FHIR Patient

US Core Patient (6.1)

http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient

Required

• Patient.identifier - US Core requires at least one Identifier on Patient.
• Patient.name - US Core requires at least one HumanName on Patient.
• Patient.gender - US Core requires administrative gender on Patient.

Recommended

• Patient.birthDate - US Core strongly recommends birthDate on Patient.
• Patient.telecom - US Core recommends contact telecom for Patient.
• Patient.address - US Core recommends mailing address for Patient.

IPS Patient (International Patient Summary)

http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips

Required

• Patient.identifier - IPS requires at least one Identifier on Patient.
• Patient.name - IPS requires at least one HumanName on Patient.
• Patient.gender - IPS requires administrative gender on Patient.
• Patient.birthDate - IPS requires birthDate on Patient.

AU Core Patient (2.0.0)

http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient

Required

• Patient.identifier - AU Core requires at least one Identifier on Patient. AU-specific identifiers are sliced as IHI (system http://ns.electronichealth.net.au/id/hi/ihi/1.0), Medicare card number (http://ns.electronichealth.net.au/id/medicare-number), and DVA number (http://ns.electronichealth.net.au/id/dva). The IHI SHOULD be used in preference where available.
• Patient.name - AU Core requires at least one HumanName on Patient (with at least a family name).
• Patient.gender - AU Core requires administrative gender on Patient (administrative-gender value set: male | female | other | unknown).
• Patient.birthDate - AU Core requires birthDate on Patient (mandatory, 1..1).

Recommended

• Patient.telecom - AU Core flags telecom as Must Support - populate contact details when known.
• Patient.address - AU Core flags address as Must Support - Australian address preferred.
• Patient.identifier.system - AU Core recommends recording the IHI (Individual Healthcare Identifier) using system http://ns.electronichealth.net.au/id/hi/ihi/1.0 where available, in preference to Medicare or DVA numbers.

What is the FHIR Patient resource?

The Patient resource holds demographic and administrative information about an individual receiving care: identifiers, name, gender, birth date, contact details, and address. It is the anchor most other clinical resources reference via `subject` or `patient`.

What are the US Core, IPS & AU Core required elements for Patient?

For US Core Patient (6.1), the elements marked required (error severity) are: Patient.identifier, Patient.name, Patient.gender. For IPS Patient (International Patient Summary), the elements marked required (error severity) are: Patient.identifier, Patient.name, Patient.gender, Patient.birthDate. For AU Core Patient (2.0.0), the elements marked required (error severity) are: Patient.identifier, Patient.name, Patient.gender, Patient.birthDate. Recommended (Must Support but not failing) elements are also flagged by the coverage tool.

How do I validate a FHIR Patient?

Paste the resource into the FHIR validator for a structural parse and conformance score, or use the coverage tool to score it against a specific profile like US Core. Both run in your browser, so PHI never leaves your device.

What are common Patient validation failures?

Missing `identifier`. US Core requires at least one identifier with a real `system` URI, not just a bare value. Missing `name`, or a name with neither `family` nor `given`. At least one usable name part is expected.