WHO Digital Documentation of COVID-19 Certificates (DDCC)
1.0.0 - CI Build

This is the continuous build for version 1.0.0. This version is based on the current content of https://github.com/WorldHealthOrganization/ddcc and changes regularly.

Resource Profile: DDCC Patient

Defining URL:http://worldhealthorganization.github.io/ddcc/StructureDefinition/DDCCPatient
Version:1.0.0
Name:DDCCPatient
Title:DDCC Patient
Status:Active as of 2022-11-23 03:17:18+0000
Definition:

A DDCCPatient should:

  • if the [identifier.assigner](StructureDefinition-DDCCPatient-definitions.html#Patient.identifier] is set then the value of identifier.assigner should be set to reference the DDCC Organization resource associated to the PHA.
  • obeys who-ddcc-patient-1
Publisher:WHO
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://worldhealthorganization.github.io/ddcc/StructureDefinition/DDCCPatient

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from PatientUvIps

Summary

Mandatory: 3 elements
Must-Support: 4 elements

Slices

This structure defines the following Slices:

  • The element Patient.name is sliced based on the values of value:use, exists:text

This structure is derived from PatientUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientUvIpsInformation about an individual or animal receiving health care services
... identifier
.... system S0..1uriThe namespace for the identifier value
.... value S0..1stringThe value that is unique
... Slices for name 1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use, exists:text
.... name:ddccName S1..*HumanNameA name associated with the patient
..... use S1..1codeusual | official | temp | nickname | anonymous | old | maiden
Required Pattern: official
..... text 1..1stringText representation of the full name
... gender 0..1codemale | female | other | unknown

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient S0..*PatientUvIpsInformation about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ0..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SΣ1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use, exists:text
.... name:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... text SΣ0..1stringText representation of the full name
..... family SΣ0..1stringFamily name (often called 'Surname')
..... given SΣ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
.... name:ddccName SΣ1..*HumanNameA name associated with the patient
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: official
..... text SΣ1..1stringText representation of the full name
..... family SΣ0..1stringFamily name (often called 'Surname')
..... given SΣ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
... telecom SΣ0..*ContactPointA contact detail for the individual
... gender SΣ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣC0..*AddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact SC0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Personal Relationship - IPS (required)
.... name S0..1HumanNameA name associated with the contact person
.... telecom S0..*ContactPointA contact detail for the person
.... address S0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization SC0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication S0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language S1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: AllLanguages (required)
.... preferred 0..1booleanLanguage preference indicator
... generalPractitioner S0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(Organization)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientUvIpsInformation about an individual or animal receiving health care services
... identifier Σ0..*IdentifierAn identifier for this patient
.... system Σ0..1uriThe namespace for the identifier value
.... value Σ0..1stringThe value that is unique
... Slices for name Σ1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use, exists:text
.... name:All Slices Content/Rules for all slices
..... text Σ0..1stringText representation of the full name
..... family Σ0..1stringFamily name (often called 'Surname')
..... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... name:ddccName Σ1..*HumanNameA name associated with the patient
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: official
..... text Σ1..1stringText representation of the full name
..... family Σ0..1stringFamily name (often called 'Surname')
..... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom Σ0..*ContactPointA contact detail for the individual
... birthDate Σ0..1dateThe date of birth for the individual
... address ΣC0..*AddressAn address for the individual
... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... relationship 0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Personal Relationship - IPS (required)
.... name 0..1HumanNameA name associated with the contact person
.... telecom 0..*ContactPointA contact detail for the person
.... address 0..1AddressAddress for the contact person
.... organization C0..1Reference(Organization)Organization that is associated with the contact
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: AllLanguages (required)
... generalPractitioner 0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider

doco Documentation for this format

This structure is derived from PatientUvIps

Summary

Mandatory: 3 elements
Must-Support: 4 elements

Slices

This structure defines the following Slices:

  • The element Patient.name is sliced based on the values of value:use, exists:text

Differential View

This structure is derived from PatientUvIps

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientUvIpsInformation about an individual or animal receiving health care services
... identifier
.... system S0..1uriThe namespace for the identifier value
.... value S0..1stringThe value that is unique
... Slices for name 1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use, exists:text
.... name:ddccName S1..*HumanNameA name associated with the patient
..... use S1..1codeusual | official | temp | nickname | anonymous | old | maiden
Required Pattern: official
..... text 1..1stringText representation of the full name
... gender 0..1codemale | female | other | unknown

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient S0..*PatientUvIpsInformation about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierAn identifier for this patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ0..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name SΣ1..*HumanNameA name associated with the patient
Slice: Unordered, Open by value:use, exists:text
.... name:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.

..... text SΣ0..1stringText representation of the full name
..... family SΣ0..1stringFamily name (often called 'Surname')
..... given SΣ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
.... name:ddccName SΣ1..*HumanNameA name associated with the patient
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: official
..... text SΣ1..1stringText representation of the full name
..... family SΣ0..1stringFamily name (often called 'Surname')
..... given SΣ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
... telecom SΣ0..*ContactPointA contact detail for the individual
... gender SΣ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate SΣ0..1dateThe date of birth for the individual
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address SΣC0..*AddressAn address for the individual
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: Marital Status Codes (extensible): The domestic partnership status of a person.

... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact SC0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relationship S0..*CodeableConceptIPSConcept - reference to a terminology or just text
Binding: Personal Relationship - IPS (required)
.... name S0..1HumanNameA name associated with the contact person
.... telecom S0..*ContactPointA contact detail for the person
.... address S0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization SC0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication S0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language S1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: AllLanguages (required)
.... preferred 0..1booleanLanguage preference indicator
... generalPractitioner S0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(Organization)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Patient.identifier.userequiredIdentifierUse
Patient.identifier.typeextensibleIdentifier Type Codes
Patient.name.userequiredNameUse
Patient.name:ddccName.userequiredPattern: official
Patient.genderrequiredAdministrativeGender
Patient.maritalStatusextensibleMarital Status Codes
Patient.contact.relationshiprequiredPersonalRelationshipUvIps
Patient.contact.genderrequiredAdministrativeGender
Patient.communication.languagerequiredAllLanguages
Patient.link.typerequiredLinkType

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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().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(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()
pat-cnt-2or3-charwarningPatient.addressThe content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.
: country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))