Onconova Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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• Detailed Descriptions
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Resource Profile: Cancer Patient Profile

A profile representing a cancer patient with specific extensions and constraints for the Onconova use case.

It constrains the mCODE CancerPatient profile to ensure anonymity of the patient information and to introduce additional Onconova-specific case information. Any Patient resource complying with the US Core Patient or mCODE CancerPatient profiles will also comply with this profile.

Usages:

• Refer to this Profile: Karnofsky Performance Status Profile, Adverse Event Profile, Aneuploid Score Profile, Cancer Family Member History... Show 30 more, Cancer Risk Assessment Profile, Cancer Stage, Comorbidities Profile, ECOG Performance Status Profile, Genomic Variant Profile, Homologous Recombination Deficiency Profile, Imaging Disease Status Profile, Lifestyle Profile, Loss of Heterozygosity Profile, Medication Administration Profile, Microsatellite Instability Profile, Primary Cancer Condition Profile, Radiotherapy Summary Profile, Secondary Cancer Condition Profile, Serum Tumor Marker Level Category, Surgical Procedure Profile, Therapy Line Profile, TNM Distant Metastases Category, TNM Grade Category, TNM Lymphatic Invasion Category, TNM Perineural Invasion Category, TNM Primary Tumor Category, TNM Regional Nodes Category, TNM Residual Tumor Category, TNM Stage Group, Tumor Board Review, Tumor Marker Profile, Tumor Mutational Burden Profile, Tumor Neoantigen Burden Profile and Venous Invasion Category
• CapabilityStatements using this Profile: Onconova FHIR REST Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	SC	0..*	CancerPatient(4.0.0)	Information about an individual or animal receiving health care services Constraints: o-pat-req-1, o-pat-req-2, o-pat-req-3, o-pat-req-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:race		0..1	(Complex)	(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Constraints: ext-1
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity Constraints: ext-1
extension:tribalAffiliation		0..*	(Complex)	(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation Constraints: ext-1
extension: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 Constraints: ext-1
extension:sex		0..1	code	(USCDI) Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined. Constraints: ext-1
extension:genderIdentity		0..*	CodeableConcept	(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Constraints: ext-1
extension:overallSurvival		0..1	decimal	Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival Constraints: ext-1
extension:age		0..1	integer	Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age Constraints: ext-1
extension:ageAtDiagnosis		0..1	integer	Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis Constraints: ext-1
extension:dataCompletionRate		0..1	decimal	Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate Constraints: ext-1
extension:contributors		0..*	Reference()	Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors Constraints: ext-1
extension:causeOfDeath		0..1	CodeableConcept	Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death Binding: CausesOfDeath (0.2.0) (required) Constraints: ext-1
extension:endOfRecords		0..1	date	End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
identifier:onconovaIdentifier	SΣ	1..*	Identifier	Onconova Logical Pseudoidentifier
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession Identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	(USCDI) The namespace for the identifier value Required Pattern: Onconova
value	SΣ	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
identifier:clinicalIdentifier	SΣ	1..*	Identifier	Clinical Identifier from Clinical Center
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical Record Number
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	Clinical center or institution assigning the identifier Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	(USCDI) A name associated with the patient Constraints: us-core-6
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:anonymizedEntry		1..*	code	Anonymized Entry URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry Constraints: ext-1
use	?!Σ	0..1	code	(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣC	0..1	string	(USCDI) Family name (often called 'Surname')
given	SΣC	0..*	string	(USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom	Σ	0..*	ContactPoint	Not used in this profile
system	SΣC	1..1	code	(USCDI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	(USCDI) The actual contact point details
use	?!SΣ	0..1	code	(USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
gender	SΣ	1..1	code	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	(USCDI) The date of birth for the individual
deceased[x]	?!SΣ	0..1	dateTime	(USCDI) Indicates if the individual is deceased or not
address	SΣ	0..*	Address	Not used in this profile
use	?!Σ	0..1	code	(USCDI) home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..*	string	(USCDI) 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	SΣ	0..1	string	(USCDI) Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	(USCDI) Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	(USCDI) US Zip Codes Example General: 9132
maritalStatus		0..1	CodeableConcept	Not used in this profile Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
photo		0..*	Attachment	Not used in this profile
contact	C	0..*	BackboneElement	Not used in this profile Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
communication		0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Not used in this profile
