ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Patient Paciente ÚNICAS

Este profile define las restricciones del recurso Patient para representar el paciente en el contexto del caso de uso de ÚNICAS.

En el contexto de UNICAS como norma general el identificador que debe utilizarse para referenciar y buscar al paciente debe de ser el CIPSNS. Además, el paciente puede albergar de forma opcional otros identificadores que formarán parte de su información core, como por ejemplo el CIP autonómico o el DNI.

Se muestran a continuación los valores que tomarían los atributos de Patient.identifier para estos casos:

Para el CIPSNS:

• Type: corresponde con el tipo de código de identificación personal en el Sistema Nacional de Salud (System: http://snomed.info/sct/900000001000122104 y Code: 1551000122105)
• Value: corresponde con el identificador CIPSNS de paciente
• System: corresponde con el valor urn:oid:2.16.724.4.40

Para el CIP-AUT:

• Type: corresponde con el tipo de código de identificación del paciente en la comunidad autónoma (System: http://snomed.info/sct/900000001000122104 y Code: 1571000122102)
• Value: corresponde con el identificador CIP-AUT de paciente
• System: corresponde con un valor de la siguiente tabla, según sea la Comunidad Autónoma del CIP-AUT:
  • ANDALUCIA: urn:cite:80724000049
  • ARAGON: urn:cite:80724000106
  • ASTURIAS: urn:cite:80724000056
  • ILLES BALEARS: urn:cite:80724000148
  • CANARIAS: urn:cite:80724000122
  • CANTABRIA: urn:cite:80724000064
  • CASTILLA Y LEON: urn:cite:80724000171
  • CASTILLA LA MANCHA: urn:cite:80724000114
  • CATALUÑA: urn:cite:80724000015
  • COMUNITAT VALENCIANA: urn:cite:80724000098
  • EXTREMADURA: urn:cite:80724000130
  • GALICIA: urn:cite:80724000031
  • MADRID: urn:cite:80724000163
  • MURCIA: urn:cite:80724000080
  • NAVARRA: urn:cite:80724000155
  • PAIS VASCO: urn:cite:80724000023
  • LA RIOJA: urn:cite:80724000072
  • CEUTA: urn:cite:80724000189
  • MELILLA: urn:cite:80724000197

Para el DNI:

• Type: corresponde con el tipo del documento nacional de identidad (System: http://snomed.info/sct/900000001000122104?fhir_vs-refset/900000251000122107 y Code: 22851000122109)
• Value: corresponde con el valor del DNI
• System: corresponde con el valor urn:oid:1.3.6.1.4.1.19126.3

Usages:

• Refer to this Profile: AllergyIntolerance Alergia ÚNICAS, Appointment Cita Agenda ÚNICAS, CarePlan Gestor del Proceso ÚNICAS, Condition Diagnóstico ÚNICAS... Show 15 more, Condition Enfermedad ÚNICAS, DiagnosticReport Formulario de Enrolamiento ÚNICAS, DocumentReference Documento en Base64 ÚNICAS, Encounter Interacción Clínica ÚNICAS, FamilyMemberHistory Antecedente Familiar ÚNICAS, Goal Objetivo ÚNICAS, Immunization Inmunización ÚNICAS, MedicationAdministration Prescripción ÚNICAS, MedicationStatement Prescripción ÚNICAS, Observation Dato Antropométrico ÚNICAS, Observation Hábito No Saludable ÚNICAS, Observation Hábito Tóxico ÚNICAS, Observation Obstetrico ÚNICAS, Procedure Procedimiento Quirúrgico ÚNICAS and Task Tarea ÚNICAS
• Examples for this Profile: Patient/UNICAS-Paciente-ejemploPatient-00
• CapabilityStatements using this Profile: Configuración del Servidor FHIR de ÚNICAS

