This profile builds upon the US Core Patient profile. It is used to convey information about the patient who received the services described on the claim.

---

Patient

Definition	The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.
Control	0..*
Summary	False
Alternate Names	SubjectOfCare Client Resident

Patient.id

Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Control	0..1
Summary	True
Type	http://hl7.org/fhirpath/System.String

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.
Control	1..1
Summary	True
Type	Meta

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.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

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.
Control	0..1
Summary	True
Type	id

Patient.meta.lastUpdated

Definition	When the resource last changed - e.g. when the version changed.
Control	1..1
Summary	True
Type	instant

Patient.meta.source

Definition	A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) 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.
Control	0..1
Summary	True
Type	uri

Patient.meta.profile

Definition	A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
Control	1..*
Summary	True
Type	canonical

Patient.meta.security

Definition	Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Control	0..*
Summary	True
Type	Coding

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.
Control	0..*
Summary	True
Type	Coding

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.
Control	0..1
Summary	True
Type	uri

Patient.language

Definition	The base language in which the resource is written.
Control	0..1
Summary	False
Type	code

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.
Control	0..1
Summary	False
Alternate Names	narrative, html, xhtml, display
Type	Narrative

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.
Control	0..*
Summary	False
Alternate Names	inline resources, anonymous resources, contained resources
Type	Resource

Patient.extension

Definition	An Extension
Control	0..*
Summary	False
Type	Extension

Patient.extension:race

Definition	Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.
Control	0..1
Summary
Type	Extension

Patient.extension:ethnicity

Definition	Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.
Control	0..1
Summary
Type	Extension

Patient.extension:birthsex

Definition	A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).
Control	0..1
Summary
Type	Extension

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).
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.identifier

Definition	An identifier for this patient.
Control	1..*
Summary	True
Type	Identifier

Patient.identifier.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.identifier.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.identifier.use

Definition	The purpose of this identifier.
Control	0..1
Summary	True
Type	code

Patient.identifier.type

Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Control	0..1
Summary	True
Type	CodeableConcept

Patient.identifier.system

Definition	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Control	1..1
Summary	True
Type	uri

Patient.identifier.value

Definition	The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Control	1..1
Summary	True
Type	string

Patient.identifier.period

Definition	Time period during which identifier is/was valid for use.
Control	0..1
Summary	True
Type	Period

Patient.identifier.assigner

Definition	Organization that issued/manages the identifier.
Control	0..1
Summary	True
Type	Reference

Patient.identifier:memberid

Definition	An identifier for this patient.
Control	1..*
Summary	True
Type	Identifier

Patient.identifier:memberid.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.identifier:memberid.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.identifier:memberid.use

Definition	The purpose of this identifier.
Control	0..1
Summary	True
Type	code

Patient.identifier:memberid.type

Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Control	1..1
Summary	True
Type	CodeableConcept

Patient.identifier:memberid.system

Definition	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Control	1..1
Summary	True
Type	uri

Patient.identifier:memberid.value

Definition	The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Control	1..1
Summary	True
Type	string

Patient.identifier:memberid.period

Definition	Time period during which identifier is/was valid for use.
Control	0..1
Summary	True
Type	Period

Patient.identifier:memberid.assigner

Definition	Organization that issued/manages the identifier.
Control	0..1
Summary	True
Type	Reference

Patient.identifier:uniquememberid

Definition	An identifier for this patient.
Control	0..*
Summary	True
Type	Identifier

Patient.identifier:uniquememberid.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.identifier:uniquememberid.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.identifier:uniquememberid.use

Definition	The purpose of this identifier.
Control	0..1
Summary	True
Type	code

Patient.identifier:uniquememberid.type

Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Control	1..1
Summary	True
Type	CodeableConcept

Patient.identifier:uniquememberid.system

Definition	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Control	1..1
Summary	True
Type	uri

Patient.identifier:uniquememberid.value

Definition	The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Control	1..1
Summary	True
Type	string

Patient.identifier:uniquememberid.period

Definition	Time period during which identifier is/was valid for use.
Control	0..1
Summary	True
Type	Period

Patient.identifier:uniquememberid.assigner

Definition	Organization that issued/manages the identifier.
Control	0..1
Summary	True
Type	Reference

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.
Control	0..1
Summary	True
Type	boolean

Patient.name

Definition	A name associated with the individual.
Control	1..*
Summary	True
Type	HumanName

Patient.name.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.name.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.name.use

Definition	Identifies the purpose for this name.
Control	0..1
Summary	True
Type	code

Patient.name.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.
Control	0..1
Summary	True
Type	string

Patient.name.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.
Control	0..1
Summary	True
Alternate Names	surname
Type	string

Patient.name.given

Definition	Given name.
Control	0..*
Summary	True
Alternate Names	first name, middle name
Type	string

Patient.name.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.
Control	0..*
Summary	True
Type	string

Patient.name.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.
Control	0..*
Summary	True
Type	string

Patient.name.period

Definition	Indicates the period of time when this name was valid for the named person.
Control	0..1
Summary	True
Type	Period

Patient.telecom

Definition	A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Control	0..*
Summary	True
Type	ContactPoint

Patient.telecom.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.telecom.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.telecom.system

Definition	Telecommunications form for contact point - what communications system is required to make use of the contact.
Control	1..1
Summary	True
Type	code

Patient.telecom.value

Definition	The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Control	1..1
Summary	True
Type	string

Patient.telecom.use

Definition	Identifies the purpose for the contact point.
Control	0..1
Summary	True
Type	code

Patient.telecom.rank

Definition	Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Control	0..1
Summary	True
Type	positiveInt

Patient.telecom.period

Definition	Time period when the contact point was/is in use.
Control	0..1
Summary	True
Type	Period

Patient.gender

Definition	Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Control	1..1
Summary	True
Type	code

Patient.birthDate

Definition	The date of birth for the individual.
Control	0..1
Summary	True
Type	date

Patient.deceased[x]

Definition	Indicates if the individual is deceased or not.
Control	0..1
Summary	True
Type	boolean

Patient.deceased[x]:deceasedDateTime

Definition	Indicates if the individual is deceased or not.
Control	0..1
Summary	True
Type	dateTime

Patient.address

Definition	An address for the individual.
Control	0..*
Summary	True
Type	Address

Patient.address.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.address.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.address.use

Definition	The purpose of this address.
Control	0..1
Summary	True
Type	code

Patient.address.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.
Control	0..1
Summary	True
Type	code

Patient.address.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.
Control	0..1
Summary	True
Type	string

Patient.address.line

Definition	This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.
Control	0..*
Summary	True
Type	string

Patient.address.city

Definition	The name of the city, town, suburb, village or other community or delivery center.
Control	0..1
Summary	True
Alternate Names	Municpality
Type	string

Patient.address.district

Definition	The name of the administrative area (county).
Control	0..1
Summary	True
Alternate Names	County
Type	string

Patient.address.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).
Control	0..1
Summary	True
Alternate Names	Province, Territory
Type	string

Patient.address.postalCode

Definition	A postal code designating a region defined by the postal service.
Control	0..1
Summary	True
Alternate Names	Zip, Zip Code
Type	string

Patient.address.country

Definition	Country - a nation as commonly understood or generally accepted.
Control	0..1
Summary	True
Type	string

Patient.address.period

Definition	Time period when address was/is in use.
Control	0..1
Summary	True
Type	Period

Patient.maritalStatus

Definition	This field contains a patient's most recent marital (civil) status.
Control	0..1
Summary	False
Type	CodeableConcept

Patient.multipleBirth[x]

Definition	Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
Control	0..1
Summary	False
Type	boolean

Patient.photo

Definition	Image of the patient.
Control	0..*
Summary	False
Type	Attachment

Patient.contact

Definition	A contact party (e.g. guardian, partner, friend) for the patient.
Control	0..*
Summary	False
Type	BackboneElement

Patient.contact.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.contact.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.contact.modifierExtension

Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).
Control	0..*
Summary	True
Alternate Names	extensions, user content, modifiers
Type	Extension

Patient.contact.relationship

Definition	The nature of the relationship between the patient and the contact person.
Control	0..*
Summary	False
Type	CodeableConcept

Patient.contact.name

Definition	A name associated with the contact person.
Control	0..1
Summary	False
Type	HumanName

Patient.contact.telecom

Definition	A contact detail for the person, e.g. a telephone number or an email address.
Control	0..*
Summary	False
Type	ContactPoint

Patient.contact.address

Definition	Address for the contact person.
Control	0..1
Summary	False
Type	Address

Patient.contact.gender

Definition	Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
Control	0..1
Summary	False
Type	code

Patient.contact.organization

Definition	Organization on behalf of which the contact is acting or for which the contact is working.
Control	0..1
Summary	False
Type	Reference

Patient.contact.period

Definition	The period during which this contact person or organization is valid to be contacted relating to this patient.
Control	0..1
Summary	False
Type	Period

Patient.communication

Definition	A language which may be used to communicate with the patient about his or her health.
Control	0..*
Summary	False
Type	BackboneElement

Patient.communication.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.communication.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.communication.modifierExtension

Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).
Control	0..*
Summary	True
Alternate Names	extensions, user content, modifiers
Type	Extension

Patient.communication.language

Definition	The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
Control	1..1
Summary	False
Type	CodeableConcept

Patient.communication.preferred

Definition	Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
Control	0..1
Summary	False
Type	boolean

Patient.generalPractitioner

Definition	Patient's nominated care provider.
Control	0..*
Summary	False
Alternate Names	careProvider
Type	Reference

Patient.managingOrganization

Definition	Organization that is the custodian of the patient record.
Control	0..1
Summary	True
Type	Reference

Patient.link

Definition	Link to another patient resource that concerns the same actual patient.
Control	0..*
Summary	True
Type	BackboneElement

Patient.link.id

Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Summary	False
Type	http://hl7.org/fhirpath/System.String

Patient.link.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.
Control	0..*
Summary	False
Alternate Names	extensions, user content
Type	Extension

Patient.link.modifierExtension

Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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).
Control	0..*
Summary	True
Alternate Names	extensions, user content, modifiers
Type	Extension

Patient.link.other

Definition	The other patient resource that the link refers to.
Control	1..1
Summary	True
Type	Reference

Patient.link.type

Definition	The type of link between this patient resource and another patient resource.
Control	1..1
Summary	True
Type	code