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Patient.implicitRules, Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.system, Patient.identifier.value, Patient.identifier:onconovaIdentifier, Patient.identifier:onconovaIdentifier.use, Patient.identifier:onconovaIdentifier.type, Patient.identifier:onconovaIdentifier.system, Patient.identifier:onconovaIdentifier.value, Patient.identifier:clinicalIdentifier, Patient.identifier:clinicalIdentifier.use, Patient.identifier:clinicalIdentifier.type, Patient.identifier:clinicalIdentifier.system, Patient.identifier:clinicalIdentifier.value, Patient.active, Patient.name, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.name.use, Patient.name.family, Patient.name.given, Patient.telecom, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.use, Patient.address.line, Patient.address.city, Patient.address.state, Patient.address.postalCode, Patient.maritalStatus, Patient.photo, Patient.contact, Patient.contact.modifierExtension, Patient.communication, Patient.communication.modifierExtension, Patient.communication.language, Patient.generalPractitioner, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.contact.modifierExtension, Patient.communication.modifierExtension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-pat-req-1	error	Patient	The identifier element must contain the identifier for the Onconova logical pseudoidentifier slice.	identifier.where(type.coding.code = 'ACSN' and system = 'Onconova').exists()
o-pat-req-2	error	Patient	The identifier element must contain the identifier for the clinical center's patient identifier slice.	identifier.where(type.coding.code = 'MR').exists(system.exists() and value.exists())
o-pat-req-3	error	Patient	The gender element is required and must be provided	gender.exists() and gender.coding.exists()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
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()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from CancerPatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CancerPatient(4.0.0)	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
extension:overallSurvival		0..1	decimal	Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival
extension:age		0..1	integer	Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age
extension:ageAtDiagnosis		0..1	integer	Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis
extension:dataCompletionRate		0..1	decimal	Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate
extension:contributors		0..*	Reference()	Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors
extension:causeOfDeath		0..1	CodeableConcept	Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death Binding: CausesOfDeath (0.2.0) (required)
extension:endOfRecords		0..1	date	End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records
Slices for identifier		2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:onconovaIdentifier		1..*	Identifier	Onconova Logical Pseudoidentifier
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession Identifier
system		1..1	uri	(USCDI) The namespace for the identifier value Required Pattern: Onconova
identifier:clinicalIdentifier		1..*	Identifier	Clinical Identifier from Clinical Center
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical Record Number
system		1..1	uri	Clinical center or institution assigning the identifier
name
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:anonymizedEntry		1..*	code	Anonymized Entry URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry
telecom		0..*	ContactPoint	Not used in this profile
birthDate		1..1	date	(USCDI) The date of birth for the individual
deceased[x]		0..1	dateTime	(USCDI) Indicates if the individual is deceased or not
address		0..*	Address	Not used in this profile
maritalStatus		0..1	CodeableConcept	Not used in this profile
photo		0..*	Attachment	Not used in this profile
contact		0..*	BackboneElement	Not used in this profile
communication		0..*	BackboneElement	Not used in this profile
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Not used in this profile
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
o-pat-req-1	error	Patient	The identifier element must contain the identifier for the Onconova logical pseudoidentifier slice.	identifier.where(type.coding.code = 'ACSN' and system = 'Onconova').exists()
o-pat-req-2	error	Patient	The identifier element must contain the identifier for the clinical center's patient identifier slice.	identifier.where(type.coding.code = 'MR').exists(system.exists() and value.exists())
o-pat-req-3	error	Patient	The gender element is required and must be provided	gender.exists() and gender.coding.exists()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	SC	0..*	CancerPatient(4.0.0)	Information about an individual or animal receiving health care services Constraints: o-pat-req-1, o-pat-req-2, o-pat-req-3, o-pat-req-4
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:race		0..1	(Complex)	(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Constraints: ext-1
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity Constraints: ext-1
extension:tribalAffiliation		0..*	(Complex)	(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation Constraints: ext-1
extension: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 Constraints: ext-1
extension:sex		0..1	code	(USCDI) Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined. Constraints: ext-1
extension:genderIdentity		0..*	CodeableConcept	(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Constraints: ext-1
extension:overallSurvival		0..1	decimal	Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival Constraints: ext-1
extension:age		0..1	integer	Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age Constraints: ext-1
