USPublicHealthPatient

US Public Health Patient

activeElectronic Case Reporting2.1.2resource48 key elements

This Patient profile represents a US Public Health Patient.

It is based on the US Core Patient profile with further constraints to require and/or allow masking of some data elements, and the addition of the US Public Health Gender Identity extension.

For ONC’s USCDI requirements, it also adds Must Support constraints to the following:

  • contact detail (e.g. a telephone number or an email address)
  • a communication language
  • a race
  • an ethnicity
  • a birth sex

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-patient
ID
us-ph-patient
Type
Base Definition
us-core-patient
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
:race
S1+
:dataAbsentReason
Extension
S
For masking purposes, use the data-absent-reason extension and set the required us-core-race extension text to "masked"
extension.extension.value[x]
code
S1+
:ethnicity
S1+
:dataAbsentReason
Extension
S
For masking purposes, use the data-absent-reason extension and set the required us-core-ethnicity extension text to "masked"
extension.extension.value[x]
code
S1+
:birthsex
S
:birthPlace0..1
Extension
S
:genderIdentity0..*
Extension
S
:tribalAffiliation0..*
Extension
S
Tribal affiliation and membership of the patient
identifier
S1+
identifier.extension.value[x]
code
S1+
name
1+
:dataAbsentReason
Extension
S
name.extension.value[x]
code
S1+
telecom
S1+
:dataAbsentReason
Extension
S
telecom.extension.value[x]
code
S1+
:phone
S
telecom.system
S1+
:email
S
telecom.system
S1+
gender
S
:dataAbsentReason
Extension
S
gender.extension.value[x]
code
S1+
birthDate
S1+
:dataAbsentReason
Extension
S
birthDate.extension.value[x]
code
S1+
deceased[x]
S1+
If patient is deceased, use type dateTime and set to deceased date.
address
S1+
If the patient is homeless, complete as much address information as possible (city, zip, county, etc.) and use the Characteristics of Home Environment profile in the Social History Section of the eICR Composition to indicate that the patient is homeless.
:dataAbsentReason
Extension
S
address.extension.value[x]
code
S1+
address.district
S
County
contact
S
contact.relationship1..1
S1+
contact.name
S1+
:dataAbsentReason
Extension
S
contact.name.extension.value[x]
code
S1+
contact.telecom
S1+
:dataAbsentReason
Extension
S
contact.telecom.extension.value[x]
code
S1+
contact.address
S1+
:dataAbsentReason
Extension
S
contact.address.extension.value[x]
code
S1+
communication
S1+
communication.language
S
:dataAbsentReason
Extension
S
communication.language.extension.value[x]
code
S1+