient.extension.value[x].use"
}, {
"id": "Patient.extension:birthPlace.value[x].type",
"max": "0",
"path": "Patient.extension.value[x].type"
}, {
"id": "Patient.extension:birthPlace.value[x].text",
"max": "0",
"path": "Patient.extension.value[x].text"
}, {
"id": "Patient.extension:birthPlace.value[x].period",
"max": "0",
"path": "Patient.extension.value[x].period"
}, {
"path": "Patient.identifier",
"requirements": "Patients are almost always assigned specific numerical identifiers.",
"min": 1,
"definition": "An identifier for this patient. At least one identifier, the IHS Number is mandatory.",
"short": "An identifier for this patient",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": "PID-3",
"identity": "v2"
}, {
"map": "id",
"identity": "rim"
}, {
"map": ".id",
"identity": "cda"
} ],
"type": [ {
"code": "Identifier"
} ],
"id": "Patient.identifier",
"isSummary": true
}, {
"id": "Patient.identifier.use",
"path": "Patient.identifier.use",
"definition": "The purpose of this identifier. For IHS Number must equal \"official\"."
}, {
"id": "Patient.identifier.type",
"path": "Patient.identifier.type",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. For IHS Number must equal \"IHS\"."
}, {
"id": "Patient.identifier.system",
"min": 1,
"path": "Patient.identifier.system",
"definition": "For IHS Number, \"system\" must equal to \"https://fhir.kemkes.go.id/id/ihs-number\"\r\nFor NIK, \"system\" must equal to \"https://fhir.kemkes.go.id/id/nik\""
}, {
"id": "Patient.identifier.value",
"min": 1,
"path": "Patient.identifier.value"
}, {
"path": "Patient.active",
"requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
"definition": "Whether this patient record is in active use. \nMany 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.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.",
"isModifier": true,
"short": "Whether this patient's record is in active use",
"mapping": [ {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": "statusCode",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
} ],
"meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element",
"max": "1",
"id": "Patient.active",
"comment": "If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
"isModifierReason": "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",
"isSummary": true
}, {
"path": "Patient.name",
"requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
"definition": "A name associated with the individual.",
"short": "A name associated with the patient",
"mapping": [ {
"map": "PID-5, PID-9",
"identity": "v2"
}, {
"map": "name",
"identity": "rim"
}, {
"map": ".patient.name",
"identity": "cda"
} ],
"type": [ {
"code": "HumanName"
} ],
"id": "Patient.name",
"comment": "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.",
"isSummary": true
}, {
"id": "Patient.name.text",
"min": 1,
"path": "Patient.name.text"
}, {
"path": "Patient.telecom",
"requirements": "People have (primary) ways to contact them in some way such as phone, email.",
"definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
"short": "A contact detail for the individual",
"mapping": [ {
"map": "PID-13, PID-14, PID-40",
"identity": "v2"
}, {
"map": "telecom",
"identity": "rim"
}, {
"map": ".telecom",
"identity": "cda"
} ],
"type": [ {
"code": "ContactPoint"
} ],
"id": "Patient.telecom",
"comment": "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).",
"isSummary": true
}, {
"path": "Patient.gender",
"requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.",
"definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
"short": "male | female | other | unknown",
"mapping": [ {
"map": "PID-8",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
"identity": "rim"
}, {
"map": ".patient.administrativeGenderCode",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AdministrativeGender"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "The gender of a person used for administrative purposes."
},
"max": "1",
"id": "Patient.gender",
"comment": "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.",
"isSummary": true
}, {
"path": "Patient.birthDate",
"requirements": "Age of the individual drives many clinical processes.",
"definition": "The date of birth for the individual.",
"short": "The date of birth for the individual",
"mapping": [ {
"map": "PID-7",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime",
"identity": "rim"
}, {
"map": ".patient.birthTime",
"identity": "cda"
}, {
"map": "21112-8",
"identity": "loinc"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Patient.birthDate",
"comment": "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).",
"isSummary": true
}, {
"id": "Patient.birthDate.extension",
"min": 0,
"path": "Patient.birthDate.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.birthDate.extension:birthTime",
"min": 0,
"path": "Patient.birthDate.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/patient-birthTime" ]
} ],
"sliceName": "birthTime"
}, {
"id": "Patient.birthDate.extension:birthTime.value[x]",
"path": "Patient.birthDate.extension.value[x]",
"short": "Datetime of birth",
"comment": "Datetime 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."