extension:ageAtDiagnosis		0..1	integer	Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis Constraints: ext-1
extension:dataCompletionRate		0..1	decimal	Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate Constraints: ext-1
extension:contributors		0..*	Reference()	Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors Constraints: ext-1
extension:causeOfDeath		0..1	CodeableConcept	Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death Binding: CausesOfDeath (0.2.0) (required) Constraints: ext-1
extension:endOfRecords		0..1	date	End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
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	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) 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)
identifier:onconovaIdentifier	SΣ	1..*	Identifier	Onconova Logical Pseudoidentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession Identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	(USCDI) The namespace for the identifier value Required Pattern: Onconova
value	SΣ	1..1	string	(USCDI) 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)
identifier:clinicalIdentifier	SΣ	1..*	Identifier	Clinical Identifier from Clinical Center
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical Record Number
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	Clinical center or institution assigning the identifier Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) 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	SΣC	1..*	HumanName	(USCDI) A name associated with the patient Constraints: us-core-6
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:anonymizedEntry		1..*	code	Anonymized Entry URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry Constraints: ext-1
use	?!Σ	0..1	code	(USCDI) 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	SΣC	0..1	string	(USCDI) Family name (often called 'Surname')
given	SΣC	0..*	string	(USCDI) 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	(USCDI) 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	(USCDI) Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	SΣC	1..1	code	(USCDI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	(USCDI) The actual contact point details
use	?!SΣ	0..1	code	(USCDI) 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	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	(USCDI) The date of birth for the individual
deceased[x]	?!SΣ	0..1	dateTime	(USCDI) Indicates if the individual is deceased or not
address	SΣ	0..*	Address	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	(USCDI) 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	(USCDI) 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	SΣ	0..1	string	(USCDI) Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	(USCDI) Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	(USCDI) US Zip Codes 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	(USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Not used in this profile 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	Not used in this profile
contact	C	0..*	BackboneElement	Not used in this profile Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Not used in this profile
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Patient.meta, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:onconovaIdentifier, Patient.identifier:onconovaIdentifier.extension, Patient.identifier:onconovaIdentifier.use, Patient.identifier:onconovaIdentifier.type, Patient.identifier:onconovaIdentifier.system, Patient.identifier:onconovaIdentifier.value, Patient.identifier:onconovaIdentifier.period, Patient.identifier:onconovaIdentifier.assigner, Patient.identifier:clinicalIdentifier, Patient.identifier:clinicalIdentifier.extension, Patient.identifier:clinicalIdentifier.use, Patient.identifier:clinicalIdentifier.type, Patient.identifier:clinicalIdentifier.system, Patient.identifier:clinicalIdentifier.value, Patient.identifier:clinicalIdentifier.period, Patient.identifier:clinicalIdentifier.assigner, Patient.active, Patient.name, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.name.use, Patient.name.text, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.name.period, Patient.telecom, Patient.telecom.extension, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.telecom.rank, Patient.telecom.period, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.extension, Patient.address.use, Patient.address.type, Patient.address.text, Patient.address.line, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode, Patient.address.country, Patient.address.period, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension, Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.identifier.extension, Patient.identifier:onconovaIdentifier.extension, Patient.identifier:clinicalIdentifier.extension, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.telecom.extension, Patient.address.extension, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-pat-req-1	error	Patient	The identifier element must contain the identifier for the Onconova logical pseudoidentifier slice.	identifier.where(type.coding.code = 'ACSN' and system = 'Onconova').exists()
o-pat-req-2	error	Patient	The identifier element must contain the identifier for the clinical center's patient identifier slice.	identifier.where(type.coding.code = 'MR').exists(system.exists() and value.exists())
o-pat-req-3	error	Patient	The gender element is required and must be provided	gender.exists() and gender.coding.exists()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
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()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from CancerPatient

