description: This profile contains NHSN-specific Required and Must-Support elements for reporting Patient information on public-health surveillance measures to [NHSN](https://www.cdc.gov/nhsn/index.html).\r\n\r\nThis profile is based on [US Core Patient 3.1.1](https://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-patient.html). \r\n\r\nNHSN only recognizes the data element 'sex', with male and female as the only accepted responses. These data are mapped from either the patient.extension (birthsex), or patient.gender FHIR standard data elements. These two FHIR standard data elements provide male/female options, per US Core 3.1.1.  \r\n\r\nFor data submitted for patient.gender, and/or patient.extension (birthsex) that do not align with male or female, NHSN will label those responses as not reported. As national standards update, this resource will also be updated.
package_name: gov.cdc.nhsn.dqm
derivation: constraint
name: CrossMeasurePatient
type: Patient
elements:
  address:
    elements:
      use: {mustSupport: true, index: 17}
      type: {mustSupport: true, index: 18}
      text: {mustSupport: true, index: 19}
      district: {mustSupport: true, index: 20}
      country: {mustSupport: true, index: 21}
  meta:
    extensions:
      link-received-date-extension: {url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', min: 0, max: 1, type: Extension, index: 1}
    elements:
      extension:
        type: Extension
        url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        index: 1
        slicing:
          slices:
            link-received-date-extension:
              match: {}
              schema: {type: Extension, url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', index: 1}
              min: 0
              max: 1
  name:
    elements:
      use: {mustSupport: true, index: 7}
      text: {mustSupport: true, index: 8}
      prefix: {mustSupport: true, index: 9}
      suffix: {mustSupport: true, index: 10}
      period: {mustSupport: true, index: 11}
  birthDate: {index: 14}
  deceased:
    mustSupport: true
    choices: []
    index: 16
  extension:
    short: US Core Race Extension (If present, must include at least one of the required codes. Preferably this would include at least a code in the ombCategory slice.)
    index: 2
    slicing:
      slices:
        race:
          match: {}
          schema: {short: 'US Core Race Extension (If present, must include at least one of the required codes. Preferably this would include at least a code in the ombCategory slice.)', index: 2}
        ethnicity:
          match: {}
          schema: {short: 'US Core Race Extension (If present, must include at least one of the required codes. Preferably this would include at least a code in the ombCategory slice.)', index: 3}
  link:
    mustSupport: true
    index: 28
    elements:
      other:
        elements:
          reference: {index: 29}
        required: [reference]
  communication:
    elements:
      preferred: {mustSupport: true, index: 27}
  id: {index: 0}
  identifier:
    elements:
      use: {mustSupport: true, index: 4}
      type: {mustSupport: true, index: 5}
      period: {mustSupport: true, index: 6}
  telecom:
    elements:
      rank: {mustSupport: true, index: 12}
      period: {mustSupport: true, index: 13}
  contact:
    mustSupport: true
    index: 22
    elements:
      relationship: {mustSupport: true, index: 23}
      name: {mustSupport: true, index: 24}
      address: {mustSupport: true, index: 25}
      period: {mustSupport: true, index: 26}
package_version: 1.0.0
extensions:
  race: {url: null, short: 'US Core Race Extension (If present, must include at least one of the required codes. Preferably this would include at least a code in the ombCategory slice.)', index: 2}
  ethnicity: {url: null, short: 'US Core Race Extension (If present, must include at least one of the required codes. Preferably this would include at least a code in the ombCategory slice.)', index: 3}
class: profile
kind: resource
url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
version: 1.0.0
required: [id, birthDate]