Guías de Implementación FHIR | Ministerio de Salud de Costa Rica - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Contenido
• Descripciones detalladas
• Mapeos
• XML
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• TTL

Perfil de recurso: CR Paciente

Este perfil se ha modelado con el fin de cubrir las necesidades nacionales de un Recurso Paciente para un Historia Clínica Electrónica en Costa Rica.

Usage:

• Refer to this Resource Profile: CR Notificación Obligatoria

Formal Views of Profile Content

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

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
tipoIdentificacion	S	1..1	CodeableConcept	Tipo de Identificación URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
nacionalidad	S	0..1	CodeableConcept	Extension para la Nacionalidad. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad Binding: Codigos de Países (required)
etnia		0..1	CodeableConcept	Extension para la Etnia. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia Binding: Códigos de etnias (required)
identifier	S	0..*	Identifier	Identificador del Paciente
use	S	0..1	code	usual | official | temp | secondary | old (requerido)
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
name		0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido
use	S	0..1	code	Uso del nombre del paciente
family	S	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y/o nombres del paciente
telecom	S	0..*	ContactPoint	Detalles de contacto del Paciente
system	S	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	S	0..1	string	Dato del contato del paciente descrito
use	S	0..1	code	home | work | temp | old | mobile Binding: ContactPointUse (required)
gender	S	0..1	code	Sexo Registrado. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	S	0..1	date	Fecha de nacimiento del Paciente.
address		1..1	Address	Dirección del Paciente
use		1..1	code	home | work | temp | old | billing Binding: AddressUse (required)
type		1..1	code	postal | physical | both Binding: AddressType (required)
text		1..1	string	Texto de la dirección
line		1..*	string	Parte de la dirección
city		1..1	string	Cantón Binding: Codigos geopoliticos de los cantones de Costa Rica: Cantones de Costa Rica
district		1..1	string	Distrito Binding: Codigos geopoliticos de los distritos de Costa Rica: Distritos de Costa Rica
state		1..1	string	Provincia Binding: Codigos de Provincias de Costa Rica: Provincias de Costa Rica
maritalStatus		0..1	CodeableConcept	Estado Civil del Paciente Binding: Marital Status Codes (required)
contact		0..*	BackboneElement	Persona de contacto del Paciente
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..1	CodeableConcept	Identificación del Contacto del paciente URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
relationship		0..*	CodeableConcept	Relación con el paciente Binding: PatientContactRelationship (required)
name		0..1	HumanName	Nombre de la persona de contacto
use	S	0..1	code	Uso del nombre del contacto del paciente
family	S	0..1	string	1er Apellido contacto del paciente
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido del contacto del paciente Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y/o nombres del contacto del paciente
address		0..1	Address	Dirección de la persona de contacto
use		1..1	code	home | work | temp | old | billing Binding: AddressUse (required)
type		1..1	code	postal | physical | both Binding: AddressType (required)
text		1..1	string	Texto de la dirección
line		1..*	string	Parte de la dirección
city		1..1	string	Cantón
district		1..1	string	Distrito
state		1..1	string	Provincia
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.address.city		VSCantones (a valid code from Códigos de cantones de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSCantones from this IG
Patient.address.district		VSDistritos (a valid code from Códigos de distritos de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSDistritos from this IG
Patient.address.state		VSProvincias (a valid code from Provincias de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSProvincias from this IG
Patient.maritalStatus	required	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
tipoIdentificacion	S	1..1	CodeableConcept	Tipo de Identificación URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
nacionalidad	S	0..1	CodeableConcept	Extension para la Nacionalidad. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad Binding: Codigos de Países (required)
etnia		0..1	CodeableConcept	Extension para la Etnia. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia Binding: Códigos de etnias (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador del Paciente
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (requerido) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido
use	?!SΣ	0..1	code	Uso del nombre del paciente Binding: NameUse (required): The use of a human name.
family	SΣ	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	SΣ	0..*	string	Primer nombre y/o nombres del paciente This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	Detalles de contacto del Paciente
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	SΣ	0..1	string	Dato del contato del paciente descrito
use	?!SΣ	0..1	code	home | work | temp | old | mobile Binding: ContactPointUse (required)
gender	SΣ	0..1	code	Sexo Registrado. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	SΣ	0..1	date	Fecha de nacimiento del Paciente.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	1..1	Address	Dirección del Paciente
use	?!Σ	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Binding: Codigos geopoliticos de los cantones de Costa Rica: Cantones de Costa Rica Example General: Erewhon
district	Σ	1..1	string	Distrito Binding: Codigos geopoliticos de los distritos de Costa Rica: Distritos de Costa Rica Example General: Madison
state	Σ	1..1	string	Provincia Binding: Codigos de Provincias de Costa Rica: Provincias de Costa Rica
maritalStatus		0..1	CodeableConcept	Estado Civil del Paciente Binding: Marital Status Codes (required)
contact	C	0..*	BackboneElement	Persona de contacto del Paciente
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..1	CodeableConcept	Identificación del Contacto del paciente URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	Relación con el paciente Binding: PatientContactRelationship (required)
name		0..1	HumanName	Nombre de la persona de contacto
use	?!SΣ	0..1	code	Uso del nombre del contacto del paciente Binding: NameUse (required): The use of a human name.
family	SΣ	0..1	string	1er Apellido contacto del paciente
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido del contacto del paciente Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	SΣ	0..*	string	Primer nombre y/o nombres del contacto del paciente This repeating element order: Given Names appear in the correct order for presenting the name
address		0..1	Address	Dirección de la persona de contacto
use	?!Σ	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Example General: Erewhon
district	Σ	1..1	string	Distrito Example General: Madison
state	Σ	1..1	string	Provincia
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	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.address.city		VSCantones (a valid code from Códigos de cantones de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSCantones from this IG
Patient.address.district		VSDistritos (a valid code from Códigos de distritos de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSDistritos from this IG
Patient.address.state		VSProvincias (a valid code from Provincias de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSProvincias from this IG
Patient.maritalStatus	required	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
tipoIdentificacion	S	1..1	CodeableConcept	Tipo de Identificación URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
nacionalidad	S	0..1	CodeableConcept	Extension para la Nacionalidad. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad Binding: Codigos de Países (required)
etnia		0..1	CodeableConcept	Extension para la Etnia. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia Binding: Códigos de etnias (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador del Paciente
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	?!SΣ	0..1	code	usual | official | temp | secondary | old (requerido) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique 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	Σ	0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido
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	?!SΣ	0..1	code	Uso del nombre del paciente Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	1er Apellido
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
value		0..1	string	Primitive value for string Max Length: 1048576
given	SΣ	0..*	string	Primer nombre y/o nombres del paciente This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	Detalles de contacto del Paciente
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	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	SΣ	0..1	string	Dato del contato del paciente descrito
use	?!SΣ	0..1	code	home | work | temp | old | mobile Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	0..1	code	Sexo Registrado. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	SΣ	0..1	date	Fecha de nacimiento del Paciente.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	1..1	Address	Dirección del Paciente
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	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Binding: Codigos geopoliticos de los cantones de Costa Rica: Cantones de Costa Rica Example General: Erewhon
district	Σ	1..1	string	Distrito Binding: Codigos geopoliticos de los distritos de Costa Rica: Distritos de Costa Rica Example General: Madison
state	Σ	1..1	string	Provincia Binding: Codigos de Provincias de Costa Rica: Provincias de Costa Rica
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Estado Civil del Paciente Binding: Marital Status Codes (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	C	0..*	BackboneElement	Persona de contacto del Paciente
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..1	CodeableConcept	Identificación del Contacto del paciente URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	Relación con el paciente Binding: PatientContactRelationship (required)
name		0..1	HumanName	Nombre de la persona de contacto
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	?!SΣ	0..1	code	Uso del nombre del contacto del paciente Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	1er Apellido contacto del paciente
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido del contacto del paciente Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
value		0..1	string	Primitive value for string Max Length: 1048576
given	SΣ	0..*	string	Primer nombre y/o nombres del contacto del paciente This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Dirección de la persona de contacto
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	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Example General: Erewhon
district	Σ	1..1	string	Distrito Example General: Madison
state	Σ	1..1	string	Provincia
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.address.city		VSCantones (a valid code from Códigos de cantones de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSCantones from this IG
Patient.address.district		VSDistritos (a valid code from Códigos de distritos de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSDistritos from this IG
Patient.address.state		VSProvincias (a valid code from Provincias de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSProvincias from this IG
Patient.maritalStatus	required	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 10 elements (7 nested mandatory elements)
Must-Support: 23 elements

Extensions

This structure refers to these extensions:

• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion
• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad
• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia
• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
tipoIdentificacion	S	1..1	CodeableConcept	Tipo de Identificación URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
nacionalidad	S	0..1	CodeableConcept	Extension para la Nacionalidad. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad Binding: Codigos de Países (required)
etnia		0..1	CodeableConcept	Extension para la Etnia. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia Binding: Códigos de etnias (required)
identifier	S	0..*	Identifier	Identificador del Paciente
use	S	0..1	code	usual | official | temp | secondary | old (requerido)
type	S	0..1	CodeableConcept	Description of identifier
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Identity of the terminology system
code	S	0..1	code	Symbol in syntax defined by the system
name		0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido
use	S	0..1	code	Uso del nombre del paciente
family	S	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y/o nombres del paciente
telecom	S	0..*	ContactPoint	Detalles de contacto del Paciente
system	S	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	S	0..1	string	Dato del contato del paciente descrito
use	S	0..1	code	home | work | temp | old | mobile Binding: ContactPointUse (required)
gender	S	0..1	code	Sexo Registrado. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	S	0..1	date	Fecha de nacimiento del Paciente.
address		1..1	Address	Dirección del Paciente
use		1..1	code	home | work | temp | old | billing Binding: AddressUse (required)
type		1..1	code	postal | physical | both Binding: AddressType (required)
text		1..1	string	Texto de la dirección
line		1..*	string	Parte de la dirección
city		1..1	string	Cantón Binding: Codigos geopoliticos de los cantones de Costa Rica: Cantones de Costa Rica
district		1..1	string	Distrito Binding: Codigos geopoliticos de los distritos de Costa Rica: Distritos de Costa Rica
state		1..1	string	Provincia Binding: Codigos de Provincias de Costa Rica: Provincias de Costa Rica
maritalStatus		0..1	CodeableConcept	Estado Civil del Paciente Binding: Marital Status Codes (required)
contact		0..*	BackboneElement	Persona de contacto del Paciente
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..1	CodeableConcept	Identificación del Contacto del paciente URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
relationship		0..*	CodeableConcept	Relación con el paciente Binding: PatientContactRelationship (required)
name		0..1	HumanName	Nombre de la persona de contacto
use	S	0..1	code	Uso del nombre del contacto del paciente
family	S	0..1	string	1er Apellido contacto del paciente
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido del contacto del paciente Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y/o nombres del contacto del paciente
address		0..1	Address	Dirección de la persona de contacto
use		1..1	code	home | work | temp | old | billing Binding: AddressUse (required)
type		1..1	code	postal | physical | both Binding: AddressType (required)
text		1..1	string	Texto de la dirección
line		1..*	string	Parte de la dirección
city		1..1	string	Cantón
district		1..1	string	Distrito
state		1..1	string	Provincia
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.address.city		VSCantones (a valid code from Códigos de cantones de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSCantones from this IG
Patient.address.district		VSDistritos (a valid code from Códigos de distritos de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSDistritos from this IG
Patient.address.state		VSProvincias (a valid code from Provincias de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSProvincias from this IG
Patient.maritalStatus	required	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
tipoIdentificacion	S	1..1	CodeableConcept	Tipo de Identificación URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
nacionalidad	S	0..1	CodeableConcept	Extension para la Nacionalidad. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad Binding: Codigos de Países (required)
etnia		0..1	CodeableConcept	Extension para la Etnia. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia Binding: Códigos de etnias (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador del Paciente
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (requerido) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido
use	?!SΣ	0..1	code	Uso del nombre del paciente Binding: NameUse (required): The use of a human name.
family	SΣ	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	SΣ	0..*	string	Primer nombre y/o nombres del paciente This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	Detalles de contacto del Paciente
system	SΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	SΣ	0..1	string	Dato del contato del paciente descrito
use	?!SΣ	0..1	code	home | work | temp | old | mobile Binding: ContactPointUse (required)
gender	SΣ	0..1	code	Sexo Registrado. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	SΣ	0..1	date	Fecha de nacimiento del Paciente.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	1..1	Address	Dirección del Paciente
use	?!Σ	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Binding: Codigos geopoliticos de los cantones de Costa Rica: Cantones de Costa Rica Example General: Erewhon
district	Σ	1..1	string	Distrito Binding: Codigos geopoliticos de los distritos de Costa Rica: Distritos de Costa Rica Example General: Madison
state	Σ	1..1	string	Provincia Binding: Codigos de Provincias de Costa Rica: Provincias de Costa Rica
maritalStatus		0..1	CodeableConcept	Estado Civil del Paciente Binding: Marital Status Codes (required)
contact	C	0..*	BackboneElement	Persona de contacto del Paciente
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..1	CodeableConcept	Identificación del Contacto del paciente URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	Relación con el paciente Binding: PatientContactRelationship (required)
name		0..1	HumanName	Nombre de la persona de contacto
use	?!SΣ	0..1	code	Uso del nombre del contacto del paciente Binding: NameUse (required): The use of a human name.
family	SΣ	0..1	string	1er Apellido contacto del paciente
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido del contacto del paciente Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
given	SΣ	0..*	string	Primer nombre y/o nombres del contacto del paciente This repeating element order: Given Names appear in the correct order for presenting the name
address		0..1	Address	Dirección de la persona de contacto
use	?!Σ	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Example General: Erewhon
district	Σ	1..1	string	Distrito Example General: Madison
state	Σ	1..1	string	Provincia
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	Conformance	ValueSet	URI
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.address.city		VSCantones (a valid code from Códigos de cantones de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSCantones from this IG
Patient.address.district		VSDistritos (a valid code from Códigos de distritos de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSDistritos from this IG
Patient.address.state		VSProvincias (a valid code from Provincias de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSProvincias from this IG
Patient.maritalStatus	required	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
tipoIdentificacion	S	1..1	CodeableConcept	Tipo de Identificación URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
nacionalidad	S	0..1	CodeableConcept	Extension para la Nacionalidad. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad Binding: Codigos de Países (required)
etnia		0..1	CodeableConcept	Extension para la Etnia. URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia Binding: Códigos de etnias (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador del Paciente
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	?!SΣ	0..1	code	usual | official | temp | secondary | old (requerido) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
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	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique 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	Σ	0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido
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	?!SΣ	0..1	code	Uso del nombre del paciente Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	1er Apellido
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
value		0..1	string	Primitive value for string Max Length: 1048576
given	SΣ	0..*	string	Primer nombre y/o nombres del paciente This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	SΣ	0..*	ContactPoint	Detalles de contacto del Paciente
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	0..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	SΣ	0..1	string	Dato del contato del paciente descrito
use	?!SΣ	0..1	code	home | work | temp | old | mobile Binding: ContactPointUse (required)
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	0..1	code	Sexo Registrado. (male | female | other | unknown (requerido)) Binding: AdministrativeGender (required)
birthDate	SΣ	0..1	date	Fecha de nacimiento del Paciente.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	1..1	Address	Dirección del Paciente
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	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Binding: Codigos geopoliticos de los cantones de Costa Rica: Cantones de Costa Rica Example General: Erewhon
district	Σ	1..1	string	Distrito Binding: Codigos geopoliticos de los distritos de Costa Rica: Distritos de Costa Rica Example General: Madison
state	Σ	1..1	string	Provincia Binding: Codigos de Provincias de Costa Rica: Provincias de Costa Rica
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Estado Civil del Paciente Binding: Marital Status Codes (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	C	0..*	BackboneElement	Persona de contacto del Paciente
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..1	CodeableConcept	Identificación del Contacto del paciente URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion Binding: Código de tipo de identificación (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	Relación con el paciente Binding: PatientContactRelationship (required)
name		0..1	HumanName	Nombre de la persona de contacto
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	?!SΣ	0..1	code	Uso del nombre del contacto del paciente Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Text representation of the full name
family	SΣ	0..1	string	1er Apellido contacto del paciente
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extensión para el 2ndo apellido del contacto del paciente Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido
value		0..1	string	Primitive value for string Max Length: 1048576
given	SΣ	0..*	string	Primer nombre y/o nombres del contacto del paciente This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Dirección de la persona de contacto
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	1..1	code	home | work | temp | old | billing Binding: AddressUse (required) Example General: home
type	Σ	1..1	code	postal | physical | both Binding: AddressType (required) Example General: both
text	Σ	1..1	string	Texto de la dirección Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	1..*	string	Parte de la dirección This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	1..1	string	Cantón Example General: Erewhon
district	Σ	1..1	string	Distrito Example General: Madison
state	Σ	1..1	string	Provincia
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.address.city		VSCantones (a valid code from Códigos de cantones de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSCantones from this IG
Patient.address.district		VSDistritos (a valid code from Códigos de distritos de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSDistritos from this IG
Patient.address.state		VSProvincias (a valid code from Provincias de Costa Rica) https://www.ministeriodesalud.go.cr/fhir/ValueSet/VSProvincias from this IG
Patient.maritalStatus	required	Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.name.use	required	NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.contact.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use from the FHIR Standard
Patient.contact.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 10 elements (7 nested mandatory elements)
Must-Support: 23 elements

Extensions

This structure refers to these extensions:

• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/TipoIdentificacion
• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Nacionalidad
• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/Etnia
• https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/SegundoApellido