Summary

Mandatory: 7 elements

Extensions

This structure refers to these extensions:

• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry|0.2.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	SC	0..*	CancerPatient(4.0.0)	Information about an individual or animal receiving health care services Constraints: o-pat-req-1, o-pat-req-2, o-pat-req-3, o-pat-req-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:race		0..1	(Complex)	(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Constraints: ext-1
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity Constraints: ext-1
extension:tribalAffiliation		0..*	(Complex)	(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation Constraints: ext-1
extension: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 Constraints: ext-1
extension:sex		0..1	code	(USCDI) Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined. Constraints: ext-1
extension:genderIdentity		0..*	CodeableConcept	(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Constraints: ext-1
extension:overallSurvival		0..1	decimal	Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival Constraints: ext-1
extension:age		0..1	integer	Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age Constraints: ext-1
extension:ageAtDiagnosis		0..1	integer	Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis Constraints: ext-1
extension:dataCompletionRate		0..1	decimal	Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate Constraints: ext-1
extension:contributors		0..*	Reference()	Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors Constraints: ext-1
extension:causeOfDeath		0..1	CodeableConcept	Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death Binding: CausesOfDeath (0.2.0) (required) Constraints: ext-1
extension:endOfRecords		0..1	date	End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
identifier:onconovaIdentifier	SΣ	1..*	Identifier	Onconova Logical Pseudoidentifier
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession Identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	(USCDI) The namespace for the identifier value Required Pattern: Onconova
value	SΣ	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
identifier:clinicalIdentifier	SΣ	1..*	Identifier	Clinical Identifier from Clinical Center
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical Record Number
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	Clinical center or institution assigning the identifier Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) The value that is unique within the system. Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	(USCDI) A name associated with the patient Constraints: us-core-6
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:anonymizedEntry		1..*	code	Anonymized Entry URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry Constraints: ext-1
use	?!Σ	0..1	code	(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
family	SΣC	0..1	string	(USCDI) Family name (often called 'Surname')
given	SΣC	0..*	string	(USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
telecom	Σ	0..*	ContactPoint	Not used in this profile
system	SΣC	1..1	code	(USCDI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	(USCDI) The actual contact point details
use	?!SΣ	0..1	code	(USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required)
gender	SΣ	1..1	code	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	(USCDI) The date of birth for the individual
deceased[x]	?!SΣ	0..1	dateTime	(USCDI) Indicates if the individual is deceased or not
address	SΣ	0..*	Address	Not used in this profile
use	?!Σ	0..1	code	(USCDI) home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..*	string	(USCDI) 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	SΣ	0..1	string	(USCDI) Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	(USCDI) Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	(USCDI) US Zip Codes Example General: 9132
maritalStatus		0..1	CodeableConcept	Not used in this profile Binding: Marital Status Codes (extensible): The domestic partnership status of a person.
photo		0..*	Attachment	Not used in this profile
contact	C	0..*	BackboneElement	Not used in this profile Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
communication		0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Not used in this profile
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Patient.implicitRules, Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.identifier, Patient.identifier.use, Patient.identifier.system, Patient.identifier.value, Patient.identifier:onconovaIdentifier, Patient.identifier:onconovaIdentifier.use, Patient.identifier:onconovaIdentifier.type, Patient.identifier:onconovaIdentifier.system, Patient.identifier:onconovaIdentifier.value, Patient.identifier:clinicalIdentifier, Patient.identifier:clinicalIdentifier.use, Patient.identifier:clinicalIdentifier.type, Patient.identifier:clinicalIdentifier.system, Patient.identifier:clinicalIdentifier.value, Patient.active, Patient.name, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.name.use, Patient.name.family, Patient.name.given, Patient.telecom, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.use, Patient.address.line, Patient.address.city, Patient.address.state, Patient.address.postalCode, Patient.maritalStatus, Patient.photo, Patient.contact, Patient.contact.modifierExtension, Patient.communication, Patient.communication.modifierExtension, Patient.communication.language, Patient.generalPractitioner, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.contact.modifierExtension, Patient.communication.modifierExtension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-pat-req-1	error	Patient	The identifier element must contain the identifier for the Onconova logical pseudoidentifier slice.	identifier.where(type.coding.code = 'ACSN' and system = 'Onconova').exists()
o-pat-req-2	error	Patient	The identifier element must contain the identifier for the clinical center's patient identifier slice.	identifier.where(type.coding.code = 'MR').exists(system.exists() and value.exists())
o-pat-req-3	error	Patient	The gender element is required and must be provided	gender.exists() and gender.coding.exists()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
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()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

Differential View

This structure is derived from CancerPatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	CancerPatient(4.0.0)	Information about an individual or animal receiving health care services
Slices for extension				Content/Rules for all slices
extension:overallSurvival		0..1	decimal	Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival
extension:age		0..1	integer	Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age
extension:ageAtDiagnosis		0..1	integer	Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis
extension:dataCompletionRate		0..1	decimal	Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate
extension:contributors		0..*	Reference()	Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors
extension:causeOfDeath		0..1	CodeableConcept	Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death Binding: CausesOfDeath (0.2.0) (required)
extension:endOfRecords		0..1	date	End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records
Slices for identifier		2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:onconovaIdentifier		1..*	Identifier	Onconova Logical Pseudoidentifier
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession Identifier
system		1..1	uri	(USCDI) The namespace for the identifier value Required Pattern: Onconova
identifier:clinicalIdentifier		1..*	Identifier	Clinical Identifier from Clinical Center
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical Record Number
system		1..1	uri	Clinical center or institution assigning the identifier
name
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:anonymizedEntry		1..*	code	Anonymized Entry URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry
telecom		0..*	ContactPoint	Not used in this profile
birthDate		1..1	date	(USCDI) The date of birth for the individual
deceased[x]		0..1	dateTime	(USCDI) Indicates if the individual is deceased or not
address		0..*	Address	Not used in this profile
maritalStatus		0..1	CodeableConcept	Not used in this profile
photo		0..*	Attachment	Not used in this profile
contact		0..*	BackboneElement	Not used in this profile
communication		0..*	BackboneElement	Not used in this profile
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Not used in this profile
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
o-pat-req-1	error	Patient	The identifier element must contain the identifier for the Onconova logical pseudoidentifier slice.	identifier.where(type.coding.code = 'ACSN' and system = 'Onconova').exists()
o-pat-req-2	error	Patient	The identifier element must contain the identifier for the clinical center's patient identifier slice.	identifier.where(type.coding.code = 'MR').exists(system.exists() and value.exists())
o-pat-req-3	error	Patient	The gender element is required and must be provided	gender.exists() and gender.coding.exists()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	SC	0..*	CancerPatient(4.0.0)	Information about an individual or animal receiving health care services Constraints: o-pat-req-1, o-pat-req-2, o-pat-req-3, o-pat-req-4
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:race		0..1	(Complex)	(USCDI) US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Constraints: ext-1
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity Constraints: ext-1
extension:tribalAffiliation		0..*	(Complex)	(USCDI) Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation Constraints: ext-1
extension: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 Constraints: ext-1
extension:sex		0..1	code	(USCDI) Sex Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined. Constraints: ext-1
extension:genderIdentity		0..*	CodeableConcept	(USCDI) The individual's gender identity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Constraints: ext-1
extension:overallSurvival		0..1	decimal	Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival Constraints: ext-1
extension:age		0..1	integer	Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age Constraints: ext-1
extension:ageAtDiagnosis		0..1	integer	Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis Constraints: ext-1
extension:dataCompletionRate		0..1	decimal	Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate Constraints: ext-1
extension:contributors		0..*	Reference()	Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors Constraints: ext-1
extension:causeOfDeath		0..1	CodeableConcept	Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death Binding: CausesOfDeath (0.2.0) (required) Constraints: ext-1
extension:endOfRecords		0..1	date	End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	SΣ	2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
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	(USCDI) The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) 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)
identifier:onconovaIdentifier	SΣ	1..*	Identifier	Onconova Logical Pseudoidentifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession Identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	(USCDI) The namespace for the identifier value Required Pattern: Onconova
value	SΣ	1..1	string	(USCDI) 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)
identifier:clinicalIdentifier	SΣ	1..*	Identifier	Clinical Identifier from Clinical Center
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		1..1	string	Representation defined by the system Fixed Value: Medical Record Number
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	Clinical center or institution assigning the identifier Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	(USCDI) 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	SΣC	1..*	HumanName	(USCDI) A name associated with the patient Constraints: us-core-6
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:anonymizedEntry		1..*	code	Anonymized Entry URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry Constraints: ext-1
use	?!Σ	0..1	code	(USCDI) 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	SΣC	0..1	string	(USCDI) Family name (often called 'Surname')
given	SΣC	0..*	string	(USCDI) 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	(USCDI) 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	(USCDI) Time period when name was/is in use
telecom	Σ	0..*	ContactPoint	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	SΣC	1..1	code	(USCDI) phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	(USCDI) The actual contact point details
use	?!SΣ	0..1	code	(USCDI) 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	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required)
birthDate	SΣ	1..1	date	(USCDI) The date of birth for the individual
deceased[x]	?!SΣ	0..1	dateTime	(USCDI) Indicates if the individual is deceased or not
address	SΣ	0..*	Address	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	(USCDI) 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	(USCDI) 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	SΣ	0..1	string	(USCDI) Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	(USCDI) Sub-unit of country (abbreviations ok) Binding: UspsTwoLetterAlphabeticCodes (6.1.0) (extensible): Two Letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	(USCDI) US Zip Codes 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	(USCDI) Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Not used in this profile 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	Not used in this profile
contact	C	0..*	BackboneElement	Not used in this profile Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: LanguageCodesWithLanguageAndOptionallyARegionModifier (6.1.0) (extensible)
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Not used in this profile
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:onconovaIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:clinicalIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name.use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.telecom.system	Base	required	ContactPointSystem	📍4.0.1	FHIR Std.
Patient.telecom.use	Base	required	ContactPointUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.address.type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.address.state	Base	extensible	USPS Two Letter Alphabetic Codes	📍6.1.0	US Core v6.1
Patient.maritalStatus	Base	extensible	MaritalStatus	📍4.0.1	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	extensible	Language codes with language and optionally a region modifier	📍6.1.0	US Core v6.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Patient.meta, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.identifier, Patient.identifier.extension, Patient.identifier.use, Patient.identifier.type, Patient.identifier.system, Patient.identifier.value, Patient.identifier.period, Patient.identifier.assigner, Patient.identifier:onconovaIdentifier, Patient.identifier:onconovaIdentifier.extension, Patient.identifier:onconovaIdentifier.use, Patient.identifier:onconovaIdentifier.type, Patient.identifier:onconovaIdentifier.system, Patient.identifier:onconovaIdentifier.value, Patient.identifier:onconovaIdentifier.period, Patient.identifier:onconovaIdentifier.assigner, Patient.identifier:clinicalIdentifier, Patient.identifier:clinicalIdentifier.extension, Patient.identifier:clinicalIdentifier.use, Patient.identifier:clinicalIdentifier.type, Patient.identifier:clinicalIdentifier.system, Patient.identifier:clinicalIdentifier.value, Patient.identifier:clinicalIdentifier.period, Patient.identifier:clinicalIdentifier.assigner, Patient.active, Patient.name, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.name.use, Patient.name.text, Patient.name.family, Patient.name.given, Patient.name.prefix, Patient.name.suffix, Patient.name.period, Patient.telecom, Patient.telecom.extension, Patient.telecom.system, Patient.telecom.value, Patient.telecom.use, Patient.telecom.rank, Patient.telecom.period, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.address.extension, Patient.address.use, Patient.address.type, Patient.address.text, Patient.address.line, Patient.address.city, Patient.address.district, Patient.address.state, Patient.address.postalCode, Patient.address.country, Patient.address.period, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension, Patient.extension:race, Patient.extension:ethnicity, Patient.extension:tribalAffiliation, Patient.extension:birthsex, Patient.extension:sex, Patient.extension:genderIdentity, Patient.extension:overallSurvival, Patient.extension:age, Patient.extension:ageAtDiagnosis, Patient.extension:dataCompletionRate, Patient.extension:contributors, Patient.extension:causeOfDeath, Patient.extension:endOfRecords, Patient.modifierExtension, Patient.identifier.extension, Patient.identifier:onconovaIdentifier.extension, Patient.identifier:clinicalIdentifier.extension, Patient.name.extension, Patient.name.extension:anonymizedEntry, Patient.telecom.extension, Patient.address.extension, Patient.contact.extension, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-pat-req-1	error	Patient	The identifier element must contain the identifier for the Onconova logical pseudoidentifier slice.	identifier.where(type.coding.code = 'ACSN' and system = 'Onconova').exists()
o-pat-req-2	error	Patient	The identifier element must contain the identifier for the clinical center's patient identifier slice.	identifier.where(type.coding.code = 'MR').exists(system.exists() and value.exists())
o-pat-req-3	error	Patient	The gender element is required and must be provided	gender.exists() and gender.coding.exists()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
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()
us-core-6	error	Patient.name	At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()

This structure is derived from CancerPatient

Summary

Mandatory: 7 elements

Extensions

This structure refers to these extensions:

• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-overall-survival|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-age-at-diagnosis|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-data-completion-rate|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-contributors|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cause-of-death|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-end-of-records|0.2.0
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-anonymized-entry|0.2.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier