IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: IE MPD Patient

Base Patient profile for the Irish health system, derived from the HL7 Europe Base Patient. It is deliberately permissive: special-category and identity-disambiguation data (for example ethnicity or mother's maiden name) are allowed but NOT MustSupport. Use-case profiles decide what must be sent and what must not be sent: IEMpdPatientEPrescription for ePrescription and eDispensation, and IEMpdPatientSummaryPatient for the Patient Summary (IE Core ADR-002, GDPR Art. 5(1)(c) data minimisation).

Usages:

• Derived from this Profile: IE MPD Patient (ePrescription/eDispensation)
• Refer to this Profile: IE MPD AllergyIntolerance, IE MPD MedicationAdministration, IE MPD MedicationDispense, IE MPD MedicationStatement... Show 2 more, IE MPD Provenance and IE MPD RelatedPerson

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore(2.0.0)	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu(2.0.0)	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
extension:gender-identity	S	0..*	(Complex)	Gender identity (HIQA gender cluster) URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Constraints: ext-1
extension:pronouns		0..*	(Complex)	Personal pronouns (not in either HIQA dataset) URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Constraints: ext-1
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ext-1
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality Constraints: ext-1
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime Constraints: ext-1
extension:sexAssignedAtBirth	S	0..1	(Complex)	Sex assigned at birth (recorded sex, type LOINC 76689-9) URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:value		1..1	Extension	The recorded sex or gender property for the individual Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"value"
value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: RecordedSexOrGenderType (2.0.0) (example) Required Pattern: At least the following
extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"effectivePeriod"
extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"acquisitionDate"
value[x]		1..1	dateTime	Value of extension
extension:source		0..1	Extension	The source of the Recorded Sex or Gender value. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"source"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceDocument"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(DocumentReference)
extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceField"
value[x]		1..1	string	Value of extension
extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"jurisdiction"
value[x]		1..1	CodeableConcept	Value of extension Binding: JurisdictionValueSet (1.0.0) (extensible)
extension:comment		0..1	Extension	Context or source information about the recorded sex or gender Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"comment"
value[x]		1..1	string	Value of extension
extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"genderElementQualifier"
value[x]		1..1	boolean	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
extension:ethnicity		0..*	CodeableConcept	Ethnicity (special-category data; Patient Summary only) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity Binding: IEMpdEthnicityVS (0.1.0) (extensible) Constraints: ext-1
extension:mothersMaidenName		0..1	string	Mother's maiden name (not MustSupport) URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName Constraints: ext-1
extension:interpreterRequired		0..1	boolean	Whether the patient requires an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	0..*	Identifier	Identifiers for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:IHI	SΣC	0..1	Identifier	Individual Health Identifier (IHI) Constraints: ie-pat-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		1..1	string	Representation defined by the system Fixed Value: National unique individual identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi
value	SΣ	1..1	string	IHI number (18 or 10 digits) Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	0..1	string	Family name (surname) Example spanish: Valero Iglesias
given	SΣ	0..*	string	Given names (first and middle names) This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the patient
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	SΣ	1..1	code	Administrative gender (not sex assigned at birth) Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	1..1	date	The date of birth for the patient
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressEu(2.0.0)	An address for the patient (Irish address)
use	?!SΣ	0..1	code	Purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Slices for extension				Content/Rules for all slices
extension:streetName		0..*	string	streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints: ext-1
extension:houseNumber		0..*	string	houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints: ext-1
extension:postBox		0..*	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints: ext-1
city	SΣ	0..1	string	Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here) Example General: Erewhon
state	SΣ	0..1	string	County Binding: IEMpdCounties (0.1.0) (extensible)
postalCode	SΣ	0..1	string	Eircode or postal code (Eircode format XXX XXXX) Example General: 9132
country	SΣ	0..1	string	Country (ISO 3166-1 alpha-2)
Slices for extension				Content/Rules for all slices
extension:countryCode		0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
generalPractitioner	S	0..*	Reference(IE MPD Organization(0.1.0) | IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0))	Patient's nominated primary care provider.
managingOrganization	SΣ	0..1	Reference(IE MPD Organization(0.1.0))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:sexAssignedAtBirth.​extension:value.value[x]	Base	example	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.extension:sexAssignedAtBirth.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📍2.0.0	THO v7.4
Patient.extension:sexAssignedAtBirth.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📍1.0.0	THO v7.4
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	Ireland Counties	📍0.1.0	This IG
Patient.address.country.​extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.implicitRules, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:value.value[x], Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:type.value[x], Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate.value[x], Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:source.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceDocument.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:sourceField.value[x], Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:jurisdiction.value[x], Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:comment.value[x], Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier.value[x], Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.type, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:IHI, Patient.identifier:IHI.use, Patient.identifier:IHI.type, Patient.identifier:IHI.system, Patient.identifier:IHI.value, Patient.identifier:IHI.period, Patient.identifier:IHI.assigner, Patient.active, Patient.name, Patient.name.use, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.telecom, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.use, Patient.address.line, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.city, Patient.address.state, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension:countryCode, Patient.address.country.extension:countryCode.value[x], Patient.communication, Patient.communication.modifierExtension, Patient.communication.language, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	Patient.extension:birthPlace, Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.country.extension:countryCode, Patient.communication.modifierExtension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-pat-1	error	Patient.identifier:IHI	IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')	value.matches('^([0-9]{18}|[0-9]{10})$')

