## Union of http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient and https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-patient

This is the set of resources that conform to either of the profiles IPA-Patient (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient) and FI SMART Patient (https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-patient). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Patient | C | 0..* |  | Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ipa-pat-4: If Patient.link is present, then Patient.active SHALL be present
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
versionId | Σ | 0..1 | id | Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated | Σ | 0..1 | instant | When the resource version last changed ele-1: All FHIR elements must have a @value or children
source | Σ | 0..1 | uri | Identifies where the resource comes from ele-1: All FHIR elements must have a @value or children
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children
security | Σ | 0..* | Coding | Information about TURVAKIELTO SHALL be handled in meta.security. Slice: Unordered, Open by value:system Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". ele-1: All FHIR elements must have a @value or children
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | left: Additional content defined by implementations; right: Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | S Σ C | 1..* | Identifier | left: An identifier for this patient; right: PIC (aka HETU). ele-1: All FHIR elements must have a @value or children ipa-pat-1: At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children
system | Σ | 0..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value | S Σ | 1..1 | string | The value that is unique within the system. ele-1: All FHIR elements must have a @value or children Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
active | ?!S Σ | 0..1 | boolean | Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
name | S Σ C | 0..* | HumanName | A name associated with the patient ele-1: All FHIR elements must have a @value or children ipa-pat-2: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. ipa-pat-3: To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present.
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual ele-1: All FHIR elements must have a @value or children
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
birthDate | S Σ | 0..1 | date | The date of birth for the individual ele-1: All FHIR elements must have a @value or children
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual ele-1: All FHIR elements must have a @value or children
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. ele-1: All FHIR elements must have a @value or children
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth ele-1: All FHIR elements must have a @value or children
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient ele-1: All FHIR elements must have a @value or children
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. ele-1: All FHIR elements must have a @value or children
name |  | 0..1 | HumanName | A name associated with the contact person ele-1: All FHIR elements must have a @value or children
telecom |  | 0..* | ContactPoint | A contact detail for the person ele-1: All FHIR elements must have a @value or children
address |  | 0..1 | Address | Address for the contact person ele-1: All FHIR elements must have a @value or children
gender |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
organization |  | 0..1 | Reference(Organization) | Organization that is associated with the contact ele-1: All FHIR elements must have a @value or children
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient ele-1: All FHIR elements must have a @value or children
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
preferred |  | 0..1 | boolean | Language preference indicator ele-1: All FHIR elements must have a @value or children
generalPractitioner |  | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider ele-1: All FHIR elements must have a @value or children
managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record ele-1: All FHIR elements must have a @value or children
link | ?!S Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. ele-1: All FHIR elements must have a @value or children
Documentation for this format