基于FHIR标准的健康档案共享文档实施指南
0.8.0.2022705 - 持续集成版
基于FHIR标准的健康档案共享文档实施指南
0.8.0.2022705 - 持续集成版
基于FHIR的健康档案共享文档实施时必须严格遵循本实施指南的规定。
| Defining URL: | http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-core-patient |
| Version: | 0.8.0.2022705 |
| Name: | CorePatient |
| Title: | 患者信息结构定义 |
| Status: | Active as of 2022-07-05T13:46:42+08:00 |
| Definition: | 患者资源本地化定义。 |
| Publisher: | CHIMA&HL7中国委员会 |
| Source Resource: | XML / JSON / Turtle |
患者信息结构定义的正式唯一标识为:
http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-core-patient
患者信息使用 Patient资源进行表示。该资源的本地化结构定义声明了对适用于健康医疗信息平台中患者信息的最低要求。它确定在使用此资源时应包含哪些核心元素、扩展和术语
除非无法判别两个患者资源是否属于同一患者，在实现系统中一个患者只能存在一个患者资源。
患者的各种用于医疗就诊活动的卡和证件标识都记录在identifier元素中，identifier.system元素用于记录标识域，identifier.value元素用于记录标识号。
当两个患者资源判定为同一患者后，进行患者合并。合并后被废弃的患者资源通过保留患者资源的link元素进行链接。
患者信息结构定义是在FHIR标准的Patient基础上进行更加详细的规则约束，下表展示了患者信息结构定义的结构表示。
这种结构源自 Patient
这种结构源自 Patient
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Patient | 0..* | Patient | Information about an individual or animal receiving health care services | |
  id | Σ | 0..1 | string | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 ext-person-nationality | 0..1 | Coding | 国籍 URL: http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/ext-person-nationality Binding: 世界各国和地区名称代码 (required) | |
| ext-person-ethnicGroup | 0..1 | Coding | 民族 URL: http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/ext-person-ethnicGroup Binding: 民族类别代码表 (required) | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 1..* | Identifier | 患者业务标识符。例如：身份证、健康卡、社保卡等 |
| active | ?!Σ | 1..1 | boolean | 患者状态，默认取值为true。 |
| name | Σ | 1..* | HumanName | 患者名称 |
| telecom | Σ | 0..* | ContactPoint | 患者的联系方式 |
 gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. |
 id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ext-person-gender | 1..1 | Coding | 国标性别代码 URL: http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/ext-person-gender Binding: 生理性别代码表 (required) | |
 value | 0..1 | string | Primitive value for code | |
| birthDate | Σ | 1..1 | date | 患者的出生日期 |
 deceased[x] | ?!Σ | 0..1 | Indicates if the individual is deceased or not | |
| deceasedBoolean | boolean | |||
| deceasedDateTime | dateTime | |||
| address | 0..* | CNAddress | 患者的地址 | |
| maritalStatus | 0..1 | CodeableConcept | 婚姻状态 Binding: 婚姻状况代码表 (required) | |
| multipleBirth[x] | 0..1 | Whether patient is part of a multiple birth | ||
| multipleBirthBoolean | boolean | |||
| multipleBirthInteger | integer | |||
| photo | 0..* | Attachment | Image of the patient | |
| contact | I | 0..* | BackboneElement | 患者的联系人 |
| 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 | 患者与联系人之间的关系 Binding: 家庭关系代码表 (required) | |
| name | 1..1 | HumanName | 联系人的姓名 | |
| telecom | 0..* | ContactPoint | 联系人的联系方式 | |
| address | 0..1 | CNAddress | 联系人的地址 | |
| gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |
 organization | I | 0..1 | Reference(Organization) | Organization that is associated with the contact |
| period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |
| communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| preferred | 0..1 | boolean | Language preference indicator | |
| generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |
| managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record |
 link | ?!Σ | 0..* | BackboneElement | 连接到另一个患者资源 |
 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) | 指向其它患者资源的引用 |
| type | Σ | 1..1 | code | 连接的类型 Binding: LinkType (required): The type of link between this patient resource and another patient resource. |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Patient | 0..* | Patient | Information about an individual or animal receiving health care services | |
| Documentation for this format | ||||
这种结构源自 Patient
差异视图
这种结构源自 Patient
快照视图
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Patient | 0..* | Patient | Information about an individual or animal receiving health care services | |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ext-person-nationality | 0..1 | Coding | 国籍 URL: http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/ext-person-nationality Binding: 世界各国和地区名称代码 (required) | |
| ext-person-ethnicGroup | 0..1 | Coding | 民族 URL: http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/ext-person-ethnicGroup Binding: 民族类别代码表 (required) | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 1..* | Identifier | 患者业务标识符。例如：身份证、健康卡、社保卡等 |
| active | ?!Σ | 1..1 | boolean | 患者状态，默认取值为true。 |
| name | Σ | 1..* | HumanName | 患者名称 |
| telecom | Σ | 0..* | ContactPoint | 患者的联系方式 |
| gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| ext-person-gender | 1..1 | Coding | 国标性别代码 URL: http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/ext-person-gender Binding: 生理性别代码表 (required) | |
| value | 0..1 | string | Primitive value for code | |
| birthDate | Σ | 1..1 | date | 患者的出生日期 |
| deceased[x] | ?!Σ | 0..1 | Indicates if the individual is deceased or not | |
| deceasedBoolean | boolean | |||
| deceasedDateTime | dateTime | |||
| address | 0..* | CNAddress | 患者的地址 | |
| maritalStatus | 0..1 | CodeableConcept | 婚姻状态 Binding: 婚姻状况代码表 (required) | |
| multipleBirth[x] | 0..1 | Whether patient is part of a multiple birth | ||
| multipleBirthBoolean | boolean | |||
