Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificadores administrativos del paciente Slice: Unordered, Open by value:system
identifier:expediente	Σ	0..1	Identifier	Número de expediente clínico
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Tipo de identificador clínico Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: MR
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7.comisca.org/fhir/NamingSystem/expediente-clinico
value	SΣC	1..1	string	The value that is unique Example General: 123456 Max Length:20
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..1	HumanName	Nombre del paciente
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	1..1	string	Nombre completo o iniciales del paciente (máx. 60 caracteres) Max Length:60
gender	Σ	1..1	code	Género administrativo del paciente Binding: AdministrativeGender (required)
birthDate	SΣC	0..1	date	Fecha de nacimiento del paciente (cuando se conoce) Constraints: facedra-pat-birthdate-no-future
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
managingOrganization	Σ	0..1	Reference(Centro de Trabajo FACEDRA)	Centro de salud responsable del paciente
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:expediente.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier:expediente.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
facedra-pat-birthdate-no-future	error	Patient.birthDate	La fecha de nacimiento no puede ser una fecha futura.	$this <= today()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for identifier	S	0..*	Identifier	Identificadores administrativos del paciente Slice: Unordered, Open by value:system
identifier:expediente		0..1	Identifier	Número de expediente clínico
type	S	1..1	CodeableConcept	Tipo de identificador clínico
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Required Pattern: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://hl7.comisca.org/fhir/NamingSystem/expediente-clinico
value	S	1..1	string	The value that is unique Max Length:20
name		1..1	HumanName	Nombre del paciente
text		1..1	string	Nombre completo o iniciales del paciente (máx. 60 caracteres) Max Length:60
gender		1..1	code	Género administrativo del paciente Binding: AdministrativeGender (required)
birthDate	SC	0..1	date	Fecha de nacimiento del paciente (cuando se conoce) Constraints: facedra-pat-birthdate-no-future
managingOrganization		0..1	Reference(Centro de Trabajo FACEDRA)	Centro de salud responsable del paciente
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.gender	Base	required	AdministrativeGender	📦5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
facedra-pat-birthdate-no-future	error	Patient.birthDate	La fecha de nacimiento no puede ser una fecha futura.	$this <= today()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificadores administrativos del paciente Slice: Unordered, Open by value:system
identifier:expediente	Σ	0..1	Identifier	Número de expediente clínico
id		0..1	id	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	SΣ	1..1	CodeableConcept	Tipo de identificador clínico Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: MR
display	ΣC	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	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7.comisca.org/fhir/NamingSystem/expediente-clinico
value	SΣC	1..1	string	The value that is unique Example General: 123456 Max Length:20
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	1..1	HumanName	Nombre del paciente
id		0..1	id	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 | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	1..1	string	Nombre completo o iniciales del paciente (máx. 60 caracteres) Max Length:60
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	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	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	Σ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	1..1	code	Género administrativo del paciente Binding: AdministrativeGender (required)
birthDate	SΣC	0..1	date	Fecha de nacimiento del paciente (cuando se conoce) Constraints: facedra-pat-birthdate-no-future
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatusCodes (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	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient 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	C	0..1	HumanName	A name associated with the contact person
telecom	C	0..*	ContactPoint	A contact detail for the person
address	C	0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Centro de Trabajo FACEDRA)	Centro de salud responsable del paciente
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.identifier:expediente.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier:expediente.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦5.0.0	FHIR Std.
Patient.maritalStatus	Base	extensible	Marital Status Codes	📍5.0.0	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍5.0.0	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.communication.​language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
facedra-pat-birthdate-no-future	error	Patient.birthDate	La fecha de nacimiento no puede ser una fecha futura.	$this <= today()
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()

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Centro de Trabajo FACEDRA (https://hl7.comisca.org/fhir/StructureDefinition/centro-trabajo-facedra)

