This page is part of the IHE Patient Demographics Query for Mobile (v3.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: PDQm Patient Profile

Overview

The PDQm Patient Profile establiashes the following base requirements:

• when any element in FHIR Core Patient are known, and when authorized to return the element, then all elements that are core to FHIR Patient SHOULD be returned
• forbids modifier extensions and implicit rules - so that all uses do not need to be concerned with changes to the meaning of the core elements of the Patient resource
• adds the patient-mothersMaidenName extension as an extension available to hold the mother’s maiden name

Use of Business Identifiers

To facilitate working with and matching resources across specifications and servers, Patient.identifier is REQUIRED. Including business identifiers in Patient.identifier is important for allowing the Patient resource to maintain identity outside of the context of the FHIR server on which it resides. This would be the case when the resource is copied to another server, saved to a file, migrated to a new FHIR server, etc.

Patient.identifier is typically populated with an identifier assigned by an assigning authority in the local patient identifier domain. Populating with identifiers issued by jurisdictional authorities, such as the patient’s national identifier, drivers license number, jurisdictional healthcare identifier, etc., is also typical when policy allows for those identifiers to be disclosed to the client system.

When no existing business identifier exists, the Patient Demographics Supplier might construct one in one of the following ways:

Option 1: Populate Patient.identifier.value with the full URL for the Patient resource as it would be accessed by the client when doing a READ request. In this case, the corresponding value for Patient.identifier.system SHALL be urn:ietf:rfc:3986.

Option 2: Populate Patient.identifier.value with a Universally Unique Identifier, including the urn:uuid: prefix. In this case, the corresponding value for Patient.identifier.system SHALL be urn:ietf:rfc:3986. The UUID SHOULD be persisted within the FHIR resource so that subsequent accesses return the same identifier, but it is not REQUIRED in environments where doing so is not possible.

Handling of Patient.link

When multiple Patient Resources are used to represent the same Patient, Patient.link SHALL be used to describe the relationship between the resources.

When returning Patient Resources, the Patient Demographics SHALL ensure that:

• No more that one Patient Resource referencing a Patient Identity contains active=true
• When returning multiple Patient Resources for the same Patient, Patient.link SHALL be used to describe the relationship between each Patient Resource
• When one Patient Resource has become subsumed by another, the subsumed Patient SHALL use Patient.link to point at the surviving Patinet Resource and Patient.link.type SHALL be replaced-by.

Patient Demographics Consumers SHOULD be able to traverse Patient.link and use Patient.active to determine if a given Patient is currently active in the system.

Usage:

• Use this Resource Profile: PDQm Match Output Bundle Profile and PDQm Query Patient Resource Response message
• Examples for this Resource Profile: Patient/ex-patient-mothers-maiden-name and Patient/ex-patient

Formal Views of Profile Content

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

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services iti-pdqm-linkstatus: If Patient.link is present, then Patient.active SHALL be present
implicitRules		0..0
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
modifierExtension		0..0
identifier		1..*	Identifier	An identifier for this patient
system		1..1	uri	Assigning Authority ID or other identifiation namespace
value		1..1	string	The value that is unique
active	SC	0..1	boolean	Whether this patient's record is in active use
name	SC	0..*	HumanName	A name associated with the patient iti-pdqm-patname: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present.
telecom	S	0..*	ContactPoint	A contact detail for the individual
birthDate	S	0..1	date	The date of birth for the individual
address	S	0..*	Address	An address for the individual
link	SC	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
type		1..1	code	replaced-by | replaces | refer | seealso
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
iti-pdqm-linkstatus	error	Patient	If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists()
iti-pdqm-patname	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services iti-pdqm-linkstatus: If Patient.link is present, then Patient.active SHALL be present
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
identifier	Σ	1..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Assigning Authority ID or other identifiation namespace Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
active	?!SΣC	0..1	boolean	Whether this patient's record is in active use
name	SΣC	0..*	HumanName	A name associated with the patient iti-pdqm-patname: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present.
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
link	?!SΣC	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
iti-pdqm-linkstatus	error	Patient	If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists()
iti-pdqm-patname	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services iti-pdqm-linkstatus: If Patient.link is present, then Patient.active SHALL be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
identifier	Σ	1..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Assigning Authority ID or other identifiation namespace Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!SΣC	0..1	boolean	Whether this patient's record is in active use
name	SΣC	0..*	HumanName	A name associated with the patient iti-pdqm-patname: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present.
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!SΣC	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
iti-pdqm-linkstatus	error	Patient	If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists()
iti-pdqm-patname	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from Patient

Summary

Mandatory: 3 elements
Must-Support: 6 elements
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services iti-pdqm-linkstatus: If Patient.link is present, then Patient.active SHALL be present
implicitRules		0..0
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
modifierExtension		0..0
identifier		1..*	Identifier	An identifier for this patient
system		1..1	uri	Assigning Authority ID or other identifiation namespace
value		1..1	string	The value that is unique
active	SC	0..1	boolean	Whether this patient's record is in active use
name	SC	0..*	HumanName	A name associated with the patient iti-pdqm-patname: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present.
telecom	S	0..*	ContactPoint	A contact detail for the individual
birthDate	S	0..1	date	The date of birth for the individual
address	S	0..*	Address	An address for the individual
link	SC	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
type		1..1	code	replaced-by | replaces | refer | seealso
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
iti-pdqm-linkstatus	error	Patient	If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists()
iti-pdqm-patname	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services iti-pdqm-linkstatus: If Patient.link is present, then Patient.active SHALL be present
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
identifier	Σ	1..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Assigning Authority ID or other identifiation namespace Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
active	?!SΣC	0..1	boolean	Whether this patient's record is in active use
name	SΣC	0..*	HumanName	A name associated with the patient iti-pdqm-patname: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present.
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
link	?!SΣC	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
iti-pdqm-linkstatus	error	Patient	If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists()
iti-pdqm-patname	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services iti-pdqm-linkstatus: If Patient.link is present, then Patient.active SHALL be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
MothersMaidenName		0..1	string	Mother's Maiden name URL: http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName
identifier	Σ	1..*	Identifier	An identifier for this patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Assigning Authority ID or other identifiation namespace Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!SΣC	0..1	boolean	Whether this patient's record is in active use
name	SΣC	0..*	HumanName	A name associated with the patient iti-pdqm-patname: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present.
telecom	SΣ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!SΣC	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
iti-pdqm-linkstatus	error	Patient	If Patient.link is present, then Patient.active SHALL be present : link.exists() implies active.exists()
iti-pdqm-patname	error	Patient.name	Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. : (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from Patient

Summary

Mandatory: 3 elements
Must-Support: 6 elements
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName

Other representations of profile: CSV, Excel, Schematron