| multipleBirthInteger | integer | |||
| photo | 0..* | Attachment | Image of the patient | |
| contact | I | 0..* | BackboneElement | 患者的联系人 |
| 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 | 患者与联系人之间的关系 Binding: 家庭关系代码表 (required) | |
| name | 1..1 | HumanName | 联系人的姓名 | |
| telecom | 0..* | ContactPoint | 联系人的联系方式 | |
| address | 0..1 | CNAddress | 联系人的地址 | |
| gender | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. | |
| organization | I | 0..1 | Reference(Organization) | Organization that is associated with the contact |
| period | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient | |
| communication | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| language | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| preferred | 0..1 | boolean | Language preference indicator | |
| generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider | |
| managingOrganization | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record |
| link | ?!Σ | 0..* | BackboneElement | 连接到另一个患者资源 |
| 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) | 指向其它患者资源的引用 |
| type | Σ | 1..1 | code | 连接的类型 Binding: LinkType (required): The type of link between this patient resource and another patient resource. |
| Documentation for this format | ||||
本定义的其它表示法: Schematron
| Path | Conformance | ValueSet |
| Patient.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Patient.gender | required | AdministrativeGender |
| Patient.maritalStatus | required | GB2261_2_2003 |
| Patient.contact.relationship | required | GB4761_2008 |
| Patient.contact.gender | required | AdministrativeGender |
| Patient.communication.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Patient.link.type | required | LinkType |
| Id | Path | Details | Requirements |
| dom-2 | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | 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 | 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 | Patient | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Patient | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | Patient.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.extension:Nationality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.extension:Nationality | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.extension:EthnicGroup | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.extension:EthnicGroup | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.active | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.telecom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.gender | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.gender.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.gender.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.gender.extension:Gender | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.gender.extension:Gender | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.birthDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.deceased[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.address | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.maritalStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.multipleBirth[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.photo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.contact | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| pat-1 | 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() | |
| ele-1 | Patient.contact.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.contact.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.contact.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.contact.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.contact.relationship | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.contact.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.contact.telecom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.contact.address | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.contact.gender | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.contact.organization | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.contact.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.communication | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.communication.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.communication.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.communication.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.communication.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.communication.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.communication.preferred | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.generalPractitioner | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.managingOrganization | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.link | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.link.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.link.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.link.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Patient.link.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Patient.link.other | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Patient.link.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
