New Zealand NHI IG
1.5.4 - Release

New Zealand NHI IG - Local Development build (v1.5.4) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NHI Patient

Official URL: http://hl7.org.nz/fhir/StructureDefinition/NhiPatient Version: 1.5.4
Active as of 2024-06-26 Computable Name: NhiPatient

The Patient resource exposed by the NHI.

Describe the Patient resource exposed by the NHI

Core NHI Profile attributes

The NHI Patient resource represents the nationally held identity data for a patient.

This includes the core NHI Profile attributes:

  • name (including alternative names such as maiden names)
  • NHI number (live and any dormants)
  • address
  • date of birth
  • gender
  • New Zealand citizenship status
  • place of birth
  • ethnicity
  • date of death

The core NHI Profile attributes are returned to all users that have read and/or $match access to the NHI

Key differences from HL7 FHIR Patient specification

  • Ethnicity extension
  • NZ Citizenship extension
  • Dhb extension
  • Birthplace extension
  • Name
    • information source extension
    • preferred extension
    • nhi-name-use-extra extension
  • Gender original text extension
  • Birthdate information source extension
  • Deceased date information source extension
  • Address
    • nz-geocode extension
    • suburb extension
    • building-name extension
    • domicile-code extension
    • notValidatedAddressReason extension
    • nz-address-id extension
    • nz-address-derived extension

New NHI Number Format and check digit calculation

For more information click here for website links or click here for the consumer health identity standard, that includes the check digit calculation.

Patient’s General Practice

The details for a patient’s General Practice (GP) are returned in the NHI Patient Profile to users who have permission to access a patient’s National Enrolment Service (NES) information.

This is an additional permission required on your NHI FHIR account.

The NES details are maintained in real time in the NES database, which holds the relationship of a Patient (NHI number), to their GP Practice (hpi-organisation-id), GP clinic (hpi-facility-id) and where available the patient’s usual doctor (hpi-person-id / CPN).

Changes to the NES in October 2023 allows a patient’s GP Practice details to be recorded for both patients that are funded and also patients who are registered with a practice but not eligible for PHO funding. This change allows the Get Patient response to return the GP Practice details for both types of patients.

The expiry date for a registered patient is set to 01/01/2100 whereas the expiry date for an enrolled patient is never more than 3 years in the future.

For more information on what is available in the NES FHIR API please see NES UAT Implementation guide.

In the NHI the patient’s GP is only returned with a read on the resource. It is not returned in the $match response – even if a user has the correct permissions.

The patient version-id does not change when the GP changes. This is because the patient’s GP is not held in the NHI but is retrieved from the National Enrolment Service and returned along with the NHI details in the NHI Patient profile. The patient version-id only reflects changes to details held on the NHI.

For information on enrolment history, re-enrolment dates, enrolment status, or the last visit date (qualified encounter date) please subscribe to the NES.

A subset of the NES enrolment information is returned in the NHI FHIR GET response.

Enrolment information is returned in two places in the NHI patient profile:

  • the “generalPractitioner” attribute: This is the NES enrolment id.
  • the “contained” PractitionerRole resource: This holds the NES enrolment information as described below.

NES to FHIR mapping

FHIR attribute (PractitionerRole Resource) NES Enrolment Information Description
id The NES enrolment id Unique identifier of the patient's enrolment record.
This will change when a patient transfers to a new practice, but will not reflect minor changes within an enrolment.
Period.start enrolment.startDate The date on which the Enrolment starts
Period.end enrolment.expiryDate The future date on which the Enrolment will expire.
Practitioner (reference / display) Practitioner identifier (CPN) and name The hpi-person-id (CPN) and name of the Practitioner who primarily provides the service to the person.
Organization (reference / display) enrolling organisation ID and name The hpi-organisation-id and name of the Organisation who the person enrols with for the Heath Service.
Location (reference / display) Facility ID and name The hpi-facility-id and name of the Facility where the person primarily receives the service.

