description: This Patient profile represents a US Public Health Patient.\n\n This proile is present in the IG to synchronize with common Patient profile being developed by public health profiles library IG.      This profile is being used by the Cancer Patient profile. Implementers of the IG are expected to implement only the Cancer Patient profile.      It is based on the **US Core Patient** profile with further restrictions to allow masking of some data elements and the addition of the patient-genderIdentity extension.\n\nFor ONC’s USCDI requirements, it adds Must Support constraints to the following:\n\n* contact detail (e.g. a telephone number or an email address)\n* a communication language\n* a race\n* an ethnicity\n* a birth sex
package_name: hl7.fhir.us.central
derivation: constraint
name: USPublicHealthPatient
type: Patient
elements:
  address:
    mustSupport: true
    index: 37
    extensions:
      dataAbsentReason:
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        type: Extension
        mustSupport: true
        index: 38
        elements:
          value:
            pattern: {type: Code, value: masked}
            mustSupport: true
            choices: [valueCode]
            index: 40
          valueCode:
            type: code
            pattern: {type: Code, value: masked}
            mustSupport: true
            choiceOf: value
            index: 41
        required: [valueCode, value]
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        index: 38
        slicing:
          slices:
            dataAbsentReason:
              match: {}
              schema:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                index: 38
                elements:
                  value:
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choices: [valueCode]
                    index: 40
                  valueCode:
                    type: code
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choiceOf: value
                    index: 41
                required: [valueCode, value]
      district: {short: County, mustSupport: true, index: 42}
  name:
    index: 11
    extensions:
      dataAbsentReason:
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        type: Extension
        mustSupport: true
        index: 12
        elements:
          value:
            pattern: {type: Code, value: masked}
            mustSupport: true
            choices: [valueCode]
            index: 14
          valueCode:
            type: code
            pattern: {type: Code, value: masked}
            mustSupport: true
            choiceOf: value
            index: 15
        required: [valueCode, value]
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        index: 12
        slicing:
          slices:
            dataAbsentReason:
              match: {}
              schema:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                index: 12
                elements:
                  value:
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choices: [valueCode]
                    index: 14
                  valueCode:
                    type: code
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choiceOf: value
                    index: 15
                required: [valueCode, value]
  birthDate:
    mustSupport: true
    index: 30
    extensions:
      dataAbsentReason:
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        type: Extension
        mustSupport: true
        index: 31
        elements:
          value:
            pattern: {type: Code, value: masked}
            mustSupport: true
            choices: [valueCode]
            index: 33
          valueCode:
            type: code
            pattern: {type: Code, value: masked}
            mustSupport: true
            choiceOf: value
            index: 34
        required: [valueCode, value]
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        index: 31
        slicing:
          slices:
            dataAbsentReason:
              match: {}
              schema:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                index: 31
                elements:
                  value:
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choices: [valueCode]
                    index: 33
                  valueCode:
                    type: code
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choiceOf: value
                    index: 34
                required: [valueCode, value]
  deceased:
    choices: []
    index: 36
  extension:
    mustSupport: true
    index: 0
    slicing:
      slices:
        race:
          match: {}
          schema: {mustSupport: true, index: 0}
        ethnicity:
          match: {}
          schema: {mustSupport: true, index: 1}
        birthsex:
          match: {}
          schema: {mustSupport: true, index: 2}
        genderIdentity:
          match: {}
          schema: {type: Extension, isModifier: false, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/individual-genderIdentity', index: 3}
          min: 0
        birthPlace:
          match: {}
          schema: {type: Extension, isModifier: false, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace', index: 4}
          min: 0
          max: 1
        tribalAffiliation:
          match: {}
          schema: {isModifier: false, short: Tribal affiliation and membership of the patient, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-tribal-affiliation-extension', index: 5}
          min: 0
  communication:
    mustSupport: true
    index: 60
    elements:
      language:
        mustSupport: true
        index: 61
        extensions:
          dataAbsentReason:
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            type: Extension
            mustSupport: true
            index: 62
            elements:
              value:
                pattern: {type: Code, value: masked}
                mustSupport: true
                choices: [valueCode]
                index: 64
              valueCode:
                type: code
                pattern: {type: Code, value: masked}
                mustSupport: true
                choiceOf: value
                index: 65
            required: [valueCode, value]
        elements:
          extension:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            index: 62
            slicing:
              slices:
                dataAbsentReason:
                  match: {}
                  schema:
                    type: Extension
                    mustSupport: true
                    url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                    index: 62
                    elements:
                      value:
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choices: [valueCode]
                        index: 64
                      valueCode:
                        type: code
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choiceOf: value
                        index: 65
                    required: [valueCode, value]
  identifier:
    mustSupport: true
    index: 6
    extensions:
      dataAbsentReason:
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        type: Extension
        index: 7
        elements:
          value:
            pattern: {type: Code, value: masked}
            mustSupport: true
            choices: [valueCode]
            index: 9
          valueCode:
            type: code
            pattern: {type: Code, value: masked}
            mustSupport: true
            choiceOf: value
            index: 10
        required: [valueCode, value]
    elements:
      extension:
        type: Extension
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        index: 7
        slicing:
          slices:
            dataAbsentReason:
              match: {}
              schema:
                type: Extension
                url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                index: 7
                elements:
                  value:
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choices: [valueCode]
                    index: 9
                  valueCode:
                    type: code
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choiceOf: value
                    index: 10
                required: [valueCode, value]
  telecom:
    mustSupport: true
    index: 16
    extensions:
      dataAbsentReason:
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        type: Extension
        mustSupport: true
        index: 17
        elements:
          value:
            pattern: {type: Code, value: masked}
            mustSupport: true
            choices: [valueCode]
            index: 19
          valueCode:
            type: code
            pattern: {type: Code, value: masked}
            mustSupport: true
            choiceOf: value
            index: 20
        required: [valueCode, value]
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        index: 17
        slicing:
          slices:
            dataAbsentReason:
              match: {}
              schema:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                index: 17
                elements:
                  value:
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choices: [valueCode]
                    index: 19
                  valueCode:
                    type: code
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choiceOf: value
                    index: 20
                required: [valueCode, value]
    slicing:
      rules: open
      discriminator:
      - {path: system, type: value}
      min: 1
      slices:
        phone:
          match: {system: phone}
          schema:
            mustSupport: true
            index: 21
            elements:
              system:
                pattern: {type: Code, value: phone}
                mustSupport: true
                index: 22
            required: [system]
        email:
          match: {system: email}
          schema:
            mustSupport: true
            index: 23
            elements:
              system:
                pattern: {type: Code, value: email}
                mustSupport: true
                index: 24
            required: [system]
  gender:
    mustSupport: true
    index: 25
    extensions:
      dataAbsentReason:
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        type: Extension
        mustSupport: true
        index: 26
        elements:
          value:
            pattern: {type: Code, value: masked}
            mustSupport: true
            choices: [valueCode]
            index: 28
          valueCode:
            type: code
            pattern: {type: Code, value: masked}
            mustSupport: true
            choiceOf: value
            index: 29
        required: [valueCode, value]
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
        index: 26
        slicing:
          slices:
            dataAbsentReason:
              match: {}
              schema:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                index: 26
                elements:
                  value:
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choices: [valueCode]
                    index: 28
                  valueCode:
                    type: code
                    pattern: {type: Code, value: masked}
                    mustSupport: true
                    choiceOf: value
                    index: 29
                required: [valueCode, value]
  contact:
    mustSupport: true
    index: 43
    elements:
      relationship: {mustSupport: true, index: 44}
      name:
        mustSupport: true
        index: 45
        extensions:
          dataAbsentReason:
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            type: Extension
            mustSupport: true
            index: 46
            elements:
              value:
                pattern: {type: Code, value: masked}
                mustSupport: true
                choices: [valueCode]
                index: 48
              valueCode:
                type: code
                pattern: {type: Code, value: masked}
                mustSupport: true
                choiceOf: value
                index: 49
            required: [valueCode, value]
        elements:
          extension:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            index: 46
            slicing:
              slices:
                dataAbsentReason:
                  match: {}
                  schema:
                    type: Extension
                    mustSupport: true
                    url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                    index: 46
                    elements:
                      value:
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choices: [valueCode]
                        index: 48
                      valueCode:
                        type: code
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choiceOf: value
                        index: 49
                    required: [valueCode, value]
      telecom:
        mustSupport: true
        index: 50
        extensions:
          dataAbsentReason:
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            type: Extension
            mustSupport: true
            index: 51
            elements:
              value:
                pattern: {type: Code, value: masked}
                mustSupport: true
                choices: [valueCode]
                index: 53
              valueCode:
                type: code
                pattern: {type: Code, value: masked}
                mustSupport: true
                choiceOf: value
                index: 54
            required: [valueCode, value]
        elements:
          extension:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            index: 51
            slicing:
              slices:
                dataAbsentReason:
                  match: {}
                  schema:
                    type: Extension
                    mustSupport: true
                    url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                    index: 51
                    elements:
                      value:
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choices: [valueCode]
                        index: 53
                      valueCode:
                        type: code
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choiceOf: value
                        index: 54
                    required: [valueCode, value]
      address:
        mustSupport: true
        index: 55
        extensions:
          dataAbsentReason:
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            type: Extension
            mustSupport: true
            index: 56
            elements:
              value:
                pattern: {type: Code, value: masked}
                mustSupport: true
                choices: [valueCode]
                index: 58
              valueCode:
                type: code
                pattern: {type: Code, value: masked}
                mustSupport: true
                choiceOf: value
                index: 59
            required: [valueCode, value]
        elements:
          extension:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
            index: 56
            slicing:
              slices:
                dataAbsentReason:
                  match: {}
                  schema:
                    type: Extension
                    mustSupport: true
                    url: http://hl7.org/fhir/StructureDefinition/data-absent-reason
                    index: 56
                    elements:
                      value:
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choices: [valueCode]
                        index: 58
                      valueCode:
                        type: code
                        pattern: {type: Code, value: masked}
                        mustSupport: true
                        choiceOf: value
                        index: 59
                    required: [valueCode, value]
    required: [relationship]
package_version: cancer-registry-reporting-1.0.0
extensions:
  race: {url: null, mustSupport: true, index: 0}
  ethnicity: {url: null, mustSupport: true, index: 1}
  birthsex: {url: null, mustSupport: true, index: 2}
  genderIdentity: {url: 'http://hl7.org/fhir/StructureDefinition/individual-genderIdentity', min: 0, type: Extension, isModifier: false, mustSupport: true, index: 3}
  birthPlace: {url: 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace', min: 0, max: 1, type: Extension, isModifier: false, mustSupport: true, index: 4}
  tribalAffiliation: {url: 'http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-tribal-affiliation-extension', min: 0, isModifier: false, short: Tribal affiliation and membership of the patient, type: Extension, mustSupport: true, index: 5}
class: profile
kind: resource
url: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/us-ph-patient
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
version: 1.0.0
required: [name, address, identifier, birthDate, telecom]