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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:edadPaciente		0..*	integer	Edad del Paciente URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
extension:estadoEnrolamientoPaciente		0..*	(Complex)	Estado de enrolamiento del paciente en la red de ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
extension:momento-unicas		0..1	CodeableConcept	Momento ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas Binding: Value set de Momentos ÚNICAS (required): Value set de Momentos ÚNICAS
extension:nodoAltaUnicas		0..1	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
extension:nodoInscripcionUnicas		0..*	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificadores del paciente (Pueden ser documento nacional de identidad, pasaporte, tarjeta de identidad de extranjero, número de historia clínica, número de afiliación a la Seguridad Social, código de identificación del paciente en la comunidad autónoma, código de identificación personal en el Sistema Nacional de Salud, código de identificación personal europeo)
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	Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS
system	Σ	1..1	uri	OID registro según el tipo de documento de identificación Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	1..1	string	Código según el tipo de documento de identificación Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Nombre completo del paciente
family	Σ	1..1	string	Apellidos del paciente
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		1..*	string	Primer apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
given	Σ	1..*	string	Nombre del paciente This repeating element order: Given Names appear in the correct order for presenting the name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system, value:use
telecom:Telefono	Σ	0..*	ContactPoint	Teléfono móvil de contacto Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: mobile
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono móvil
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:OtroTelefonos	Σ	0..*	ContactPoint	Otro teléfonos Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: home
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:CorreoElectronico	Σ	0..*	ContactPoint	Correo electrónico Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
value		0..0	string	The actual contact point details
use		0..0	code	home | work | temp | old | mobile - purpose of this contact point
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
system	ΣC	0..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Dirección de correo electrónico
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	Σ	1..1	code	Sexo asignado al nacer Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente
deceased[x]	?!Σ	0..1		Fallecido/a
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	Domicilio del paciente
Slices for extension				Content/Rules for all slices
extension:provincia		0..1	string	Provincia en la dirección URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
line	Σ	0..*	string	Tipo de vía, Nombre de vía, Número de vía, Piso, Letra del paciente This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Ciudad Example General: Erewhon
district	Σ	0..1	string	Municipio en la dirección Example General: Madison
state	Σ	0..1	string	Comunidad Autónoma
postalCode	Σ	0..1	string	Código postal Example General: 9132
country	Σ	0..1	string	País
contact	C	0..*	BackboneElement	Persona de contacto del paciente Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	Tipo de relación de la persona contacto con el paciente Binding: Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS (extensible): Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS
Slices for telecom	C	0..*	ContactPoint	A contact detail for the person Slice: Unordered, Open by value:system
telecom:Telefono	C	0..*	ContactPoint	Teléfonos de contacto
system	ΣC	1..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:CorreoElectronico	C	0..*	ContactPoint	Correo electrónico de contacto
system	ΣC	1..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	ΣC	0..1	string	Dirección de correo electrónico de contacto
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
managingOrganization	Σ	0..1	Reference(Organization Institución ÚNICAS)	Referencia al centro de atención primaria
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador del centro de atención primaria. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	OID registro de número de REGCESS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
value	ΣC	0..1	string	Código REGCESS Example General: 123456 Example ÚNICAS: 0123456789
display	ΣC	0..1	string	Nombre completo del centro de atención primaria
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier.type	Base	extensible	Value set de Tipos de documentos de identificación para persona ÚNICAS	📦0.0.3	This IG
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍5.0.0	FHIR Std.
Patient.contact.relationship	Base	extensible	Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS	📦0.0.3	This IG
Patient.contact.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.managingOrganization.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Patient.managingOrganization.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	FHIR Std.

Constraints

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

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:edadPaciente		0..*	integer	Edad del Paciente URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
extension:estadoEnrolamientoPaciente		0..*	(Complex)	Estado de enrolamiento del paciente en la red de ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
extension:momento-unicas		0..1	CodeableConcept	Momento ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas Binding: Value set de Momentos ÚNICAS (required): Value set de Momentos ÚNICAS
extension:nodoAltaUnicas		0..1	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
extension:nodoInscripcionUnicas		0..*	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
identifier		1..*	Identifier	Identificadores del paciente (Pueden ser documento nacional de identidad, pasaporte, tarjeta de identidad de extranjero, número de historia clínica, número de afiliación a la Seguridad Social, código de identificación del paciente en la comunidad autónoma, código de identificación personal en el Sistema Nacional de Salud, código de identificación personal europeo)
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		1..1	uri	OID registro según el tipo de documento de identificación Example ÚNICAS: urn:oid:2.16.724.4.40
value		1..1	string	Código según el tipo de documento de identificación Example ÚNICAS: BBBBBBBBQR648597
name		1..*	HumanName	A name associated with the patient
text		0..1	string	Nombre completo del paciente
family		1..1	string	Apellidos del paciente
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		1..*	string	Primer apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
given		1..*	string	Nombre del paciente
Slices for telecom		0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system, value:use
telecom:Telefono		0..*	ContactPoint	Teléfono móvil de contacto Fixed Value: As shown
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: mobile
system		0..1	code	phone
value		0..1	string	Número de teléfono móvil
telecom:OtroTelefonos		0..*	ContactPoint	Otro teléfonos Fixed Value: As shown
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: home
system		0..1	code	phone
value		0..1	string	Número de teléfono
telecom:CorreoElectronico		0..*	ContactPoint	Correo electrónico Fixed Value: As shown
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
system		0..1	code	email
value		0..1	string	Dirección de correo electrónico
gender		1..1	code	Sexo asignado al nacer
birthDate		1..1	date	Fecha de nacimiento del paciente
deceased[x]		0..1	boolean, dateTime	Fallecido/a
address		0..*	Address	Domicilio del paciente
Slices for extension				Content/Rules for all slices
extension:provincia		0..1	string	Provincia en la dirección URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia
line		0..*	string	Tipo de vía, Nombre de vía, Número de vía, Piso, Letra del paciente
city		0..1	string	Ciudad
district		0..1	string	Municipio en la dirección
state		0..1	string	Comunidad Autónoma
postalCode		0..1	string	Código postal
country		0..1	string	País
contact		0..*	BackboneElement	Persona de contacto del paciente
relationship		0..*	CodeableConcept	Tipo de relación de la persona contacto con el paciente Binding: Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS (extensible): Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del tipo de relación entre el paciente y su persona de contacto
display		0..1	string	Descripción del tipo de relación entre el paciente y su persona de contacto
name
text		0..1	string	Nombre completo de la persona contacto
family		0..1	string	Apellidos de la persona contacto
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		0..*	string	Primer apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
given		0..*	string	Nombre de la persona contacto
Slices for telecom		0..*	ContactPoint	A contact detail for the person Slice: Unordered, Open by value:system
telecom:Telefono		0..*	ContactPoint	Teléfonos de contacto
system		1..1	code	phone Fixed Value: phone
value		0..1	string	Número de teléfono
telecom:CorreoElectronico		0..*	ContactPoint	Correo electrónico de contacto
system		1..1	code	email Fixed Value: email
value		0..1	string	Dirección de correo electrónico de contacto
managingOrganization		0..1	Reference(Organization Institución ÚNICAS)	Referencia al centro de atención primaria
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador del centro de atención primaria. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
system		0..1	uri	OID registro de número de REGCESS Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
value		0..1	string	Código REGCESS Example ÚNICAS: 0123456789
display		0..1	string	Nombre completo del centro de atención primaria
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.type	Base	extensible	Value set de Tipos de documentos de identificación para persona ÚNICAS	📦0.0.3	This IG
Patient.contact.relationship	Base	extensible	Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS	📦0.0.3	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:edadPaciente		0..*	integer	Edad del Paciente URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
extension:estadoEnrolamientoPaciente		0..*	(Complex)	Estado de enrolamiento del paciente en la red de ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
extension:momento-unicas		0..1	CodeableConcept	Momento ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas Binding: Value set de Momentos ÚNICAS (required): Value set de Momentos ÚNICAS
extension:nodoAltaUnicas		0..1	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
extension:nodoInscripcionUnicas		0..*	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificadores del paciente (Pueden ser documento nacional de identidad, pasaporte, tarjeta de identidad de extranjero, número de historia clínica, número de afiliación a la Seguridad Social, código de identificación del paciente en la comunidad autónoma, código de identificación personal en el Sistema Nacional de Salud, código de identificación personal europeo)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	OID registro según el tipo de documento de identificación Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	1..1	string	Código según el tipo de documento de identificación Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	HumanName	A name associated with the patient
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Nombre completo del paciente
family	Σ	1..1	string	Apellidos del paciente
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		1..*	string	Primer apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	1..*	string	Nombre del paciente This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system, value:use
telecom:Telefono	Σ	0..*	ContactPoint	Teléfono móvil de contacto Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: mobile
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono móvil
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:OtroTelefonos	Σ	0..*	ContactPoint	Otro teléfonos Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: home
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:CorreoElectronico	Σ	0..*	ContactPoint	Correo electrónico Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
value		0..0	string	The actual contact point details
use		0..0	code	home | work | temp | old | mobile - purpose of this contact point
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Dirección de correo electrónico
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	Σ	1..1	code	Sexo asignado al nacer Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente
deceased[x]	?!Σ	0..1		Fallecido/a
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	Domicilio del paciente
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:provincia		0..1	string	Provincia en la dirección URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Tipo de vía, Nombre de vía, Número de vía, Piso, Letra del paciente This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Ciudad Example General: Erewhon
district	Σ	0..1	string	Municipio en la dirección Example General: Madison
state	Σ	0..1	string	Comunidad Autónoma
postalCode	Σ	0..1	string	Código postal Example General: 9132
country	Σ	0..1	string	País
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatusCodes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	Persona de contacto del paciente 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	Tipo de relación de la persona contacto con el paciente Binding: Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS (extensible): Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del tipo de relación entre el paciente y su persona de contacto
display	ΣC	0..1	string	Descripción del tipo de relación entre el paciente y su persona de contacto
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
name	C	0..1	HumanName	A name associated with the contact person
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Nombre completo de la persona contacto
family	Σ	0..1	string	Apellidos de la persona contacto
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		0..*	string	Primer apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	0..*	string	Nombre de la persona contacto 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
Slices for telecom	C	0..*	ContactPoint	A contact detail for the person Slice: Unordered, Open by value:system
telecom:Telefono	C	0..*	ContactPoint	Teléfonos de contacto
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:CorreoElectronico	C	0..*	ContactPoint	Correo electrónico de contacto
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	ΣC	0..1	string	Dirección de correo electrónico de contacto
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	C	0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization Institución ÚNICAS)	Referencia al centro de atención primaria
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador del centro de atención primaria. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	OID registro de número de REGCESS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
value	ΣC	0..1	string	Código REGCESS Example General: 123456 Example ÚNICAS: 0123456789
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)
display	ΣC	0..1	string	Nombre completo del centro de atención primaria
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier.type	Base	extensible	Value set de Tipos de documentos de identificación para persona ÚNICAS	📦0.0.3	This IG
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍5.0.0	FHIR Std.
Patient.address.type	Base	required	AddressType	📍5.0.0	FHIR Std.
Patient.maritalStatus	Base	extensible	Marital Status Codes	📍5.0.0	FHIR Std.
Patient.contact.relationship	Base	extensible	Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS	📦0.0.3	This IG
Patient.contact.name.​use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.contact.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.communication.​language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.managingOrganization.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Patient.managingOrganization.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.managingOrganization.​identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	FHIR Std.

Constraints

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

Structures

This structure refers to these other structures:

• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA
• http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
• http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Patient.telecom
• The element 1 is sliced based on the values of Patient.contact.telecom

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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:edadPaciente		0..*	integer	Edad del Paciente URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
extension:estadoEnrolamientoPaciente		0..*	(Complex)	Estado de enrolamiento del paciente en la red de ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
extension:momento-unicas		0..1	CodeableConcept	Momento ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas Binding: Value set de Momentos ÚNICAS (required): Value set de Momentos ÚNICAS
extension:nodoAltaUnicas		0..1	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
extension:nodoInscripcionUnicas		0..*	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificadores del paciente (Pueden ser documento nacional de identidad, pasaporte, tarjeta de identidad de extranjero, número de historia clínica, número de afiliación a la Seguridad Social, código de identificación del paciente en la comunidad autónoma, código de identificación personal en el Sistema Nacional de Salud, código de identificación personal europeo)
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	Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS
system	Σ	1..1	uri	OID registro según el tipo de documento de identificación Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	1..1	string	Código según el tipo de documento de identificación Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	HumanName	A name associated with the patient
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Nombre completo del paciente
family	Σ	1..1	string	Apellidos del paciente
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		1..*	string	Primer apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
given	Σ	1..*	string	Nombre del paciente This repeating element order: Given Names appear in the correct order for presenting the name
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system, value:use
telecom:Telefono	Σ	0..*	ContactPoint	Teléfono móvil de contacto Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: mobile
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono móvil
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:OtroTelefonos	Σ	0..*	ContactPoint	Otro teléfonos Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: home
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:CorreoElectronico	Σ	0..*	ContactPoint	Correo electrónico Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
value		0..0	string	The actual contact point details
use		0..0	code	home | work | temp | old | mobile - purpose of this contact point
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
system	ΣC	0..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Dirección de correo electrónico
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	Σ	1..1	code	Sexo asignado al nacer Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente
deceased[x]	?!Σ	0..1		Fallecido/a
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	Domicilio del paciente
Slices for extension				Content/Rules for all slices
extension:provincia		0..1	string	Provincia en la dirección URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
line	Σ	0..*	string	Tipo de vía, Nombre de vía, Número de vía, Piso, Letra del paciente This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Ciudad Example General: Erewhon
district	Σ	0..1	string	Municipio en la dirección Example General: Madison
state	Σ	0..1	string	Comunidad Autónoma
postalCode	Σ	0..1	string	Código postal Example General: 9132
country	Σ	0..1	string	País
contact	C	0..*	BackboneElement	Persona de contacto del paciente Constraints: pat-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	Tipo de relación de la persona contacto con el paciente Binding: Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS (extensible): Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS
Slices for telecom	C	0..*	ContactPoint	A contact detail for the person Slice: Unordered, Open by value:system
telecom:Telefono	C	0..*	ContactPoint	Teléfonos de contacto
system	ΣC	1..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
telecom:CorreoElectronico	C	0..*	ContactPoint	Correo electrónico de contacto
system	ΣC	1..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	ΣC	0..1	string	Dirección de correo electrónico de contacto
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
managingOrganization	Σ	0..1	Reference(Organization Institución ÚNICAS)	Referencia al centro de atención primaria
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador del centro de atención primaria. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	OID registro de número de REGCESS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
value	ΣC	0..1	string	Código REGCESS Example General: 123456 Example ÚNICAS: 0123456789
display	ΣC	0..1	string	Nombre completo del centro de atención primaria
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier.type	Base	extensible	Value set de Tipos de documentos de identificación para persona ÚNICAS	📦0.0.3	This IG
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍5.0.0	FHIR Std.
Patient.contact.relationship	Base	extensible	Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS	📦0.0.3	This IG
Patient.contact.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.managingOrganization.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Patient.managingOrganization.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	FHIR Std.

Constraints

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

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:edadPaciente		0..*	integer	Edad del Paciente URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
extension:estadoEnrolamientoPaciente		0..*	(Complex)	Estado de enrolamiento del paciente en la red de ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
extension:momento-unicas		0..1	CodeableConcept	Momento ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas Binding: Value set de Momentos ÚNICAS (required): Value set de Momentos ÚNICAS
extension:nodoAltaUnicas		0..1	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
extension:nodoInscripcionUnicas		0..*	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
identifier		1..*	Identifier	Identificadores del paciente (Pueden ser documento nacional de identidad, pasaporte, tarjeta de identidad de extranjero, número de historia clínica, número de afiliación a la Seguridad Social, código de identificación del paciente en la comunidad autónoma, código de identificación personal en el Sistema Nacional de Salud, código de identificación personal europeo)
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		1..1	uri	OID registro según el tipo de documento de identificación Example ÚNICAS: urn:oid:2.16.724.4.40
value		1..1	string	Código según el tipo de documento de identificación Example ÚNICAS: BBBBBBBBQR648597
name		1..*	HumanName	A name associated with the patient
text		0..1	string	Nombre completo del paciente
family		1..1	string	Apellidos del paciente
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		1..*	string	Primer apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
given		1..*	string	Nombre del paciente
Slices for telecom		0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system, value:use
telecom:Telefono		0..*	ContactPoint	Teléfono móvil de contacto Fixed Value: As shown
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: mobile
system		0..1	code	phone
value		0..1	string	Número de teléfono móvil
telecom:OtroTelefonos		0..*	ContactPoint	Otro teléfonos Fixed Value: As shown
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: home
system		0..1	code	phone
value		0..1	string	Número de teléfono
telecom:CorreoElectronico		0..*	ContactPoint	Correo electrónico Fixed Value: As shown
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
system		0..1	code	email
value		0..1	string	Dirección de correo electrónico
gender		1..1	code	Sexo asignado al nacer
birthDate		1..1	date	Fecha de nacimiento del paciente
deceased[x]		0..1	boolean, dateTime	Fallecido/a
address		0..*	Address	Domicilio del paciente
Slices for extension				Content/Rules for all slices
extension:provincia		0..1	string	Provincia en la dirección URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia
line		0..*	string	Tipo de vía, Nombre de vía, Número de vía, Piso, Letra del paciente
city		0..1	string	Ciudad
district		0..1	string	Municipio en la dirección
state		0..1	string	Comunidad Autónoma
postalCode		0..1	string	Código postal
country		0..1	string	País
contact		0..*	BackboneElement	Persona de contacto del paciente
relationship		0..*	CodeableConcept	Tipo de relación de la persona contacto con el paciente Binding: Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS (extensible): Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del tipo de relación entre el paciente y su persona de contacto
display		0..1	string	Descripción del tipo de relación entre el paciente y su persona de contacto
name
text		0..1	string	Nombre completo de la persona contacto
family		0..1	string	Apellidos de la persona contacto
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		0..*	string	Primer apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
given		0..*	string	Nombre de la persona contacto
Slices for telecom		0..*	ContactPoint	A contact detail for the person Slice: Unordered, Open by value:system
telecom:Telefono		0..*	ContactPoint	Teléfonos de contacto
system		1..1	code	phone Fixed Value: phone
value		0..1	string	Número de teléfono
telecom:CorreoElectronico		0..*	ContactPoint	Correo electrónico de contacto
system		1..1	code	email Fixed Value: email
value		0..1	string	Dirección de correo electrónico de contacto
managingOrganization		0..1	Reference(Organization Institución ÚNICAS)	Referencia al centro de atención primaria
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador del centro de atención primaria. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
system		0..1	uri	OID registro de número de REGCESS Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
value		0..1	string	Código REGCESS Example ÚNICAS: 0123456789
display		0..1	string	Nombre completo del centro de atención primaria
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.identifier.type	Base	extensible	Value set de Tipos de documentos de identificación para persona ÚNICAS	📦0.0.3	This IG
Patient.contact.relationship	Base	extensible	Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS	📦0.0.3	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:edadPaciente		0..*	integer	Edad del Paciente URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
extension:estadoEnrolamientoPaciente		0..*	(Complex)	Estado de enrolamiento del paciente en la red de ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
extension:momento-unicas		0..1	CodeableConcept	Momento ÚNICAS URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas Binding: Value set de Momentos ÚNICAS (required): Value set de Momentos ÚNICAS
extension:nodoAltaUnicas		0..1	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
extension:nodoInscripcionUnicas		0..*	CodeableConcept	Identificador del Nodo CCAA URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA Binding: Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA) (preferred): Value set de Nodos Autónomicos de cada CCAA que participa en ÚNICAS (Identificadores Nodo CCAA)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificadores del paciente (Pueden ser documento nacional de identidad, pasaporte, tarjeta de identidad de extranjero, número de historia clínica, número de afiliación a la Seguridad Social, código de identificación del paciente en la comunidad autónoma, código de identificación personal en el Sistema Nacional de Salud, código de identificación personal europeo)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: Value set de Tipos de documentos de identificación para persona ÚNICAS (extensible): Value set de Tipos de documentos de identificación para persona ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS | URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	OID registro según el tipo de documento de identificación Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	1..1	string	Código según el tipo de documento de identificación Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
name	Σ	1..*	HumanName	A name associated with the patient
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Nombre completo del paciente
family	Σ	1..1	string	Apellidos del paciente
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		1..*	string	Primer apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido del paciente URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	1..*	string	Nombre del paciente This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
Slices for telecom	Σ	0..*	ContactPoint	A contact detail for the individual Slice: Unordered, Open by value:system, value:use
telecom:Telefono	Σ	0..*	ContactPoint	Teléfono móvil de contacto Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: mobile
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono móvil
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:OtroTelefonos	Σ	0..*	ContactPoint	Otro teléfonos Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: phone
value		0..0	string	The actual contact point details
use		1..1	code	home | work | temp | old | mobile - purpose of this contact point Fixed Value: home
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:CorreoElectronico	Σ	0..*	ContactPoint	Correo electrónico Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	code	phone | fax | email | pager | url | sms | other Fixed Value: email
value		0..0	string	The actual contact point details
use		0..0	code	home | work | temp | old | mobile - purpose of this contact point
rank		0..0	positiveInt	Specify preferred order of use (1 = highest)
period		0..0	Period	Time period when the contact point was/is in use
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	0..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	ΣC	0..1	string	Dirección de correo electrónico
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
gender	Σ	1..1	code	Sexo asignado al nacer Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	1..1	date	Fecha de nacimiento del paciente
deceased[x]	?!Σ	0..1		Fallecido/a
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	Domicilio del paciente
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:provincia		0..1	string	Provincia en la dirección URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address (home / work / etc.). Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Tipo de vía, Nombre de vía, Número de vía, Piso, Letra del paciente This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Ciudad Example General: Erewhon
district	Σ	0..1	string	Municipio en la dirección Example General: Madison
state	Σ	0..1	string	Comunidad Autónoma
postalCode	Σ	0..1	string	Código postal Example General: 9132
country	Σ	0..1	string	País
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: MaritalStatusCodes (extensible): The domestic partnership status of a person.
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	Persona de contacto del paciente 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	Tipo de relación de la persona contacto con el paciente Binding: Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS (extensible): Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del tipo de relación entre el paciente y su persona de contacto
display	ΣC	0..1	string	Descripción del tipo de relación entre el paciente y su persona de contacto
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
name	C	0..1	HumanName	A name associated with the contact person
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name.
text	Σ	0..1	string	Nombre completo de la persona contacto
family	Σ	0..1	string	Apellidos de la persona contacto
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:primerApellido		0..*	string	Primer apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
extension:segundoApellido		0..*	string	Segundo apellido de la persona contacto URL: http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
value		0..1	string	Primitive value for string Max Length:1048576
given	Σ	0..*	string	Nombre de la persona contacto 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
Slices for telecom	C	0..*	ContactPoint	A contact detail for the person Slice: Unordered, Open by value:system
telecom:Telefono	C	0..*	ContactPoint	Teléfonos de contacto
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: phone
value	ΣC	0..1	string	Número de teléfono
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
telecom:CorreoElectronico	C	0..*	ContactPoint	Correo electrónico de contacto
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	email Binding: ContactPointSystem (required): Telecommunications form for contact point. Fixed Value: email
value	ΣC	0..1	string	Dirección de correo electrónico de contacto
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use
address	C	0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization Institución ÚNICAS)	Referencia al centro de atención primaria
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador del centro de atención primaria. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	OID registro de número de REGCESS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
value	ΣC	0..1	string	Código REGCESS Example General: 123456 Example ÚNICAS: 0123456789
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)
display	ΣC	0..1	string	Nombre completo del centro de atención primaria
link	?!Σ	0..*	BackboneElement	Link to a Patient or RelatedPerson resource that concerns the same actual individual
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another Patient resource, or Patient/RelatedPerson when using the seealso code
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.identifier.type	Base	extensible	Value set de Tipos de documentos de identificación para persona ÚNICAS	📦0.0.3	This IG
Patient.name.use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:OtroTelefonos.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.address.use	Base	required	AddressUse	📍5.0.0	FHIR Std.
Patient.address.type	Base	required	AddressType	📍5.0.0	FHIR Std.
Patient.maritalStatus	Base	extensible	Marital Status Codes	📍5.0.0	FHIR Std.
Patient.contact.relationship	Base	extensible	Value set de Tipos de relaciones entre el paciente y su persona de contacto en ÚNICAS	📦0.0.3	This IG
Patient.contact.name.​use	Base	required	NameUse	📍5.0.0	FHIR Std.
Patient.contact.telecom:Telefono.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:Telefono.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​system	Base	required	ContactPointSystem	📍5.0.0	FHIR Std.
Patient.contact.telecom:CorreoElectronico.​use	Base	required	ContactPointUse	📍5.0.0	FHIR Std.
Patient.contact.gender	Base	required	AdministrativeGender	📍5.0.0	FHIR Std.
Patient.communication.​language	Base	required	All Languages	📍5.0.0	FHIR Std.
Patient.managingOrganization.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
Patient.managingOrganization.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Patient.managingOrganization.​identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
Patient.link.type	Base	required	Link Type	📍5.0.0	FHIR Std.

Constraints

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

Structures

This structure refers to these other structures:

• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/EdadPaciente
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/EstadoEnrolamientoPaciente
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/MomentosUnicas
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NodoCCAA
• http://hl7.org/fhir/StructureDefinition/humanname-fathers-family
• http://hl7.org/fhir/StructureDefinition/humanname-mothers-family
• https://unicas-fhir.sanidad.gob.es/StructureDefinition/Provincia

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Patient.telecom
• The element 1 is sliced based on the values of Patient.contact.telecom