Resumen Digital de Atención en Salud (RDA)
0.7.2 - STU1 Colombia

Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: PatientRDA - Detailed Descriptions

Active as of 2025-12-29

Definitions for the PatientRDA resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Patient
Definition

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

ShortInformation about an individual or animal receiving health care services
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesSubjectOfCare Client Resident
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Patient.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.extension
Definition

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

ShortAdditional content defined by implementations
Comments

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

Control30..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Patient.extension:ExtensionPatientNationality
    Slice NameExtensionPatientNationality
    Definition

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

    ShortNacionalidad del paciente
    Comments

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

    Control1..*
    TypeExtension(Extension: Nationality) (Extension Type: Coding)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Patient.extension:ExtensionBirthPlace
    Slice NameExtensionBirthPlace
    Definition

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

    ShortLugar de nacimiento del paciente
    Comments

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

    Control0..1
    TypeExtension(Extension: BirthPlace) (Extension Type: Address)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Patient.extension:ExtensionPatientEthnicity
    Slice NameExtensionPatientEthnicity
    Definition

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

    ShortGrupo étnico del paciente
    Comments

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

    Control1..1
    TypeExtension(Extension: PatientEthnicity) (Extension Type: Coding)
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Patient.extension:ExtensionPatientEthnicCommunity
    Slice NameExtensionPatientEthnicCommunity
    Definition

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

    ShortComunidad étnica del paciente
    Comments

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

    Control0..1
    TypeExtension(Extension: PatientEthnicCommunity) (Extension Type: string)
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Patient.extension:ExtensionPatientDisability
    Slice NameExtensionPatientDisability
    Definition

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

    ShortClasificación general de la(s) discapacidad(es) del paciente
    Comments

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

    Control1..*
    TypeExtension(Extension: Disability) (Extension Type: Coding)
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Patient.extension:ExtensionPatientGenderIdentity
    Slice NameExtensionPatientGenderIdentity
    Definition

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

    ShortIdentidad de género del paciente
    Comments

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

    Control0..1
    TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Patient.modifierExtension
    Definition

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

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

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

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.


    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. Patient.identifier
    Definition

    Identificaciones de la persona que desempeña el rol de paciente


    An identifier for this patient.

    ShortIdentificadores de la personaAn identifier for this patient
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..*
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Requirements

    Patients are almost always assigned specific numerical identifiers.

    LabelIdentificación
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ id
    • 22. Patient.identifier:NationalPersonIdentifier
      Slice NameNationalPersonIdentifier
      Definition

      Identificación de la persona que desempeña el rol de paciente


      An identifier for this patient.

      ShortIdentificación del pacienteAn identifier for this patient
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Patients are almost always assigned specific numerical identifiers.

      LabelIdentificación nacional del paciente
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. Patient.identifier:NationalPersonIdentifier.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control10..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Pattern ValueNationalPersonIdentifier-0
      26. Patient.identifier:NationalPersonIdentifier.use
      Definition

      The purpose of this identifier.

      Shortusual | official | temp | secondary | old (If known)
      Comments

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control10..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Fixed Valueofficial
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Patient.identifier:NationalPersonIdentifier.type
      Definition

      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      ShortDescription of identifier
      Comments

      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Control10..1
      BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Requirements

      Allows users to make use of identifiers when the identifier system is not known.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Patient.identifier:NationalPersonIdentifier.type.coding
      Definition

      A reference to a code defined by a terminology system.

      ShortCode defined by a terminology system
      Comments

      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control20..2*
      TypeCoding
      Is Modifierfalse
      Summarytrue
      Requirements

      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ system
      • 32. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode
        Slice NameInternationalCode
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..1*
        BindingUnless not suitable, these codes SHALL be taken from For codes, see Identifier Type Codes
        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.system
        Definition

        Codificación internacional de identificaciones para personas


        The identification of the code system that defines the meaning of the symbol in the code.

        ShortSistema de codificación internacionalIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be unambiguous about the source of the definition of the symbol.

        Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.code
        Definition

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

        ShortSymbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        Fixed ValuePN
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.display
        Definition

        A representation of the meaning of the code in the system, following the rules of the system.

        ShortRepresentation defined by the system
        Control10..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

        Fixed ValuePerson number
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode
        Slice NameColombianCode
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..1*
        BindingThe codes SHALL be taken from For codes, see ValueSet: Colombian Person Identifier Codes
        (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        42. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.system
        Definition

        Codificación colombiana de identificaciones para personas


        The identification of the code system that defines the meaning of the symbol in the code.

        ShortSistema de codificación colombianoIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be unambiguous about the source of the definition of the symbol.

        LabelTipo identificación
        Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.code
        Definition

        Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud


        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

        ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SISymbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        LabelElemento: 2.1
        Alternate NamesTipo de documento de identificación
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.display
        Definition

        Representación del código definido por el sistema de identificaciones colombianas de personas


        A representation of the meaning of the code in the system, following the rules of the system.

        ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +Representation defined by the system
        Control10..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

        LabelElemento: 2.1
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Patient.identifier:NationalPersonIdentifier.system
        Definition

        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

        ShortThe namespace for the identifier value
        Comments

        Identifier.system is always case sensitive.

        Control0..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

        Pattern Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
        ExampleGeneral: http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. Patient.identifier:NationalPersonIdentifier.value
        Definition

        Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud


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

        ShortNúmero de documento de identificaciónThe value that is unique
        Comments

        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.


        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

        Control10..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        LabelElemento: 2.2
        Alternate NamesIdentificación del paciente
        ExampleGeneral: 123456
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. Patient.active
        Definition

        Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

        It is often used to filter patient lists to exclude inactive patients

        Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

        Shorttrue | falseWhether this patient's record is in active use
        Comments

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

        Control10..1
        Typeboolean
        Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        Need to be able to mark a patient record as not to be used because it was created in error.

        LabelActivo
        Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Patient.name
        Definition

        Nombre(s) de la persona que desempeña el rol de paciente


        A name associated with the individual.

        ShortNombre(s) del pacienteA name associated with the patient
        Comments

        A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

        Control10..1*
        TypeHumanName
        Is Modifierfalse
        Summarytrue
        Requirements

        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ use
        • 56. Patient.name:OfficialPatientName
          Slice NameOfficialPatientName
          Definition

          Nombre oficial (legal) de la persona que desempeña el rol de paciente


          A name associated with the individual.

          ShortNombre oficial del pacienteA name associated with the patient
          Comments

          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

          Control10..1*
          TypeHumanName
          Is Modifierfalse
          Summarytrue
          Requirements

          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

          LabelNombre del paciente
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. Patient.name:OfficialPatientName.use
          Definition

          Identifies the purpose for this name.

          Shortusual | official | temp | nickname | anonymous | old | maiden
          Comments

          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

          Control10..1
          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

          The use of a human name.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Allows the appropriate name for a particular context of use to be selected from among a set of names.

          Fixed Valueofficial
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. Patient.name:OfficialPatientName.family
          Definition

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

          ShortApellidos del pacienteFamily name (often called 'Surname')
          Comments

          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          LabelElementos: 3.1, 3.2
          Alternate Namessurname
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. Patient.name:OfficialPatientName.family.extension
          Definition

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


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

          ShortAdditional content defined by implementations
          Comments

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

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 64. Patient.name:OfficialPatientName.family.extension:FathersFamilyName
            Slice NameFathersFamilyName
            Definition

            Primer apellido de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

            ShortPrimer apellido
            Comments

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

            Control0..1
            TypeExtension(Extension: FathersFamilyName) (Extension Type: string)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            LabelElemento: 3.1
            Alternate NamesPrimer apellido del paciente, Primer apellido que aparece en el documento de identidad
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            66. Patient.name:OfficialPatientName.family.extension:MothersFamilyName
            Slice NameMothersFamilyName
            Definition

            Segundo apellido de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

            ShortSegundo apellido
            Comments

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

            Control0..1
            TypeExtension(Extension: MothersFamilyName) (Extension Type: string)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            LabelElemento: 3.2
            Alternate NamesSegundo apellido del paciente, Segundo apellido que aparece en el documento de identidad
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            68. Patient.name:OfficialPatientName.given
            Definition

            Primer y segundo nombre que aparecen en el documento de identidad de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud


            Given name.

            ShortPrimer y segundo nombre del pacienteGiven names (not always 'first'). Includes middle names
            Comments

            If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

            Control10..2*
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            LabelElementos: 3.3, 3.4
            Alternate Namesfirst name, middle name
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            70. Patient.name:PatientIdentifyingName
            Slice NamePatientIdentifyingName
            Definition

            Nombre identitario y/o de preferencia, libremente adoptado por la persona que desempeña el rol de paciente (puede ser utilizado como un alias).]


