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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Patient Profile for Bangladesh

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
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:religion		0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Patient.Slices for extension.extension:religion.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:religion.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
Patient.Slices for extension.extension:religion.value[x]		1..1	CodeableConcept	Value of extension Binding: Bangladesh Religions ValueSet (required)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:NID	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:NID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:NID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:NID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:NID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
Patient.Slices for identifier.identifier:BRN	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:BRN.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:BRN.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:BRN.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:BRN.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
Patient.Slices for identifier.identifier:UHID	Σ This element is included in summaries.	1..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:UHID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:UHID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:UHID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:UHID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries.	1..1	HumanName	A name associated with the patient
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	Text representation of the full name
Patient.name.text.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.name.text.Slices for extension.extension:nameEn	S This element must be supported.	1..1	string	English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
Patient.name.text.Slices for extension.extension:nameBn	S This element must be supported.	0..1	string	Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
Patient.gender	Σ This element is included in summaries.	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	0..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1	dateTime	Indicates if the individual is deceased or not
Patient.address	S This element must be supported. Σ This element is included in summaries.	1..*	BDAddress	An address for the individual
Patient.maritalStatus	S This element must be supported.	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
Patient.photo	S This element must be supported.	0..*	Attachment	Image of the patient
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Related Person Profile for Bangladesh)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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	📦0.5.0	This IG
Patient.identifier:NID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:BRN.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:BRN.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:UHID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:UHID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	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	📦0.5.0	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
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:religion		0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Patient.Slices for extension.extension:religion.value[x]		1..1	CodeableConcept	Value of extension Binding: Bangladesh Religions ValueSet (required)
Patient.Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:NID		0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:NID.type		0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:NID.type.coding
Patient.Slices for identifier.identifier:NID.type.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:NID.type.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: NID
Patient.Slices for identifier.identifier:NID.type.text		0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:NID.system		1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
Patient.Slices for identifier.identifier:BRN		0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:BRN.type		0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:BRN.type.coding
Patient.Slices for identifier.identifier:BRN.type.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:BRN.type.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: BRN
Patient.Slices for identifier.identifier:BRN.type.text		0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:BRN.system		1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
Patient.Slices for identifier.identifier:UHID		1..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:UHID.type		0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:UHID.type.coding
Patient.Slices for identifier.identifier:UHID.type.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:UHID.type.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: UHID
Patient.Slices for identifier.identifier:UHID.type.text		0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:UHID.system		1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
Patient.name	S This element must be supported.	1..1	HumanName	A name associated with the patient
Patient.name.use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
Patient.name.text	S This element must be supported.	1..1	string	Text representation of the full name
Patient.name.text.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.name.text.Slices for extension.extension:nameEn	S This element must be supported.	1..1	string	English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
Patient.name.text.Slices for extension.extension:nameBn	S This element must be supported.	0..1	string	Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
Patient.gender		1..1	code	male | female | other | unknown
Patient.birthDate		0..1	date	The date of birth for the individual
Patient.deceased[x]		0..1	dateTime	Indicates if the individual is deceased or not
Patient.address	S This element must be supported.	1..*	BDAddress	An address for the individual
Patient.maritalStatus	S This element must be supported.	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
Patient.photo	S This element must be supported.	0..*	Attachment	Image of the patient
Patient.link	S This element must be supported.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.other	S This element must be supported.	1..1	Reference(Related Person Profile for Bangladesh)	The other patient or related person resource that the link refers to
Patient.link.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	📦0.5.0	This IG
Patient.identifier:NID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:BRN.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:UHID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.maritalStatus	Base	required	Bangladesh Marital Status ValueSet	📦0.5.0	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
Patient.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.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
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:religion		0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Patient.Slices for extension.extension:religion.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:religion.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:religion.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
Patient.Slices for extension.extension:religion.value[x]		1..1	CodeableConcept	Value of extension Binding: Bangladesh Religions ValueSet (required)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:NID	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:NID.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:NID.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:NID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:NID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:NID.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:NID.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:NID.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Patient.Slices for identifier.identifier:NID.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:NID.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:NID.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:NID.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:NID.type.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: NID
