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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Resource Profile: Cancer Patient Profile

A profile representing a patient with or is receiving medical treatment for a malignant growth or tumor.

It constrains the mCODE CancerPatient profile with specific extensions and constraints for the Onconova use case. Any Patient resource complying with the US Core Patient or mCODE CancerPatient profiles will also comply with this profile if the Must-Support extensions are accounted for.

Conformance:

Patient resources representing Cancer Patients in the scope of Onconova SHALL conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

Usages:

• Refer to this Profile: Adverse Event Profile, Aneuploid Score Profile, Cancer Family Member History Profile, Cancer Risk Assessment Profile... Show 32 more, Cancer Stage Profile, Comorbidities Profile, ECOG Performance Status Profile, Genomic Variant Profile, Homologous Recombination Deficiency Profile, Imaging Disease Status Profile, Karnofsky Performance Status Profile, Lifestyle Profile, Loss of Heterozygosity Profile, Lymphoma Stage, Medication Administration Profile, Microsatellite Instability Profile, Primary Cancer Condition Profile, Radiotherapy Summary Profile, Secondary Cancer Condition Profile, Surgical Procedure Profile, Therapy Line Profile, TNM Distant Metastases Category Profile, TNM Grade Category Profile, TNM Lymphatic Invasion Category Profile, TNM Perineural Invasion Category Profile, TNM Primary Tumor Category Profile, TNM Regional Nodes Category Profile, TNM Residual Tumor Category Profile, TNM Serum Tumor Marker Level Category Profile, TNM Stage Group, TNM Venous Invasion Category Profile, Tumor Board Review Profile, Tumor Marker Profile, Tumor Mutational Burden Profile, Tumor Neoantigen Burden Profile and Vital Signs Panel Profile
• CapabilityStatements using this Profile: Onconova FHIR REST Server 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	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, o-pat-req-5, o-pat-req-6, o-pat-req-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	O	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:tribalAffiliation		0..*	(Complex)	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
extension:birthsex	SO	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 Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:sex		0..1	code	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
extension:genderIdentity	O	0..*	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Obligations Actor MAY:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:consentStatus	SO	1..1	code	Cancer Patient Consent status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status Binding: Consent Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:clinicalCenter	SO	1..1	string	Cancer Patient Clinical Center URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:overallSurvival	O	0..1	Duration	Cancer Patient Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:dataCompletionRate	O	0..1	decimal	Cancer Patient Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:contributors	O	0..*	Reference()	Cancer Patient Data Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:endOfRecords	SO	0..1	date	Cancer Patient End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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	SOΣ	1..*	Identifier	Onconova Logical Pseudoidentifier Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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	SOΣ	1..*	Identifier	Clinical Identifier from Clinical Center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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	(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
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Not used in this profile Constraints: us-core-6
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:anonymizedEntry		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
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	SOΣ	1..1	code	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
birthDate	SOΣ	1..1	date	Date of birth of the patient normalized to the first day of the month Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age	O	0..1	integer	Cancer Patient Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ageAtDiagnosis	O	0..1	integer	Cancer Patient Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
deceased[x]	?!SOΣ	1..1	dateTime	Date of death of the patient, if applicable Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vitalStatus	SO	1..1	CodeableConcept	Cancer Patient Vital status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status Binding: Vital Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:causeOfDeath	SO	1..1	CodeableConcept	Cancer Patient Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death Binding: Cause of Death Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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: USPS Two Letter Alphabetic Codes (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
communication		0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
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.extension:anonymizedEntry.​value[x]	Base	required	DataAbsentReason	📦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	**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()
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()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
o-pat-req-5	error	Patient	The vital status extension is required and must be provided.	deceased.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.exists()
o-pat-req-6	error	Patient	If the patient is deceased, the date of death and cause of death must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '419099009' implies (deceasedDateTime.hasValue() and deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death').valueCodeableConcept.exists())
o-pat-req-7	error	Patient	If the patient vital status is unknown, the end of records must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '261665006' implies extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records').valueDate.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	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, o-pat-req-5, o-pat-req-6, o-pat-req-7
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:race	O	0..1	USCoreRaceExtension	US Core Race Extension Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:tribalAffiliation		0..*	USCoreTribalAffiliationExtension	Not used in this profile
extension:birthsex	O	0..1	USCoreBirthSexExtension	Extension Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:sex		0..1	USCoreSexExtension	Not used in this profile
