description: This profile defines the Genomics constraints and extensions on the UK Core FHIR resource [Patient](https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient).
package_name: uk.nhsengland.genomics.r4
derivation: constraint
name: NHSEngland_Patient_Genomics
type: Patient
elements:
  extension:
    array: true
    min: 2
    index: 0
    slicing:
      slices:
        patientInterpreterRequired:
          match: {}
          schema: {index: 9}
          max: 0
        contactPreference:
          match: {}
          schema: {index: 4}
          max: 0
        residentialStatus:
          match: {}
          schema: {_required: true, index: 8}
          min: 1
        cadavericDonor:
          match: {}
          schema: {index: 3}
          max: 0
        ethnicCategory:
          match: {}
          schema: {_required: true, index: 6}
          min: 1
        nhsNumberUnavailableReason:
          match: {}
          schema:
            constraint:
              gen-2: {human: Reason must be provided if NHS number is not provided, severity: error, expression: (Patient.extension(nhsNumberUnavailableReason).exists() and Patient.identifier(nhsNumber).notExists()) or Patient.identifier(nhsNumber).exists()}
            index: 10
        deathNotificationStatus:
          match: {}
          schema: {index: 5}
          max: 0
        birthPlace:
          match: {}
          schema: {index: 1}
          max: 0
        birthSex:
          match: {}
          schema: {index: 2}
        fetalStatus:
          match: {}
          schema:
            constraint:
              gen-3: {human: 'fetalStatus SHOULD be provided if a birthDate is not present, indicating the patient resource is likely for a fetus.', severity: warning, expression: (Patient.extension(fetalStatus).exists() and Patient.birthDate.notExists()) or Patient.birthDate.exists()}
            index: 7
  identifier:
    constraint:
      gen-4: {human: Identifiers which are not NHS Numbers SHALL have an assigner, severity: error, expression: 'identifier.where(system != ''https://fhir.nhs.uk/Id/nhs-number'').all(assigner.exists())'}
    index: 11
    slicing:
      slices:
        nhsNumber:
          match: {}
          schema:
            index: 12
            elements:
              assigner: {index: 13}
  name:
    index: 14
    elements:
      family: {index: 15}
      given: {index: 16}
    required: [given, family]
  maritalStatus: {index: 17}
  photo: {index: 18}
  communication: {index: 19}
  generalPractitioner: {index: 20}
  link: {index: 21}
package_version: 0.6.4-pre-release
extensions:
  patientInterpreterRequired: {url: null, max: 0, index: 9}
  contactPreference: {url: null, max: 0, index: 4}
  residentialStatus: {url: null, min: 1, _required: true, index: 8}
  cadavericDonor: {url: null, max: 0, index: 3}
  ethnicCategory: {url: null, min: 1, _required: true, index: 6}
  nhsNumberUnavailableReason:
    url: null
    constraint:
      gen-2: {human: Reason must be provided if NHS number is not provided, severity: error, expression: (Patient.extension(nhsNumberUnavailableReason).exists() and Patient.identifier(nhsNumber).notExists()) or Patient.identifier(nhsNumber).exists()}
    index: 10
  deathNotificationStatus: {url: null, max: 0, index: 5}
  birthPlace: {url: null, max: 0, index: 1}
  birthSex: {url: null, index: 2}
  fetalStatus:
    url: null
    constraint:
      gen-3: {human: 'fetalStatus SHOULD be provided if a birthDate is not present, indicating the patient resource is likely for a fetus.', severity: warning, expression: (Patient.extension(fetalStatus).exists() and Patient.birthDate.notExists()) or Patient.birthDate.exists()}
    index: 7
class: profile
kind: resource
url: https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient
version: 0.3.1
required: [name, identifier]