HL7 Norway implementation guide for FHIR

PatientNorway

Patient
Definition

Demographics and other administrative information about a person receiving care or other health-related services.

Control1..1
TypeResource
Requirements
Comments
Patient.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1
TypeNarrative
Requirements
Aliasesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.

Patient.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Requirements
Aliasesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

Patient.identifier
Definition

An identifier that applies to this person as a patient. A patient shall have at least 1, and at most 2 identifiers: Either the F-number or the D-number (in that order of preference; if both a F-number and a D-number are known, only the F-number shall be sent here), and the temporary identifier (H-number).

Control1..2
TypeIdentifier
Requirements
Comments
Patient.identifier(F-Number)
Definition

An identifier that applies to this person as a patient. This identifier is used to identify the patient. The F-Number is assigned to persons living in Norway on a permanent basis.

Control0..1
TypeIdentifier
Requirements
Comments
Patient.identifier.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.use
Definition

The purpose of this identifier.

Control0..1
Binding
The codes SHALL be taken from IdentifierUse
Typecode
Is Modifiertrue
Requirements
Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Patient.identifier.label
Definition

A text string for the identifier that can be displayed to a human so they can recognize the identifier.

Control0..1
Typestring
Requirements
Comments
Patient.identifier.system
Definition

Establishes the namespace in which set of possible id values is unique.

Control0..1
Typeuri
Requirements
Comments
Fixed Valueurn:oid:2.16.578.1.12.4.1.4.1
Patient.identifier.value
Definition

The portion of the identifier typically displayed to the user and which is unique within the context of the system.

Control0..1
Typestring
Requirements
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.

Patient.identifier.period
Definition

Time period during which identifier is/was valid for use.

Control0..1
TypePeriod
Requirements
Comments
Patient.identifier.assigner
Definition

Organization that issued/manages the identifier.

Control0..1
TypeResourceReference(Profile = http://hl7.org/fhir/Profile/Organization)
Requirements
Comments

The reference may be just a text description of the assigner.

Patient.identifier(D-Number)
Definition

An identifier that applies to this person as a patient. Persons that are not living in Norway on a permanent basis can in some circumstance be registered in NNPR with a unique eleven digit number (a D-number).

Control0..1
TypeIdentifier
Requirements
Comments
Patient.identifier.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.use
Definition

The purpose of this identifier.

Control0..1
Binding
The codes SHALL be taken from IdentifierUse
Typecode
Is Modifiertrue
Requirements
Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Patient.identifier.label
Definition

A text string for the identifier that can be displayed to a human so they can recognize the identifier.

Control0..1
Typestring
Requirements
Comments
Patient.identifier.system
Definition

Establishes the namespace in which set of possible id values is unique.

Control0..1
Typeuri
Requirements
Comments
Fixed Valueurn:oid:2.16.578.1.12.4.1.4.2
Patient.identifier.value
Definition

The portion of the identifier typically displayed to the user and which is unique within the context of the system.

Control0..1
Typestring
Requirements
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.

Max Length11
Patient.identifier.period
Definition

Time period during which identifier is/was valid for use.

Control0..1
TypePeriod
Requirements
Comments
Patient.identifier.assigner
Definition

Organization that issued/manages the identifier.

Control0..1
TypeResourceReference(Profile = http://hl7.org/fhir/Profile/Organization)
Requirements
Comments

The reference may be just a text description of the assigner.

Patient.identifier(H-Number)
Definition

An application within the organization may assign an emergency/temporary region specific identifier (H-Number) to a patient. Most of these identifiers are linked to either an F-number, a D-number or a PAS-identifier at a later point in time.

Control0..1
TypeIdentifier
Requirements
Comments
Patient.identifier.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.use
Definition

The purpose of this identifier.

Control0..1
Binding
The codes SHALL be taken from IdentifierUse
Typecode
Is Modifiertrue
Requirements
Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Patient.identifier.label
Definition

A text string for the identifier that can be displayed to a human so they can recognize the identifier.

Control0..1
Typestring
Requirements
Comments
Patient.identifier.system
Definition

The region specific URN for the patients H-number

Control0..1
Typeuri
Requirements
Comments
Patient.identifier.value
Definition

The portion of the identifier typically displayed to the user and which is unique within the context of the system.