}, {
"path": "Patient.deceased[x]",
"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.",
"definition": "Indicates if the individual is deceased or not.",
"isModifier": true,
"short": "Indicates if the individual is deceased or not",
"mapping": [ {
"map": "PID-30 (bool) and PID-29 (datetime)",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
}, {
"code": "dateTime"
} ],
"max": "1",
"id": "Patient.deceased[x]",
"comment": "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.",
"isModifierReason": "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.",
"isSummary": true
}, {
"path": "Patient.address",
"requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
"definition": "An address for the individual.",
"short": "An address for the individual",
"mapping": [ {
"map": "PID-11",
"identity": "v2"
}, {
"map": "addr",
"identity": "rim"
}, {
"map": ".addr",
"identity": "cda"
} ],
"type": [ {
"code": "Address",
"profile": [ "https://fhir.kemkes.go.id/r4/StructureDefinition/Address" ]
} ],
"id": "Patient.address",
"comment": "Patient may have multiple addresses with different uses or applicable periods.",
"isSummary": true
}, {
"id": "Patient.address.extension",
"min": 0,
"path": "Patient.address.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.address.extension:administrativeCode",
"min": 0,
"path": "Patient.address.extension",
"sliceName": "administrativeCode",
"definition": "The regional administrative code of the patient's address, represented in six levels: province, city/regency, district, village, rt and rw."
}, {
"id": "Patient.address.extension:geolocation",
"min": 0,
"path": "Patient.address.extension",
"sliceName": "geolocation",
"definition": "The absolute geographic location of the patient's address, expressed using the WGS84 datum (This is the same co-ordinate system used in KML)."
}, {
"id": "Patient.address.extension:geolocation.extension",
"min": 2,
"path": "Patient.address.extension.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.address.extension:geolocation.extension:latitude",
"min": 1,
"path": "Patient.address.extension.extension",
"sliceName": "latitude",
"definition": "Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KM."
}, {
"id": "Patient.address.extension:geolocation.extension:longitude",
"min": 1,
"path": "Patient.address.extension.extension",
"sliceName": "longitude",
"definition": "Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML."
}, {
"path": "Patient.maritalStatus",
"requirements": "Most, if not all systems capture it.",
"definition": "This field contains a patient's most recent marital (civil) status.",
"short": "Marital (civil) status of a patient",
"mapping": [ {
"map": "PID-16",
"identity": "v2"
}, {
"map": "player[classCode=PSN]/maritalStatusCode",
"identity": "rim"
}, {
"map": ".patient.maritalStatusCode",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/marital-status",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MaritalStatus"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "The domestic partnership status of a person."
},
"max": "1",
"id": "Patient.maritalStatus"
}, {
"path": "Patient.multipleBirth[x]",
"requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
"definition": "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).",
"short": "Whether patient is part of a multiple birth",
"mapping": [ {
"map": "PID-24 (bool), PID-25 (integer)",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
}, {
"code": "integer"
} ],
"max": "1",
"id": "Patient.multipleBirth[x]",
"comment": "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)."
}, {
"id": "Patient.photo",
"path": "Patient.photo",
"type": [ {
"code": "Attachment"
} ],
"short": "Image of the patient",
"comment": "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.",
"mapping": [ {
"map": "OBX-5 - needs a profile",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"definition": "Image of the patient.",
"requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too."
}, {
"constraint": [ {
"key": "pat-1",
"human": "SHALL at least contain a contact's details or a reference to an organization",
"xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)",
"source": "http://hl7.org/fhir/StructureDefinition/Patient",
"severity": "error",
"expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()"
} ],
"path": "Patient.contact",
"requirements": "Need to track people you can contact about the patient.",
"definition": "A contact party (e.g. guardian, partner, friend) for the patient.",
"short": "A contact party (e.g. guardian, partner, friend) for the patient",
"mapping": [ {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Contact"
} ],
"id": "Patient.contact",
"comment": "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."
}, {
"id": "Patient.contact.relationship",
"path": "Patient.contact.relationship",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "The kind of relationship",
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContactRelationship"
} ],
"description": "The nature of the relationship between a patient and a contact person for that patient."
},
"mapping": [ {
"map": "NK1-7, NK1-3",
"identity": "v2"
}, {
"map": "code",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"definition": "The nature of the relationship between the patient and the contact person.",
"requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances."
}, {
"id": "Patient.contact.name",
"max": "1",
"path": "Patient.contact.name",
"type": [ {
"code": "HumanName"
} ],
"short": "A name associated with the contact person",
"mapping": [ {
"map": "NK1-2",
"identity": "v2"
}, {
"map": "name",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"definition": "A name associated with the contact person.",
"requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person."
}, {
"id": "Patient.contact.telecom",
"path": "Patient.contact.telecom",
"type": [ {
"code": "ContactPoint"
} ],
"short": "A contact detail for the person",
"comment": "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.",
"mapping": [ {
"map": "NK1-5, NK1-6, NK1-40",
"identity": "v2"
}, {
"map": "telecom",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"definition": "A contact detail for the person, e.g. a telephone number or an email address.",
"requirements": "People have (primary) ways to contact them in some way such as phone, email."
}, {
"id": "Patient.contact.address",
"max": "1",
"path": "Patient.contact.address",
"type": [ {
"code": "Address"
} ],
"short": "Address for the contact person",
"mapping": [ {
"map": "NK1-4",
"identity": "v2"
}, {
"map": "addr",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"definition": "Address for the contact person.",
"requirements": "Need to keep track where the contact person can be contacted per postal mail or visited."