This structure is derived from PatientEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient			PatientEuCore(2.0.0)
Slices for extension				Content/Rules for all slices
extension:gender-identity	S	0..*	PGenderIdentity(5.2.0)	Gender identity (HIQA gender cluster)
extension:pronouns		0..*	Pronouns(5.2.0)	Personal pronouns (not in either HIQA dataset)
extension:sexAssignedAtBirth	S	0..1	(Complex)	Sex assigned at birth (recorded sex, type LOINC 76689-9) URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:ethnicity		0..*	CodeableConcept	Ethnicity (special-category data; Patient Summary only) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity Binding: IEMpdEthnicityVS (0.1.0) (extensible)
extension:mothersMaidenName		0..1	string	Mother's maiden name (not MustSupport) URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired		0..1	boolean	Whether the patient requires an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
Slices for identifier	S	0..*	Identifier	Identifiers for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
type	S	0..1	CodeableConcept	Description of identifier
value	S	0..1	string	The value that is unique
period	S	0..1	Period	Time period when id is/was valid for use
assigner	S	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:IHI	SC	0..1	Identifier	Individual Health Identifier (IHI)
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		1..1	string	Representation defined by the system Fixed Value: National unique individual identifier
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi
value		1..1	string	IHI number (18 or 10 digits)
name	S	1..*	HumanName	A name associated with the patient
use	S	0..1	code	usual | official | temp | nickname | anonymous | old | maiden
family	S	0..1	string	Family name (surname)
given	S	0..*	string	Given names (first and middle names)
prefix	S	0..*	string	Parts that come before the name
suffix	S	0..*	string	Parts that come after the name
telecom	S	0..*	ContactPoint	A contact detail for the patient
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
gender	S	1..1	code	Administrative gender (not sex assigned at birth)
birthDate	S	1..1	date	The date of birth for the patient
deceased[x]	S	0..1	boolean, dateTime	Indicates if the individual is deceased or not
address	S	0..*	AddressEu(2.0.0)	An address for the patient (Irish address)
use	S	0..1	code	Purpose of this address
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here)
state	S	0..1	string	County Binding: IEMpdCounties (0.1.0) (extensible)
postalCode	S	0..1	string	Eircode or postal code (Eircode format XXX XXXX)
country	S	0..1	string	Country (ISO 3166-1 alpha-2)
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
language	S	1..1	CodeableConcept	Communication language
generalPractitioner	S	0..*	Reference(IE MPD Organization(0.1.0) | IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0))	Patient's nominated primary care provider.
managingOrganization	S	0..1	Reference(IE MPD Organization(0.1.0))	Organization that is the custodian of the patient record
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.address.state	Base	extensible	Ireland Counties	📍0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ie-pat-1	error	Patient.identifier:IHI	IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')	value.matches('^([0-9]{18}|[0-9]{10})$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore(2.0.0)	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu(2.0.0)	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
extension:gender-identity	S	0..*	(Complex)	Gender identity (HIQA gender cluster) URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Constraints: ext-1
extension:pronouns		0..*	(Complex)	Personal pronouns (not in either HIQA dataset) URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Constraints: ext-1
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ext-1
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality Constraints: ext-1
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime Constraints: ext-1
extension:sexAssignedAtBirth	S	0..1	(Complex)	Sex assigned at birth (recorded sex, type LOINC 76689-9) URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:value		1..1	Extension	The recorded sex or gender property for the individual Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"value"
value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: RecordedSexOrGenderType (2.0.0) (example) Required Pattern: At least the following
extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"effectivePeriod"
value[x]		0..1	Period	Value of extension
extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"acquisitionDate"
value[x]		1..1	dateTime	Value of extension
extension:source		0..1	Extension	The source of the Recorded Sex or Gender value. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"source"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceDocument"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(DocumentReference)
extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceField"
value[x]		1..1	string	Value of extension
extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"jurisdiction"
value[x]		1..1	CodeableConcept	Value of extension Binding: JurisdictionValueSet (1.0.0) (extensible)
extension:comment		0..1	Extension	Context or source information about the recorded sex or gender Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"comment"
value[x]		1..1	string	Value of extension
extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"genderElementQualifier"
value[x]		1..1	boolean	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
extension:ethnicity		0..*	CodeableConcept	Ethnicity (special-category data; Patient Summary only) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity Binding: IEMpdEthnicityVS (0.1.0) (extensible) Constraints: ext-1
