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Person

Demographics and administrative information about a person independent of a specific health-related context.

Elements

NameRequiredTypeDescription
identifierIdentifier[]

A human identifier for this person

Details

Identifier for a person within a particular scope.

nameHumanName[]

A name associated with the person

Details

A name associated with the person.

Person may have multiple names with different uses or applicable periods.

telecomContactPoint[]

A contact detail for the person

Details

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

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.

gendercode

male | female | other | unknown

Details

Administrative Gender.

The gender might not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though a clear majority of systems and contexts only support M and F.

birthDatedate

The date on which the person was born

Details

The birth date for the person.

At least an estimated year should be provided as a guess if the real DOB is unknown.

addressAddress[]

One or more addresses for the person

Details

One or more addresses for the person.

Person may have multiple addresses with different uses or applicable periods.

photoAttachment

Image of the person

Details

An image that can be displayed as a thumbnail of the person to enhance the identification of the individual.

managingOrganizationReference<Organization>

The organization that is the custodian of the person record

Details

The organization that is the custodian of the person record.

activeboolean

This person's record is in active use

Details

Whether this person's record is in active use.

linkPersonLink[]

Link to a resource that concerns the same actual person

Details

Link to a resource that concerns the same actual person.

idstring

Unique id for inter-element referencing

Details

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

extensionExtension[]

Additional content defined by implementations

Details

May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

modifierExtensionExtension[]

Extensions that cannot be ignored even if unrecognized

Details

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

target✓Reference< Patient | Practitioner | RelatedPerson | Person >

The resource to which this actual person is associated

Details

The resource to which this actual person is associated.

assurancecode

level1 | level2 | level3 | level4

Details

Level of assurance that this link is associated with the target resource.

Search Parameters

NameTypeDescriptionExpression
addressstringA server defined search that may match any of the string fields in the Address, including line, city, district, state, country, postalCode, and/or textPerson.address
address-citystringA city specified in an addressPerson.address.city
address-countrystringA country specified in an addressPerson.address.country
address-postalcodestringA postal code specified in an addressPerson.address.postalCode
address-statestringA state specified in an addressPerson.address.state
address-usetokenA use code specified in an addressPerson.address.use
birthdatedateThe person's date of birthPerson.birthDate
emailtokenA value in an email contactPerson.telecom.where(system='email')
gendertokenThe gender of the personPerson.gender
phonetokenA value in a phone contactPerson.telecom.where(system='phone')
phoneticstringA portion of name using some kind of phonetic matching algorithmPerson.name
telecomtokenThe value in any kind of contactPerson.telecom
identifiertokenA person IdentifierPerson.identifier
linkreferenceAny link has this Patient, Person, RelatedPerson or Practitioner referencePerson.link.target
namestringA server defined search that may match any of the string fields in the HumanName, including family, give, prefix, suffix, suffix, and/or textPerson.name
organizationreferenceThe organization at which this person record is being managedPerson.managingOrganization
patientreferenceThe Person links to this PatientPerson.link.target.where(resolve() is Patient)
practitionerreferenceThe Person links to this PractitionerPerson.link.target.where(resolve() is Practitioner)
relatedpersonreferenceThe Person links to this RelatedPersonPerson.link.target.where(resolve() is RelatedPerson)

Inherited Elements

NameRequiredTypeDescription
idstring

Logical id of this artifact

Details

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

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

metaMeta

Metadata about the resource

Details

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

implicitRulesuri

A set of rules under which this content was created

Details

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

languagecode

Language of the resource content

Details

The base language in which the resource is written.

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).

textNarrative

Text summary of the resource, for human interpretation

Details

A human-readable narrative that contains a summary of the resource and can 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.

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 information is added later.

containedResource[]

Contained, inline Resources

Details

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.

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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

extensionExtension[]

Additional content defined by implementations

Details

May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

modifierExtensionExtension[]

Extensions that cannot be ignored

Details

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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

The Person resource serves as a linkage resource that may provide a reference set of common demographics for an individual (human or animal) across multiple roles.
This linkage can be direct to role-specific FHIR resources (Patient, Practitioner and RelatedPerson) residing on the same or possibly distinct FHIR systems/applications, or indirectly through the use of business identifiers.

The Person resource may be used in many situations/contexts, including:

  • A set of demographics that can be used to co-ordinate the maintenance of this de-normalized information across practitioners, patients and/or related persons
    e.g. link known resources of the different types together within a system
  • A state/network based Master Person Index
    e.g. A National Identifier Index or a Network membership/subscriber list
  • A central register that links patient resources from multiple servers, indicating they all correspond to the same individual
    e.g. Within a large organization with many systems to be able to link the various records, without having to modify the source information with external links
  • A support for access monitoring software that is able to assert what practitioner, patient and related person records correspond to the same human being to assist in detecting improper querying.
    e.g. asserting that a Patient A is the same individual as a RelatedPerson B who is related to Patient C, who is also Practitioner D. As such, monitoring for Practitioner D’s accesses to Patient A’s records should be carefully scrutinized.
  • Local record(s) on a mobile device listing links to remote server patient resources
    e.g. A mobile phone application storing references to the hospitals they have access to

Note: The Person resource is an advanced feature. Many systems don’t have a way to relate information across resource types, or systems, especially from Patient to Practitioner, and therefore might not implement this functionality. Some do have ways of relating the Patient and RelatedPerson resource types. FHIR is also able to do this without the Person resource, utilizing the Patient.link property (as shown in the Mother and newborn relationship example)

Person resources may have references to Patient, RelatedPerson and/or Practitioner resources. These linkages assert that all the records relate to the same individual.

Person instances are never directly referenced as actors (authors, subjects, performers, etc.) Individual actors are always identified as either Patient, Practitioner or RelatedPerson, depending on the role of the individual when undertaking the action. Therefore this resource SHALL NOT be referenced by any other clinical or administrative resources. E.g. it can be the focus of an operation or message or included in a Bundle, but cannot be a member of a List or Group, the subject of an Observation, or other similar non-infrastructural usage.

In some use cases the linkages will be indirect, and through business Identifiers, such as in the case of the various types of Master Person Indexes, where the records are not there for the purpose of healthcare, but simply describing a population of people, and has other purposes and not just to represent a population patients.