extension:genderIdentity	O	0..*	USCoreGenderIdentityExtension	Extension Obligations Actor MAY:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:consentStatus	SO	1..1	code	Cancer Patient Consent status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status Binding: Consent Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:clinicalCenter	SO	1..1	string	Cancer Patient Clinical Center URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:overallSurvival	O	0..1	Duration	Cancer Patient Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:dataCompletionRate	O	0..1	decimal	Cancer Patient Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:contributors	O	0..*	Reference()	Cancer Patient Data Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:endOfRecords	SO	0..1	date	Cancer Patient End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for identifier		2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:onconovaIdentifier	SO	1..*	Identifier	Onconova Logical Pseudoidentifier Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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	SO	1..*	Identifier	Clinical Identifier from Clinical Center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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
name		1..*	HumanName	Not used in this profile
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:anonymizedEntry		1..*	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: masked
telecom		0..*	ContactPoint	Not used in this profile
gender	O	1..1	code	(USCDI) male | female | other | unknown Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
birthDate	O	1..1	date	Date of birth of the patient normalized to the first day of the month Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age	O	0..1	integer	Cancer Patient Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ageAtDiagnosis	O	0..1	integer	Cancer Patient Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
deceased[x]	O	1..1	dateTime	Date of death of the patient, if applicable Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vitalStatus	SO	1..1	CodeableConcept	Cancer Patient Vital status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status Binding: Vital Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:causeOfDeath	SO	1..1	CodeableConcept	Cancer Patient Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death Binding: Cause of Death Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
o-pat-req-5	error	Patient	The vital status extension is required and must be provided.	deceased.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.exists()
o-pat-req-6	error	Patient	If the patient is deceased, the date of death and cause of death must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '419099009' implies (deceasedDateTime.hasValue() and deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death').valueCodeableConcept.exists())
o-pat-req-7	error	Patient	If the patient vital status is unknown, the end of records must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '261665006' implies extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records').valueDate.hasValue()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	SC	0..*	CancerPatient	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, o-pat-req-5, o-pat-req-6, o-pat-req-7
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		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	O	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:tribalAffiliation		0..*	(Complex)	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
extension:birthsex	SO	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 Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:sex		0..1	code	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
extension:genderIdentity	O	0..*	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Obligations Actor MAY:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:consentStatus	SO	1..1	code	Cancer Patient Consent status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status Binding: Consent Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:clinicalCenter	SO	1..1	string	Cancer Patient Clinical Center URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:overallSurvival	O	0..1	Duration	Cancer Patient Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:dataCompletionRate	O	0..1	decimal	Cancer Patient Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:contributors	O	0..*	Reference()	Cancer Patient Data Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:endOfRecords	SO	0..1	date	Cancer Patient End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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
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	SOΣ	1..*	Identifier	Onconova Logical Pseudoidentifier Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: 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	SOΣ	1..*	Identifier	Clinical Identifier from Clinical Center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: 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	(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)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Not used in this profile 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
extension:anonymizedEntry		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
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
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	SOΣ	1..1	code	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
birthDate	SOΣ	1..1	date	Date of birth of the patient normalized to the first day of the month Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age	O	0..1	integer	Cancer Patient Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ageAtDiagnosis	O	0..1	integer	Cancer Patient Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
value		0..1	date	Primitive value for date
deceased[x]	?!SOΣ	1..1	dateTime	Date of death of the patient, if applicable Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vitalStatus	SO	1..1	CodeableConcept	Cancer Patient Vital status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status Binding: Vital Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:causeOfDeath	SO	1..1	CodeableConcept	Cancer Patient Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death Binding: Cause of Death Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
value		0..1	dateTime	Primitive value for dateTime
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
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: USPS Two Letter Alphabetic Codes (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
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	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

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.extension:anonymizedEntry.​value[x]	Base	required	DataAbsentReason	📦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	**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()
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()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
o-pat-req-5	error	Patient	The vital status extension is required and must be provided.	deceased.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.exists()
o-pat-req-6	error	Patient	If the patient is deceased, the date of death and cause of death must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '419099009' implies (deceasedDateTime.hasValue() and deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death').valueCodeableConcept.exists())
o-pat-req-7	error	Patient	If the patient vital status is unknown, the end of records must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '261665006' implies extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records').valueDate.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: 12 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records
• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death

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	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, o-pat-req-5, o-pat-req-6, o-pat-req-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	O	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:tribalAffiliation		0..*	(Complex)	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
extension:birthsex	SO	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 Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:sex		0..1	code	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
extension:genderIdentity	O	0..*	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Obligations Actor MAY:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:consentStatus	SO	1..1	code	Cancer Patient Consent status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status Binding: Consent Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:clinicalCenter	SO	1..1	string	Cancer Patient Clinical Center URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:overallSurvival	O	0..1	Duration	Cancer Patient Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:dataCompletionRate	O	0..1	decimal	Cancer Patient Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:contributors	O	0..*	Reference()	Cancer Patient Data Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:endOfRecords	SO	0..1	date	Cancer Patient End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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	SOΣ	1..*	Identifier	Onconova Logical Pseudoidentifier Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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	SOΣ	1..*	Identifier	Clinical Identifier from Clinical Center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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	(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
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Not used in this profile Constraints: us-core-6
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:anonymizedEntry		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
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	SOΣ	1..1	code	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
birthDate	SOΣ	1..1	date	Date of birth of the patient normalized to the first day of the month Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age	O	0..1	integer	Cancer Patient Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ageAtDiagnosis	O	0..1	integer	Cancer Patient Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
deceased[x]	?!SOΣ	1..1	dateTime	Date of death of the patient, if applicable Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vitalStatus	SO	1..1	CodeableConcept	Cancer Patient Vital status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status Binding: Vital Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:causeOfDeath	SO	1..1	CodeableConcept	Cancer Patient Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death Binding: Cause of Death Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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: USPS Two Letter Alphabetic Codes (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
communication		0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
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.extension:anonymizedEntry.​value[x]	Base	required	DataAbsentReason	📦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	**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()
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()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
o-pat-req-5	error	Patient	The vital status extension is required and must be provided.	deceased.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.exists()
o-pat-req-6	error	Patient	If the patient is deceased, the date of death and cause of death must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '419099009' implies (deceasedDateTime.hasValue() and deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death').valueCodeableConcept.exists())
o-pat-req-7	error	Patient	If the patient vital status is unknown, the end of records must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '261665006' implies extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records').valueDate.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	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, o-pat-req-5, o-pat-req-6, o-pat-req-7
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:race	O	0..1	USCoreRaceExtension	US Core Race Extension Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:tribalAffiliation		0..*	USCoreTribalAffiliationExtension	Not used in this profile
extension:birthsex	O	0..1	USCoreBirthSexExtension	Extension Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:sex		0..1	USCoreSexExtension	Not used in this profile
extension:genderIdentity	O	0..*	USCoreGenderIdentityExtension	Extension Obligations Actor MAY:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:consentStatus	SO	1..1	code	Cancer Patient Consent status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status Binding: Consent Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:clinicalCenter	SO	1..1	string	Cancer Patient Clinical Center URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:overallSurvival	O	0..1	Duration	Cancer Patient Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:dataCompletionRate	O	0..1	decimal	Cancer Patient Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:contributors	O	0..*	Reference()	Cancer Patient Data Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:endOfRecords	SO	0..1	date	Cancer Patient End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for identifier		2..*	Identifier	(USCDI) An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:onconovaIdentifier	SO	1..*	Identifier	Onconova Logical Pseudoidentifier Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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	SO	1..*	Identifier	Clinical Identifier from Clinical Center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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
name		1..*	HumanName	Not used in this profile
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:anonymizedEntry		1..*	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]		1..1	code	Value of extension Required Pattern: masked
telecom		0..*	ContactPoint	Not used in this profile
gender	O	1..1	code	(USCDI) male | female | other | unknown Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
birthDate	O	1..1	date	Date of birth of the patient normalized to the first day of the month Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age	O	0..1	integer	Cancer Patient Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ageAtDiagnosis	O	0..1	integer	Cancer Patient Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
deceased[x]	O	1..1	dateTime	Date of death of the patient, if applicable Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vitalStatus	SO	1..1	CodeableConcept	Cancer Patient Vital status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status Binding: Vital Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:causeOfDeath	SO	1..1	CodeableConcept	Cancer Patient Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death Binding: Cause of Death Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
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()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
o-pat-req-5	error	Patient	The vital status extension is required and must be provided.	deceased.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.exists()
o-pat-req-6	error	Patient	If the patient is deceased, the date of death and cause of death must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '419099009' implies (deceasedDateTime.hasValue() and deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death').valueCodeableConcept.exists())
o-pat-req-7	error	Patient	If the patient vital status is unknown, the end of records must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '261665006' implies extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records').valueDate.hasValue()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	SC	0..*	CancerPatient	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, o-pat-req-5, o-pat-req-6, o-pat-req-7
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		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:race	O	0..1	(Complex)	US Core Race Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ethnicity		0..1	(Complex)	(USCDI) US Core ethnicity Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:tribalAffiliation		0..*	(Complex)	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
extension:birthsex	SO	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 Obligations Actor SHOULD:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:sex		0..1	code	Not used in this profile URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
extension:genderIdentity	O	0..*	CodeableConcept	Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Binding: Gender Identity (extensible) Obligations Actor MAY:populate-if-known Creator (Onconova) MAY:persist Consumer (Onconova)
extension:consentStatus	SO	1..1	code	Cancer Patient Consent status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status Binding: Consent Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:clinicalCenter	SO	1..1	string	Cancer Patient Clinical Center URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:overallSurvival	O	0..1	Duration	Cancer Patient Overall Survival URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:dataCompletionRate	O	0..1	decimal	Cancer Patient Data Completion Rate URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:contributors	O	0..*	Reference()	Cancer Patient Data Contributors URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:endOfRecords	SO	0..1	date	Cancer Patient End of Records URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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
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	SOΣ	1..*	Identifier	Onconova Logical Pseudoidentifier Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: 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	SOΣ	1..*	Identifier	Clinical Identifier from Clinical Center Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: 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	(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)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	SΣC	1..*	HumanName	Not used in this profile 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
extension:anonymizedEntry		1..1	(Complex)	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]		1..1	code	Value of extension Binding: DataAbsentReason (required) Required Pattern: masked
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
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	SOΣ	1..1	code	(USCDI) male | female | other | unknown Binding: AdministrativeGender (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
birthDate	SOΣ	1..1	date	Date of birth of the patient normalized to the first day of the month Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age	O	0..1	integer	Cancer Patient Age URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:ageAtDiagnosis	O	0..1	integer	Cancer Patient Age at Diagnosis URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
value		0..1	date	Primitive value for date
deceased[x]	?!SOΣ	1..1	dateTime	Date of death of the patient, if applicable Obligations Actor SHALL:populate-if-known Creator (Onconova) SHOULD:persist Consumer (Onconova)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:vitalStatus	SO	1..1	CodeableConcept	Cancer Patient Vital status URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status Binding: Vital Status Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:causeOfDeath	SO	1..1	CodeableConcept	Cancer Patient Cause of Death URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death Binding: Cause of Death Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
value		0..1	dateTime	Primitive value for dateTime
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
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: USPS Two Letter Alphabetic Codes (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
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	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language	S	1..1	CodeableConcept	(USCDI) The language which can be used to communicate with the patient about his or her health Binding: Language codes with language and optionally a region modifier (extensible)
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

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.extension:anonymizedEntry.​value[x]	Base	required	DataAbsentReason	📦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	**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()
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()
o-pat-req-4	error	Patient	The birthDate element is required and must be provided	birthDate.exists() and birthDate.hasValue()
o-pat-req-5	error	Patient	The vital status extension is required and must be provided.	deceased.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.exists()
o-pat-req-6	error	Patient	If the patient is deceased, the date of death and cause of death must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '419099009' implies (deceasedDateTime.hasValue() and deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death').valueCodeableConcept.exists())
o-pat-req-7	error	Patient	If the patient vital status is unknown, the end of records must be provided.	deceasedDateTime.extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status').valueCodeableConcept.coding.code = '261665006' implies extension('http://hl7.org/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records').valueDate.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: 12 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-consent-status
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-clinical-center
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-overall-survival
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-completion-rate
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-data-contributors
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-end-of-records
• http://hl7.org/fhir/StructureDefinition/data-absent-reason
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-age-at-diagnosis
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-vital-status
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-cancer-patient-cause-of-death

Slices

This structure defines the following Slices:

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