extension:mothersMaidenName		0..1	string	Mother's maiden name (not MustSupport) URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName Constraints: ext-1
extension:interpreterRequired		0..1	boolean	Whether the patient requires an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	0..*	Identifier	Identifiers for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:IHI	SΣC	0..1	Identifier	Individual Health Identifier (IHI) Constraints: ie-pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		1..1	string	Representation defined by the system Fixed Value: National unique individual identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi
value	SΣ	1..1	string	IHI number (18 or 10 digits) Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	SΣ	0..1	string	Family name (surname) Example spanish: Valero Iglesias
given	SΣ	0..*	string	Given names (first and middle names) This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	1..1	code	Administrative gender (not sex assigned at birth) Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	1..1	date	The date of birth for the patient
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressEu(2.0.0)	An address for the patient (Irish address)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!SΣ	0..1	code	Purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	Address type (postal | physical) Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:streetName		0..*	string	streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints: ext-1
extension:houseNumber		0..*	string	houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints: ext-1
extension:postBox		0..*	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints: ext-1
value		0..1	string	Primitive value for string Max Length:1048576
city	SΣ	0..1	string	Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here) Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	County Binding: IEMpdCounties (0.1.0) (extensible)
postalCode	SΣ	0..1	string	Eircode or postal code (Eircode format XXX XXXX) Example General: 9132
country	SΣ	0..1	string	Country (ISO 3166-1 alpha-2)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:countryCode		0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
value		0..1	string	Primitive value for string Max Length:1048576
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital status Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relationship		0..*	CodeableConcept	Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	Contact name
telecom		0..*	ContactPoint	Contact details for the person
address		0..1	AddressEu(2.0.0)	Contact person address
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner	S	0..*	Reference(IE MPD Organization(0.1.0) | IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0))	Patient's nominated primary care provider.
managingOrganization	SΣ	0..1	Reference(IE MPD Organization(0.1.0))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.extension:sexAssignedAtBirth.​extension:value.value[x]	Base	example	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.extension:sexAssignedAtBirth.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📍2.0.0	THO v7.4
Patient.extension:sexAssignedAtBirth.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📍1.0.0	THO v7.4
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	Ireland Counties	📍0.1.0	This IG
Patient.address.country.​extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📍4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.meta, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:value.value[x], Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:type.value[x], Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:effectivePeriod.value[x], Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate.value[x], Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:source.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceDocument.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:sourceField.value[x], Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:jurisdiction.value[x], Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:comment.value[x], Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier.value[x], Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:IHI, Patient.identifier:IHI.extension, Patient.identifier:IHI.use, Patient.identifier:IHI.type, Patient.identifier:IHI.system, Patient.identifier:IHI.value, Patient.identifier:IHI.period, Patient.identifier:IHI.assigner, Patient.active, Patient.name, Patient.name.extension, Patient.name.use, Patient.name.text, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.name.period, Patient.telecom, Patient.telecom.extension, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.telecom.rank, Patient.telecom.period, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.extension, Patient.address.use, Patient.address.type, Patient.address.text, Patient.address.line, Patient.address.line.extension, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.address.country.extension:countryCode.value[x], Patient.address.period, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	Patient.extension, Patient.extension:birthPlace, Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.identifier.extension, Patient.identifier:IHI.extension, Patient.name.extension, Patient.telecom.extension, Patient.address.extension, Patient.address.line.extension, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-pat-1	error	Patient.identifier:IHI	IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')	value.matches('^([0-9]{18}|[0-9]{10})$')
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from PatientEuCore