Example of contained resource

"contained": [
        {
            "resourceType": "PractitionerRole",
            "id": "525599",
            "period": {
                "start": "2023-01-26T00:00:00+13:00",
                "end": "2026-01-26T00:00:00+13:00"
            },
            "practitioner": {
                "reference": "Practitioner/25ADNX",
                "display": "Dr Nick"
            },
            "organization": {
                "reference": "Organization/GAAAAA-0"
                "display": "Riviera Health Care"
            },
            "location": [
                {
                    "reference": "Location/FZZ862-H",
                    "display": "Dr Nick's Guaranteed Health Clinic"
                }
            ]
        }
    ]

Patient’s Contact details

The patient’s contact details are returned in the Patient.telecom attribute to users who have permission to access Patient Preferences. This is an additional permission required on your NHI FHIR account.

The contact details are only returned with a read on the resource. They are not returned in the $match response – even if a user has the correct permissions.

The patient version-id does not change when the patient’s contact details change. This is because the patient’s contact details are not held in the NHI but are retrieved from the National Enrolment Service and returned along with the NHI details in the NHI Patient profile. The Patient Version-id only reflects changes to details held on the NHI.

The information returned may include:

  • 1x email address,
  • 1x home phone number,
  • 1x mobile phone number

Example of Patient contact details

    "telecom": [
        {
            "system": "email",
            "value": "test.contact@testContact.com",
            "use": "home"
        },
        {
            "system": "phone",
            "value": "0275151510",
            "use": "mobile"
        },
        {
            "system": "phone",
            "value": "045882334",
            "use": "home"
        }

Usage:

Formal Views of Profile Content

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

This structure is derived from NzPatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* NzPatient Information about an individual or animal receiving health care services
nhi-nz-pat-1: only allows certain name name use values
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Closed by type:$this
.... contained:GP 0..1 PractitionerRole Contained resource for the Patient's enrolled general Practitioner
... Slices for extension Content/Rules for all slices
.... extension:ethnicity 0..6 Nz_ethnicity NZ Ethnicity
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: Hip_ethnicity_lvl_4 (2.0) (required)
.... extension:nzCitizen 0..1 Nz_citizenship This field indicates New Zealand citizenship status of the patient
..... Slices for extension Content/Rules for all slices
...... extension:source 0..1 Extension Extension
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship Information Source (required)
.... extension:domicile-code 0..0
.... extension:pho 0..0
.... extension:sex-at-birth 0..0
.... extension:iwi 0..0
.... birthPlace 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/birth-place
... Slices for identifier 0..* Identifier An identifier for this patient
Slice: Unordered, Closed by value:system
.... identifier:All Slices Content/Rules for all slices
..... type 0..0
..... period 0..0
.... identifier:NHI 0..* Identifier An identifier for this patient
..... type 0..0
..... period 0..0
... name
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... Slices for value[x] Content/Rules for all slices
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Name Information Source (required)
..... preferred 1..1 boolean Preferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
..... nhi-name-use-extra 0..1 CodeableConcept Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/name-use-extra
Binding: NHI Name Use Extra (required)
.... use 0..1 code temp | nickname | maiden
.... text 0..0
.... given 0..2 string Given name and other given name(s)
.... prefix 0..* string Parts that come before the name
Binding: Name Prefix Codes (required)
.... suffix 0..0
.... period 0..0
... telecom 0..3 NzContactPoint The Paient's contact details
.... Slices for extension Content/Rules for all slices
..... extension:cp-purpose 0..0
.... system 0..1 code phone | email
Binding: NHI ContactPoint System Codes (required)
.... use 0..1 code home | mobile
Binding: NHI ContactPoint Use Codes (required)
.... rank 0..0
.... period 0..0
... gender
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... originalText 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
... birthDate
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... Slices for value[x] Content/Rules for all slices
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Birth Information Source (required)
... deceased[x] 0..1 dateTime Indicates if the individual is deceased or not
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... Slices for value[x] Content/Rules for all slices
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Death Information Source (required)
... address 0..* NhiAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... line 1..* string Street name, number, direction & P.O. Box etc.
... maritalStatus 0..0
... multipleBirth[x] 0..0
... photo 0..0
... contact 0..0
... communication 0..0
... generalPractitioner 0..1 Reference(PractitionerRole) Reference for the Patient's enrolled general Practitioner
... managingOrganization 0..0
... link 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.extension:ethnicity.value[x]:valueCodeableConceptrequiredHip_ethnicity_lvl_4
https://nzhts.digital.health.nz/fhir/ValueSet/ethnic-group-level-4-code|2.0
Patient.extension:nzCitizen.extension:source.value[x]:valueCodeableConceptrequiredNhi_citizenship_source
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-source-code
Patient.name.extension:information-source.value[x]:valueCodeableConceptrequiredNhi_name_source
https://nzhts.digital.health.nz/fhir/ValueSet/name-source-code
Patient.name.prefixrequiredHpi_name_prefix
https://nzhts.digital.health.nz/fhir/ValueSet/name-prefix-code
Patient.telecom.systemrequiredNhiContactPointSystem
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-contact-point-system-code
from this IG
Patient.telecom.userequiredNhiContactPointUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiContactUseType
from this IG
Patient.birthDate.extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_birth_source
https://nzhts.digital.health.nz/fhir/ValueSet/date-of-birth-source-code
Patient.deceased[x].extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_death_source
https://nzhts.digital.health.nz/fhir/ValueSet/dod-information-source-code