Control0..1
Typestring
Requirements
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.

Patient.identifier.period
Definition

Time period during which identifier is/was valid for use.

Control0..1
TypePeriod
Requirements
Comments
Patient.identifier.assigner
Definition

Organization that issued/manages the identifier.

Control0..1
TypeResourceReference(Profile = http://hl7.org/fhir/Profile/Organization)
Requirements
Comments

The reference may be just a text description of the assigner.

Patient.identifier(FH-number)
Definition

An ID for Norwegian civilians.

Control0..1
TypeIdentifier
Requirements
Comments
Patient.identifier.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.identifier.use
Definition

The purpose of this identifier.

Control0..1
Binding
The codes SHALL be taken from IdentifierUse
Typecode
Is Modifiertrue
Requirements
Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Patient.identifier.label
Definition

A text string for the identifier that can be displayed to a human so they can recognize the identifier.

Control0..1
Typestring
Requirements
Comments
Patient.identifier.system
Definition

Establishes the namespace in which set of possible id values is unique.

Control0..1
Typeuri
Requirements
Comments
Fixed Value2.16.578.1.12.4.1.4.3
Patient.identifier.value
Definition

The portion of the identifier typically displayed to the user and which is unique within the context of the system.

Control0..1
Typestring
Requirements
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.

Patient.identifier.period
Definition

Time period during which identifier is/was valid for use.

Control0..1
TypePeriod
Requirements
Comments
Patient.identifier.assigner
Definition

Organization that issued/manages the identifier.

Control0..1
TypeResourceReference(Profile = http://hl7.org/fhir/Profile/Organization)
Requirements
Comments

The reference may be just a text description of the assigner.

Patient.name
Definition

A name associated with the individual.

Control1..*
TypeHumanName
Requirements
Comments

Person 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.

Patient.name.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.name.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.name.use
Definition

Identifies the purpose for this name.

Control1..1
Binding
The codes SHALL be taken from NameUse
Typecode
Is Modifiertrue
Requirements
Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Patient.name.text
Definition

A full text representation of the name.

Control0..1
Typestring
Requirements
Comments

Can provide both a text representation and structured parts.

Patient.name.family
Definition

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Control1..*
Typestring
Requirements
Comments

For family name, hyphenated names such as "Smith-Jones" are a single name, but names with spaces such as "Smith Jones" are broken into multiple parts.

Patient.name.given
Definition

Given name.

Control1..*
Typestring
Requirements
Comments

If only initials are recorded, they may be used in place of the full name. Not called "first name" since given names do not always come first.

Patient.name.prefix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

Control0..*
Typestring
Requirements
Comments
Patient.name.suffix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

Control0..*
Typestring
Requirements
Comments
Patient.name.period
Definition

Indicates the period of time when this name was valid for the named person.

Control0..1
TypePeriod
Requirements
Comments
Patient.telecom
Definition

A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

Control0..0
TypeContact
Requirements
Comments

Person 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 may 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).

Patient.gender
Definition

Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

Control0..0
Binding
The codes SHOULD be taken from Administrative Gender Codes; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements
Comments

The gender may 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 M and F, though the vast majority of systems and contexts only support M and F.

Patient.birthDate
Definition

The date and time of birth for the individual.

Control0..0
TypedateTime
Requirements
Comments

At least an estimated year should be provided as a guess if the real dob is unknown.

Patient.deceased[x]
Definition

Indicates if the individual is deceased or not.

Control0..0
TypeChoice of: boolean, dateTime
Is Modifiertrue
Requirements
Comments

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.

Patient.address
Definition

Addresses for the individual.

Control0..0
TypeAddress
Requirements
Comments

Person may have multiple addresses with different uses or applicable periods.

Patient.maritalStatus
Definition

This field contains a patient's most recent marital (civil) status.

Control0..0
Binding
The codes SHOULD be taken from Marital Status Codes; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements
Comments
Patient.multipleBirth[x]
Definition

Indicates whether the patient is part of a multiple or indicates the actual birth order.

Control0..0
TypeChoice of: boolean, integer
Requirements
Comments
Patient.photo
Definition

Image of the person.

Control0..0
TypeAttachment
Requirements
Comments
Patient.contact
Definition

A contact party (e.g. guardian, partner, friend) for the patient.

Control0..0
Requirements
Comments

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.

InvariantsDefined on this element
Inv-1: SHALL at least contain a contact's details or a reference to an organization (xpath: f:name or f:telecom or f:address or f:organization)
Inv-1: SHALL at least contain a contact's details or a reference to an organization (xpath: f:name or f:telecom or f:address or f:organization)
Inv-1: SHALL at least contain a contact's details or a reference to an organization (xpath: f:name or f:telecom or f:address or f:organization)
Patient.contact.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.contact.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.contact.relationship
Definition

The nature of the relationship between the patient and the contact person.

Control0..*
Binding
The codes SHOULD be taken from PatientContactRelationship; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements
Comments
Patient.contact.name
Definition

A name associated with the person.

Control0..1
TypeHumanName
Requirements
Comments
Patient.contact.telecom
Definition

A contact detail for the person, e.g. a telephone number or an email address.

Control0..*
TypeContact
Requirements
Comments

Person 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.

Patient.contact.address
Definition

Address for the contact person.

Control0..1
TypeAddress
Requirements
Comments
Patient.contact.gender
Definition

Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

Control0..1
Binding
The codes SHOULD be taken from Administrative Gender Codes; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements
Comments
Patient.contact.organization
Definition

Organization on behalf of which the contact is acting or for which the contact is working.

Control0..1
TypeResourceReference(Profile = http://hl7.org/fhir/Profile/Organization)
Requirements
Comments
Patient.animal
Definition

This element has a value if the patient is an animal.

Control0..0
Is Modifiertrue
Requirements
Comments

The animal element is labeled "Is Modifier" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject non-human patient records.

Patient.animal.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.animal.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.animal.species
Definition

Identifies the high level categorization of the kind of animal.

Control1..1
Binding
For example codes, see AnimalSpecies
TypeCodeableConcept
Requirements
Comments

If the patient is non-human, at least a species SHALL be specified.

Patient.animal.breed
Definition

Identifies the detailed categorization of the kind of animal.

Control0..1
Binding
For example codes, see AnimalBreeds
TypeCodeableConcept
Requirements
Comments
Patient.animal.genderStatus
Definition

Indicates the current state of the animal's reproductive organs.

Control0..1
Binding
For example codes, see GenderStatus
TypeCodeableConcept
Requirements
Comments
Patient.communication
Definition

Languages which may be used to communicate with the patient about his or her health.

Control0..0
Binding
The codes SHALL be taken from http://tools.ietf.org/html/bcp47
TypeCodeableConcept
Requirements
Comments

If no language is specified, this implies that the default local language is spoken. For animals, language is not a relevant field, and should be absent from the instance.

Patient.careProvider
Definition

Patient's nominated care provider.

Control0..0
TypeChoice of: ResourceReference(Profile = http://hl7.org/fhir/Profile/Organization), ResourceReference(Profile = http://hl7.org/fhir/Profile/Practitioner)
Requirements
Comments
Patient.managingOrganization
Definition

Organization that is the custodian of the patient record.

Control0..0
TypeResourceReference(Profile = http://hl7.org/fhir/Profile/Organization)
Requirements
Comments
Patient.link
Definition

Link to another patient resource that concerns the same actual person.

Control0..0
Is Modifiertrue
Requirements
Comments

There is no assumption that linked patient records have mutual links.

Patient.link.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.link.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..0
TypeExtension
Requirements
Aliasesextensions, user content
Comments

there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.

Patient.link.other
Definition

The other patient resource that the link refers to.

Control1..1
TypeResourceReference(Profile = http://hl7.org/fhir/Profile/Patient)
Is Modifiertrue
Requirements
Comments
Patient.link.type
Definition

The type of link between this patient resource and another patient resource.

Control1..1
Binding
The codes SHALL be taken from LinkType
Typecode
Is Modifiertrue
Requirements
Comments
Patient.active
Definition

Whether this patient record is in active use.

Control0..0
Typeboolean
Is Modifiertrue
Requirements
Comments

Default is true. If a record is inactive, and linked to an active record, then future patient/person/record updates should occur on the other patient.