            A name associated with the individual.

            ShortNombre identitario o de preferencia del pacienteA name associated with the patient
            Comments

            El nombre con el cual se identifican es lo que se conoce como 'nombre identitario', pues todo gravita en la autodeterminación (T-363 de 2016)


            A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

            Control0..1*
            TypeHumanName
            Is Modifierfalse
            Summarytrue
            Requirements

            Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            72. Patient.name:PatientIdentifyingName.extension
            Definition

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

            ShortAdditional content defined by implementations
            Comments

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

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 74. Patient.name:PatientIdentifyingName.use
              Definition

              Identifies the purpose for this name.

              Shortusual | official | temp | nickname | anonymous | old | maiden
              Comments

              Applications can assume that a name is current unless it explicitly says that it is temporary or old.

              Control10..1
              BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
              (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

              The use of a human name.

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate name for a particular context of use to be selected from among a set of names.

              Fixed Valueusual
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              76. Patient.name:PatientIdentifyingName.text
              Definition

              Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

              ShortText representation of the full name
              Comments

              Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              A renderable, unencoded form.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              78. Patient.name:PatientIdentifyingName.family
              Definition

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

              ShortFamily name (often called 'Surname')
              Comments

              Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

              Control0..01
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate Namessurname
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              80. Patient.name:PatientIdentifyingName.given
              Definition

              Given name.

              ShortGiven names (not always 'first'). Includes middle names
              Comments

              If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

              Control0..0*
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate Namesfirst name, middle name
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. Patient.name:PatientIdentifyingName.prefix
              Definition

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

              ShortParts that come before the name
              Control0..0*
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. Patient.name:PatientIdentifyingName.suffix
              Definition

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

              ShortParts that come after the name
              Control0..0*
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. Patient.name:PatientIdentifyingName.period
              Definition

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

              ShortTime period when name was/is in use
              Control0..01
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows names to be placed in historical context.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. Patient.telecom
              Definition

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

              ShortA contact detail for the individual
              Comments

              A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

              Control0..0*
              TypeContactPoint
              Is Modifierfalse
              Summarytrue
              Requirements

              People have (primary) ways to contact them in some way such as phone, email.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              90. Patient.gender
              Definition

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

              Shortmale | female | other | unknown
              Comments

              The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

              Control0..1
              BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
              (required to http://hl7.org/fhir/ValueSet/administrative-gender)
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              Needed for identification of the individual, in combination with (at least) name and birth date.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. Patient.gender.extension
              Definition

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


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

              ShortAdditional content defined by implementations
              Comments

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

              Control10..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Patient.gender.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 94. Patient.gender.extension:ExtensionBiologicalGender
                Slice NameExtensionBiologicalGender
                Definition

                Sexo biológico del paciente, de acuerdo con la terminología de SISPRO

                ShortHombre | Mujer | Indeterminado o Intersexual
                Comments

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

                Control1..1
                TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                LabelElemento: 5
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                96. Patient.birthDate
                Definition

                Fecha de nacimiento de la persona que desempeña el rol de paciente o usuario del sistema de salud


                The date of birth for the individual.

                ShortFecha de nacimiento (AAAA-MM-DD)The date of birth for the individual
                Comments

                At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

                Control10..1
                Typedate
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Age of the individual drives many clinical processes.

                LabelElemento: 4.1
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                LOINC Code21112-8
                98. Patient.birthDate.extension
                Definition

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


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

                ShortAdditional content defined by implementations
                Comments

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

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Patient.birthDate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 100. Patient.birthDate.extension:ExtensionBirthTime
                  Slice NameExtensionBirthTime
                  Definition

                  Hora de nacimiento de la persona que desempeña el rol de paciente o usuario del sistema de salud

                  ShortHora de nacimiento (HH:MM:SS)
                  Comments

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

                  Control0..1
                  TypeExtension(Extension: ExtensionBirthTime) (Extension Type: time)
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  LabelElemento: 4.2
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  102. Patient.deceased[x]
                  Definition

                  Indicates if the individual is deceased or not.

                  ShortIndicates if the individual is deceased or not
                  Comments

                  If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                  Control0..1
                  TypeChoice of: boolean, dateTime
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  104. Patient.address
                  Definition

                  Residencia de la persona que desempeña el rol de paciente o usuario del sistema de salud


                  An address for the individual.

                  ShortDirección de residencia del pacienteAn address for the individual
                  Comments

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

                  Control10..*
                  TypeAddress
                  Is Modifierfalse
                  Summarytrue
                  Requirements

                  May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                  LabelDirección
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ id
                  • 106. Patient.address:HomeAddress
                    Slice NameHomeAddress
                    Definition

                    Residencia de la persona que desempeña el rol de paciente o usuario del sistema de salud


                    An address for the individual.

                    ShortDirección de residencia del pacienteAn address for the individual
                    Comments

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

                    Control10..1*
                    TypeAddress
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                    LabelDirección
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    108. Patient.address:HomeAddress.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control10..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Pattern ValueHomeAddress-0
                    110. Patient.address:HomeAddress.extension
                    Definition

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

                    ShortAdditional content defined by implementations
                    Comments

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

                    Control10..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 112. Patient.address:HomeAddress.extension:ExtensionResidenceZone
                      Slice NameExtensionResidenceZone
                      Definition

                      Zona territorial de residencia

                      ShortUrbana | Rural
                      Comments

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

                      Control1..1
                      TypeExtension(Extension: ResidenceZone) (Extension Type: Coding)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      LabelElemento: 14
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      114. Patient.address:HomeAddress.use
                      Definition

                      The purpose of this address.

                      Shorthome | work | temp | old | billing - purpose of this address
                      Comments

                      Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                      Control10..1
                      BindingThe codes SHALL be taken from AddressUsehttp://hl7.org/fhir/ValueSet/address-use|4.0.1
                      (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                      The use of an address.

                      Typecode
                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Allows an appropriate address to be chosen from a list of many.

                      Fixed Valuehome
                      ExampleGeneral: home
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      116. Patient.address:HomeAddress.type
                      Definition

                      Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                      Shortpostal | physical | both
                      Comments

                      The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                      Control10..1
                      BindingThe codes SHALL be taken from AddressTypehttp://hl7.org/fhir/ValueSet/address-type|4.0.1
                      (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                      The type of an address (physical / postal).

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Fixed Valuephysical
                      ExampleGeneral: both
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      118. Patient.address:HomeAddress.text
                      Definition

                      Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                      ShortText representation of the address
                      Comments

                      Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                      Control0..01
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      A renderable, unencoded form.

                      ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      120. Patient.address:HomeAddress.line
                      Definition

                      This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                      ShortStreet name, number, direction & P.O. Box etc.
                      Control0..0*
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      ExampleGeneral: 137 Nowhere Street
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      122. Patient.address:HomeAddress.city
                      Definition

                      Nombre del municipio de residencia habitual


                      The name of the city, town, suburb, village or other community or delivery center.

                      ShortMunicipioName of city, town etc.
                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      LabelElemento: 12.2
                      Alternate NamesMunicpality
                      ExampleGeneral: Erewhon
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      124. Patient.address:HomeAddress.city.extension
                      Definition

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


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

                      ShortAdditional content defined by implementations
                      Comments

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

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Patient.address.city.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 126. Patient.address:HomeAddress.city.extension:ExtensionDivipolaMunicipality
                        Slice NameExtensionDivipolaMunicipality
                        Definition

                        Código del municipio de residencia habitual (DIVIPOLA)

                        ShortCódigo del municipio de residencia habitual
                        Comments

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

                        Control0..1
                        TypeExtension(Extension: DivipolaMunicipality) (Extension Type: Coding)
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        LabelElemento: 12.1
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        128. Patient.address:HomeAddress.district
                        Definition

                        The name of the administrative area (county).

                        ShortDistrict name (aka county)
                        Comments

                        District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                        Control0..01
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Alternate NamesCounty
                        ExampleGeneral: Madison
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        130. Patient.address:HomeAddress.state
                        Definition

                        Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                        ShortSub-unit of country (abbreviations ok)
                        Control0..01
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Alternate NamesProvince, Territory
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        132. Patient.address:HomeAddress.postalCode
                        Definition

                        A postal code designating a region defined by the postal service.

                        ShortPostal code for area
                        Control0..01
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Alternate NamesZip
                        ExampleGeneral: 9132
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        134. Patient.address:HomeAddress.country
                        Definition

                        Nombre País de residencia habitual


                        Country - a nation as commonly understood or generally accepted.

                        ShortPaísCountry (e.g. can be ISO 3166 2 or 3 letter code)
                        Comments

                        ISO 3166 3 letter codes can be used in place of a human readable country name.

