New Zealand Rheumatic Fever FHIR Implementation Guide - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Rheumatic Fever Patient

NzPatient-based FHIR resource for representing rheumatic fever patients

Profiles a New Zealand patient with rheumatic fever (extends NzPatient resource)

Usage:

• Refer to this Resource Profile: Rheumatic Fever CarePlan and Rheumatic Fever Condition
• Examples for this Resource Profile: Patient/PaniaPunga, Patient/SageWestbrook and Patient/SageWestbrookAndWhanau

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 NzPatient

Name	Flags	Card.	Type	Description & Constraints
Patient			NzPatient
meta	C	0..1	Meta	Metadata about the resource RFNZTagConstraint: All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG)
implicitRules		0..0
language		0..0
name		1..1	HumanName	A name associated with the patient
contact
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
whanauMemberCareRole		0..1	Coding	Codifies role taken by a whanau member of patient's care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-role Binding: Rheumatic fever patient care team participant role codes (preferred)
whanauMemberCareRelationship		0..1	string	Relationship of whanau member to patient in care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-relationship
whanauMemberCarePrimary		0..1	boolean	Denotes if the member is to be used a primary contact URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-primary
link
other		1..1	Reference(Patient)	The other patient or related person resource that the link refers to
type		1..1	code	replaced-by | replaces | refer | seealso Required Pattern: seealso
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
RFNZTagConstraint	error	Patient.meta	All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG) : tag.code contains 'rf-nz'

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	NzPatient	Information about an individual or animal receiving health care services nz-pat-1: only a single official NHI
meta	ΣC	0..1	Meta	Metadata about the resource RFNZTagConstraint: All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG)
Slices for extension				Content/Rules for all slices
ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: Valid use values for NHI (required)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..1	HumanName	A name associated with the patient
Slices for extension				Content/Rules for all slices
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
Slices for extension				Content/Rules for all slices
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient)	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. Required Pattern: seealso
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:NHI.use	required	NHIUse https://nzhts.digital.health.nz/fhir/ValueSet/nhi-use-code
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.link.type	required	Pattern: seealso http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
RFNZTagConstraint	error	Patient.meta	All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG) : tag.code contains 'rf-nz'

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	NzPatient	Information about an individual or animal receiving health care services nz-pat-1: only a single official NHI
id	Σ	0..1	id	Logical id of this artifact
meta	ΣC	0..1	Meta	Metadata about the resource RFNZTagConstraint: All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG)
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
ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	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: Valid use values for NHI (required)
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	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value	Σ	0..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	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..1	HumanName	A name associated with the patient
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	C	0..*	NzContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.) cpt-2: A system is required if a value is provided.
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
genderOriginalText		0..1	string	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
value		0..1	string	Primitive value for code
birthDate	Σ	0..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	dateTime	Primitive value for dateTime
address		0..*	NzAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
whanauMemberCareRole		0..1	Coding	Codifies role taken by a whanau member of patient's care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-role Binding: Rheumatic fever patient care team participant role codes (preferred)
whanauMemberCareRelationship		0..1	string	Relationship of whanau member to patient in care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-relationship
whanauMemberCarePrimary		0..1	boolean	Denotes if the member is to be used a primary contact URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-primary
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	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient)	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. Required Pattern: seealso
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:NHI.use	required	NHIUse https://nzhts.digital.health.nz/fhir/ValueSet/nhi-use-code
Patient.identifier:NHI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.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	Pattern: seealso http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
RFNZTagConstraint	error	Patient.meta	All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG) : tag.code contains 'rf-nz'

This structure is derived from NzPatient

Summary

Mandatory: 1 element
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

• https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-role
• https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-relationship
• https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-primary

Differential View

This structure is derived from NzPatient

Name	Flags	Card.	Type	Description & Constraints
Patient			NzPatient
meta	C	0..1	Meta	Metadata about the resource RFNZTagConstraint: All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG)
implicitRules		0..0
language		0..0
name		1..1	HumanName	A name associated with the patient
contact
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
whanauMemberCareRole		0..1	Coding	Codifies role taken by a whanau member of patient's care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-role Binding: Rheumatic fever patient care team participant role codes (preferred)
whanauMemberCareRelationship		0..1	string	Relationship of whanau member to patient in care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-relationship
whanauMemberCarePrimary		0..1	boolean	Denotes if the member is to be used a primary contact URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-primary
link
other		1..1	Reference(Patient)	The other patient or related person resource that the link refers to
type		1..1	code	replaced-by | replaces | refer | seealso Required Pattern: seealso
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
RFNZTagConstraint	error	Patient.meta	All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG) : tag.code contains 'rf-nz'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	NzPatient	Information about an individual or animal receiving health care services nz-pat-1: only a single official NHI
meta	ΣC	0..1	Meta	Metadata about the resource RFNZTagConstraint: All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG)
Slices for extension				Content/Rules for all slices
ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	Identifier	An identifier for this patient
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: Valid use values for NHI (required)
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..1	HumanName	A name associated with the patient
Slices for extension				Content/Rules for all slices
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
Slices for extension				Content/Rules for all slices
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient)	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. Required Pattern: seealso
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:NHI.use	required	NHIUse https://nzhts.digital.health.nz/fhir/ValueSet/nhi-use-code
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.link.type	required	Pattern: seealso http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
RFNZTagConstraint	error	Patient.meta	All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG) : tag.code contains 'rf-nz'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	NzPatient	Information about an individual or animal receiving health care services nz-pat-1: only a single official NHI
id	Σ	0..1	id	Logical id of this artifact
meta	ΣC	0..1	Meta	Metadata about the resource RFNZTagConstraint: All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG)
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
ethnicity		0..*	CodeableConcept	NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred)
nzCitizen		0..1	(Complex)	Is this person a New Zealand citizen URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
dhb		0..1	CodeableConcept	District Health Board linked to a NZ Healthcare Service, Location or Patient URL: http://hl7.org.nz/fhir/StructureDefinition/dhb Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs
domicile-code		0..1	CodeableConcept	NZ Domicile Code URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code Binding: Domicile Code (preferred)
pho		0..1	CodeableConcept	Primary Healthcare Organisation URL: http://hl7.org.nz/fhir/StructureDefinition/pho Binding: PHO (extensible): NZ HPI-ORG Values for PHOs
sex-at-birth		0..1	CodeableConcept	Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required)
iwi		0..*	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred)
acc-patient-occupation		0..1	CodeableConcept	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation Binding: ACC Patient Occupation (example)
messaging-address		0..*	(Complex)	Messaging Address URL: http://hl7.org.nz/fhir/StructureDefinition/messaging-address
nz-residency		0..1	(Complex)	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/nz-residency
interpreter-required		0..1	boolean	Whether the patient needs an interpreter URL: http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:NHI	Σ	0..*	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: Valid use values for NHI (required)
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	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/nhi-id
value	Σ	0..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	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..1	HumanName	A name associated with the patient
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	C	0..*	NzContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.) cpt-2: A system is required if a value is provided.
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
genderOriginalText		0..1	string	Extension URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
value		0..1	string	Primitive value for code
birthDate	Σ	0..1	date	The date of birth for the individual
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	date	Primitive value for date
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
information-source		0..1	CodeableConcept	Information Source URL: http://hl7.org.nz/fhir/StructureDefinition/information-source Binding: Information Source (preferred)
value		0..1	dateTime	Primitive value for dateTime
address		0..*	NzAddress	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
whanauMemberCareRole		0..1	Coding	Codifies role taken by a whanau member of patient's care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-role Binding: Rheumatic fever patient care team participant role codes (preferred)
whanauMemberCareRelationship		0..1	string	Relationship of whanau member to patient in care team URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-relationship
whanauMemberCarePrimary		0..1	boolean	Denotes if the member is to be used a primary contact URL: https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-primary
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	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient)	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. Required Pattern: seealso
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:NHI.use	required	NHIUse https://nzhts.digital.health.nz/fhir/ValueSet/nhi-use-code
Patient.identifier:NHI.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.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	Pattern: seealso http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
RFNZTagConstraint	error	Patient.meta	All instances shall have an #rf-nz meta.tag (the NZ rheumatic fever generic code defined in this IG) : tag.code contains 'rf-nz'

This structure is derived from NzPatient

Summary

Mandatory: 1 element
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

• https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-role
• https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-relationship
• https://fhir-ig.digital.health.nz/rheumatic-fever/StructureDefinition/rf-patient-whanaumember-primary

Other representations of profile: CSV, Excel, Schematron