This profile sets minimum expectations for the Patient resource to represent data requested as part of the U.S. Public Health Case Based Surveillance messaging guides. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile. This profile is built on top of the ECR US PH Patient profile and US Core Patient profile.

Example Usage Scenarios:

The following are example usage scenarios for the US CBS Patient profile:

• Generate a patient resource that structures all core demographic data requested by case based surveillance programs to be included in a case report.
• Query for patient demographic information using first name, last name, birthdate, and gender within a case based surveillance system.

Relationship to ECR Public Health and US Core Patients

The US CBS Patient profile is based on the ECR (Electronic Case Reporting) IG US PH Patient profile. The US PH Patient is a general use profile for public health needs based on the US Core Patient profile, adding additional demographic extensions common to the public health domain and providing guidance for the usage of the HL7 Data Absent Reason extension to mask patient identifying information. The US CBS Patient profile covers a narrower sub domain of public health, adding additional constraints and extensions to support Case Based Surveillance programs.

Relationship to CDC Message Mapping Guides

The Center for Disease Control’s (CDC) Message Mapping Guides (MMGs) provide guidance on the transmission of records from jurisdictions to case based surveillance programs. MMG documents are publicly available through the CDC’s website. Patient demographics are predominantly captured in the generic guide (Gen v2) which is included as part of every notifiable condition case report, though some individual programs request additional general demographic data. (For example, the TBLTBI guide requests sex assigned at birth and the STD guide requests gender identity.)

Mandatory and Must Support Data Elements

The following data-elements must always be present (Mandatory definition]) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each Patient must have:

1. all patient identifiers representative of the patient within the public health workflow to connect cases back to local, jurisdiction, or federal system (e.g. DEM197 - Local Subject ID, INV168 - Local Record ID)*

Each Patient must support:

1. a birth date
2. an administrative gender*
3. an address including the HL7 Census Tract extension
4. a deceased status
5. a birth place (HL7 Extension)
6. an ethnicity (US Core Extension)
7. a race (US Core Extension)
8. a birthsex/sex assigned at birth (US Core Extension)*
9. a gender identity (HL7 Extension)*
10. a us tribal affiliation (US PH Extension)

Additional US Case Based Surveillance Requirements

1. a Data Absent Reason extension set to a value of “masked” for each US Core Patient or US PH Patient mandatory item which cannot be included due to being identifying information

Profile specific implementation guidance:

• Identifiers such as Social Security Number should not be included. If such an identifier is included in the source data, it should be appropriately masked using the Data Absent Reason extension.
• For general guidance on the distinction between sex and gender data elements, please see the documentation included with the base Patient resource.
  • Gen V2 “Subject’s Sex”/”Current Sex” is equivalent to the Patient.gender element, which represents Administrative Gender.
  • TBLTBI “Birth Sex”/”Sex at Birth” is equivalent to the US Core Birthsex/Sex Assigned At Birth extension.
  • STD “Gender Identity” is equivalent to the HL7 Gender Identity extension.
• Patient’s sex/gender information should be included in accordance with established public health value sets present in case based surveillance messaging guides where possible.
  • For example, the US PH Gender Identity extension valueset utilizes only an Example strength binding. For STD case reports, the STD message mapping guide indicated valueset found at https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7610 may be used.
  • If there is no specific valueset associated with a condition, US Core and US Public Health specified valuesets should be used.

• Text Summary
• Differential Table
• Snapshot Table
• Snapshot Table (Must Support)
• All

This structure is derived from USPublicHealthPatient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USPublicHealthPatient	US Public Health Patient
deceased[x]	S	0..1	boolean, dateTime	Indicates if the individual is deceased or not
address
cbs-cdc-address-use	S	0..1	Coding	Case Based Surveillance CDC Address Use Extension URL: http://cbsig.chai.gatech.edu/StructureDefinition/cbs-cdc-address-use Binding: Additional codes for Address.use. (required): Code for Address Use
use	S	0..1	code	home | work | temp | old | billing - purpose of this address
line
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ADXP-censusTract	S	0..1	string	censusTract URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract
postalCode		0..1	string	US Zip Codes
country	S	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USPublicHealthPatient	US Public Health Patient
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
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
us-core-race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
us-core-birthsex	S	0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
patient-birthPlace	S	0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
patient-genderIdentity	S	0..*	CodeableConcept	The patient's gender identity URL: http://hl7.org/fhir/StructureDefinition/patient-genderIdentity Binding: GenderIdentity (example)
us-ph-tribal-affiliation-extension	S	0..*	(Complex)	Tribal affiliation and membership of the patient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	An identifier for this 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
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣI	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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
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	SΣI	0..1	string	Family name (often called 'Surname')
given	SΣI	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
Slices for telecom	SΣ	1..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
system	SΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:phone	SΣ	0..*	ContactPoint	A contact detail for the individual
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
system	SΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	SΣ	0..*	ContactPoint	A contact detail for the individual
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
system	SΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
value		0..1	string	Primitive value for code
birthDate	SΣ	1..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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
value		0..1	date	Primitive value for date
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	1..*	Address	An address for the individual
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
cbs-cdc-address-use	S	0..1	Coding	Case Based Surveillance CDC Address Use Extension URL: http://cbsig.chai.gatech.edu/StructureDefinition/cbs-cdc-address-use Binding: Additional codes for Address.use. (required): Code for Address Use
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ADXP-censusTract	S	0..1	string	censusTract URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract
value		0..1	string	Primitive value for string Max Length: 1048576
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	County Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
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	SI	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	S	1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name	S	0..1	HumanName	A name associated with the contact person
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
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	S	0..*	ContactPoint	A contact detail for the person
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
system	ΣI	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	S	0..1	Address	Address for the contact person
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	I	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	S	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	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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 | 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

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USPublicHealthPatient	US Public Health Patient
us-core-race		0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity		0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
us-core-birthsex		0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
patient-birthPlace		0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
patient-genderIdentity		0..*	CodeableConcept	The patient's gender identity URL: http://hl7.org/fhir/StructureDefinition/patient-genderIdentity Binding: GenderIdentity (example)
us-ph-tribal-affiliation-extension		0..*	(Complex)	Tribal affiliation and membership of the patient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension
identifier	Σ	1..*	Identifier	An identifier for this patient
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
system	Σ	1..1	uri	The namespace for the identifier value
value	Σ	1..1	string	The value that is unique within the system.
name	ΣI	1..*	HumanName	A name associated with the patient
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
family	ΣI	0..1	string	Family name (often called 'Surname')
given	ΣI	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
Slices for telecom	Σ	1..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
system	ΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
telecom:phone	Σ	0..*	ContactPoint	A contact detail for the individual
system	ΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
telecom:email	Σ	0..*	ContactPoint	A contact detail for the individual
system	ΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
gender	Σ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
birthDate	Σ	1..1	date	The date of birth for the individual
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	1..*	Address	An address for the individual
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
cbs-cdc-address-use		0..1	Coding	Case Based Surveillance CDC Address Use Extension URL: http://cbsig.chai.gatech.edu/StructureDefinition/cbs-cdc-address-use Binding: Additional codes for Address.use. (required): Code for Address Use
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address.
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label
iso21090-ADXP-censusTract		0..1	string	censusTract URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract
city	Σ	0..1	string	Name of city, town etc.
district	Σ	0..1	string	County
state	Σ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	Σ	0..1	string	US Zip Codes
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use
contact	I	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
relationship		1..1	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
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
telecom		0..*	ContactPoint	A contact detail for the person
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
address		0..1	Address	Address for the contact person
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
Documentation for this format

This structure is derived from USPublicHealthPatient

Summary

Must-Support: 5 elements

Extensions

This structure refers to these extensions:

• http://cbsig.chai.gatech.edu/StructureDefinition/cbs-cdc-address-use
• http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract

Differential View

This structure is derived from USPublicHealthPatient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USPublicHealthPatient	US Public Health Patient
deceased[x]	S	0..1	boolean, dateTime	Indicates if the individual is deceased or not
address
cbs-cdc-address-use	S	0..1	Coding	Case Based Surveillance CDC Address Use Extension URL: http://cbsig.chai.gatech.edu/StructureDefinition/cbs-cdc-address-use Binding: Additional codes for Address.use. (required): Code for Address Use
use	S	0..1	code	home | work | temp | old | billing - purpose of this address
line
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ADXP-censusTract	S	0..1	string	censusTract URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract
postalCode		0..1	string	US Zip Codes
country	S	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	USPublicHealthPatient	US Public Health Patient
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
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
us-core-race	S	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
us-core-ethnicity	S	0..1	(Complex)	US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
us-core-birthsex	S	0..1	code	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex Binding: Birth Sex (required): Code for sex assigned at birth
patient-birthPlace	S	0..1	Address	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
patient-genderIdentity	S	0..*	CodeableConcept	The patient's gender identity URL: http://hl7.org/fhir/StructureDefinition/patient-genderIdentity Binding: GenderIdentity (example)
us-ph-tribal-affiliation-extension	S	0..*	(Complex)	Tribal affiliation and membership of the patient URL: http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-tribal-affiliation-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	An identifier for this 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
data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣI	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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
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	SΣI	0..1	string	Family name (often called 'Surname')
given	SΣI	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
Slices for telecom	SΣ	1..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system
telecom:All Slices				Content/Rules for all slices
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
system	SΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:phone	SΣ	0..*	ContactPoint	A contact detail for the individual
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
system	SΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:email	SΣ	0..*	ContactPoint	A contact detail for the individual
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
system	SΣI	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
value		0..1	string	Primitive value for code
birthDate	SΣ	1..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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
value		0..1	date	Primitive value for date
deceased[x]	?!SΣ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	1..*	Address	An address for the individual
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
cbs-cdc-address-use	S	0..1	Coding	Case Based Surveillance CDC Address Use Extension URL: http://cbsig.chai.gatech.edu/StructureDefinition/cbs-cdc-address-use Binding: Additional codes for Address.use. (required): Code for Address Use
use	?!SΣ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
iso21090-ADXP-censusTract	S	0..1	string	censusTract URL: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract
value		0..1	string	Primitive value for string Max Length: 1048576
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	SΣ	0..1	string	County Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	SΣ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
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	SI	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	S	1..1	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name	S	0..1	HumanName	A name associated with the contact person
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
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	S	0..*	ContactPoint	A contact detail for the person
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
system	ΣI	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	0..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	S	0..1	Address	Address for the contact person
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	I	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	S	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	S	1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
data-absent-reason	S	0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. Fixed Value: masked
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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 | 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