}, {
"path": "Patient.contact.gender",
"requirements": "Needed to address the person correctly.",
"definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
"short": "male | female | other | unknown",
"mapping": [ {
"map": "NK1-15",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AdministrativeGender"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "The gender of a person used for administrative purposes."
},
"max": "1",
"id": "Patient.contact.gender"
}, {
"path": "Patient.contact.organization",
"requirements": "For guardians or business related contacts, the organization is relevant.",
"definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
"short": "Organization that is associated with the contact",
"mapping": [ {
"map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41",
"identity": "v2"
}, {
"map": "scoper",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
} ],
"max": "1",
"id": "Patient.contact.organization",
"condition": [ "pat-1" ]
}, {
"id": "Patient.contact.period",
"max": "1",
"path": "Patient.contact.period",
"type": [ {
"code": "Period"
} ],
"short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
"mapping": [ {
"map": "effectiveTime",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"definition": "The period during which this contact person or organization is valid to be contacted relating to this patient."
}, {
"id": "Patient.communication",
"path": "Patient.communication",
"type": [ {
"code": "BackboneElement"
} ],
"short": "A language which may be used to communicate with the patient about his or her health",
"comment": "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.",
"mapping": [ {
"map": "LanguageCommunication",
"identity": "rim"
}, {
"map": "patient.languageCommunication",
"identity": "cda"
} ],
"definition": "A language which may be used to communicate with the patient about his or her health.",
"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."
}, {
"path": "Patient.communication.language",
"requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
"min": 1,
"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.",
"short": "The language which can be used to communicate with the patient about his or her health",
"mapping": [ {
"map": "PID-15, LAN-2",
"identity": "v2"
}, {
"map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code",
"identity": "rim"
}, {
"map": ".languageCode",
"identity": "cda"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language."
},
"max": "1",
"id": "Patient.communication.language",
"comment": "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."
}, {
"path": "Patient.communication.preferred",
"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.",
"definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
"short": "Language preference indicator",
"mapping": [ {
"map": "PID-15",
"identity": "v2"
}, {
"map": "preferenceInd",
"identity": "rim"
}, {
"map": ".preferenceInd",
"identity": "cda"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "Patient.communication.preferred",
"comment": "This language is specifically identified for communicating healthcare information."
}, {
"id": "Patient.generalPractitioner",
"path": "Patient.generalPractitioner",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.kemkes.go.id/r4/StructureDefinition/Organization", "https://fhir.kemkes.go.id/r4/StructureDefinition/Practitioner", "https://fhir.kemkes.go.id/r4/StructureDefinition/PractitionerRole" ]
} ],
"alias": [ "careProvider" ],
"short": "Patient's nominated primary care provider",
"comment": "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.\nMultiple 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.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.",
"mapping": [ {
"map": "PD1-4",
"identity": "v2"
}, {
"map": "subjectOf.CareEvent.performer.AssignedEntity",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"definition": "Patient's nominated care provider."
}, {
"path": "Patient.managingOrganization",
"requirements": "Need to know who recognizes this patient record, manages and updates it.",
"definition": "Organization that is the custodian of the patient record.",
"short": "Organization that is the custodian of the patient record",
"mapping": [ {
"map": "scoper",
"identity": "rim"
}, {
"map": ".providerOrganization",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
} ],
"max": "1",
"id": "Patient.managingOrganization",
"comment": "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).",
"isSummary": true
}, {
"path": "Patient.link",
"requirements": "There are multiple use cases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.",
"definition": "Link to another patient resource that concerns the same actual patient.",
"isModifier": true,
"short": "Link to another patient resource that concerns the same actual person",
"mapping": [ {
"map": "outboundLink",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"id": "Patient.link",
"comment": "There is no assumption that linked patient records have mutual links.",
"isModifierReason": "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'",
"isSummary": true
}, {
"path": "Patient.link.other",
"min": 1,
"definition": "The other patient resource that the link refers to.",
"short": "The other patient or related person resource that the link refers to",
"mapping": [ {
"map": "PID-3, MRG-1",
"identity": "v2"
}, {
"map": "id",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "Reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
"valueBoolean": false
} ],
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]
} ],
"max": "1",
"id": "Patient.link.other",
"comment": "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.",
"isSummary": true
}, {
"path": "Patient.link.type",
"min": 1,
"definition": "The type of link between this patient resource and another patient resource.",
"short": "replaced-by | replaces | refer | seealso",
"mapping": [ {
"map": "typeCode",
"identity": "rim"
}, {
"map": "n/a",
"identity": "cda"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/link-type|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "LinkType"
} ],
"description": "The type of link between this patient resource and another patient resource."
},
"max": "1",
"id": "Patient.link.type",
"isSummary": true
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://hl7.org/fhir",
"system": "url"
} ]
}, {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/pafm/index.cfm",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}