Medtech ALEX® Implementation Guide
0.0.1 - draft
Medtech ALEX® Implementation Guide
0.0.1 - draft
Medtech ALEX® Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.medtechglobal.com/StructureDefinition/medtech-patient-ips | Version: 0.0.1 | |||
| Draft as of 2024-07-23 | Computable Name: MedtechPatient | |||
The Patient resource exposed by the ALEX IPS
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Patient
| Path | Conformance | ValueSet | URI |
| Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
  Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||
  id |
Σ | 0..1 | id | 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): 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 | |||||
   country-of-birth |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/country-of-birth | |||||
| ethnicity |
0..* | CodeableConcept | NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred) | |||||
| nz-iwi |
0..* | CodeableConcept |
Medtech Evolution v6.2 and below will use the Medtech IWI ValueSet. Medtech Evolution v7.0 and above will use the standard IWI ValueSet as approved in the NZ FHIR® Base IG
https://standards.digital.health.nz/ns/iwi-code URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred) | |||||
| patient-gmsstatus |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-gmsstatus Binding: Medtech GMS status ValueSet (required) | |||||
| patient-occupation |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-occupation Binding: Medtech Patient Occupation ValueSet (extensible) | |||||
| patient-registration-status |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-registration-status Binding: Medtech Patient Registration ValueSet (required) | |||||
 sex-at-birth |
0..1 | CodeableConcept | Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required) | |||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | An identifier for this patient | ||||
| active |
?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
| name |
Σ | 0..* | HumanName | A name associated with the patient | ||||
| telecom |
Σ | 0..* | ContactPoint | A contact detail for the individual | ||||
| gender |
Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
| birthDate |
Σ | 0..1 | date | The date of birth for the individual | ||||
| address |
Σ | 0..* | Address | An address for the individual | ||||
| 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 | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relationship |
0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name |
0..1 | HumanName | A name associated with the contact person | |||||
| telecom |
0..* | ContactPoint | A contact detail for the person | |||||
| address |
0..1 | Address | Address for the contact person | |||||
| gender |
0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
 organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
 period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language |
1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Patient.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Patient.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1from the FHIR Standard | ||||
| Patient.contact.relationship | extensible | PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationshipfrom the FHIR Standard | ||||
| Patient.contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1from the FHIR Standard | ||||
| Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
This structure is derived from Patient
Summary
Prohibited: 5 elements
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Patient
Key Elements View
| Path | Conformance | ValueSet | URI |
| Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Patient |
0..* | Patient | Information about an individual or animal receiving health care services | |||||
| id |
Σ | 0..1 | id | 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): 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 | |||||
| country-of-birth |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/country-of-birth | |||||
| ethnicity |
0..* | CodeableConcept | NZ Ethnicity URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity Binding: Ethnicity of a person (L4) (preferred) | |||||
| nz-iwi |
0..* | CodeableConcept |
Medtech Evolution v6.2 and below will use the Medtech IWI ValueSet. Medtech Evolution v7.0 and above will use the standard IWI ValueSet as approved in the NZ FHIR® Base IG
https://standards.digital.health.nz/ns/iwi-code URL: http://hl7.org.nz/fhir/StructureDefinition/nz-iwi Binding: Iwi (preferred) | |||||
| patient-gmsstatus |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-gmsstatus Binding: Medtech GMS status ValueSet (required) | |||||
| patient-occupation |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-occupation Binding: Medtech Patient Occupation ValueSet (extensible) | |||||
| patient-registration-status |
0..1 | CodeableConcept | Extension URL: http://alexapi.medtechglobal.com/fhir/StructureDefinition/patient-registration-status Binding: Medtech Patient Registration ValueSet (required) | |||||
| sex-at-birth |
0..1 | CodeableConcept | Sex At Birth URL: http://hl7.org.nz/fhir/StructureDefinition/sex-at-birth Binding: AdministrativeGender (required) | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | An identifier for this patient | ||||
| active |
?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ||||
| name |
Σ | 0..* | HumanName | A name associated with the patient | ||||
| telecom |
Σ | 0..* | ContactPoint | A contact detail for the individual | ||||
| gender |
Σ | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | ||||
| birthDate |
Σ | 0..1 | date | The date of birth for the individual | ||||
| address |
Σ | 0..* | Address | An address for the individual | ||||
| 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 | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relationship |
0..* | CodeableConcept | The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient. | |||||
| name |
0..1 | HumanName | A name associated with the contact person | |||||
| telecom |
0..* | ContactPoint | A contact detail for the person | |||||
| address |
0..1 | Address | Address for the contact person | |||||
| gender |
0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |||||
| organization |
C | 0..1 | Reference(Organization) | Organization that is associated with the contact | ||||
| period |
0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |||||
| communication |
0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language |
1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Patient.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Patient.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1from the FHIR Standard | ||||
| Patient.contact.relationship | extensible | PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationshipfrom the FHIR Standard | ||||
| Patient.contact.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1from the FHIR Standard | ||||
| Patient.communication.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| pat-1 | error | Patient.contact | SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists() |
This structure is derived from Patient
Summary
Prohibited: 5 elements
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
