Bangladesh Core FHIR Implementation Guide
0.4.6 - Published by DGHS, MoHFW

Bangladesh Core FHIR Implementation Guide - Published by Ministry of Health and Family Welfare. See the Directory of published versions

## Resource Profile: Patient Profile for Bangladesh

Official URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient | Version: 0.4.6
Standards status: Informative | Maturity Level: 1 | Computable Name: BDPatient

Patient profile for Bangladesh.

- Identifiers: NID, BRN, UHID
- Name must be provided in both Bangla and English.
- SHALL have at least one RelatedPerson with relationship = father or mother, and that RelatedPerson SHALL include both a name and an identifier.

Usages:

- Refer to this Profile: Immunization Profile for Bangladesh, Medication Request Profile for Bangladesh and Related Person Profile for Bangladesh
- Examples for this Profile: Patient/BDPatientExample

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Patient |  | 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 |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:religion |  | 0..1 | (Complex) | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Bangladesh Religions ValueSet (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:system
identifier:NID | Σ | 0..1 | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
identifier:BRN | Σ | 0..1 | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
identifier:UHID | Σ | 1..1 | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..1 | HumanName | A name associated with the patient
use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
text | S Σ | 1..1 | string | Text representation of the full name
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nameEn | S | 1..1 | string | English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
extension:nameBn | S | 0..1 | string | Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 | dateTime | Indicates if the individual is deceased or not
address | S Σ | 1..* | BDAddress | An address for the individual
maritalStatus | S | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
photo | S | 0..* | Attachment | Image of the patient
link | ?!S 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 | S Σ | 1..1 | Reference(Related Person Profile for Bangladesh) | 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. Fixed Value: seealso
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.extension:religion.​value[x] | Base | required | Bangladesh Religions ValueSet | 📦0.4.6 | This IG
Patient.identifier:NID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:NID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:BRN.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:BRN.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:UHID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:UHID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | required | Bangladesh Marital Status ValueSet | 📦0.4.6 | This IG
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from Patient

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 extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:religion |  | 0..1 | (Complex) | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Bangladesh Religions ValueSet (required)
Slices for identifier |  | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:system
identifier:NID |  | 0..1 | Identifier | An identifier for this patient
type |  | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: NID
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
identifier:BRN |  | 0..1 | Identifier | An identifier for this patient
type |  | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: BRN
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
identifier:UHID |  | 1..1 | Identifier | An identifier for this patient
type |  | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: UHID
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
name | S | 1..1 | HumanName | A name associated with the patient
use |  | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text | S | 1..1 | string | Text representation of the full name
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nameEn | S | 1..1 | string | English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
extension:nameBn | S | 0..1 | string | Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
gender |  | 1..1 | code | male | female | other | unknown
birthDate |  | 0..1 | date | The date of birth for the individual
deceased[x] |  | 0..1 | dateTime | Indicates if the individual is deceased or not
address | S | 1..* | BDAddress | An address for the individual
maritalStatus | S | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
photo | S | 0..* | Attachment | Image of the patient
link | S | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
other | S | 1..1 | Reference(Related Person Profile for Bangladesh) | The other patient or related person resource that the link refers to
type |  | 1..1 | code | replaced-by | replaces | refer | seealso Fixed Value: seealso
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Patient.extension:religion.​value[x] | Base | required | Bangladesh Religions ValueSet | 📦0.4.6 | This IG
Patient.identifier:NID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:BRN.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:UHID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.maritalStatus | Base | required | Bangladesh Marital Status ValueSet | 📦0.4.6 | This IG

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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:religion |  | 0..1 | (Complex) | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Bangladesh Religions ValueSet (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:system
identifier:NID | Σ | 0..1 | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
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 | Σ | 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 | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: NID
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 Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
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)
identifier:BRN | Σ | 0..1 | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
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 | Σ | 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 | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: BRN
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 Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
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)
identifier:UHID | Σ | 1..1 | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
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 | Σ | 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 | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: UHID
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 Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
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 | S Σ | 1..1 | HumanName | A name associated with the patient
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 | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
text | S Σ | 1..1 | string | Text representation of the full name
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nameEn | S | 1..1 | string | English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
extension:nameBn | S | 0..1 | string | Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
value |  | 0..1 | string | Primitive value for string Max Length:1048576
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 | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 | dateTime | Indicates if the individual is deceased or not
address | S Σ | 1..* | BDAddress | An address for the individual
maritalStatus | S | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo | S | 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 |  | 0..1 | HumanName | A name associated with the contact person
telecom |  | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | 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 | ?!S 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 | S Σ | 1..1 | Reference(Related Person Profile for Bangladesh) | 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. Fixed Value: seealso
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.extension:religion.​value[x] | Base | required | Bangladesh Religions ValueSet | 📦0.4.6 | This IG
Patient.identifier:NID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:NID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:BRN.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:BRN.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:UHID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:UHID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | required | Bangladesh Marital Status ValueSet | 📦0.4.6 | This IG
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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(2 nested mandatory elements)
Must-Support: 9 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- Address for Bangladesh (https://fhir.dghs.gov.bd/core/StructureDefinition/bd-address)
- Related Person Profile for Bangladesh (https://fhir.dghs.gov.bd/core/StructureDefinition/bd-related-person)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-religion
- https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
- https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:religion |  | 0..1 | (Complex) | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Bangladesh Religions ValueSet (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:system
identifier:NID | Σ | 0..1 | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
identifier:BRN | Σ | 0..1 | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
identifier:UHID | Σ | 1..1 | Identifier | An identifier for this patient
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
name | S Σ | 1..1 | HumanName | A name associated with the patient
use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
text | S Σ | 1..1 | string | Text representation of the full name
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nameEn | S | 1..1 | string | English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
extension:nameBn | S | 0..1 | string | Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
gender | Σ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 | dateTime | Indicates if the individual is deceased or not
address | S Σ | 1..* | BDAddress | An address for the individual
maritalStatus | S | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
photo | S | 0..* | Attachment | Image of the patient
link | ?!S 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 | S Σ | 1..1 | Reference(Related Person Profile for Bangladesh) | 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. Fixed Value: seealso
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.extension:religion.​value[x] | Base | required | Bangladesh Religions ValueSet | 📦0.4.6 | This IG
Patient.identifier:NID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:NID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:BRN.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:BRN.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:UHID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:UHID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | required | Bangladesh Marital Status ValueSet | 📦0.4.6 | This IG
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

