Finnish Implementation Guide for SMART App Launch
2.0.0-rc3 - qa-preview

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## Resource Profile: FI SMART Patient

Official URL: https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-patient | Version: 2.0.0-rc3
Draft as of 2025-06-01 | Computable Name: FiSMARTPatient

This is the Finnish patient facing profile for the Patient resource.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

### 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..* | FiBasePatient | Information about an individual or animal receiving health care services This profile also imposes the profile IPA-Patient (1.1.0) 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
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
Slices for extension |  |  |  | Content/Rules for all slices
extension:municipality |  | 0..1 | Coding | The home municipality of the patient (not necessarily where they live). URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/municipality-code ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:interpreterRequired |  | 0..1 | boolean | Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:patientProfession |  | 0..1 | Coding | Patient Profession URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/patient-profession 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
Slices for identifier | S Σ C | 1..* | Identifier | PIC (aka HETU). Slice: Unordered, Open by value:use 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
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 . ele-1: All FHIR elements must have a @value or children
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
identifier:PIC | S Σ C | 0..1 | Identifier | An identifier for this patient 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
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: official
system | Σ | 0..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.246.21
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
active | ?!S Σ C | 0..1 | boolean | Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children ipa-pat-4: If Patient.link is present, then Patient.active SHALL be present
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.
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (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 |
link | ?!S Σ C | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
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(FI Base 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: LinkType (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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier:PIC.use | required | Pattern Value: official `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ipa-pat-1 | error | Patient.identifier, Patient.identifier:PIC | At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present : system.exists() or type.exists() or assigner.exists() |
ipa-pat-2 | error | Patient.name | 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. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
ipa-pat-3 | best practice | Patient.name | To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists() |
ipa-pat-4 | error | Patient.active | If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists() |

This structure is derived from FiBasePatient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | FiBasePatient | Information about an individual or animal receiving health care services This profile also imposes the profile IPA-Patient (1.1.0)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | FiBasePatient | Information about an individual or animal receiving health care services This profile also imposes the profile IPA-Patient (1.1.0)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Slices for security | Σ | 0..* | Coding | Information about TURVAKIELTO SHALL be handled in meta.security. Slice: Unordered, Open by value:system Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
security:turvakielto | Σ | 0..1 | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/fi-base-security-label-cs
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:municipality |  | 0..1 | Coding | The home municipality of the patient (not necessarily where they live). URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/municipality-code
extension:interpreterRequired |  | 0..1 | boolean | Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension:patientProfession |  | 0..1 | Coding | Patient Profession URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/patient-profession
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ C | 1..* | Identifier | PIC (aka HETU). Slice: Unordered, Open by value:use ipa-pat-1: At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present
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
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 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 | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:PIC | S Σ C | 0..1 | Identifier | An identifier for this patient ipa-pat-1: At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 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.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: NNFIN
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.246.21
value | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!S Σ C | 0..1 | boolean | Whether this patient's record is in active use ipa-pat-4: If Patient.link is present, then Patient.active SHALL be present
name | S Σ C | 0..* | HumanName | A name associated with the patient 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
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient 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 pat-1: SHALL at least contain a contact's details or a reference to an organization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom |  | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
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 |  | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(FI Base Organization | FI Base Practitioner | FI Base PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(FI Base Organization) | Organization that is the custodian of the patient record
link | ?!S Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(FI Base 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 | Conformance | ValueSet / Code | URI
Patient.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Patient.meta.security:turvakielto | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Patient.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
Patient.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Patient.identifier:PIC.use | required | Pattern Value: official `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier:PIC.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` From the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` From the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ipa-pat-1 | error | Patient.identifier, Patient.identifier:PIC | At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present : system.exists() or type.exists() or assigner.exists() |
ipa-pat-2 | error | Patient.name | 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. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
ipa-pat-3 | best practice | Patient.name | To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists() |
ipa-pat-4 | error | Patient.active | If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists() |
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 FiBasePatient

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | FiBasePatient | Information about an individual or animal receiving health care services This profile also imposes the profile IPA-Patient (1.1.0) 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
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
Slices for extension |  |  |  | Content/Rules for all slices
extension:municipality |  | 0..1 | Coding | The home municipality of the patient (not necessarily where they live). URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/municipality-code ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:interpreterRequired |  | 0..1 | boolean | Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:patientProfession |  | 0..1 | Coding | Patient Profession URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/patient-profession 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
Slices for identifier | S Σ C | 1..* | Identifier | PIC (aka HETU). Slice: Unordered, Open by value:use 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
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 . ele-1: All FHIR elements must have a @value or children
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
identifier:PIC | S Σ C | 0..1 | Identifier | An identifier for this patient 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
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: official
system | Σ | 0..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.246.21
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
active | ?!S Σ C | 0..1 | boolean | Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children ipa-pat-4: If Patient.link is present, then Patient.active SHALL be present
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.
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (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 |
link | ?!S Σ C | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
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(FI Base 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: LinkType (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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier:PIC.use | required | Pattern Value: official `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ipa-pat-1 | error | Patient.identifier, Patient.identifier:PIC | At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present : system.exists() or type.exists() or assigner.exists() |
ipa-pat-2 | error | Patient.name | 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. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
ipa-pat-3 | best practice | Patient.name | To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists() |
ipa-pat-4 | error | Patient.active | If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists() |

Differential View

This structure is derived from FiBasePatient

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | FiBasePatient | Information about an individual or animal receiving health care services This profile also imposes the profile IPA-Patient (1.1.0)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 0..* | FiBasePatient | Information about an individual or animal receiving health care services This profile also imposes the profile IPA-Patient (1.1.0)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Slices for security | Σ | 0..* | Coding | Information about TURVAKIELTO SHALL be handled in meta.security. Slice: Unordered, Open by value:system Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
security:turvakielto | Σ | 0..1 | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://hl7.fi/fhir/finnish-base-profiles/CodeSystem/fi-base-security-label-cs
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:municipality |  | 0..1 | Coding | The home municipality of the patient (not necessarily where they live). URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/municipality-code
extension:interpreterRequired |  | 0..1 | boolean | Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
extension:patientProfession |  | 0..1 | Coding | Patient Profession URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/patient-profession
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S Σ C | 1..* | Identifier | PIC (aka HETU). Slice: Unordered, Open by value:use ipa-pat-1: At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present
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
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 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 | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:PIC | S Σ C | 0..1 | Identifier | An identifier for this patient ipa-pat-1: At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 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.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: NNFIN
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.246.21
value | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!S Σ C | 0..1 | boolean | Whether this patient's record is in active use ipa-pat-4: If Patient.link is present, then Patient.active SHALL be present
name | S Σ C | 0..* | HumanName | A name associated with the patient 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
gender | S Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | S Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | Address | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient 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 pat-1: SHALL at least contain a contact's details or a reference to an organization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name |  | 0..1 | HumanName | A name associated with the contact person
telecom |  | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
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 |  | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(FI Base Organization | FI Base Practitioner | FI Base PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(FI Base Organization) | Organization that is the custodian of the patient record
link | ?!S Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(FI Base 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 | Conformance | ValueSet / Code | URI
Patient.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Patient.meta.security:turvakielto | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` From the FHIR Standard
Patient.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` From the FHIR Standard
Patient.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Patient.identifier:PIC.use | required | Pattern Value: official `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` From the FHIR Standard
Patient.identifier:PIC.type | extensible | Identifier Type Codes `http://hl7.org/fhir/ValueSet/identifier-type` From the FHIR Standard
Patient.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.maritalStatus | extensible | Marital Status Codes `http://hl7.org/fhir/ValueSet/marital-status` From the FHIR Standard
Patient.contact.relationship | extensible | PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` From the FHIR Standard
Patient.contact.gender | required | AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` From the FHIR Standard
Patient.communication.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Patient.link.type | required | LinkType `http://hl7.org/fhir/ValueSet/link-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ipa-pat-1 | error | Patient.identifier, Patient.identifier:PIC | At least one of Patient.identifier.system or Patient.identifier.type or Patient.identifier.assigner SHALL be present : system.exists() or type.exists() or assigner.exists() |
ipa-pat-2 | error | Patient.name | 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. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
ipa-pat-3 | best practice | Patient.name | To be usable for a wide range of internationally available applications, the Patient.name.text SHOULD be present. : text.exists() |
ipa-pat-4 | error | Patient.active | If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists() |
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 FiBasePatient

Summary

Other representations of profile: CSV, Excel, Schematron