Constraints

IdGradePath(s)DetailsRequirements
nhi-nz-pat-1errorPatientonly allows certain name name use values
: Patient.name.where( (use.empty()) or (use='nickname') or (use = 'maiden') or (use = 'temp') )
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* NzPatient Information about an individual or animal receiving health care services
nz-pat-1: only a single official NHI
nhi-nz-pat-1: only allows certain name name use values
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Closed by type:$this
.... contained:GP 0..1 PractitionerRole Contained resource for the Patient's enrolled general Practitioner
... Slices for extension Content/Rules for all slices
.... ethnicity 0..6 (Complex) NZ Ethnicity
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity
..... extension 0..0
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: Hip_ethnicity_lvl_4 (2.0) (required)
.... nzCitizen 0..1 (Complex) This field indicates New Zealand citizenship status of the patient
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
..... Slices for extension Content/Rules for all slices
...... extension:status 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "status"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship status (preferred)
...... extension:source 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "source"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship Information Source (required)
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship"
.... dhb 0..1 CodeableConcept District Health Board linked to a NZ Healthcare Service, Location or Patient
URL: http://hl7.org.nz/fhir/StructureDefinition/dhb
Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs


.... birthPlace 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/birth-place
... Slices for identifier Σ 0..* Identifier An identifier for this patient
Slice: Unordered, Closed by value:system
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... identifier:NHI Σ 0..* Identifier An identifier for this patient
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: Valid use values for NHI (required)
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
... telecom C 0..3 NzContactPoint The Paient's contact details
cpt-2: A system is required if a value is provided.
.... Slices for extension Content/Rules for all slices
.... system ΣC 0..1 code phone | email
Binding: NHI ContactPoint System Codes (required)
.... use ?!Σ 0..1 code home | mobile
Binding: NHI ContactPoint Use Codes (required)
... deceased[x] ?!Σ 0..1 dateTime Indicates if the individual is deceased or not
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Death Information Source (required)
... address 0..* NhiAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... Slices for extension Content/Rules for all slices
..... nz-geocode 0..1 (Complex) A geocode using the NZ specific datum (reference point)
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-geocode
..... suburb 0..1 string The suburb part of the address
URL: http://hl7.org.nz/fhir/StructureDefinition/suburb
..... building-name 0..1 string The name of the building
URL: http://hl7.org.nz/fhir/StructureDefinition/building-name
..... domicile-code 0..1 CodeableConcept The domicile code associated with this address
URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code
Binding: Domicile Code (preferred)
..... notValidatedAddressReason 0..1 CodeableConcept The reason an address was not validated
URL: http://hl7.org.nz/fhir/StructureDefinition/not-validated-address-reason
Binding: Address Not Validated Reason (preferred)
..... nz-address-id 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-address-id
..... nz-address-derived 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nhi-address-derived
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: NHI Address Use Codes (required)
Example General: home
.... type Σ 1..1 code postal | physical
Binding: NHI Address Type Codes (required)
Example General: both
.... line Σ 1..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
... generalPractitioner 0..1 Reference(PractitionerRole) Reference for the Patient's enrolled general Practitioner

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.extension:ethnicity.value[x]:valueCodeableConceptrequiredHip_ethnicity_lvl_4
https://nzhts.digital.health.nz/fhir/ValueSet/ethnic-group-level-4-code|2.0
Patient.extension:nzCitizen.extension:status.value[x]:valueCodeableConceptpreferredCitizenshipStatus
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-status-code
Patient.extension:nzCitizen.extension:source.value[x]:valueCodeableConceptrequiredNhi_citizenship_source
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-source-code
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:NHI.userequiredNHIUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-use-code
Patient.telecom.systemrequiredNhiContactPointSystem
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-contact-point-system-code
from this IG
Patient.telecom.userequiredNhiContactPointUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiContactUseType
from this IG
Patient.deceased[x].extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_death_source
https://nzhts.digital.health.nz/fhir/ValueSet/dod-information-source-code
Patient.address.userequiredNhiAddressUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiaddressUse
Patient.address.typerequiredNhiAddressType
https://nzhts.digital.health.nz/fhir/ValueSet/addressType
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
nhi-nz-pat-1errorPatientonly allows certain name name use values
: Patient.name.where( (use.empty()) or (use='nickname') or (use = 'maiden') or (use = 'temp') )
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* NzPatient Information about an individual or animal receiving health care services
nz-pat-1: only a single official NHI
nhi-nz-pat-1: only allows certain name name use values
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Closed by type:$this
.... contained:GP 0..1 PractitionerRole Contained resource for the Patient's enrolled general Practitioner
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ethnicity 0..6 (Complex) NZ Ethnicity
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: Hip_ethnicity_lvl_4 (2.0) (required)
.... nzCitizen 0..1 (Complex) This field indicates New Zealand citizenship status of the patient
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:status 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "status"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship status (preferred)
...... extension:source 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "source"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship Information Source (required)
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship"
.... dhb 0..1 CodeableConcept District Health Board linked to a NZ Healthcare Service, Location or Patient
URL: http://hl7.org.nz/fhir/StructureDefinition/dhb
Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs


.... birthPlace 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/birth-place
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier An identifier for this patient
Slice: Unordered, Closed by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1 string 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): Identifies the purpose for this identifier, if known .

..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NHI Σ 0..* Identifier An identifier for this patient
..... id 0..1 string 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: Valid use values for NHI (required)
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... name Σ 0..* HumanName A name associated with the patient
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Name Information Source (required)
..... preferred 1..1 boolean Preferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
..... nhi-name-use-extra 0..1 CodeableConcept Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/name-use-extra
Binding: NHI Name Use Extra (required)
.... use ?!Σ 0..1 code temp | nickname | maiden
Binding: NameUse (required): The use of a human name.

