{ "description": "A Patient resource as defined by the Dutch Health and Care Information models or HCIM (Dutch: Zorginformatiebouwsteen or ZIB) Patient, with additions from the HCIMs Nationality, MaritalStatus, ContactPerson, HealthProfessional and HealthcareProvider (HCIM releases 2015, 2016 and 2017)", "_filename": "nl-core-patient.json", "package_name": "nictiz.fhir.nl.stu3.zib2015", "date": null, "derivation": "constraint", "meta": { "versionId": "15", "lastUpdated": "2017-01-23T13:46:49.591+00:00" }, "publisher": "HL7 Netherlands", "fhirVersion": "3.0.1", "purpose": "Patient. Tracking a patient is the center of the healthcare process. Names and addresses are also in compliance with HL7 V3 Basic Components.", "name": "nl-core-patient", "mapping": [ { "uri": "https://zibs.nl/wiki/Patient-v2.0.1(2015EN)", "name": "HCIM Patient-v2.0.1(2015EN)", "identity": "hcim-patient-v2.0.1-2015EN" }, { "uri": "https://zibs.nl/wiki/MaritalStatus-v1.2.1(2015EN)", "name": "HCIM MaritalStatus-v1.2.1(2015EN)", "identity": "hcim-maritalstatus-v1.2.1-2015EN" }, { "uri": "https://zibs.nl/wiki/ContactPerson-v1.2(2015EN)", "name": "HCIM ContactPerson-v1.2(2015EN)", "identity": "hcim-contactperson-v1.2-2015EN" }, { "uri": "https://zibs.nl/wiki/HealthcareProvider-v1.2(2015EN)", "name": "HCIM HealthcareProvider-v1.2(2015EN)", "identity": "hcim-healthcareprovider-v1.2-2015EN" }, { "uri": "https://zibs.nl/wiki/HealthProfessional-v1.2.1(2015EN)", "name": "HCIM HealthProfessional-v1.2.1(2015EN)", "identity": "hcim-healthprofessional-v1.2.1-2015EN" }, { "uri": "https://zibs.nl/wiki/Nationality-v2.0(2015EN)", "name": "HCIM Nationality-v2.0(2015EN)", "identity": "hcim-nationality-v2.0-2015EN" }, { "uri": "https://zibs.nl/wiki/Payer-v1.2(2015EN)", "name": "HCIM Payer-v1.2(2015EN)", "identity": "hcim-payer-v1.2-2015EN" }, { "uri": "https://zibs.nl/wiki/Patient-v3.0(2016EN)", "name": "HCIM Patient-v3.0(2016EN)", "identity": "hcim-patient-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/MaritalStatus-v3.0(2016EN)", "name": "HCIM MaritalStatus-v3.0(2016EN)", "identity": "hcim-maritalstatus-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/ContactPerson-v3.0(2016EN)", "name": "HCIM ContactPerson-v3.0(2016EN)", "identity": "hcim-contactperson-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/HealthcareProvider-v3.0(2016EN)", "name": "HCIM HealthcareProvider-v3.0(2016EN)", "identity": "hcim-healthcareprovider-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/HealthProfessional-v3.0(2016EN)", "name": "HCIM HealthProfessional-v3.0(2016EN)", "identity": "hcim-healthprofessional-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/Nationality-v3.0(2016EN)", "name": "HCIM Nationality-v3.0(2016EN)", "identity": "hcim-nationality-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/Payer-v3.0(2016EN)", "name": "HCIM Payer-v3.0(2016EN)", "identity": "hcim-payer-v3.0-2016EN" }, { "uri": "https://zibs.nl/wiki/Patient-v3.1(2017EN)", "name": "HCIM Patient-v3.1(2017EN)", "identity": "hcim-patient-v3.1-2017EN" }, { "uri": "https://zibs.nl/wiki/MaritalStatus-v3.0(2017EN)", "name": "HCIM MaritalStatus-v3.0(2017EN)", "identity": "hcim-maritalstatus-v3.0-2017EN" }, { "uri": "https://zibs.nl/wiki/ContactPerson-v3.1(2017EN)", "name": "HCIM ContactPerson-v3.1(2017EN)", "identity": "hcim-contactperson-v3.1-2017EN" }, { "uri": "https://zibs.nl/wiki/HealthcareProvider-v3.1(2017EN)", "name": "HCIM HealthcareProvider-v3.1(2017EN)", "identity": "hcim-healthcareprovider-v3.1-2017EN" }, { "uri": "https://zibs.nl/wiki/HealthProfessional-v3.1(2017EN)", "name": "HCIM HealthProfessional-v3.1(2017EN)", "identity": "hcim-healthprofessional-v3.1-2017EN" }, { "uri": "https://zibs.nl/wiki/Nationality-v3.0(2017EN)", "name": "HCIM Nationality-v3.0(2017EN)", "identity": "hcim-nationality-v3.0-2017EN" }, { "uri": "https://zibs.nl/wiki/Payer-v3.1(2017EN)", "name": "HCIM Payer-v3.1(2017EN)", "identity": "hcim-payer-v3.1-2017EN" } ], "abstract": false, "copyright": "CC0", "type": "Patient", "experimental": null, "resourceType": "StructureDefinition", "title": "nl-core-patient", "package_version": "1.0.0", "status": "retired", "id": "6fdabd60-2a07-49cb-8197-7873b3d89a99", "kind": "resource", "url": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient", "version": "1.0", "differential": { "element": [ { "id": "Patient", "path": "Patient", "alias": [ "Patiënt" ], "short": "Patient", "mapping": [ { "map": "NL-CM:0.1.1", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.1", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.1", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Patient.extension:preferredPharmacy", "max": "1", "path": "Patient.extension", "type": [ { "code": "Extension", "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy" } ], "alias": [ "Verwijst naar de voorkeursapotheek van de patiënt" ], "short": "References a patient's preferered pharmacy", "sliceName": "preferredPharmacy" }, { "path": "Patient.extension", "min": 0, "definition": "The nationality of the patient.", "short": "Nationality", "mapping": [ { "map": "NL-CM:7.6.3", "identity": "hcim-nationality-v2.0-2015EN" }, { "map": "NL-CM:7.6.3", "identity": "hcim-nationality-v3.0-2016EN" }, { "map": "NL-CM:7.6.3", "identity": "hcim-nationality-v3.0-2017EN" } ], "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/patient-nationality" } ], "sliceName": "nationality", "binding": { "strength": "extensible", "description": "Indicates the country of citizenship.", "valueSetReference": { "display": "NationaliteitCodelijst", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20150401000000" } }, "alias": [ "Nationaliteit" ], "max": "*", "id": "Patient.extension:nationality" }, { "id": "Patient.identifier", "path": "Patient.identifier", "alias": [ "PatientIdentificatienummer" ], "short": "PatientIdentificationNumber", "mapping": [ { "map": "NL-CM:0.1.7", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.7", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.7", "identity": "hcim-patient-v3.1-2017EN" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] }, "definition": "The Burgerservicenummer or BSN, as one of the possible patient identification numbers, should at least be sent unless there is a reason not to. Reasons for not sending the burgerservicenummer include but are not limited to, research and apps without a contract for processing data (Dutch: bewerkingsovereenkomst)." }, { "id": "Patient.identifier:BSN", "max": "1", "path": "Patient.identifier", "alias": [ "BSN" ], "short": "BSN", "sliceName": "BSN" }, { "id": "Patient.identifier:BSN.system", "min": 1, "path": "Patient.identifier.system", "type": [ { "code": "uri" } ], "fixedUri": "http://fhir.nl/fhir/NamingSystem/bsn" }, { "id": "Patient.identifier:BSN.value", "min": 1, "path": "Patient.identifier.value", "alias": [ "BSN" ], "short": "BSN (Burgerservicenummer (Dutch person identification number))", "example": [ { "label": "Example of a burgerservicenummer", "valueString": "123456782" } ] }, { "id": "Patient.active", "path": "Patient.active", "definition": "This field determines the status of the 'patient' record in the context of the organization that owns the record. Note that the record is not the medical record, but rather the actual patient 'resource'. Obviously when the patient 'resource' is not active, then by extension his medical record might also be inactive. Patient.active='false' may be used discourage use of the record, but that it is kept beause there is (medical) data attached to it. Another use case is a patient moving to a different GP practice. Patient.active would be 'false' in the system of the previous GP." }, { "id": "Patient.name", "path": "Patient.name", "type": [ { "code": "HumanName", "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-humanname" } ], "alias": [ "Naamgegevens" ], "short": "NameInformation", "mapping": [ { "map": "NL-CM:0.1.6", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.6", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.6", "identity": "hcim-patient-v3.1-2017EN" }, { "map": "NL-CM:1.1.5", "identity": "hcim-payer-v1.2-2015EN" }, { "map": "NL-CM:1.1.5", "identity": "hcim-payer-v3.0-2016EN" }, { "map": "NL-CM:1.1.5", "identity": "hcim-payer-v3.1-2017EN" } ] }, { "id": "Patient.telecom", "path": "Patient.telecom", "alias": [ "Contactgegevens" ], "short": "ContactInformation", "mapping": [ { "map": "NL-CM:0.1.5", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.5", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.5", "identity": "hcim-patient-v3.1-2017EN" }, { "map": "NL-CM:1.1.12", "identity": "hcim-payer-v1.2-2015EN" }, { "map": "NL-CM:1.1.12", "identity": "hcim-payer-v3.0-2016EN" }, { "map": "NL-CM:1.1.12", "identity": "hcim-payer-v3.1-2017EN" } ] }, { "id": "Patient.telecom.system", "min": 1, "path": "Patient.telecom.system" }, { "id": "Patient.telecom.value", "min": 1, "path": "Patient.telecom.value", "alias": [ "Telefoonnummer", "EmailAdres" ], "short": "TelephoneNumber / E-mailAddress", "mapping": [ { "map": "NL-CM:0.1.23", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.23", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.23", "identity": "hcim-patient-v3.1-2017EN" }, { "map": "NL-CM:0.1.20", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.20", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.20", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.telecom.use", "path": "Patient.telecom.use", "alias": [ "NummerSoort", "EmailSoort" ], "short": "NumberType / E-mailAddressType", "mapping": [ { "map": "NL-CM:0.1.22", "identity": "hcim-patient-v2.0.1-2015EN" } ] }, { "id": "Patient.gender", "path": "Patient.gender", "alias": [ "Geslacht" ], "short": "Gender", "mapping": [ { "map": "NL-CM:0.1.9", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.9", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.9", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "alias": [ "Geboortedatum" ], "short": "Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.", "mapping": [ { "map": "NL-CM:0.1.10", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.10", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.10", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "alias": [ "Overlijdensindicator/DatumOverlijden" ], "short": "DeathIndicator/DateOfDeath", "mapping": [ { "map": "NL-CM:0.1.32", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.32", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.32", "identity": "hcim-patient-v3.1-2017EN" }, { "map": "NL-CM:0.1.33", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.33", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.33", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.address", "path": "Patient.address", "type": [ { "code": "Address", "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address" } ], "alias": [ "Adresgegevens" ], "short": "AddressInformation", "mapping": [ { "map": "NL-CM:0.1.4", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.4", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.4", "identity": "hcim-patient-v3.1-2017EN" }, { "map": "NL-CM:1.1.17", "identity": "hcim-payer-v1.2-2015EN" }, { "map": "NL-CM:0.1.17", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.17", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "alias": [ "BurgerlijkeStaat" ], "short": "MaritalStatus", "binding": { "strength": "required", "valueSetReference": { "display": "BurgerlijkeStaatCodelijst", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20150401000000" } }, "mapping": [ { "map": "NL-CM:7.9.2", "identity": "hcim-maritalstatus-v1.2.1-2015EN" }, { "map": "NL-CM:7.9.2", "identity": "hcim-maritalstatus-v3.0-2016EN" }, { "map": "NL-CM:7.9.2", "identity": "hcim-maritalstatus-v3.0-2017EN" } ] }, { "id": "Patient.multipleBirth[x]", "path": "Patient.multipleBirth[x]", "alias": [ "Meerlingindicator" ], "short": "MultipleBirthIndicator", "mapping": [ { "map": "NL-CM:0.1.31", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.31", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.31", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.contact", "path": "Patient.contact", "alias": [ "Contactpersoon" ], "short": "ContactPerson", "mapping": [ { "map": "NL-CM:3.1.1", "identity": "hcim-contactperson-v1.2-2015EN" }, { "map": "NL-CM:3.1.1", "identity": "hcim-contactperson-v3.0-2016EN" }, { "map": "NL-CM:3.1.1", "identity": "hcim-contactperson-v3.1-2017EN" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Contact" } ], "definition": "Contacts are related persons in some way, but not all related persons are contacts. The HCIM ContactPerson is designed to deal with both related persons and contacts. An HCIM ContactPerson who is a contact, is expected to have an NL-CM:3.1.2 Role primary contact ('Eerste relatie/contactpersoon') or secondary contact ('Tweede relatie/contactpersoon'). See Patient.contact.relationship in slice 'role'." }, { "id": "Patient.contact.relationship", "path": "Patient.contact.relationship", "slicing": { "rules": "open", "discriminator": [ { "path": "coding.system", "type": "value" } ] } }, { "id": "Patient.contact.relationship:relationship", "path": "Patient.contact.relationship", "alias": [ "Relatie" ], "short": "Relationship", "binding": { "strength": "extensible", "valueSetReference": { "display": "RelatieCodelijst", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20150401000000" } }, "mapping": [ { "map": "NL-CM:3.1.3", "identity": "hcim-contactperson-v1.2-2015EN" }, { "map": "NL-CM:3.1.3", "identity": "hcim-contactperson-v3.0-2016EN" }, { "map": "NL-CM:3.1.3", "identity": "hcim-contactperson-v3.1-2017EN" } ], "sliceName": "relationship" }, { "id": "Patient.contact.relationship:role", "path": "Patient.contact.relationship", "alias": [ "Rol" ], "short": "Role", "binding": { "strength": "extensible", "valueSetReference": { "display": "RolCodelijst", "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20150401000000" } }, "mapping": [ { "map": "NL-CM:3.1.2", "identity": "hcim-contactperson-v1.2-2015EN" }, { "map": "NL-CM:3.1.2", "identity": "hcim-contactperson-v3.0-2016EN" }, { "map": "NL-CM:3.1.2", "identity": "hcim-contactperson-v3.1-2017EN" } ], "sliceName": "role", "definition": "Expectation is to have at least one of primary contact ('Eerste relatie/contactpersoon') or secondary contact ('Tweede relatie/contactpersoon')" }, { "id": "Patient.contact.name", "path": "Patient.contact.name", "type": [ { "code": "HumanName", "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-humanname" } ], "alias": [ "Naamgegevens" ], "short": "NameInformation", "mapping": [ { "map": "NL-CM:3.1.4", "identity": "hcim-contactperson-v1.2-2015EN" }, { "map": "NL-CM:3.1.4", "identity": "hcim-contactperson-v3.0-2016EN" }, { "map": "NL-CM:3.1.4", "identity": "hcim-contactperson-v3.1-2017EN" } ] }, { "id": "Patient.contact.telecom", "path": "Patient.contact.telecom", "alias": [ "Contactgegevens" ], "short": "ContactInformation", "comment": "Telecommunication data details (phone/email) is physically modeled in the HCIM Patient, which is why the telecommunication mappings appear to be coming from the HCIM Patient instead of the HCIM ContactPerson", "mapping": [ { "map": "NL-CM:3.1.6", "identity": "hcim-contactperson-v1.2-2015EN" }, { "map": "NL-CM:3.1.6", "identity": "hcim-contactperson-v3.0-2016EN" }, { "map": "NL-CM:3.1.6", "identity": "hcim-contactperson-v3.1-2017EN" } ] }, { "id": "Patient.contact.telecom.system", "min": 1, "path": "Patient.contact.telecom.system" }, { "id": "Patient.contact.telecom.value", "min": 1, "path": "Patient.contact.telecom.value", "alias": [ "Telefoonnummer", "EmailAdres" ], "short": "TelephoneNumber / E-mailAddress", "mapping": [ { "map": "NL-CM:0.1.23", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.23", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.23", "identity": "hcim-patient-v3.1-2017EN" }, { "map": "NL-CM:0.1.20", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.20", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.20", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.contact.telecom.use", "path": "Patient.contact.telecom.use", "alias": [ "NummerSoort", "EmailSoort" ], "short": "NumberType / E-mailAddressType", "mapping": [ { "map": "NL-CM:0.1.22", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.22", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.22", "identity": "hcim-patient-v3.1-2017EN" }, { "map": "NL-CM:0.1.19", "identity": "hcim-patient-v2.0.1-2015EN" }, { "map": "NL-CM:0.1.19", "identity": "hcim-patient-v3.0-2016EN" }, { "map": "NL-CM:0.1.19", "identity": "hcim-patient-v3.1-2017EN" } ] }, { "id": "Patient.contact.address", "path": "Patient.contact.address", "type": [ { "code": "Address", "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address" } ], "alias": [ "Adresgegevens" ], "short": "AddressInformation", "mapping": [ { "map": "NL-CM:3.1.5", "identity": "hcim-contactperson-v1.2-2015EN" }, { "map": "NL-CM:3.1.5", "identity": "hcim-contactperson-v3.0-2016EN" }, { "map": "NL-CM:3.1.5", "identity": "hcim-contactperson-v3.1-2017EN" } ] }, { "id": "Patient.generalPractitioner", "max": "1", "path": "Patient.generalPractitioner", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" } ], "alias": [ "Huisarts" ], "short": "GeneralPractitioner", "mapping": [ { "map": "NL-CM:17.2.1", "identity": "hcim-healthcareprovider-v1.2-2015EN" }, { "map": "NL-CM:17.2.1", "identity": "hcim-healthcareprovider-v3.0-2016EN" }, { "map": "NL-CM:17.2.1", "identity": "hcim-healthcareprovider-v3.1-2017EN" }, { "map": "NL-CM:17.1.1", "identity": "hcim-healthprofessional-v1.2.1-2015EN" }, { "map": "NL-CM:17.1.1", "identity": "hcim-healthprofessional-v3.0-2016EN" }, { "map": "NL-CM:17.1.1", "identity": "hcim-healthprofessional-v3.1-2017EN" } ] } ] }, "contact": [ { "name": "Nictiz", "telecom": [ { "use": "work", "value": "info@nictiz.nl", "system": "email" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient" }