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificadores administrativos del paciente Slice: Unordered, Open by value:system
identifier:expediente	Σ	0..1	Identifier	Número de expediente clínico
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Tipo de identificador clínico Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: MR
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7.comisca.org/fhir/NamingSystem/expediente-clinico
value	SΣC	1..1	string	The value that is unique Example General: 123456 Max Length:20
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..1	HumanName	Nombre del paciente
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	1..1	string	Nombre completo o iniciales del paciente (máx. 60 caracteres) Max Length:60
gender	Σ	1..1	code	Género administrativo del paciente Binding: AdministrativeGender (required)
birthDate	SΣC	0..1	date	Fecha de nacimiento del paciente (cuando se conoce) Constraints: facedra-pat-birthdate-no-future
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
managingOrganization	Σ	0..1	Reference(Centro de Trabajo FACEDRA)	Centro de salud responsable del paciente
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier:expediente.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier:expediente.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
facedra-pat-birthdate-no-future	error	Patient.birthDate	La fecha de nacimiento no puede ser una fecha futura.	$this <= today()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for identifier	S	0..*	Identifier	Identificadores administrativos del paciente Slice: Unordered, Open by value:system
identifier:expediente		0..1	Identifier	Número de expediente clínico
type	S	1..1	CodeableConcept	Tipo de identificador clínico
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Required Pattern: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://hl7.comisca.org/fhir/NamingSystem/expediente-clinico
value	S	1..1	string	The value that is unique Max Length:20
name		1..1	HumanName	Nombre del paciente
text		1..1	string	Nombre completo o iniciales del paciente (máx. 60 caracteres) Max Length:60
gender		1..1	code	Género administrativo del paciente Binding: AdministrativeGender (required)
birthDate	SC	0..1	date	Fecha de nacimiento del paciente (cuando se conoce) Constraints: facedra-pat-birthdate-no-future
managingOrganization		0..1	Reference(Centro de Trabajo FACEDRA)	Centro de salud responsable del paciente
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.gender	Base	required	AdministrativeGender	📦5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
facedra-pat-birthdate-no-future	error	Patient.birthDate	La fecha de nacimiento no puede ser una fecha futura.	$this <= today()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Identificadores administrativos del paciente Slice: Unordered, Open by value:system
identifier:expediente	Σ	0..1	Identifier	Número de expediente clínico
id		0..1	id	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	SΣ	1..1	CodeableConcept	Tipo de identificador clínico Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Required Pattern: MR
display	ΣC	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	1..1	uri	The namespace for the identifier value Required Pattern: https://hl7.comisca.org/fhir/NamingSystem/expediente-clinico
value	SΣC	1..1	string	The value that is unique Example General: 123456 Max Length:20
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	1..1	HumanName	Nombre del paciente
id		0..1	id	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 | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	1..1	string	Nombre completo o iniciales del paciente (máx. 60 caracteres) Max Length:60
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	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	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	Σ	0..*	ContactPoint	A contact detail for the individual
gender	Σ	1..1	code	Género administrativo del paciente Binding: AdministrativeGender (required)
birthDate	SΣC	0..1	date	Fecha de nacimiento del paciente (cuando se conoce) Constraints: facedra-pat-birthdate-no-future
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	An address for the individual
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatusCodes (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	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient 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	C	0..1	HumanName	A name associated with the contact person
telecom	C	0..*	ContactPoint	A contact detail for the person
address	C	0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Centro de Trabajo FACEDRA)	Centro de salud responsable del paciente
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
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, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.identifier:expediente.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier:expediente.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📦5.0.0	FHIR Std.
Patient.maritalStatus	Base	extensible	Marital Status Codes	📍5.0.0	FHIR Std.
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍5.0.0	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.communication.​language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
facedra-pat-birthdate-no-future	error	Patient.birthDate	La fecha de nacimiento no puede ser una fecha futura.	$this <= today()
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()

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Centro de Trabajo FACEDRA (https://hl7.comisca.org/fhir/StructureDefinition/centro-trabajo-facedra)

Slices

This structure defines the following Slices:

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