                        Control10..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        LabelElemento: 11.2
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        136. Patient.address:HomeAddress.country.extension
                        Definition

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


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

                        ShortAdditional content defined by implementations
                        Comments

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

                        Control10..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Patient.address.country.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 138. Patient.address:HomeAddress.country.extension:ExtensionCountryCode
                          Slice NameExtensionCountryCode
                          Definition

                          Código del país de residencia habitual (ISO 3166-1N)

                          ShortCódigo País de residencia habitual
                          Comments

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

                          Control1..1
                          TypeExtension(Extension: Country Code) (Extension Type: Coding)
                          Is Modifierfalse
                          Must Supporttrue
                          Summaryfalse
                          LabelElemento: 11.1
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          140. Patient.maritalStatus
                          Definition

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

                          ShortMarital (civil) status of a patient
                          Control0..01
                          BindingUnless not suitable, these codes SHALL be taken from Marital Status Codeshttp://hl7.org/fhir/ValueSet/marital-status
                          (extensible to http://hl7.org/fhir/ValueSet/marital-status)

                          The domestic partnership status of a person.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Summaryfalse
                          Requirements

                          Most, if not all systems capture it.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          142. Patient.multipleBirth[x]
                          Definition

                          Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                          ShortWhether patient is part of a multiple birth
                          Comments

                          Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                          Control0..01
                          TypeChoice of: boolean, integer
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Requirements

                          For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on Patient.multipleBirth[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • type @ $this
                          • 144. Patient.multipleBirth[x]:multipleBirthBoolean
                            Slice NamemultipleBirthBoolean
                            Definition

                            Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                            ShortWhether patient is part of a multiple birth
                            Comments

                            Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                            Control0..01
                            Typeboolean, integer
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            Requirements

                            For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            146. Patient.multipleBirth[x]:multipleBirthInteger
                            Slice NamemultipleBirthInteger
                            Definition

                            Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                            ShortWhether patient is part of a multiple birth
                            Comments

                            Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                            Control0..01
                            Typeinteger, boolean
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            Requirements

                            For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            148. Patient.photo
                            Definition

                            Image of the patient.

                            ShortImage of the patient
                            Comments

                            Guidelines:

                            • Use id photos, not clinical photos.
                            • Limit dimensions to thumbnail.
                            • Keep byte count low to ease resource updates.
                            Control0..0*
                            TypeAttachment
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            150. Patient.contact
                            Definition

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

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

                            Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

                            Control0..0*
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            Need to track people you can contact about the patient.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            pat-1: 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())
                            153. Patient.communication
                            Definition

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

                            ShortA language which may be used to communicate with the patient about his or her health
                            Comments

                            If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                            Control0..0*
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            157. Patient.generalPractitioner
                            Definition

                            Patient's nominated care provider.

                            ShortPatient's nominated primary care provider
                            Comments

                            This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                            Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                            Control0..0*
                            TypeReference(Organization, Practitioner, PractitionerRole)
                            Is Modifierfalse
                            Summaryfalse
                            Alternate NamescareProvider
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            159. Patient.managingOrganization
                            Definition

                            Entidad Administradora de Planes de Beneficios en Salud (EAPBS) a la que está afiliado el paciente


                            Organization that is the custodian of the patient record.

                            ShortEntidad Administradora de Planes de Beneficios en Salud (EAPBS)Organization that is the custodian of the patient record
                            Comments

                            There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

                            Control0..1
                            TypeReference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA, Organization)
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to know who recognizes this patient record, manages and updates it.

                            LabelElementos: 15.1, 15.2
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            161. Patient.link
                            Definition

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

                            ShortLink to another patient resource that concerns the same actual person
                            Comments

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

                            Control0..0*
                            TypeBackboneElement
                            Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                            Summarytrue
                            Requirements

                            There are multiple use cases:

                            • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                            • Distribution of patient information across multiple servers.
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                            Guidance on how to interpret the contents of this table can be foundhere

                            0. Patient
                            2. Patient.meta
                            4. Patient.meta.profile
                            Control1..?
                            Fixed Valuehttps://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA
                            6. Patient.extension
                            Control3..?
                            SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 8. Patient.extension:ExtensionPatientNationality
                              Slice NameExtensionPatientNationality
                              ShortNacionalidad del paciente
                              Control1..*
                              TypeExtension(Extension: Nationality) (Extension Type: Coding)
                              Must Supporttrue
                              10. Patient.extension:ExtensionBirthPlace
                              Slice NameExtensionBirthPlace
                              ShortLugar de nacimiento del paciente
                              Control0..1
                              TypeExtension(Extension: BirthPlace) (Extension Type: Address)
                              Must Supporttrue
                              12. Patient.extension:ExtensionPatientEthnicity
                              Slice NameExtensionPatientEthnicity
                              ShortGrupo étnico del paciente
                              Control1..1
                              TypeExtension(Extension: PatientEthnicity) (Extension Type: Coding)
                              14. Patient.extension:ExtensionPatientEthnicCommunity
                              Slice NameExtensionPatientEthnicCommunity
                              ShortComunidad étnica del paciente
                              Control0..1
                              TypeExtension(Extension: PatientEthnicCommunity) (Extension Type: string)
                              16. Patient.extension:ExtensionPatientDisability
                              Slice NameExtensionPatientDisability
                              ShortClasificación general de la(s) discapacidad(es) del paciente
                              Control1..*
                              TypeExtension(Extension: Disability) (Extension Type: Coding)
                              18. Patient.extension:ExtensionPatientGenderIdentity
                              Slice NameExtensionPatientGenderIdentity
                              ShortIdentidad de género del paciente
                              Control0..1
                              TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
                              20. Patient.identifier
                              Definition

                              Identificaciones de la persona que desempeña el rol de paciente

                              ShortIdentificadores de la persona
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control1..?
                              LabelIdentificación
                              SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ id
                              • 22. Patient.identifier:NationalPersonIdentifier
                                Slice NameNationalPersonIdentifier
                                Definition

                                Identificación de la persona que desempeña el rol de paciente

                                ShortIdentificación del paciente
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                Must Supporttrue
                                LabelIdentificación nacional del paciente
                                24. Patient.identifier:NationalPersonIdentifier.id
                                Control1..?
                                Pattern ValueNationalPersonIdentifier-0
                                26. Patient.identifier:NationalPersonIdentifier.use
                                Control1..?
                                Fixed Valueofficial
                                28. Patient.identifier:NationalPersonIdentifier.type
                                Control1..?
                                30. Patient.identifier:NationalPersonIdentifier.type.coding
                                Control2..2
                                SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ system
                                • 32. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode
                                  Slice NameInternationalCode
                                  Control1..1
                                  BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
                                  34. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.system
                                  Definition

                                  Codificación internacional de identificaciones para personas

                                  ShortSistema de codificación internacional
                                  Control1..?
                                  Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                  36. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.code
                                  Control1..?
                                  Fixed ValuePN
                                  38. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.display
                                  Control1..?
                                  Fixed ValuePerson number
                                  40. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode
                                  Slice NameColombianCode
                                  Control1..1
                                  BindingThe codes SHALL be taken from ValueSet: Colombian Person Identifier Codes
                                  (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
                                  42. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.system
                                  Definition

                                  Codificación colombiana de identificaciones para personas

                                  ShortSistema de codificación colombiano
                                  Control1..?
                                  LabelTipo identificación
                                  Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
                                  44. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.code
                                  Definition

                                  Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                  ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                  Control1..?
                                  Must Supporttrue
                                  LabelElemento: 2.1
                                  Alternate NamesTipo de documento de identificación
                                  46. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.display
                                  Definition

                                  Representación del código definido por el sistema de identificaciones colombianas de personas

                                  ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                  Control1..?
                                  LabelElemento: 2.1
                                  48. Patient.identifier:NationalPersonIdentifier.system
                                  Pattern Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
                                  50. Patient.identifier:NationalPersonIdentifier.value
                                  Definition

                                  Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                  ShortNúmero de documento de identificación
                                  Control1..?
                                  Must Supporttrue
                                  LabelElemento: 2.2
                                  Alternate NamesIdentificación del paciente
                                  52. Patient.active
                                  Shorttrue | false
                                  Control1..?
                                  Must Supporttrue
                                  LabelActivo
                                  54. Patient.name
                                  Definition

                                  Nombre(s) de la persona que desempeña el rol de paciente

                                  ShortNombre(s) del paciente
                                  Control1..1
                                  SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ use
                                  • 56. Patient.name:OfficialPatientName
                                    Slice NameOfficialPatientName
                                    Definition

                                    Nombre oficial (legal) de la persona que desempeña el rol de paciente

                                    ShortNombre oficial del paciente
                                    Control1..1
                                    LabelNombre del paciente
                                    58. Patient.name:OfficialPatientName.use
                                    Control1..?
                                    Fixed Valueofficial
                                    60. Patient.name:OfficialPatientName.family
                                    ShortApellidos del paciente
                                    Control1..?
                                    Must Supporttrue
                                    LabelElementos: 3.1, 3.2
                                    62. Patient.name:OfficialPatientName.family.extension
                                    SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 64. Patient.name:OfficialPatientName.family.extension:FathersFamilyName
                                      Slice NameFathersFamilyName
                                      Definition

                                      Primer apellido de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                      ShortPrimer apellido
                                      Control0..1
                                      TypeExtension(Extension: FathersFamilyName) (Extension Type: string)
                                      Must Supporttrue
                                      LabelElemento: 3.1
                                      Alternate NamesPrimer apellido del paciente, Primer apellido que aparece en el documento de identidad
                                      66. Patient.name:OfficialPatientName.family.extension:MothersFamilyName
                                      Slice NameMothersFamilyName
                                      Definition

                                      Segundo apellido de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                      ShortSegundo apellido
                                      Control0..1
                                      TypeExtension(Extension: MothersFamilyName) (Extension Type: string)
                                      Must Supporttrue
                                      LabelElemento: 3.2
                                      Alternate NamesSegundo apellido del paciente, Segundo apellido que aparece en el documento de identidad
                                      68. Patient.name:OfficialPatientName.given
                                      Definition

                                      Primer y segundo nombre que aparecen en el documento de identidad de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                      ShortPrimer y segundo nombre del paciente
                                      Control1..2
                                      Must Supporttrue
                                      LabelElementos: 3.3, 3.4
                                      70. Patient.name:PatientIdentifyingName
                                      Slice NamePatientIdentifyingName
                                      Definition

                                      Nombre identitario y/o de preferencia, libremente adoptado por la persona que desempeña el rol de paciente (puede ser utilizado como un alias).]

                                      ShortNombre identitario o de preferencia del paciente
                                      Comments

                                      El nombre con el cual se identifican es lo que se conoce como 'nombre identitario', pues todo gravita en la autodeterminación (T-363 de 2016)

                                      Control0..1
                                      72. Patient.name:PatientIdentifyingName.extension
                                      Control0..0
                                      74. Patient.name:PatientIdentifyingName.use
                                      Control1..?
                                      Fixed Valueusual
                                      76. Patient.name:PatientIdentifyingName.text
                                      Control1..?
                                      78. Patient.name:PatientIdentifyingName.family
                                      Control0..0
                                      80. Patient.name:PatientIdentifyingName.given
                                      Control0..0
                                      82. Patient.name:PatientIdentifyingName.prefix
                                      Control0..0
                                      84. Patient.name:PatientIdentifyingName.suffix
                                      Control0..0
                                      86. Patient.name:PatientIdentifyingName.period
                                      Control0..0
                                      88. Patient.telecom
                                      Control0..0
                                      90. Patient.gender
                                      BindingThe codes SHALL be taken from AdministrativeGender
                                      (required to http://hl7.org/fhir/ValueSet/administrative-gender)
                                      Must Supporttrue
                                      92. Patient.gender.extension
                                      Control1..?
                                      SlicingThis element introduces a set of slices on Patient.gender.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 94. Patient.gender.extension:ExtensionBiologicalGender
                                        Slice NameExtensionBiologicalGender
                                        Definition

                                        Sexo biológico del paciente, de acuerdo con la terminología de SISPRO

                                        ShortHombre | Mujer | Indeterminado o Intersexual
                                        Control1..1
                                        TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
                                        Must Supporttrue
                                        LabelElemento: 5
                                        96. Patient.birthDate
                                        Definition

                                        Fecha de nacimiento de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                        ShortFecha de nacimiento (AAAA-MM-DD)
                                        Control1..?
                                        Must Supporttrue
                                        LabelElemento: 4.1
                                        98. Patient.birthDate.extension
                                        SlicingThis element introduces a set of slices on Patient.birthDate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 100. Patient.birthDate.extension:ExtensionBirthTime
                                          Slice NameExtensionBirthTime
                                          Definition

                                          Hora de nacimiento de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                          ShortHora de nacimiento (HH:MM:SS)
                                          Control0..1
                                          TypeExtension(Extension: ExtensionBirthTime) (Extension Type: time)
                                          Must Supporttrue
                                          LabelElemento: 4.2
                                          102. Patient.address
                                          Definition

                                          Residencia de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                          ShortDirección de residencia del paciente
                                          Control1..?
                                          LabelDirección
                                          SlicingThis element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ id
                                          • 104. Patient.address:HomeAddress
                                            Slice NameHomeAddress
                                            Control1..1
                                            106. Patient.address:HomeAddress.id
                                            Control1..?
                                            Pattern ValueHomeAddress-0
                                            108. Patient.address:HomeAddress.extension
                                            Control1..?
                                            110. Patient.address:HomeAddress.extension:ExtensionResidenceZone
                                            Slice NameExtensionResidenceZone
                                            Definition

                                            Zona territorial de residencia

                                            ShortUrbana | Rural
                                            Control1..1
                                            TypeExtension(Extension: ResidenceZone) (Extension Type: Coding)
                                            Must Supporttrue
                                            LabelElemento: 14
                                            112. Patient.address:HomeAddress.use
                                            Control1..?
                                            Fixed Valuehome
                                            114. Patient.address:HomeAddress.type
                                            Control1..?
                                            Fixed Valuephysical
                                            116. Patient.address:HomeAddress.text
                                            Control0..0
                                            118. Patient.address:HomeAddress.line
                                            Control0..0
                                            120. Patient.address:HomeAddress.city
                                            Definition

                                            Nombre del municipio de residencia habitual

                                            ShortMunicipio
                                            Control1..?
                                            Must Supporttrue
                                            LabelElemento: 12.2
                                            122. Patient.address:HomeAddress.city.extension
                                            SlicingThis element introduces a set of slices on Patient.address.city.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 124. Patient.address:HomeAddress.city.extension:ExtensionDivipolaMunicipality
                                              Slice NameExtensionDivipolaMunicipality
                                              Definition

                                              Código del municipio de residencia habitual (DIVIPOLA)

                                              ShortCódigo del municipio de residencia habitual
                                              Control0..1
                                              TypeExtension(Extension: DivipolaMunicipality) (Extension Type: Coding)
                                              Must Supporttrue
                                              LabelElemento: 12.1
                                              126. Patient.address:HomeAddress.district
                                              Control0..0
                                              128. Patient.address:HomeAddress.state
                                              Control0..0
                                              130. Patient.address:HomeAddress.postalCode
                                              Control0..0
                                              132. Patient.address:HomeAddress.country
                                              Definition

                                              Nombre País de residencia habitual

                                              ShortPaís
                                              Control1..?
                                              Must Supporttrue
                                              LabelElemento: 11.2
                                              134. Patient.address:HomeAddress.country.extension
                                              Control1..?
                                              SlicingThis element introduces a set of slices on Patient.address.country.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 136. Patient.address:HomeAddress.country.extension:ExtensionCountryCode
                                                Slice NameExtensionCountryCode
                                                Definition

                                                Código del país de residencia habitual (ISO 3166-1N)

                                                ShortCódigo País de residencia habitual
                                                Control1..1
                                                TypeExtension(Extension: Country Code) (Extension Type: Coding)
                                                Must Supporttrue
                                                LabelElemento: 11.1
                                                138. Patient.maritalStatus
                                                Control0..0
                                                140. Patient.multipleBirth[x]
                                                Control0..0
                                                SlicingThis element introduces a set of slices on Patient.multipleBirth[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • type @ $this
                                                • 142. Patient.multipleBirth[x]:multipleBirthBoolean
                                                  Slice NamemultipleBirthBoolean
                                                  Control0..0
                                                  Typeboolean
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  144. Patient.multipleBirth[x]:multipleBirthInteger
                                                  Slice NamemultipleBirthInteger
                                                  Control0..0
                                                  Typeinteger
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  146. Patient.photo
                                                  Control0..0
                                                  148. Patient.contact
                                                  Control0..0
                                                  150. Patient.communication
                                                  Control0..0
                                                  152. Patient.generalPractitioner
                                                  Control0..0
                                                  154. Patient.managingOrganization
                                                  Definition

                                                  Entidad Administradora de Planes de Beneficios en Salud (EAPBS) a la que está afiliado el paciente

                                                  ShortEntidad Administradora de Planes de Beneficios en Salud (EAPBS)
                                                  TypeReference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA)
                                                  Must Supporttrue
                                                  LabelElementos: 15.1, 15.2
                                                  156. Patient.link
                                                  Control0..0

                                                  Guidance on how to interpret the contents of this table can be foundhere

                                                  0. Patient
                                                  Definition

                                                  Demographics and other administrative information about an individual or animal receiving care or other health-related services.

                                                  ShortInformation about an individual or animal receiving health care services
                                                  Control0..*
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate NamesSubjectOfCare Client Resident
                                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                  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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                  2. Patient.id
                                                  Definition

                                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                  ShortLogical id of this artifact
                                                  Comments

                                                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  4. Patient.meta
                                                  Definition

                                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                  ShortMetadata about the resource
                                                  Control0..1
                                                  TypeMeta
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  6. Patient.meta.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  8. Patient.meta.extension
                                                  Definition

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

                                                  ShortAdditional content defined by implementations
                                                  Comments

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

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Patient.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 10. Patient.meta.versionId
                                                    Definition

                                                    The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

                                                    ShortVersion specific identifier
                                                    Comments

                                                    The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

                                                    Control0..1
                                                    Typeid
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    12. Patient.meta.lastUpdated
                                                    Definition

                                                    When the resource last changed - e.g. when the version changed.

                                                    ShortWhen the resource version last changed
                                                    Comments

                                                    This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

                                                    Control0..1
                                                    Typeinstant
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    14. Patient.meta.source
                                                    Definition

                                                    A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

                                                    ShortIdentifies where the resource comes from
                                                    Comments

                                                    In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

                                                    This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

                                                    Control0..1
                                                    Typeuri
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    16. Patient.meta.profile
                                                    Definition

                                                    A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

                                                    ShortProfiles this resource claims to conform to
                                                    Comments

                                                    It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

                                                    Control1..*
                                                    Typecanonical(StructureDefinition)
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Fixed Valuehttps://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    18. Patient.meta.security
                                                    Definition

                                                    Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

                                                    ShortSecurity Labels applied to this resource
                                                    Comments

                                                    The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                    Control0..*
                                                    BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                                    (extensible to http://hl7.org/fhir/ValueSet/security-labels)

                                                    Security Labels from the Healthcare Privacy and Security Classification System.

                                                    TypeCoding
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    20. Patient.meta.tag
                                                    Definition

                                                    Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

                                                    ShortTags applied to this resource
                                                    Comments

                                                    The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

                                                    Control0..*
                                                    BindingFor example codes, see CommonTags
                                                    (example to http://hl7.org/fhir/ValueSet/common-tags)

                                                    Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

                                                    TypeCoding
                                                    Is Modifierfalse
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    22. Patient.implicitRules
                                                    Definition

                                                    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                    ShortA set of rules under which this content was created
                                                    Comments

                                                    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                    Control0..1
                                                    Typeuri
                                                    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    24. Patient.language
                                                    Definition

                                                    The base language in which the resource is written.

                                                    ShortLanguage of the resource content
                                                    Comments

                                                    Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                    Control0..1
                                                    BindingThe codes SHOULD be taken from CommonLanguages
                                                    (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                    A human language.

                                                    Additional BindingsPurpose
                                                    AllLanguagesMax Binding
                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    26. Patient.text
                                                    Definition

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

                                                    ShortText summary of the resource, for human interpretation
                                                    Comments

                                                    Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                    Control0..1
                                                    TypeNarrative
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesnarrative, html, xhtml, display
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    28. Patient.contained
                                                    Definition

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

                                                    ShortContained, inline Resources
                                                    Comments

                                                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                    Control0..*
                                                    TypeResource
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesinline resources, anonymous resources, contained resources
                                                    30. Patient.extension
                                                    Definition

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

                                                    ShortAdditional content defined by implementations
                                                    Comments

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

                                                    Control3..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesextensions, user content
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 32. Patient.extension:ExtensionPatientNationality
                                                      Slice NameExtensionPatientNationality
                                                      Definition

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

                                                      ShortNacionalidad del paciente
                                                      Comments

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

                                                      Control1..*
                                                      TypeExtension(Extension: Nationality) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      34. Patient.extension:ExtensionBirthPlace
                                                      Slice NameExtensionBirthPlace
                                                      Definition

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

                                                      ShortLugar de nacimiento del paciente
                                                      Comments

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

                                                      Control0..1
                                                      TypeExtension(Extension: BirthPlace) (Extension Type: Address)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      36. Patient.extension:ExtensionPatientEthnicity
                                                      Slice NameExtensionPatientEthnicity
                                                      Definition

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

                                                      ShortGrupo étnico del paciente
                                                      Comments

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

                                                      Control1..1
                                                      TypeExtension(Extension: PatientEthnicity) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      38. Patient.extension:ExtensionPatientEthnicCommunity
                                                      Slice NameExtensionPatientEthnicCommunity
                                                      Definition

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

                                                      ShortComunidad étnica del paciente
                                                      Comments

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

                                                      Control0..1
                                                      TypeExtension(Extension: PatientEthnicCommunity) (Extension Type: string)
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      40. Patient.extension:ExtensionPatientDisability
                                                      Slice NameExtensionPatientDisability
                                                      Definition

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

                                                      ShortClasificación general de la(s) discapacidad(es) del paciente
                                                      Comments

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

                                                      Control1..*
                                                      TypeExtension(Extension: Disability) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      42. Patient.extension:ExtensionPatientGenderIdentity
                                                      Slice NameExtensionPatientGenderIdentity
                                                      Definition

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

                                                      ShortIdentidad de género del paciente
                                                      Comments

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

                                                      Control0..1
                                                      TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      44. Patient.modifierExtension
                                                      Definition

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

                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                      ShortExtensions that cannot be ignored
                                                      Comments

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

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                      Summaryfalse
                                                      Requirements

                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      46. Patient.identifier
                                                      Definition

                                                      Identificaciones de la persona que desempeña el rol de paciente

                                                      ShortIdentificadores de la persona
                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                      Control1..*
                                                      TypeIdentifier
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Requirements

                                                      Patients are almost always assigned specific numerical identifiers.

                                                      LabelIdentificación
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ id
                                                      • 48. Patient.identifier:NationalPersonIdentifier
                                                        Slice NameNationalPersonIdentifier
                                                        Definition

                                                        Identificación de la persona que desempeña el rol de paciente

                                                        ShortIdentificación del paciente
                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..1
                                                        TypeIdentifier
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Patients are almost always assigned specific numerical identifiers.

                                                        LabelIdentificación nacional del paciente
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        50. Patient.identifier:NationalPersonIdentifier.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control1..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        Pattern ValueNationalPersonIdentifier-0
                                                        52. Patient.identifier:NationalPersonIdentifier.extension
                                                        Definition

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

                                                        ShortAdditional content defined by implementations
                                                        Comments

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

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 54. Patient.identifier:NationalPersonIdentifier.use
                                                          Definition

                                                          The purpose of this identifier.

                                                          Shortusual | official | temp | secondary | old (If known)
                                                          Comments

                                                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                                                          Control1..1
                                                          BindingThe codes SHALL be taken from IdentifierUse
                                                          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                                          Identifies the purpose for this identifier, if known .

                                                          Typecode
                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                          Fixed Valueofficial
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          56. Patient.identifier:NationalPersonIdentifier.type
                                                          Definition

                                                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                          ShortDescription of identifier
                                                          Comments

                                                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                          Control1..1
                                                          BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                                                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

                                                          Allows users to make use of identifiers when the identifier system is not known.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          58. Patient.identifier:NationalPersonIdentifier.type.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          60. Patient.identifier:NationalPersonIdentifier.type.extension
                                                          Definition

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

                                                          ShortAdditional content defined by implementations
                                                          Comments

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

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesextensions, user content
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 62. Patient.identifier:NationalPersonIdentifier.type.coding
                                                            Definition

                                                            A reference to a code defined by a terminology system.

                                                            ShortCode defined by a terminology system
                                                            Comments

                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                            Control2..2
                                                            TypeCoding
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Requirements

                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            SlicingThis element introduces a set of slices on Patient.identifier.type.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ system
                                                            • 64. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode
                                                              Slice NameInternationalCode
                                                              Definition

                                                              A reference to a code defined by a terminology system.

                                                              ShortCode defined by a terminology system
                                                              Comments

                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                              Control1..1
                                                              BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                                              (extensible to http://hl7.org/fhir/ValueSet/identifier-type)
                                                              TypeCoding
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Requirements

                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              66. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              68. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.extension
                                                              Definition

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

                                                              ShortAdditional content defined by implementations
                                                              Comments

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

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 70. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.system
                                                                Definition

                                                                Codificación internacional de identificaciones para personas

                                                                ShortSistema de codificación internacional
                                                                Comments

                                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                Control1..1
                                                                Typeuri
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to be unambiguous about the source of the definition of the symbol.

                                                                Fixed Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                72. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.version
                                                                Definition

                                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                ShortVersion of the system - if relevant
                                                                Comments

                                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                74. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.code
                                                                Definition

                                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                ShortSymbol in syntax defined by the system
                                                                Control1..1
                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to refer to a particular code in the system.

                                                                Fixed ValuePN
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                76. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.display
                                                                Definition

                                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                                ShortRepresentation defined by the system
                                                                Control1..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                Fixed ValuePerson number
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                78. Patient.identifier:NationalPersonIdentifier.type.coding:InternationalCode.userSelected
                                                                Definition

                                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                ShortIf this coding was chosen directly by the user
                                                                Comments

                                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                Control0..1
                                                                Typeboolean
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                80. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode
                                                                Slice NameColombianCode
                                                                Definition

                                                                A reference to a code defined by a terminology system.

                                                                ShortCode defined by a terminology system
                                                                Comments

                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                Control1..1
                                                                BindingThe codes SHALL be taken from ValueSet: Colombian Person Identifier Codes
                                                                (required to https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes)
                                                                TypeCoding
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Requirements

                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                82. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                84. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.extension
                                                                Definition

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

                                                                ShortAdditional content defined by implementations
                                                                Comments

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

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 86. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.system
                                                                  Definition

                                                                  Codificación colombiana de identificaciones para personas

                                                                  ShortSistema de codificación colombiano
                                                                  Comments

                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                  Control1..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                  LabelTipo identificación
                                                                  Fixed Valuehttps://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  88. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.version
                                                                  Definition

                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                  ShortVersion of the system - if relevant
                                                                  Comments

                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  90. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.code
                                                                  Definition

                                                                  Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                  ShortCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
                                                                  Control1..1
                                                                  Typecode
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to refer to a particular code in the system.

                                                                  LabelElemento: 2.1
                                                                  Alternate NamesTipo de documento de identificación
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  92. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.display
                                                                  Definition

                                                                  Representación del código definido por el sistema de identificaciones colombianas de personas

                                                                  ShortCédula de ciudadanía | Tarjeta de identidad | Registro civil +
                                                                  Control1..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                  LabelElemento: 2.1
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  94. Patient.identifier:NationalPersonIdentifier.type.coding:ColombianCode.userSelected
                                                                  Definition

                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                  ShortIf this coding was chosen directly by the user
                                                                  Comments

                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                  Control0..1
                                                                  Typeboolean
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  96. Patient.identifier:NationalPersonIdentifier.type.text
                                                                  Definition

                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                  ShortPlain text representation of the concept
                                                                  Comments

                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  98. Patient.identifier:NationalPersonIdentifier.system
                                                                  Definition

                                                                  Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                                                  ShortThe namespace for the identifier value
                                                                  Comments

                                                                  Identifier.system is always case sensitive.

                                                                  Control0..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                  Pattern Valuehttps://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
                                                                  ExampleGeneral: http://www.acme.com/identifiers/patient
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  100. Patient.identifier:NationalPersonIdentifier.value
                                                                  Definition

                                                                  Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                  ShortNúmero de documento de identificación
                                                                  Comments

                                                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                  Control1..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summarytrue
                                                                  LabelElemento: 2.2
                                                                  Alternate NamesIdentificación del paciente
                                                                  ExampleGeneral: 123456
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  102. Patient.identifier:NationalPersonIdentifier.period
                                                                  Definition

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

                                                                  ShortTime period when id is/was valid for use
                                                                  Control0..1
                                                                  TypePeriod
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  104. Patient.identifier:NationalPersonIdentifier.assigner
                                                                  Definition

                                                                  Organization that issued/manages the identifier.

                                                                  ShortOrganization that issued id (may be just text)
                                                                  Comments

                                                                  The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                  Control0..1
                                                                  TypeReference(Organization)
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  106. Patient.active
                                                                  Definition

                                                                  Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                                                                  It is often used to filter patient lists to exclude inactive patients

                                                                  Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                                                                  Shorttrue | false
                                                                  Comments

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

                                                                  Control1..1
                                                                  Typeboolean
                                                                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be able to mark a patient record as not to be used because it was created in error.

                                                                  LabelActivo
                                                                  Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  108. Patient.name
                                                                  Definition

                                                                  Nombre(s) de la persona que desempeña el rol de paciente

                                                                  ShortNombre(s) del paciente
                                                                  Comments

                                                                  A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                  Control1..1
                                                                  TypeHumanName
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Requirements

                                                                  Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ use
                                                                  • 110. Patient.name:OfficialPatientName
                                                                    Slice NameOfficialPatientName
                                                                    Definition

                                                                    Nombre oficial (legal) de la persona que desempeña el rol de paciente

                                                                    ShortNombre oficial del paciente
                                                                    Comments

                                                                    A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                    Control1..1
                                                                    TypeHumanName
                                                                    Is Modifierfalse
                                                                    Summarytrue
                                                                    Requirements

                                                                    Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                    LabelNombre del paciente
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    112. Patient.name:OfficialPatientName.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    114. Patient.name:OfficialPatientName.extension
                                                                    Definition

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

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

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

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 116. Patient.name:OfficialPatientName.use
                                                                      Definition

                                                                      Identifies the purpose for this name.

                                                                      Shortusual | official | temp | nickname | anonymous | old | maiden
                                                                      Comments

                                                                      Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                                                      Control1..1
                                                                      BindingThe codes SHALL be taken from NameUse
                                                                      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                      The use of a human name.

                                                                      Typecode
                                                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                      Fixed Valueofficial
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      118. Patient.name:OfficialPatientName.text
                                                                      Definition

                                                                      Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                      ShortText representation of the full name
                                                                      Comments

                                                                      Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      A renderable, unencoded form.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      120. Patient.name:OfficialPatientName.family
                                                                      Definition

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

                                                                      ShortApellidos del paciente
                                                                      Comments

                                                                      Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      LabelElementos: 3.1, 3.2
                                                                      Alternate Namessurname
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      122. Patient.name:OfficialPatientName.family.id
                                                                      Definition

                                                                      unique id for the element within a resource (for internal references)

                                                                      Shortxml:id (or equivalent in JSON)
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      124. Patient.name:OfficialPatientName.family.extension
                                                                      Definition

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

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

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

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Alternate Namesextensions, user content
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 126. Patient.name:OfficialPatientName.family.extension:FathersFamilyName
                                                                        Slice NameFathersFamilyName
                                                                        Definition

                                                                        Primer apellido de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                        ShortPrimer apellido
                                                                        Comments

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

                                                                        Control0..1
                                                                        TypeExtension(Extension: FathersFamilyName) (Extension Type: string)
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Summaryfalse
                                                                        LabelElemento: 3.1
                                                                        Alternate NamesPrimer apellido del paciente, Primer apellido que aparece en el documento de identidad
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        128. Patient.name:OfficialPatientName.family.extension:MothersFamilyName
                                                                        Slice NameMothersFamilyName
                                                                        Definition

                                                                        Segundo apellido de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                        ShortSegundo apellido
                                                                        Comments

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

                                                                        Control0..1
                                                                        TypeExtension(Extension: MothersFamilyName) (Extension Type: string)
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Summaryfalse
                                                                        LabelElemento: 3.2
                                                                        Alternate NamesSegundo apellido del paciente, Segundo apellido que aparece en el documento de identidad
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        130. Patient.name:OfficialPatientName.family.value
                                                                        Definition

                                                                        The actual value

                                                                        ShortPrimitive value for string
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        Max Length:1048576
                                                                        132. Patient.name:OfficialPatientName.given
                                                                        Definition

                                                                        Primer y segundo nombre que aparecen en el documento de identidad de la persona de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                        ShortPrimer y segundo nombre del paciente
                                                                        Comments

                                                                        If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                        Control1..2
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supporttrue
                                                                        Summarytrue
                                                                        LabelElementos: 3.3, 3.4
                                                                        Alternate Namesfirst name, middle name
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        134. Patient.name:OfficialPatientName.prefix
                                                                        Definition

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

                                                                        ShortParts that come before the name
                                                                        Control0..*
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        136. Patient.name:OfficialPatientName.suffix
                                                                        Definition

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

                                                                        ShortParts that come after the name
                                                                        Control0..*
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        138. Patient.name:OfficialPatientName.period
                                                                        Definition

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

                                                                        ShortTime period when name was/is in use
                                                                        Control0..1
                                                                        TypePeriod
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Requirements

                                                                        Allows names to be placed in historical context.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        140. Patient.name:PatientIdentifyingName
                                                                        Slice NamePatientIdentifyingName
                                                                        Definition

                                                                        Nombre identitario y/o de preferencia, libremente adoptado por la persona que desempeña el rol de paciente (puede ser utilizado como un alias).]

                                                                        ShortNombre identitario o de preferencia del paciente
                                                                        Comments

                                                                        El nombre con el cual se identifican es lo que se conoce como 'nombre identitario', pues todo gravita en la autodeterminación (T-363 de 2016)

                                                                        Control0..1
                                                                        TypeHumanName
                                                                        Is Modifierfalse
                                                                        Summarytrue
                                                                        Requirements

                                                                        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        142. Patient.name:PatientIdentifyingName.id
                                                                        Definition

                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        144. Patient.name:PatientIdentifyingName.extension
                                                                        Definition

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

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

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

                                                                        Control0..0
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 146. Patient.name:PatientIdentifyingName.use
                                                                          Definition

                                                                          Identifies the purpose for this name.

                                                                          Shortusual | official | temp | nickname | anonymous | old | maiden
                                                                          Comments

                                                                          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                                                          Control1..1
                                                                          BindingThe codes SHALL be taken from NameUse
                                                                          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                          The use of a human name.

                                                                          Typecode
                                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

                                                                          Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                          Fixed Valueusual
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          148. Patient.name:PatientIdentifyingName.text
                                                                          Definition

                                                                          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                          ShortText representation of the full name
                                                                          Comments

                                                                          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                          Control1..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

                                                                          A renderable, unencoded form.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          150. Patient.name:PatientIdentifyingName.family
                                                                          Definition

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

                                                                          ShortFamily name (often called 'Surname')
                                                                          Comments

                                                                          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Alternate Namessurname
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          152. Patient.name:PatientIdentifyingName.given
                                                                          Definition

                                                                          Given name.

                                                                          ShortGiven names (not always 'first'). Includes middle names
                                                                          Comments

                                                                          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Alternate Namesfirst name, middle name
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          154. Patient.name:PatientIdentifyingName.prefix
                                                                          Definition

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

                                                                          ShortParts that come before the name
                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          156. Patient.name:PatientIdentifyingName.suffix
                                                                          Definition

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

                                                                          ShortParts that come after the name
                                                                          Control0..0
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          158. Patient.name:PatientIdentifyingName.period
                                                                          Definition

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

                                                                          ShortTime period when name was/is in use
                                                                          Control0..0
                                                                          TypePeriod
                                                                          Is Modifierfalse
                                                                          Summarytrue
                                                                          Requirements

                                                                          Allows names to be placed in historical context.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          160. Patient.telecom
                                                                          Definition

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

                                                                          ShortA contact detail for the individual
                                                                          Comments

                                                                          A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                          Control0..0
                                                                          TypeContactPoint
                                                                          Is Modifierfalse
                                                                          Summarytrue
                                                                          Requirements

                                                                          People have (primary) ways to contact them in some way such as phone, email.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          162. Patient.gender
                                                                          Definition

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

                                                                          Shortmale | female | other | unknown
                                                                          Comments

                                                                          The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                                                          Control0..1
                                                                          BindingThe codes SHALL be taken from AdministrativeGender
                                                                          (required to http://hl7.org/fhir/ValueSet/administrative-gender)
                                                                          Typecode
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Must Supporttrue
                                                                          Summarytrue
                                                                          Requirements

                                                                          Needed for identification of the individual, in combination with (at least) name and birth date.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          164. Patient.gender.id
                                                                          Definition

                                                                          unique id for the element within a resource (for internal references)

                                                                          Shortxml:id (or equivalent in JSON)
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          166. Patient.gender.extension
                                                                          Definition

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

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

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

                                                                          Control1..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Patient.gender.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 168. Patient.gender.extension:ExtensionBiologicalGender
                                                                            Slice NameExtensionBiologicalGender
                                                                            Definition

                                                                            Sexo biológico del paciente, de acuerdo con la terminología de SISPRO

                                                                            ShortHombre | Mujer | Indeterminado o Intersexual
                                                                            Comments

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

                                                                            Control1..1
                                                                            TypeExtension(Extension: GenderIdentity) (Extension Type: Coding)
                                                                            Is Modifierfalse
                                                                            Must Supporttrue
                                                                            Summaryfalse
                                                                            LabelElemento: 5
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            170. Patient.gender.value
                                                                            Definition

                                                                            Primitive value for code

                                                                            ShortPrimitive value for code
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            172. Patient.birthDate
                                                                            Definition

                                                                            Fecha de nacimiento de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                            ShortFecha de nacimiento (AAAA-MM-DD)
                                                                            Comments

                                                                            At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

                                                                            Control1..1
                                                                            Typedate
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            Age of the individual drives many clinical processes.

                                                                            LabelElemento: 4.1
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            LOINC Code21112-8
                                                                            174. Patient.birthDate.id
                                                                            Definition

                                                                            unique id for the element within a resource (for internal references)

                                                                            Shortxml:id (or equivalent in JSON)
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            176. Patient.birthDate.extension
                                                                            Definition

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

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

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

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Patient.birthDate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 178. Patient.birthDate.extension:ExtensionBirthTime
                                                                              Slice NameExtensionBirthTime
                                                                              Definition

                                                                              Hora de nacimiento de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                              ShortHora de nacimiento (HH:MM:SS)
                                                                              Comments

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

                                                                              Control0..1
                                                                              TypeExtension(Extension: ExtensionBirthTime) (Extension Type: time)
                                                                              Is Modifierfalse
                                                                              Must Supporttrue
                                                                              Summaryfalse
                                                                              LabelElemento: 4.2
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              180. Patient.birthDate.value
                                                                              Definition

                                                                              The actual value

                                                                              ShortPrimitive value for date
                                                                              Control0..1
                                                                              Typedate
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              182. Patient.deceased[x]
                                                                              Definition

                                                                              Indicates if the individual is deceased or not.

                                                                              ShortIndicates if the individual is deceased or not
                                                                              Comments

                                                                              If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                                                              Control0..1
                                                                              TypeChoice of: boolean, dateTime
                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                              Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              184. Patient.address
                                                                              Definition

                                                                              Residencia de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                              ShortDirección de residencia del paciente
                                                                              Comments

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

                                                                              Control1..*
                                                                              TypeAddress
                                                                              Is Modifierfalse
                                                                              Summarytrue
                                                                              Requirements

                                                                              May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                              LabelDirección
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              SlicingThis element introduces a set of slices on Patient.address. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ id
                                                                              • 186. Patient.address:HomeAddress
                                                                                Slice NameHomeAddress
                                                                                Definition

                                                                                Residencia de la persona que desempeña el rol de paciente o usuario del sistema de salud

                                                                                ShortDirección de residencia del paciente
                                                                                Comments

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

                                                                                Control1..1
                                                                                TypeAddress
                                                                                Is Modifierfalse
                                                                                Summarytrue
                                                                                Requirements

                                                                                May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                LabelDirección
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                188. Patient.address:HomeAddress.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control1..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                Pattern ValueHomeAddress-0
                                                                                190. Patient.address:HomeAddress.extension
                                                                                Definition

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

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

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

                                                                                Control1..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Patient.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 192. Patient.address:HomeAddress.extension:ExtensionResidenceZone
                                                                                  Slice NameExtensionResidenceZone
                                                                                  Definition

                                                                                  Zona territorial de residencia

                                                                                  ShortUrbana | Rural
                                                                                  Comments

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

                                                                                  Control1..1
                                                                                  TypeExtension(Extension: ResidenceZone) (Extension Type: Coding)
                                                                                  Is Modifierfalse
                                                                                  Must Supporttrue
                                                                                  Summaryfalse
                                                                                  LabelElemento: 14
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  194. Patient.address:HomeAddress.use
                                                                                  Definition

                                                                                  The purpose of this address.

                                                                                  Shorthome | work | temp | old | billing - purpose of this address
                                                                                  Comments

                                                                                  Applications can assume that an address is current unless it explicitly says that it is temporary or old.

                                                                                  Control1..1
                                                                                  BindingThe codes SHALL be taken from AddressUse
                                                                                  (required to http://hl7.org/fhir/ValueSet/address-use|4.0.1)

                                                                                  The use of an address.

                                                                                  Typecode
                                                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Allows an appropriate address to be chosen from a list of many.

                                                                                  Fixed Valuehome
                                                                                  ExampleGeneral: home
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  196. Patient.address:HomeAddress.type
                                                                                  Definition

                                                                                  Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

                                                                                  Shortpostal | physical | both
                                                                                  Comments

                                                                                  The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                                                                  Control1..1
                                                                                  BindingThe codes SHALL be taken from AddressType
                                                                                  (required to http://hl7.org/fhir/ValueSet/address-type|4.0.1)

                                                                                  The type of an address (physical / postal).

                                                                                  Typecode
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Fixed Valuephysical
                                                                                  ExampleGeneral: both
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  198. Patient.address:HomeAddress.text
                                                                                  Definition

                                                                                  Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

                                                                                  ShortText representation of the address
                                                                                  Comments

                                                                                  Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                  Control0..0
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  A renderable, unencoded form.

                                                                                  ExampleGeneral: 137 Nowhere Street, Erewhon 9132
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  200. Patient.address:HomeAddress.line
                                                                                  Definition

                                                                                  This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

                                                                                  ShortStreet name, number, direction & P.O. Box etc.
                                                                                  Control0..0
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  ExampleGeneral: 137 Nowhere Street
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  202. Patient.address:HomeAddress.city
                                                                                  Definition

                                                                                  Nombre del municipio de residencia habitual

                                                                                  ShortMunicipio
                                                                                  Control1..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  LabelElemento: 12.2
                                                                                  Alternate NamesMunicpality
                                                                                  ExampleGeneral: Erewhon
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  204. Patient.address:HomeAddress.city.id
                                                                                  Definition

                                                                                  unique id for the element within a resource (for internal references)

                                                                                  Shortxml:id (or equivalent in JSON)
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  206. Patient.address:HomeAddress.city.extension
                                                                                  Definition

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

                                                                                  ShortAdditional content defined by implementations
                                                                                  Comments

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

                                                                                  Control0..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Alternate Namesextensions, user content
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Patient.address.city.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • 208. Patient.address:HomeAddress.city.extension:ExtensionDivipolaMunicipality
                                                                                    Slice NameExtensionDivipolaMunicipality
                                                                                    Definition

                                                                                    Código del municipio de residencia habitual (DIVIPOLA)

                                                                                    ShortCódigo del municipio de residencia habitual
                                                                                    Comments

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

                                                                                    Control0..1
                                                                                    TypeExtension(Extension: DivipolaMunicipality) (Extension Type: Coding)
                                                                                    Is Modifierfalse
                                                                                    Must Supporttrue
                                                                                    Summaryfalse
                                                                                    LabelElemento: 12.1
                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    210. Patient.address:HomeAddress.city.value
                                                                                    Definition

                                                                                    The actual value

                                                                                    ShortPrimitive value for string
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    Max Length:1048576
                                                                                    212. Patient.address:HomeAddress.district
                                                                                    Definition

                                                                                    The name of the administrative area (county).

                                                                                    ShortDistrict name (aka county)
                                                                                    Comments

                                                                                    District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

                                                                                    Control0..0
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Alternate NamesCounty
                                                                                    ExampleGeneral: Madison
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    214. Patient.address:HomeAddress.state
                                                                                    Definition

                                                                                    Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

                                                                                    ShortSub-unit of country (abbreviations ok)
                                                                                    Control0..0
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Alternate NamesProvince, Territory
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    216. Patient.address:HomeAddress.postalCode
                                                                                    Definition

                                                                                    A postal code designating a region defined by the postal service.

                                                                                    ShortPostal code for area
                                                                                    Control0..0
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Alternate NamesZip
                                                                                    ExampleGeneral: 9132
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    218. Patient.address:HomeAddress.country
                                                                                    Definition

                                                                                    Nombre País de residencia habitual

                                                                                    ShortPaís
                                                                                    Comments

                                                                                    ISO 3166 3 letter codes can be used in place of a human readable country name.

                                                                                    Control1..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Must Supporttrue
                                                                                    Summarytrue
                                                                                    LabelElemento: 11.2
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    220. Patient.address:HomeAddress.country.id
                                                                                    Definition

                                                                                    unique id for the element within a resource (for internal references)

                                                                                    Shortxml:id (or equivalent in JSON)
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    222. Patient.address:HomeAddress.country.extension
                                                                                    Definition

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

                                                                                    ShortAdditional content defined by implementations
                                                                                    Comments

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

                                                                                    Control1..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    SlicingThis element introduces a set of slices on Patient.address.country.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 224. Patient.address:HomeAddress.country.extension:ExtensionCountryCode
                                                                                      Slice NameExtensionCountryCode
                                                                                      Definition

                                                                                      Código del país de residencia habitual (ISO 3166-1N)

                                                                                      ShortCódigo País de residencia habitual
                                                                                      Comments

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

                                                                                      Control1..1
                                                                                      TypeExtension(Extension: Country Code) (Extension Type: Coding)
                                                                                      Is Modifierfalse
                                                                                      Must Supporttrue
                                                                                      Summaryfalse
                                                                                      LabelElemento: 11.1
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      226. Patient.address:HomeAddress.country.value
                                                                                      Definition

                                                                                      The actual value

                                                                                      ShortPrimitive value for string
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      Max Length:1048576
                                                                                      228. Patient.address:HomeAddress.period
                                                                                      Definition

                                                                                      Time period when address was/is in use.

                                                                                      ShortTime period when address was/is in use
                                                                                      Control0..1
                                                                                      TypePeriod
                                                                                      Is Modifierfalse
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Allows addresses to be placed in historical context.

                                                                                      ExampleGeneral: { "start" : "2010-03-23", "end" : "2010-07-01" }
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      230. Patient.maritalStatus
                                                                                      Definition

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

                                                                                      ShortMarital (civil) status of a patient
                                                                                      Control0..0
                                                                                      BindingUnless not suitable, these codes SHALL be taken from Marital Status Codes
                                                                                      (extensible to http://hl7.org/fhir/ValueSet/marital-status)

                                                                                      The domestic partnership status of a person.

                                                                                      TypeCodeableConcept
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Most, if not all systems capture it.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      232. Patient.multipleBirth[x]
                                                                                      Definition

                                                                                      Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                                                                      ShortWhether patient is part of a multiple birth
                                                                                      Comments

                                                                                      Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                                                                                      Control0..0
                                                                                      TypeChoice of: boolean, integer
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      SlicingThis element introduces a set of slices on Patient.multipleBirth[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • type @ $this
                                                                                      • 234. Patient.multipleBirth[x]:multipleBirthBoolean
                                                                                        Slice NamemultipleBirthBoolean
                                                                                        Definition

                                                                                        Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                                                                        ShortWhether patient is part of a multiple birth
                                                                                        Comments

                                                                                        Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                                                                                        Control0..0
                                                                                        Typeboolean
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        236. Patient.multipleBirth[x]:multipleBirthInteger
                                                                                        Slice NamemultipleBirthInteger
                                                                                        Definition

                                                                                        Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                                                                        ShortWhether patient is part of a multiple birth
                                                                                        Comments

                                                                                        Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                                                                                        Control0..0
                                                                                        Typeinteger
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        238. Patient.photo
                                                                                        Definition

                                                                                        Image of the patient.

                                                                                        ShortImage of the patient
                                                                                        Comments

                                                                                        Guidelines:

                                                                                        • Use id photos, not clinical photos.
                                                                                        • Limit dimensions to thumbnail.
                                                                                        • Keep byte count low to ease resource updates.
                                                                                        Control0..0
                                                                                        TypeAttachment
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        240. Patient.contact
                                                                                        Definition

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

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

                                                                                        Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

                                                                                        Control0..0
                                                                                        TypeBackboneElement
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        Need to track people you can contact about the patient.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        pat-1: 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())
                                                                                        252. Patient.communication
                                                                                        Definition

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

                                                                                        ShortA language which may be used to communicate with the patient about his or her health
                                                                                        Comments

                                                                                        If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                                                                                        Control0..0
                                                                                        TypeBackboneElement
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        259. Patient.generalPractitioner
                                                                                        Definition

                                                                                        Patient's nominated care provider.

                                                                                        ShortPatient's nominated primary care provider
                                                                                        Comments

                                                                                        This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                                                                                        Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                                                                                        Control0..0
                                                                                        TypeReference(Organization, Practitioner, PractitionerRole)
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Alternate NamescareProvider
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        261. Patient.managingOrganization
                                                                                        Definition

                                                                                        Entidad Administradora de Planes de Beneficios en Salud (EAPBS) a la que está afiliado el paciente

                                                                                        ShortEntidad Administradora de Planes de Beneficios en Salud (EAPBS)
                                                                                        Comments

                                                                                        There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

                                                                                        Control0..1
                                                                                        TypeReference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA)
                                                                                        Is Modifierfalse
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to know who recognizes this patient record, manages and updates it.

                                                                                        LabelElementos: 15.1, 15.2
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        263. Patient.link
                                                                                        Definition

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

                                                                                        ShortLink to another patient resource that concerns the same actual person
                                                                                        Comments

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

                                                                                        Control0..0
                                                                                        TypeBackboneElement
                                                                                        Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        There are multiple use cases:

                                                                                        • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                                                                        • Distribution of patient information across multiple servers.
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))