.... family Σ 0..1 string Family name (often called 'Surname')
.... given Σ 0..2 string Given name and other given name(s)
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
Binding: Name Prefix Codes (required)
This repeating element order: Prefixes appear in the correct order for presenting the name
... telecom C 0..3 NzContactPoint The Paient's contact details
cpt-2: A system is required if a value is provided.
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system ΣC 0..1 code phone | email
Binding: NHI ContactPoint System Codes (required)
.... value Σ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | mobile
Binding: NHI ContactPoint Use Codes (required)
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... originalText 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
.... value 0..1 string Primitive value for code
... birthDate Σ 0..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Birth Information Source (required)
.... value 0..1 date Primitive value for date
... deceased[x] ?!Σ 0..1 dateTime Indicates if the individual is deceased or not
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Death Information Source (required)
.... value 0..1 dateTime Primitive value for dateTime
... address 0..* NhiAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... nz-geocode 0..1 (Complex) A geocode using the NZ specific datum (reference point)
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-geocode
..... suburb 0..1 string The suburb part of the address
URL: http://hl7.org.nz/fhir/StructureDefinition/suburb
..... building-name 0..1 string The name of the building
URL: http://hl7.org.nz/fhir/StructureDefinition/building-name
..... domicile-code 0..1 CodeableConcept The domicile code associated with this address
URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code
Binding: Domicile Code (preferred)
..... notValidatedAddressReason 0..1 CodeableConcept The reason an address was not validated
URL: http://hl7.org.nz/fhir/StructureDefinition/not-validated-address-reason
Binding: Address Not Validated Reason (preferred)
..... nz-address-id 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-address-id
..... nz-address-derived 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nhi-address-derived
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: NHI Address Use Codes (required)
Example General: home
.... type Σ 1..1 code postal | physical
Binding: NHI Address Type Codes (required)
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line Σ 1..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city Σ 0..1 string Name of city, town etc.
Example General: Erewhon
.... postalCode Σ 0..1 string Postal code for area
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
Binding: ISO 3166-1:2013 (2-alpha country code) (required)
... generalPractitioner 0..1 Reference(PractitionerRole) Reference for the Patient's enrolled general Practitioner

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.extension:ethnicity.value[x]:valueCodeableConceptrequiredHip_ethnicity_lvl_4
https://nzhts.digital.health.nz/fhir/ValueSet/ethnic-group-level-4-code|2.0
Patient.extension:nzCitizen.extension:status.value[x]:valueCodeableConceptpreferredCitizenshipStatus
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-status-code
Patient.extension:nzCitizen.extension:source.value[x]:valueCodeableConceptrequiredNhi_citizenship_source
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-source-code
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:NHI.userequiredNHIUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-use-code
Patient.name.extension:information-source.value[x]:valueCodeableConceptrequiredNhi_name_source
https://nzhts.digital.health.nz/fhir/ValueSet/name-source-code
Patient.name.userequiredNameUse
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name.prefixrequiredHpi_name_prefix
https://nzhts.digital.health.nz/fhir/ValueSet/name-prefix-code
Patient.telecom.systemrequiredNhiContactPointSystem
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-contact-point-system-code
from this IG
Patient.telecom.userequiredNhiContactPointUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiContactUseType
from this IG
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.birthDate.extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_birth_source
https://nzhts.digital.health.nz/fhir/ValueSet/date-of-birth-source-code
Patient.deceased[x].extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_death_source
https://nzhts.digital.health.nz/fhir/ValueSet/dod-information-source-code
Patient.address.userequiredNhiAddressUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiaddressUse
Patient.address.typerequiredNhiAddressType
https://nzhts.digital.health.nz/fhir/ValueSet/addressType
Patient.address.countryrequiredHpi_country_code_iso_3166_1
https://nzhts.digital.health.nz/fhir/ValueSet/country-code
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
nhi-nz-pat-1errorPatientonly allows certain name name use values
: Patient.name.where( (use.empty()) or (use='nickname') or (use = 'maiden') or (use = 'temp') )

This structure is derived from NzPatient

Cannot invoke "Object.hashCode()" because "key" is null

Differential View

This structure is derived from NzPatient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* NzPatient Information about an individual or animal receiving health care services
nhi-nz-pat-1: only allows certain name name use values
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Closed by type:$this
.... contained:GP 0..1 PractitionerRole Contained resource for the Patient's enrolled general Practitioner
... Slices for extension Content/Rules for all slices
.... extension:ethnicity 0..6 Nz_ethnicity NZ Ethnicity
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: Hip_ethnicity_lvl_4 (2.0) (required)
.... extension:nzCitizen 0..1 Nz_citizenship This field indicates New Zealand citizenship status of the patient
..... Slices for extension Content/Rules for all slices
...... extension:source 0..1 Extension Extension
....... Slices for value[x] Content/Rules for all slices
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship Information Source (required)
.... extension:domicile-code 0..0
.... extension:pho 0..0
.... extension:sex-at-birth 0..0
.... extension:iwi 0..0
.... birthPlace 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/birth-place
... Slices for identifier 0..* Identifier An identifier for this patient
Slice: Unordered, Closed by value:system
.... identifier:All Slices Content/Rules for all slices
..... type 0..0
..... period 0..0
.... identifier:NHI 0..* Identifier An identifier for this patient
..... type 0..0
..... period 0..0
... name
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... Slices for value[x] Content/Rules for all slices
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Name Information Source (required)
..... preferred 1..1 boolean Preferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
..... nhi-name-use-extra 0..1 CodeableConcept Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/name-use-extra
Binding: NHI Name Use Extra (required)
.... use 0..1 code temp | nickname | maiden
.... text 0..0
.... given 0..2 string Given name and other given name(s)
.... prefix 0..* string Parts that come before the name
Binding: Name Prefix Codes (required)
.... suffix 0..0
.... period 0..0
... telecom 0..3 NzContactPoint The Paient's contact details
.... Slices for extension Content/Rules for all slices
..... extension:cp-purpose 0..0
.... system 0..1 code phone | email
Binding: NHI ContactPoint System Codes (required)
.... use 0..1 code home | mobile
Binding: NHI ContactPoint Use Codes (required)
.... rank 0..0
.... period 0..0
... gender
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... originalText 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
... birthDate
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... Slices for value[x] Content/Rules for all slices
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Birth Information Source (required)
... deceased[x] 0..1 dateTime Indicates if the individual is deceased or not
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... Slices for value[x] Content/Rules for all slices
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Death Information Source (required)
... address 0..* NhiAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... line 1..* string Street name, number, direction & P.O. Box etc.
... maritalStatus 0..0
... multipleBirth[x] 0..0
... photo 0..0
... contact 0..0
... communication 0..0
... generalPractitioner 0..1 Reference(PractitionerRole) Reference for the Patient's enrolled general Practitioner
... managingOrganization 0..0
... link 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Patient.extension:ethnicity.value[x]:valueCodeableConceptrequiredHip_ethnicity_lvl_4
https://nzhts.digital.health.nz/fhir/ValueSet/ethnic-group-level-4-code|2.0
Patient.extension:nzCitizen.extension:source.value[x]:valueCodeableConceptrequiredNhi_citizenship_source
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-source-code
Patient.name.extension:information-source.value[x]:valueCodeableConceptrequiredNhi_name_source
https://nzhts.digital.health.nz/fhir/ValueSet/name-source-code
Patient.name.prefixrequiredHpi_name_prefix
https://nzhts.digital.health.nz/fhir/ValueSet/name-prefix-code
Patient.telecom.systemrequiredNhiContactPointSystem
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-contact-point-system-code
from this IG
Patient.telecom.userequiredNhiContactPointUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiContactUseType
from this IG
Patient.birthDate.extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_birth_source
https://nzhts.digital.health.nz/fhir/ValueSet/date-of-birth-source-code
Patient.deceased[x].extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_death_source
https://nzhts.digital.health.nz/fhir/ValueSet/dod-information-source-code

Constraints

IdGradePath(s)DetailsRequirements
nhi-nz-pat-1errorPatientonly allows certain name name use values
: Patient.name.where( (use.empty()) or (use='nickname') or (use = 'maiden') or (use = 'temp') )

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* NzPatient Information about an individual or animal receiving health care services
nz-pat-1: only a single official NHI
nhi-nz-pat-1: only allows certain name name use values
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Closed by type:$this
.... contained:GP 0..1 PractitionerRole Contained resource for the Patient's enrolled general Practitioner
... Slices for extension Content/Rules for all slices
.... ethnicity 0..6 (Complex) NZ Ethnicity
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity
..... extension 0..0
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: Hip_ethnicity_lvl_4 (2.0) (required)
.... nzCitizen 0..1 (Complex) This field indicates New Zealand citizenship status of the patient
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
..... Slices for extension Content/Rules for all slices
...... extension:status 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "status"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship status (preferred)
...... extension:source 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "source"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship Information Source (required)
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship"
.... dhb 0..1 CodeableConcept District Health Board linked to a NZ Healthcare Service, Location or Patient
URL: http://hl7.org.nz/fhir/StructureDefinition/dhb
Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs


.... birthPlace 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/birth-place
... Slices for identifier Σ 0..* Identifier An identifier for this patient
Slice: Unordered, Closed by value:system
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... identifier:NHI Σ 0..* Identifier An identifier for this patient
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: Valid use values for NHI (required)
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
... telecom C 0..3 NzContactPoint The Paient's contact details
cpt-2: A system is required if a value is provided.
.... Slices for extension Content/Rules for all slices
.... system ΣC 0..1 code phone | email
Binding: NHI ContactPoint System Codes (required)
.... use ?!Σ 0..1 code home | mobile
Binding: NHI ContactPoint Use Codes (required)
... deceased[x] ?!Σ 0..1 dateTime Indicates if the individual is deceased or not
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Death Information Source (required)
... address 0..* NhiAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... Slices for extension Content/Rules for all slices
..... nz-geocode 0..1 (Complex) A geocode using the NZ specific datum (reference point)
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-geocode
..... suburb 0..1 string The suburb part of the address
URL: http://hl7.org.nz/fhir/StructureDefinition/suburb
..... building-name 0..1 string The name of the building
URL: http://hl7.org.nz/fhir/StructureDefinition/building-name
..... domicile-code 0..1 CodeableConcept The domicile code associated with this address
URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code
Binding: Domicile Code (preferred)
..... notValidatedAddressReason 0..1 CodeableConcept The reason an address was not validated
URL: http://hl7.org.nz/fhir/StructureDefinition/not-validated-address-reason
Binding: Address Not Validated Reason (preferred)
..... nz-address-id 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-address-id
..... nz-address-derived 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nhi-address-derived
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: NHI Address Use Codes (required)
Example General: home
.... type Σ 1..1 code postal | physical
Binding: NHI Address Type Codes (required)
Example General: both
.... line Σ 1..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
... generalPractitioner 0..1 Reference(PractitionerRole) Reference for the Patient's enrolled general Practitioner

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Patient.extension:ethnicity.value[x]:valueCodeableConceptrequiredHip_ethnicity_lvl_4
https://nzhts.digital.health.nz/fhir/ValueSet/ethnic-group-level-4-code|2.0
Patient.extension:nzCitizen.extension:status.value[x]:valueCodeableConceptpreferredCitizenshipStatus
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-status-code
Patient.extension:nzCitizen.extension:source.value[x]:valueCodeableConceptrequiredNhi_citizenship_source
https://nzhts.digital.health.nz/fhir/ValueSet/nz-citizenship-source-code
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:NHI.userequiredNHIUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-use-code
Patient.telecom.systemrequiredNhiContactPointSystem
https://nzhts.digital.health.nz/fhir/ValueSet/nhi-contact-point-system-code
from this IG
Patient.telecom.userequiredNhiContactPointUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiContactUseType
from this IG
Patient.deceased[x].extension:information-source.value[x]:valueCodeableConceptrequiredNhi_date_of_death_source
https://nzhts.digital.health.nz/fhir/ValueSet/dod-information-source-code
Patient.address.userequiredNhiAddressUse
https://nzhts.digital.health.nz/fhir/ValueSet/nhiaddressUse
Patient.address.typerequiredNhiAddressType
https://nzhts.digital.health.nz/fhir/ValueSet/addressType
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
nhi-nz-pat-1errorPatientonly allows certain name name use values
: Patient.name.where( (use.empty()) or (use='nickname') or (use = 'maiden') or (use = 'temp') )

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient C 0..* NzPatient Information about an individual or animal receiving health care services
nz-pat-1: only a single official NHI
nhi-nz-pat-1: only allows certain name name use values
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Closed by type:$this
.... contained:GP 0..1 PractitionerRole Contained resource for the Patient's enrolled general Practitioner
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ethnicity 0..6 (Complex) NZ Ethnicity
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-ethnicity"
..... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: Hip_ethnicity_lvl_4 (2.0) (required)
.... nzCitizen 0..1 (Complex) This field indicates New Zealand citizenship status of the patient
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:status 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "status"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship status (preferred)
...... extension:source 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "source"
....... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
........ value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: NZ Citizenship Information Source (required)
..... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/nz-citizenship"
.... dhb 0..1 CodeableConcept District Health Board linked to a NZ Healthcare Service, Location or Patient
URL: http://hl7.org.nz/fhir/StructureDefinition/dhb
Binding: District Health Board Identifer (extensible): NZ HPI-ORG Values for DHBs


.... birthPlace 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/birth-place
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier An identifier for this patient
Slice: Unordered, Closed by value:system
.... identifier:All Slices Content/Rules for all slices
..... id 0..1 string 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): Identifies the purpose for this identifier, if known .

..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NHI Σ 0..* Identifier An identifier for this patient
..... id 0..1 string 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: Valid use values for NHI (required)
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: https://standards.digital.health.nz/ns/nhi-id
..... value Σ 0..1 string The value that is unique
Example General: 123456
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... name Σ 0..* HumanName A name associated with the patient
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Name Information Source (required)
..... preferred 1..1 boolean Preferred
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
..... nhi-name-use-extra 0..1 CodeableConcept Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/name-use-extra
Binding: NHI Name Use Extra (required)
.... use ?!Σ 0..1 code temp | nickname | maiden
Binding: NameUse (required): The use of a human name.

.... family Σ 0..1 string Family name (often called 'Surname')
.... given Σ 0..2 string Given name and other given name(s)
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
Binding: Name Prefix Codes (required)
This repeating element order: Prefixes appear in the correct order for presenting the name
... telecom C 0..3 NzContactPoint The Paient's contact details
cpt-2: A system is required if a value is provided.
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system ΣC 0..1 code phone | email
Binding: NHI ContactPoint System Codes (required)
.... value Σ 0..1 string The actual contact point details
.... use ?!Σ 0..1 code home | mobile
Binding: NHI ContactPoint Use Codes (required)
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... originalText 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/gender-original-text
.... value 0..1 string Primitive value for code
... birthDate Σ 0..1 date The date of birth for the individual
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Birth Information Source (required)
.... value 0..1 date Primitive value for date
... deceased[x] ?!Σ 0..1 dateTime Indicates if the individual is deceased or not
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... information-source 0..1 (Complex) Information Source
URL: http://hl7.org.nz/fhir/StructureDefinition/information-source
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.org.nz/fhir/StructureDefinition/information-source"
...... Slices for value[x] 0..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
....... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: Date of Death Information Source (required)
.... value 0..1 dateTime Primitive value for dateTime
... address 0..* NhiAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... nz-geocode 0..1 (Complex) A geocode using the NZ specific datum (reference point)
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-geocode
..... suburb 0..1 string The suburb part of the address
URL: http://hl7.org.nz/fhir/StructureDefinition/suburb
..... building-name 0..1 string The name of the building
URL: http://hl7.org.nz/fhir/StructureDefinition/building-name
..... domicile-code 0..1 CodeableConcept The domicile code associated with this address
URL: http://hl7.org.nz/fhir/StructureDefinition/domicile-code
Binding: Domicile Code (preferred)
..... notValidatedAddressReason 0..1 CodeableConcept The reason an address was not validated
URL: http://hl7.org.nz/fhir/StructureDefinition/not-validated-address-reason
Binding: Address Not Validated Reason (preferred)
..... nz-address-id 0..1 string Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nz-address-id
..... nz-address-derived 0..1 (Complex) Extension
URL: http://hl7.org.nz/fhir/StructureDefinition/nhi-address-derived
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: NHI Address Use Codes (required)
Example General: home
.... type Σ 1..1 code postal | physical
Binding: NHI Address Type Codes (required)
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line Σ 1..* string