Patient.Slices for identifier.identifier:NID.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:NID.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:NID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:NID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
Patient.Slices for identifier.identifier:NID.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Patient.Slices for identifier.identifier:NID.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:NID.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:BRN	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:BRN.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:BRN.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:BRN.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:BRN.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:BRN.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:BRN.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:BRN.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Patient.Slices for identifier.identifier:BRN.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:BRN.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:BRN.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:BRN.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:BRN.type.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: BRN
Patient.Slices for identifier.identifier:BRN.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:BRN.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:BRN.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:BRN.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
Patient.Slices for identifier.identifier:BRN.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Patient.Slices for identifier.identifier:BRN.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:BRN.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:UHID	Σ This element is included in summaries.	1..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:UHID.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:UHID.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:UHID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:UHID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:UHID.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:UHID.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:UHID.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Patient.Slices for identifier.identifier:UHID.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:UHID.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:UHID.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:UHID.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:UHID.type.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: UHID
Patient.Slices for identifier.identifier:UHID.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:UHID.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:UHID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:UHID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
Patient.Slices for identifier.identifier:UHID.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Patient.Slices for identifier.identifier:UHID.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:UHID.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries.	1..1	HumanName	A name associated with the patient
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	Text representation of the full name
Patient.name.text.id		0..1	string	xml:id (or equivalent in JSON)
Patient.name.text.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.name.text.Slices for extension.extension:nameEn	S This element must be supported.	1..1	string	English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
Patient.name.text.Slices for extension.extension:nameBn	S This element must be supported.	0..1	string	Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
Patient.name.text.value		0..1	string	Primitive value for string Max Length:1048576
Patient.name.family	Σ This element is included in summaries.	0..1	string	Family name (often called 'Surname')
Patient.name.given	Σ This element is included in summaries.	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
Patient.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Patient.telecom	Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the individual
Patient.gender	Σ This element is included in summaries.	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	0..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1	dateTime	Indicates if the individual is deceased or not
Patient.address	S This element must be supported. Σ This element is included in summaries.	1..*	BDAddress	An address for the individual
Patient.maritalStatus	S This element must be supported.	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo	S This element must be supported.	0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.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.
Patient.contact.name		0..1	HumanName	A name associated with the contact person
Patient.contact.telecom		0..*	ContactPoint	A contact detail for the person
Patient.contact.address		0..1	Address	Address for the contact person
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.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
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Related Person Profile for Bangladesh)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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	📦0.5.0	This IG
Patient.identifier:NID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:BRN.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:BRN.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:UHID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:UHID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	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	📦0.5.0	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
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:religion		0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Patient.Slices for extension.extension:religion.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:religion.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
Patient.Slices for extension.extension:religion.value[x]		1..1	CodeableConcept	Value of extension Binding: Bangladesh Religions ValueSet (required)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:NID	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:NID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:NID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:NID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:NID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
Patient.Slices for identifier.identifier:BRN	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:BRN.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:BRN.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:BRN.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:BRN.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
Patient.Slices for identifier.identifier:UHID	Σ This element is included in summaries.	1..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:UHID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:UHID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:UHID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:UHID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries.	1..1	HumanName	A name associated with the patient
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	Text representation of the full name
Patient.name.text.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.name.text.Slices for extension.extension:nameEn	S This element must be supported.	1..1	string	English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
Patient.name.text.Slices for extension.extension:nameBn	S This element must be supported.	0..1	string	Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
Patient.gender	Σ This element is included in summaries.	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	0..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1	dateTime	Indicates if the individual is deceased or not
Patient.address	S This element must be supported. Σ This element is included in summaries.	1..*	BDAddress	An address for the individual
Patient.maritalStatus	S This element must be supported.	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
Patient.photo	S This element must be supported.	0..*	Attachment	Image of the patient
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Related Person Profile for Bangladesh)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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	📦0.5.0	This IG
Patient.identifier:NID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:BRN.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:BRN.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:UHID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:UHID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	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	📦0.5.0	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
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:religion		0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Patient.Slices for extension.extension:religion.value[x]		1..1	CodeableConcept	Value of extension Binding: Bangladesh Religions ValueSet (required)
Patient.Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:NID		0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:NID.type		0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:NID.type.coding
Patient.Slices for identifier.identifier:NID.type.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:NID.type.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: NID
Patient.Slices for identifier.identifier:NID.type.text		0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:NID.system		1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
Patient.Slices for identifier.identifier:BRN		0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:BRN.type		0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:BRN.type.coding
Patient.Slices for identifier.identifier:BRN.type.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:BRN.type.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: BRN
Patient.Slices for identifier.identifier:BRN.type.text		0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:BRN.system		1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
Patient.Slices for identifier.identifier:UHID		1..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:UHID.type		0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:UHID.type.coding
Patient.Slices for identifier.identifier:UHID.type.coding.system		0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:UHID.type.coding.code		0..1	code	Symbol in syntax defined by the system Required Pattern: UHID
Patient.Slices for identifier.identifier:UHID.type.text		0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:UHID.system		1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
Patient.name	S This element must be supported.	1..1	HumanName	A name associated with the patient
Patient.name.use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
Patient.name.text	S This element must be supported.	1..1	string	Text representation of the full name
Patient.name.text.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.name.text.Slices for extension.extension:nameEn	S This element must be supported.	1..1	string	English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
Patient.name.text.Slices for extension.extension:nameBn	S This element must be supported.	0..1	string	Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
Patient.gender		1..1	code	male | female | other | unknown
Patient.birthDate		0..1	date	The date of birth for the individual
Patient.deceased[x]		0..1	dateTime	Indicates if the individual is deceased or not
Patient.address	S This element must be supported.	1..*	BDAddress	An address for the individual
Patient.maritalStatus	S This element must be supported.	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
Patient.photo	S This element must be supported.	0..*	Attachment	Image of the patient
Patient.link	S This element must be supported.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.other	S This element must be supported.	1..1	Reference(Related Person Profile for Bangladesh)	The other patient or related person resource that the link refers to
Patient.link.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	📦0.5.0	This IG
Patient.identifier:NID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:BRN.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:UHID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.maritalStatus	Base	required	Bangladesh Marital Status ValueSet	📦0.5.0	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
Patient.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Patient.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Patient.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Patient.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Patient.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
Patient.contained		0..*	Resource	Contained, inline Resources
Patient.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for extension.extension:religion		0..1	(Complex)	The patient's professed religious affiliations URL: http://hl7.org/fhir/StructureDefinition/patient-religion
Patient.Slices for extension.extension:religion.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for extension.extension:religion.extension		0..0		Extension Slice: Unordered, Open by value:url
Patient.Slices for extension.extension:religion.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-religion"
Patient.Slices for extension.extension:religion.value[x]		1..1	CodeableConcept	Value of extension Binding: Bangladesh Religions ValueSet (required)
Patient.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Patient.Slices for identifier	Σ This element is included in summaries.	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.Slices for identifier.identifier:NID	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:NID.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:NID.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:NID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:NID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:NID.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:NID.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:NID.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Patient.Slices for identifier.identifier:NID.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:NID.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:NID.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:NID.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:NID.type.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: NID
Patient.Slices for identifier.identifier:NID.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:NID.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:NID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:NID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/nid
Patient.Slices for identifier.identifier:NID.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Patient.Slices for identifier.identifier:NID.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:NID.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:BRN	Σ This element is included in summaries.	0..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:BRN.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:BRN.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:BRN.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:BRN.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:BRN.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:BRN.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:BRN.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Patient.Slices for identifier.identifier:BRN.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:BRN.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:BRN.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:BRN.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:BRN.type.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: BRN
Patient.Slices for identifier.identifier:BRN.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:BRN.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:BRN.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:BRN.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/brn
Patient.Slices for identifier.identifier:BRN.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Patient.Slices for identifier.identifier:BRN.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:BRN.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.Slices for identifier.identifier:UHID	Σ This element is included in summaries.	1..1	Identifier	An identifier for this patient
Patient.Slices for identifier.identifier:UHID.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:UHID.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:UHID.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Patient.Slices for identifier.identifier:UHID.type	Σ This element is included in summaries.	0..1	CodeableConcept	Description of identifier Binding: Bangladesh Identifier Type (extensible)
Patient.Slices for identifier.identifier:UHID.type.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:UHID.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:UHID.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Patient.Slices for identifier.identifier:UHID.type.coding.id		0..1	string	Unique id for inter-element referencing
Patient.Slices for identifier.identifier:UHID.type.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.Slices for identifier.identifier:UHID.type.coding.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Required Pattern: https://fhir.dghs.gov.bd/core/CodeSystem/bd-identifier-type
Patient.Slices for identifier.identifier:UHID.type.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Patient.Slices for identifier.identifier:UHID.type.coding.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Required Pattern: UHID
Patient.Slices for identifier.identifier:UHID.type.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Patient.Slices for identifier.identifier:UHID.type.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Patient.Slices for identifier.identifier:UHID.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept Required Pattern: Organization identifier
Patient.Slices for identifier.identifier:UHID.system	Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: http://dghs.gov.bd/identifier/uhid
Patient.Slices for identifier.identifier:UHID.value	Σ This element is included in summaries.	0..1	string	The value that is unique Example General: 123456
Patient.Slices for identifier.identifier:UHID.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Patient.Slices for identifier.identifier:UHID.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Patient.active	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	Whether this patient's record is in active use
Patient.name	S This element must be supported. Σ This element is included in summaries.	1..1	HumanName	A name associated with the patient
Patient.name.id		0..1	string	Unique id for inter-element referencing
Patient.name.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Patient.name.use	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Fixed Value: official
Patient.name.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	Text representation of the full name
Patient.name.text.id		0..1	string	xml:id (or equivalent in JSON)
Patient.name.text.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Patient.name.text.Slices for extension.extension:nameEn	S This element must be supported.	1..1	string	English Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-en
Patient.name.text.Slices for extension.extension:nameBn	S This element must be supported.	0..1	string	Bangla Name URL: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-name-bn
Patient.name.text.value		0..1	string	Primitive value for string Max Length:1048576
Patient.name.family	Σ This element is included in summaries.	0..1	string	Family name (often called 'Surname')
Patient.name.given	Σ This element is included in summaries.	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
Patient.name.prefix	Σ This element is included in summaries.	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
Patient.name.suffix	Σ This element is included in summaries.	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
Patient.name.period	Σ This element is included in summaries.	0..1	Period	Time period when name was/is in use
Patient.telecom	Σ This element is included in summaries.	0..*	ContactPoint	A contact detail for the individual
Patient.gender	Σ This element is included in summaries.	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.birthDate	Σ This element is included in summaries.	0..1	date	The date of birth for the individual
Patient.deceased[x]	?! This element is a modifier element. Σ This element is included in summaries.	0..1	dateTime	Indicates if the individual is deceased or not
Patient.address	S This element must be supported. Σ This element is included in summaries.	1..*	BDAddress	An address for the individual
Patient.maritalStatus	S This element must be supported.	0..1	CodeableConcept	Marital (civil) status of a patient Binding: Bangladesh Marital Status ValueSet (required)
Patient.multipleBirth[x]		0..1		Whether patient is part of a multiple birth
Patient.multipleBirth[x].multipleBirthBoolean			boolean
Patient.multipleBirth[x].multipleBirthInteger			integer
Patient.photo	S This element must be supported.	0..*	Attachment	Image of the patient
Patient.contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
Patient.contact.id		0..1	string	Unique id for inter-element referencing
Patient.contact.extension		0..*	Extension	Additional content defined by implementations
Patient.contact.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.contact.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.
Patient.contact.name		0..1	HumanName	A name associated with the contact person
Patient.contact.telecom		0..*	ContactPoint	A contact detail for the person
Patient.contact.address		0..1	Address	Address for the contact person
Patient.contact.gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
Patient.contact.organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
Patient.contact.period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
Patient.communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
Patient.communication.id		0..1	string	Unique id for inter-element referencing
Patient.communication.extension		0..*	Extension	Additional content defined by implementations
Patient.communication.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.communication.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
Patient.communication.preferred		0..1	boolean	Language preference indicator
Patient.generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
Patient.managingOrganization	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that is the custodian of the patient record
Patient.link	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
Patient.link.id		0..1	string	Unique id for inter-element referencing
Patient.link.extension		0..*	Extension	Additional content defined by implementations
Patient.link.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Patient.link.other	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Related Person Profile for Bangladesh)	The other patient or related person resource that the link refers to
Patient.link.type	Σ This element is included in summaries.	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	📦0.5.0	This IG
Patient.identifier:NID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:BRN.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:BRN.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	This IG
Patient.identifier:UHID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:UHID.​type	Base	extensible	Bangladesh Identifier Type	📦0.5.0	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	📦0.5.0	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