Summary

Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 33 elements

Structures

This structure refers to these other structures:

• IE MPD Organization (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-organization|0.1.0)
• IE MPD Practitioner (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner|0.1.0)
• IE MPD PractitionerRole (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole|0.1.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender|5.2.0
• https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity|0.1.0
• http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName|5.2.0
• http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired|5.2.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore(2.0.0)	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu(2.0.0)	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
extension:gender-identity	S	0..*	(Complex)	Gender identity (HIQA gender cluster) URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Constraints: ext-1
extension:pronouns		0..*	(Complex)	Personal pronouns (not in either HIQA dataset) URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Constraints: ext-1
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ext-1
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality Constraints: ext-1
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime Constraints: ext-1
extension:sexAssignedAtBirth	S	0..1	(Complex)	Sex assigned at birth (recorded sex, type LOINC 76689-9) URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:value		1..1	Extension	The recorded sex or gender property for the individual Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"value"
value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: RecordedSexOrGenderType (2.0.0) (example) Required Pattern: At least the following
extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"effectivePeriod"
extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"acquisitionDate"
value[x]		1..1	dateTime	Value of extension
extension:source		0..1	Extension	The source of the Recorded Sex or Gender value. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"source"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceDocument"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(DocumentReference)
extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceField"
value[x]		1..1	string	Value of extension
extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"jurisdiction"
value[x]		1..1	CodeableConcept	Value of extension Binding: JurisdictionValueSet (1.0.0) (extensible)
extension:comment		0..1	Extension	Context or source information about the recorded sex or gender Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"comment"
value[x]		1..1	string	Value of extension
extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element. Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"genderElementQualifier"
value[x]		1..1	boolean	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
extension:ethnicity		0..*	CodeableConcept	Ethnicity (special-category data; Patient Summary only) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity Binding: IEMpdEthnicityVS (0.1.0) (extensible) Constraints: ext-1
extension:mothersMaidenName		0..1	string	Mother's maiden name (not MustSupport) URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName Constraints: ext-1
extension:interpreterRequired		0..1	boolean	Whether the patient requires an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	0..*	Identifier	Identifiers for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:IHI	SΣC	0..1	Identifier	Individual Health Identifier (IHI) Constraints: ie-pat-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		1..1	string	Representation defined by the system Fixed Value: National unique individual identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi
value	SΣ	1..1	string	IHI number (18 or 10 digits) Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣ	0..1	string	Family name (surname) Example spanish: Valero Iglesias
given	SΣ	0..*	string	Given names (first and middle names) This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	A contact detail for the patient
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	SΣ	1..1	code	Administrative gender (not sex assigned at birth) Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	1..1	date	The date of birth for the patient
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressEu(2.0.0)	An address for the patient (Irish address)
use	?!SΣ	0..1	code	Purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
Slices for extension				Content/Rules for all slices
extension:streetName		0..*	string	streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints: ext-1
extension:houseNumber		0..*	string	houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints: ext-1
extension:postBox		0..*	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints: ext-1
city	SΣ	0..1	string	Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here) Example General: Erewhon
state	SΣ	0..1	string	County Binding: IEMpdCounties (0.1.0) (extensible)
postalCode	SΣ	0..1	string	Eircode or postal code (Eircode format XXX XXXX) Example General: 9132
country	SΣ	0..1	string	Country (ISO 3166-1 alpha-2)
Slices for extension				Content/Rules for all slices
extension:countryCode		0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
generalPractitioner	S	0..*	Reference(IE MPD Organization(0.1.0) | IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0))	Patient's nominated primary care provider.
managingOrganization	SΣ	0..1	Reference(IE MPD Organization(0.1.0))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:sexAssignedAtBirth.​extension:value.value[x]	Base	example	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.extension:sexAssignedAtBirth.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📍2.0.0	THO v7.4
Patient.extension:sexAssignedAtBirth.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📍1.0.0	THO v7.4
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	Ireland Counties	📍0.1.0	This IG
Patient.address.country.​extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.implicitRules, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:value.value[x], Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:type.value[x], Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate.value[x], Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:source.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceDocument.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:sourceField.value[x], Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:jurisdiction.value[x], Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:comment.value[x], Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier.value[x], Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.type, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:IHI, Patient.identifier:IHI.use, Patient.identifier:IHI.type, Patient.identifier:IHI.system, Patient.identifier:IHI.value, Patient.identifier:IHI.period, Patient.identifier:IHI.assigner, Patient.active, Patient.name, Patient.name.use, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.telecom, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.use, Patient.address.line, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.city, Patient.address.state, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension:countryCode, Patient.address.country.extension:countryCode.value[x], Patient.communication, Patient.communication.modifierExtension, Patient.communication.language, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	Patient.extension:birthPlace, Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.country.extension:countryCode, Patient.communication.modifierExtension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-pat-1	error	Patient.identifier:IHI	IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')	value.matches('^([0-9]{18}|[0-9]{10})$')

Differential View

This structure is derived from PatientEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient			PatientEuCore(2.0.0)
Slices for extension				Content/Rules for all slices
extension:gender-identity	S	0..*	PGenderIdentity(5.2.0)	Gender identity (HIQA gender cluster)
extension:pronouns		0..*	Pronouns(5.2.0)	Personal pronouns (not in either HIQA dataset)
extension:sexAssignedAtBirth	S	0..1	(Complex)	Sex assigned at birth (recorded sex, type LOINC 76689-9) URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
extension:ethnicity		0..*	CodeableConcept	Ethnicity (special-category data; Patient Summary only) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity Binding: IEMpdEthnicityVS (0.1.0) (extensible)
extension:mothersMaidenName		0..1	string	Mother's maiden name (not MustSupport) URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
extension:interpreterRequired		0..1	boolean	Whether the patient requires an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
Slices for identifier	S	0..*	Identifier	Identifiers for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
type	S	0..1	CodeableConcept	Description of identifier
value	S	0..1	string	The value that is unique
period	S	0..1	Period	Time period when id is/was valid for use
assigner	S	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:IHI	SC	0..1	Identifier	Individual Health Identifier (IHI)
type		0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		1..1	string	Representation defined by the system Fixed Value: National unique individual identifier
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi
value		1..1	string	IHI number (18 or 10 digits)
name	S	1..*	HumanName	A name associated with the patient
use	S	0..1	code	usual | official | temp | nickname | anonymous | old | maiden
family	S	0..1	string	Family name (surname)
given	S	0..*	string	Given names (first and middle names)
prefix	S	0..*	string	Parts that come before the name
suffix	S	0..*	string	Parts that come after the name
telecom	S	0..*	ContactPoint	A contact detail for the patient
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
gender	S	1..1	code	Administrative gender (not sex assigned at birth)
birthDate	S	1..1	date	The date of birth for the patient
deceased[x]	S	0..1	boolean, dateTime	Indicates if the individual is deceased or not
address	S	0..*	AddressEu(2.0.0)	An address for the patient (Irish address)
use	S	0..1	code	Purpose of this address
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here)
state	S	0..1	string	County Binding: IEMpdCounties (0.1.0) (extensible)
postalCode	S	0..1	string	Eircode or postal code (Eircode format XXX XXXX)
country	S	0..1	string	Country (ISO 3166-1 alpha-2)
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
language	S	1..1	CodeableConcept	Communication language
generalPractitioner	S	0..*	Reference(IE MPD Organization(0.1.0) | IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0))	Patient's nominated primary care provider.
managingOrganization	S	0..1	Reference(IE MPD Organization(0.1.0))	Organization that is the custodian of the patient record
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.address.state	Base	extensible	Ireland Counties	📍0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ie-pat-1	error	Patient.identifier:IHI	IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')	value.matches('^([0-9]{18}|[0-9]{10})$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	PatientEuCore(2.0.0)	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	AddressEu(2.0.0)	Value of extension
extension:sex-for-clinical-use		0..*	(Complex)	Sex for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
extension:gender-identity	S	0..*	(Complex)	Gender identity (HIQA gender cluster) URL: http://hl7.org/fhir/StructureDefinition/individual-genderIdentity Constraints: ext-1
extension:pronouns		0..*	(Complex)	Personal pronouns (not in either HIQA dataset) URL: http://hl7.org/fhir/StructureDefinition/individual-pronouns Constraints: ext-1
extension:patient-citizenship		0..*	(Complex)	Citizenship URL: http://hl7.org/fhir/StructureDefinition/patient-citizenship Constraints: ext-1
extension:patient-nationality		0..*	(Complex)	Nationality URL: http://hl7.org/fhir/StructureDefinition/patient-nationality Constraints: ext-1
extension:birthTime		0..1	dateTime	Birth time URL: http://hl7.org/fhir/StructureDefinition/patient-birthTime Constraints: ext-1
extension:sexAssignedAtBirth	S	0..1	(Complex)	Sex assigned at birth (recorded sex, type LOINC 76689-9) URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:value		1..1	Extension	The recorded sex or gender property for the individual Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"value"
value[x]		1..1	CodeableConcept	Value of extension Binding: AdministrativeGender (example)
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension Binding: RecordedSexOrGenderType (2.0.0) (example) Required Pattern: At least the following
extension:effectivePeriod		0..1	Extension	When the recorded sex or gender value applies Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"effectivePeriod"
value[x]		0..1	Period	Value of extension
extension:acquisitionDate		0..1	Extension	When the sex or gender value was recorded. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"acquisitionDate"
value[x]		1..1	dateTime	Value of extension
extension:source		0..1	Extension	The source of the Recorded Sex or Gender value. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"source"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(Organization | Device | RelatedPerson | Practitioner)
extension:sourceDocument		0..1	Extension	The document the sex or gender property was acquired from. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceDocument"
value[x]		1..1		Value of extension
valueCodeableConcept			CodeableConcept
valueReference			Reference(DocumentReference)
extension:sourceField		0..1	Extension	The name of the field within the source document where this sex or gender property is initially recorded. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"sourceField"
value[x]		1..1	string	Value of extension
extension:jurisdiction		0..1	Extension	Who issued the document where the sex or gender was aquired Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"jurisdiction"
value[x]		1..1	CodeableConcept	Value of extension Binding: JurisdictionValueSet (1.0.0) (extensible)
extension:comment		0..1	Extension	Context or source information about the recorded sex or gender Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"comment"
value[x]		1..1	string	Value of extension
extension:genderElementQualifier		0..1	Extension	Whether this recorded sex or gender value qualifies the .gender element. Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"genderElementQualifier"
value[x]		1..1	boolean	Value of extension
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
extension:ethnicity		0..*	CodeableConcept	Ethnicity (special-category data; Patient Summary only) URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity Binding: IEMpdEthnicityVS (0.1.0) (extensible) Constraints: ext-1
extension:mothersMaidenName		0..1	string	Mother's maiden name (not MustSupport) URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName Constraints: ext-1
extension:interpreterRequired		0..1	boolean	Whether the patient requires an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	0..*	Identifier	Identifiers for this patient Slice: Unordered, Open by value:system
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:IHI	SΣC	0..1	Identifier	Individual Health Identifier (IHI) Constraints: ie-pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NI
display		1..1	string	Representation defined by the system Fixed Value: National unique individual identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi
value	SΣ	1..1	string	IHI number (18 or 10 digits) Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	A name associated with the patient Constraints: eu-pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!SΣ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name.
family	SΣ	0..1	string	Family name (surname) Example spanish: Valero Iglesias
given	SΣ	0..*	string	Given names (first and middle names) This repeating element order: Given Names appear in the correct order for presenting the name
prefix	SΣ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	SΣ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	A contact detail for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	1..1	code	Administrative gender (not sex assigned at birth) Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	1..1	date	The date of birth for the patient
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	AddressEu(2.0.0)	An address for the patient (Irish address)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!SΣ	0..1	code	Purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	Address type (postal | physical) Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:streetName		0..*	string	streetName URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName Constraints: ext-1
extension:houseNumber		0..*	string	houseNumber URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber Constraints: ext-1
extension:postBox		0..*	string	postBox URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox Constraints: ext-1
value		0..1	string	Primitive value for string Max Length:1048576
city	SΣ	0..1	string	Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here) Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	County Binding: IEMpdCounties (0.1.0) (extensible)
postalCode	SΣ	0..1	string	Eircode or postal code (Eircode format XXX XXXX) Example General: 9132
country	SΣ	0..1	string	Country (ISO 3166-1 alpha-2)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:countryCode		0..1	(Complex)	code for string URL: http://hl7.org/fhir/StructureDefinition/iso21090-codedString Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/iso21090-codedString"
value[x]		1..1	Coding	Value of extension Binding: Iso3166-1-2 (preferred)
value		0..1	string	Primitive value for string Max Length:1048576
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital status Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relationship		0..*	CodeableConcept	Contact relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	Contact name
telecom		0..*	ContactPoint	Contact details for the person
address		0..1	AddressEu(2.0.0)	Contact person address
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication	S	0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	Communication language Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner	S	0..*	Reference(IE MPD Organization(0.1.0) | IE MPD Practitioner(0.1.0) | IE MPD PractitionerRole(0.1.0))	Patient's nominated primary care provider.
managingOrganization	SΣ	0..1	Reference(IE MPD Organization(0.1.0))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.extension:sexAssignedAtBirth.​extension:value.value[x]	Base	example	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.extension:sexAssignedAtBirth.​extension:type.value[x]	Base	example	Recorded Sex Or Gender Type	📍2.0.0	THO v7.4
Patient.extension:sexAssignedAtBirth.​extension:jurisdiction.​value[x]	Base	extensible	Jurisdiction ValueSet	📍1.0.0	THO v7.4
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:IHI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	Ireland Counties	📍0.1.0	This IG
Patient.address.country.​extension:countryCode.​value[x]	Base	preferred	Iso 3166 Part 1: 2 Letter Codes	📍4.0.1	FHIR Std.
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.meta, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:value.value[x], Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:type.value[x], Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:effectivePeriod.value[x], Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate.value[x], Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:source.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceDocument.value[x], Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:sourceField.value[x], Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:jurisdiction.value[x], Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:comment.value[x], Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier.value[x], Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:IHI, Patient.identifier:IHI.extension, Patient.identifier:IHI.use, Patient.identifier:IHI.type, Patient.identifier:IHI.system, Patient.identifier:IHI.value, Patient.identifier:IHI.period, Patient.identifier:IHI.assigner, Patient.active, Patient.name, Patient.name.extension, Patient.name.use, Patient.name.text, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.name.period, Patient.telecom, Patient.telecom.extension, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.telecom.rank, Patient.telecom.period, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.extension, Patient.address.use, Patient.address.type, Patient.address.text, Patient.address.line, Patient.address.line.extension, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode, Patient.address.country, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.address.country.extension:countryCode.value[x], Patient.address.period, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
eu-pat-1	error	Patient.name	given, family, text or a data-absent-reason extension SHALL be present	family.exists() or given.exists() or text.exists() or extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()
ext-1	error	Patient.extension, Patient.extension:birthPlace, Patient.extension:sex-for-clinical-use, Patient.extension:gender-identity, Patient.extension:pronouns, Patient.extension:patient-citizenship, Patient.extension:patient-nationality, Patient.extension:birthTime, Patient.extension:sexAssignedAtBirth, Patient.extension:sexAssignedAtBirth.extension, Patient.extension:sexAssignedAtBirth.extension:value, Patient.extension:sexAssignedAtBirth.extension:type, Patient.extension:sexAssignedAtBirth.extension:effectivePeriod, Patient.extension:sexAssignedAtBirth.extension:acquisitionDate, Patient.extension:sexAssignedAtBirth.extension:source, Patient.extension:sexAssignedAtBirth.extension:sourceDocument, Patient.extension:sexAssignedAtBirth.extension:sourceField, Patient.extension:sexAssignedAtBirth.extension:jurisdiction, Patient.extension:sexAssignedAtBirth.extension:comment, Patient.extension:sexAssignedAtBirth.extension:genderElementQualifier, Patient.extension:ethnicity, Patient.extension:mothersMaidenName, Patient.extension:interpreterRequired, Patient.modifierExtension, Patient.identifier.extension, Patient.identifier:IHI.extension, Patient.name.extension, Patient.telecom.extension, Patient.address.extension, Patient.address.line.extension, Patient.address.line.extension:streetName, Patient.address.line.extension:houseNumber, Patient.address.line.extension:postBox, Patient.address.country.extension, Patient.address.country.extension:countryCode, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-pat-1	error	Patient.identifier:IHI	IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')	value.matches('^([0-9]{18}|[0-9]{10})$')
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from PatientEuCore

Summary

Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 33 elements

Structures

This structure refers to these other structures:

• IE MPD Organization (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-organization|0.1.0)
• IE MPD Practitioner (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner|0.1.0)
• IE MPD PractitionerRole (https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole|0.1.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender|5.2.0
• https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-ethnicity|0.1.0
• http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName|5.2.0
• http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired|5.2.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier