Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
birthCity		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/City
nacionality		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Country Binding: Country (required): Country
protectedPerson		1..1	boolean	Extension URL: https://ancode.app/fhir/StructureDefinition/ProtectedPerson
race		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Race Binding: Race (required): Race
occupation		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Occupation Binding: BRCBO (required): Occupation
motherName		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/MotherName
ethnicity		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Ethnicity Binding: BREtnia (required): Ethnicity
educationLevel		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/EducationLevel Binding: BRNivelEscolaridade (required): EducationLevel
birthSex		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/BirthSex Binding: AdministrativeGender (required): BirthSex
identifier	C	0..*	Identifier	An identifier intended for computation
type		0..1	CodeableConcept	Description of identifier Binding: IdentifierTypePerson (required)
active		1..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	Name of a human - parts and usage
telecom		0..*	ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
gender		1..1	code	male | female | other | unknown
deceased[x]		0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	Address	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: BrazilianMaritalStatus (required)
multipleBirth[x]		0..1	boolean	Whether patient is part of a multiple birth
photo		0..1	Attachment	Image of the patient
contentType		0..1	code	Mime type of the content, with charset etc. Binding: MimeType (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Patient.identifier.type	required	IdentifierTypePerson
Patient.maritalStatus	required	BrazilianMaritalStatus
Patient.photo.contentType	required	MimeType

Constraints

Id	Grade	Path(s)	Details	Requirements
ide-1	error	Patient.identifier	The Resource must have at least one Oficial Identifier :

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
birthCity		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/City
nacionality		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Country Binding: Country (required): Country
protectedPerson		1..1	boolean	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/ProtectedPerson
race		0..1	CodeableConcept	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/Race Binding: Race (required): Race
occupation		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Occupation Binding: BRCBO (required): Occupation
motherName		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/MotherName
ethnicity		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Ethnicity Binding: BREtnia (required): Ethnicity
educationLevel		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/EducationLevel Binding: BRNivelEscolaridade (required): EducationLevel
birthSex		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/BirthSex Binding: AdministrativeGender (required): BirthSex
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	C	0..*	Identifier	An identifier intended for computation
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypePerson (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
active	?!Σ	1..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	Name of a human - parts and usage
telecom	C	0..*	ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
gender	Σ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
deceased[x]	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	Address	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: BrazilianMaritalStatus (required)
multipleBirth[x]		0..1	boolean	Whether patient is part of a multiple birth
photo		0..1	Attachment	Image of the patient
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: MimeType (required) Example General: text/plain; charset=UTF-8, image/png
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	required	IdentifierTypePerson
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	required	BrazilianMaritalStatus
Patient.photo.contentType	required	MimeType
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').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()
ide-1	error	Patient.identifier	The Resource must have at least one Oficial Identifier :

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
birthCity		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/City
nacionality		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Country Binding: Country (required): Country
protectedPerson		1..1	boolean	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/ProtectedPerson
race		0..1	CodeableConcept	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/Race Binding: Race (required): Race
occupation		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Occupation Binding: BRCBO (required): Occupation
motherName		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/MotherName
ethnicity		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Ethnicity Binding: BREtnia (required): Ethnicity
educationLevel		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/EducationLevel Binding: BRNivelEscolaridade (required): EducationLevel
birthSex		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/BirthSex Binding: AdministrativeGender (required): BirthSex
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	C	0..*	Identifier	An identifier intended for computation
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	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypePerson (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
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)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	1..1	string	Text alternative for the resource
active	?!Σ	1..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	Name of a human - parts and usage
telecom	C	0..*	ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
gender	Σ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	Address	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: BrazilianMaritalStatus (required)
multipleBirth[x]		0..1	boolean	Whether patient is part of a multiple birth
photo		0..1	Attachment	Image of 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
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: MimeType (required) Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	required	IdentifierTypePerson
Patient.identifier.assigner.type	extensible	ResourceType
Patient.identifier.assigner.identifier.use	required	IdentifierUse
Patient.identifier.assigner.identifier.type	extensible	Identifier Type Codes
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	required	BrazilianMaritalStatus
Patient.photo.contentType	required	MimeType
Patient.photo.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-r4b	warning	Patient.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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()
ide-1	error	Patient.identifier	The Resource must have at least one Oficial Identifier :
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

• Identifier (https://ancode.app/fhir/StructureDefinition/Identifier)
• Nomes (https://ancode.app/fhir/StructureDefinition/HumanName)
• ContactPoint (https://ancode.app/fhir/StructureDefinition/ContactPoint)
• Address (https://ancode.app/fhir/StructureDefinition/Address)

Extensions

This structure refers to these extensions:

• https://ancode.app/fhir/StructureDefinition/City
• https://ancode.app/fhir/StructureDefinition/Country
• https://ancode.app/fhir/StructureDefinition/ProtectedPerson
• https://ancode.app/fhir/StructureDefinition/Race
• https://ancode.app/fhir/StructureDefinition/Occupation
• https://ancode.app/fhir/StructureDefinition/MotherName
• https://ancode.app/fhir/StructureDefinition/Ethnicity
• https://ancode.app/fhir/StructureDefinition/EducationLevel
• https://ancode.app/fhir/StructureDefinition/BirthSex

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
birthCity		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/City
nacionality		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Country Binding: Country (required): Country
protectedPerson		1..1	boolean	Extension URL: https://ancode.app/fhir/StructureDefinition/ProtectedPerson
race		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Race Binding: Race (required): Race
occupation		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Occupation Binding: BRCBO (required): Occupation
motherName		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/MotherName
ethnicity		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Ethnicity Binding: BREtnia (required): Ethnicity
educationLevel		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/EducationLevel Binding: BRNivelEscolaridade (required): EducationLevel
birthSex		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/BirthSex Binding: AdministrativeGender (required): BirthSex
identifier	C	0..*	Identifier	An identifier intended for computation
type		0..1	CodeableConcept	Description of identifier Binding: IdentifierTypePerson (required)
active		1..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	Name of a human - parts and usage
telecom		0..*	ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
gender		1..1	code	male | female | other | unknown
deceased[x]		0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	Address	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: BrazilianMaritalStatus (required)
multipleBirth[x]		0..1	boolean	Whether patient is part of a multiple birth
photo		0..1	Attachment	Image of the patient
contentType		0..1	code	Mime type of the content, with charset etc. Binding: MimeType (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Patient.identifier.type	required	IdentifierTypePerson
Patient.maritalStatus	required	BrazilianMaritalStatus
Patient.photo.contentType	required	MimeType

Constraints

Id	Grade	Path(s)	Details	Requirements
ide-1	error	Patient.identifier	The Resource must have at least one Oficial Identifier :

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
birthCity		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/City
nacionality		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Country Binding: Country (required): Country
protectedPerson		1..1	boolean	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/ProtectedPerson
race		0..1	CodeableConcept	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/Race Binding: Race (required): Race
occupation		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Occupation Binding: BRCBO (required): Occupation
motherName		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/MotherName
ethnicity		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Ethnicity Binding: BREtnia (required): Ethnicity
educationLevel		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/EducationLevel Binding: BRNivelEscolaridade (required): EducationLevel
birthSex		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/BirthSex Binding: AdministrativeGender (required): BirthSex
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	C	0..*	Identifier	An identifier intended for computation
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypePerson (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
active	?!Σ	1..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	Name of a human - parts and usage
telecom	C	0..*	ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
gender	Σ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
deceased[x]	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	Address	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: BrazilianMaritalStatus (required)
multipleBirth[x]		0..1	boolean	Whether patient is part of a multiple birth
photo		0..1	Attachment	Image of the patient
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: MimeType (required) Example General: text/plain; charset=UTF-8, image/png
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	required	IdentifierTypePerson
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	required	BrazilianMaritalStatus
Patient.photo.contentType	required	MimeType
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').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()
ide-1	error	Patient.identifier	The Resource must have at least one Oficial Identifier :

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
birthCity		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/City
nacionality		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Country Binding: Country (required): Country
protectedPerson		1..1	boolean	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/ProtectedPerson
race		0..1	CodeableConcept	Optional Extensions Element URL: https://ancode.app/fhir/StructureDefinition/Race Binding: Race (required): Race
occupation		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Occupation Binding: BRCBO (required): Occupation
motherName		0..1	string	Extension URL: https://ancode.app/fhir/StructureDefinition/MotherName
ethnicity		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/Ethnicity Binding: BREtnia (required): Ethnicity
educationLevel		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/EducationLevel Binding: BRNivelEscolaridade (required): EducationLevel
birthSex		0..1	CodeableConcept	Extension URL: https://ancode.app/fhir/StructureDefinition/BirthSex Binding: AdministrativeGender (required): BirthSex
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	C	0..*	Identifier	An identifier intended for computation
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	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypePerson (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
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)
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	1..1	string	Text alternative for the resource
active	?!Σ	1..1	boolean	Whether this patient's record is in active use
name		1..*	HumanName	Name of a human - parts and usage
telecom	C	0..*	ContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
gender	Σ	1..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1	dateTime	Indicates if the individual is deceased or not
address		0..*	Address	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: BrazilianMaritalStatus (required)
multipleBirth[x]		0..1	boolean	Whether patient is part of a multiple birth
photo		0..1	Attachment	Image of 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
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: MimeType (required) Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
relationship		0..*	CodeableConcept	The kind of relationship Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
name		0..1	HumanName	A name associated with the contact person
telecom		0..*	ContactPoint	A contact detail for the person
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.identifier.use	required	IdentifierUse
Patient.identifier.type	required	IdentifierTypePerson
Patient.identifier.assigner.type	extensible	ResourceType
Patient.identifier.assigner.identifier.use	required	IdentifierUse
Patient.identifier.assigner.identifier.type	extensible	Identifier Type Codes
Patient.gender	required	AdministrativeGender
Patient.maritalStatus	required	BrazilianMaritalStatus
Patient.photo.contentType	required	MimeType
Patient.photo.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	LinkType

Constraints

Id	Grade	Path(s)	Details	Requirements
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-r4b	warning	Patient.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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()
ide-1	error	Patient.identifier	The Resource must have at least one Oficial Identifier :
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

• Identifier (https://ancode.app/fhir/StructureDefinition/Identifier)
• Nomes (https://ancode.app/fhir/StructureDefinition/HumanName)
• ContactPoint (https://ancode.app/fhir/StructureDefinition/ContactPoint)
• Address (https://ancode.app/fhir/StructureDefinition/Address)

Extensions

This structure refers to these extensions:

• https://ancode.app/fhir/StructureDefinition/City
• https://ancode.app/fhir/StructureDefinition/Country
• https://ancode.app/fhir/StructureDefinition/ProtectedPerson
• https://ancode.app/fhir/StructureDefinition/Race
• https://ancode.app/fhir/StructureDefinition/Occupation
• https://ancode.app/fhir/StructureDefinition/MotherName
• https://ancode.app/fhir/StructureDefinition/Ethnicity
• https://ancode.app/fhir/StructureDefinition/EducationLevel
• https://ancode.app/fhir/StructureDefinition/BirthSex