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

Differential View

This structure is derived from Patient

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 extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:religion |  | 0..1 | (Complex) | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Bangladesh Religions ValueSet (required)
Slices for identifier |  | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:system
identifier:NID |  | 0..1 | Identifier | An identifier for this patient
type |  | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: NID
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
identifier:BRN |  | 0..1 | Identifier | An identifier for this patient
type |  | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: BRN
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
identifier:UHID |  | 1..1 | Identifier | An identifier for this patient
type |  | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: UHID
text |  | 0..1 | string | Plain text representation of the concept Required Pattern: Organization identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
name | S | 1..1 | HumanName | A name associated with the patient
use |  | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
text | S | 1..1 | string | Text representation of the full name
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nameEn | S | 1..1 | string | English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
extension:nameBn | S | 0..1 | string | Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
gender |  | 1..1 | code | male | female | other | unknown
birthDate |  | 0..1 | date | The date of birth for the individual
deceased[x] |  | 0..1 | dateTime | Indicates if the individual is deceased or not
address | S | 1..* | BDAddress | An address for the individual
maritalStatus | S | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
photo | S | 0..* | Attachment | Image of the patient
link | S | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
other | S | 1..1 | Reference(Related Person Profile for Bangladesh) | The other patient or related person resource that the link refers to
type |  | 1..1 | code | replaced-by | replaces | refer | seealso Fixed Value: seealso
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Patient.extension:religion.​value[x] | Base | required | Bangladesh Religions ValueSet | 📦0.4.6 | This IG
Patient.identifier:NID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:BRN.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:UHID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.maritalStatus | Base | required | Bangladesh Marital Status ValueSet | 📦0.4.6 | This IG

Snapshot View

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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:religion |  | 0..1 | (Complex) | The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-religion"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Bangladesh Religions ValueSet (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 1..* | Identifier | An identifier for this patient Slice: Unordered, Open by value:system
identifier:NID | Σ | 0..1 | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
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 | Σ | 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 | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: NID
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 Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
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)
identifier:BRN | Σ | 0..1 | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
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 | Σ | 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 | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: BRN
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 Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
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)
identifier:UHID | Σ | 1..1 | Identifier | An identifier for this patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Bangladesh Identifier Type (extensible)
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 | Σ | 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 | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: UHID
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 Required Pattern: Organization identifier
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
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 | S Σ | 1..1 | HumanName | A name associated with the patient
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 | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
text | S Σ | 1..1 | string | Text representation of the full name
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nameEn | S | 1..1 | string | English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
extension:nameBn | S | 0..1 | string | Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
value |  | 0..1 | string | Primitive value for string Max Length:1048576
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 | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate | Σ | 0..1 | date | The date of birth for the individual
deceased[x] | ?!Σ | 0..1 | dateTime | Indicates if the individual is deceased or not
address | S Σ | 1..* | BDAddress | An address for the individual
maritalStatus | S | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo | S | 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 |  | 0..1 | HumanName | A name associated with the contact person
telecom |  | 0..* | ContactPoint | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | 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 | ?!S 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 | S Σ | 1..1 | Reference(Related Person Profile for Bangladesh) | 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. Fixed Value: seealso
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Patient.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.extension:religion.​value[x] | Base | required | Bangladesh Religions ValueSet | 📦0.4.6 | This IG
Patient.identifier:NID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:NID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:BRN.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:BRN.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.identifier:UHID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Patient.identifier:UHID.​type | Base | extensible | Bangladesh Identifier Type | 📦0.4.6 | This IG
Patient.name.use | Base | required | NameUse | 📍4.0.1 | FHIR Std.
Patient.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.maritalStatus | Base | required | Bangladesh Marital Status ValueSet | 📦0.4.6 | This IG
Patient.contact.relationship | Base | extensible | Patient Contact Relationship | 📍4.0.1 | FHIR Std.
Patient.contact.gender | Base | required | AdministrativeGender | 📍4.0.1 | FHIR Std.
Patient.communication.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Patient.link.type | Base | required | LinkType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Patient | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Patient | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Patient | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Patient | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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(2 nested mandatory elements)
Must-Support: 9 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

- Address for Bangladesh (https://fhir.dghs.gov.bd/core/StructureDefinition/bd-address)
- Related Person Profile for Bangladesh (https://fhir.dghs.gov.bd/core/StructureDefinition/bd-related-person)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/patient-religion
- https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
- https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron