eHealth Infrastructure (v2020.8)

StructureDefinition: ehealth-relatedperson - Detailed Descriptions

Definitions for the ehealth-relatedperson Profile.

1. RelatedPerson
Definition

Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process

Control0..*
InvariantsDefined on this element
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (: contained.where(('#'+id in %resource.descendants().reference).not()).empty())
dom-4: 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())
2. RelatedPerson.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. RelatedPerson.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control0..1
TypeMeta
4. RelatedPerson.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

5. RelatedPerson.language
Definition

The base language in which the resource is written.

Control0..1
BindingThe codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable
Max Binding: All Languages A human language.

Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

6. RelatedPerson.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

7. RelatedPerson.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

8. RelatedPerson.extension
Definition

An Extension

Control0..*
TypeExtension
SlicingThis element introduces a set of slices on RelatedPerson.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
9. RelatedPerson.extension:contactNote
SliceNamecontactNote
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(PatientContactNote) (Extension Type: string)
Comments

Free text description of the role played by the related person towards the patient, which every day tasks he/she may be helpful in taking part of, etc.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
10. RelatedPerson.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

11. RelatedPerson.identifier
Definition

Identifier for a person within a particular scope.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

SlicingThis element introduces a set of slices on RelatedPerson.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ system
12. RelatedPerson.identifier:dk-civil-registration-number
SliceNamedk-civil-registration-number
Definition

A technical identifier - identifies some entity uniquely and unambiguously

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1 This element is affected by the following invariants: ele-1
TypeIdentifier(DK CRN Identifier)
Requirements

People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
13. RelatedPerson.active
Definition

Whether this related person record is in active use.

Control0..1
Typeboolean
Is Modifiertrue
Requirements

Need to be able to mark a related person record as not to be used, such as if it was created in error.

Comments

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Default Valuetrue
14. RelatedPerson.patient
Definition

The patient this person is related to.

Control1..1
TypeReference(ehealth-patient)
Requirements

We need to know which patient this RelatedPerson is related to.

15. RelatedPerson.relationship
Definition

The nature of the relationship between a patient and the related person.

Control0..1
BindingThe codes SHALL be taken from RelationshipTypes
TypeCodeableConcept
Requirements

We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.

16. RelatedPerson.relationship.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
17. RelatedPerson.relationship.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on RelatedPerson.relationship.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
18. RelatedPerson.relationship.coding
Definition

A reference to a code defined by a terminology system.

Control0..*
BindingThe codes SHALL be taken from RelationshipTypes
TypeCoding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

19. RelatedPerson.relationship.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control0..1
Typestring
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

20. RelatedPerson.name
Definition

A name associated with the person.

Control1..*
TypeHumanName
Requirements

Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

21. RelatedPerson.telecom
Definition

A contact detail for the person, e.g. a telephone number or an email address.

Control0..*
TypeContactPoint
Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

22. RelatedPerson.gender
Definition

Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

Control0..1
BindingThe codes SHALL be taken from AdministrativeGender The gender of a person used for administrative purposes.

Typecode
Requirements

Needed for identification of the person, in combination with (at least) name and birth date.

23. RelatedPerson.birthDate
Definition

The date on which the related person was born.

Control0..1
Typedate
24. RelatedPerson.address
Definition

Address where the related person can be contacted or visited.

Control0..*
TypeAddress
Requirements

Need to keep track where the related person can be contacted per postal mail or visited.

25. RelatedPerson.photo
Definition

Image of the person.

Control0..*
TypeAttachment
Requirements

Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.

26. RelatedPerson.period
Definition

The period of time that this relationship is considered to be valid. If there are no dates defined, then the interval is unknown.

Control0..1
TypePeriod