Dados demográficos de um paciente que sofreu AVC enquanto sujeito de ações e serviços de saúde. Baseado na RNDS e na ICHOM

This profile is used to capture data about the patient.

Identificador lógico e único deste recurso

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

Metadados sobre o recurso

Regras de negócio que se aplicam a este recurso

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.

Recursos contidos neste recurso

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.

Extensões do recurso

The patient's gender identity.

The cultural ethnicity of the person that they most closely identify with.

the cultural ethnicity of the person that they most closely identify with.

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.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Identificador do Paciente.

Patients are almost always assigned specific numerical identifiers.

CPF do Paciente.

Patients are almost always assigned specific numerical identifiers.

Identificador lógico do Identificador do indivíduo.

Extensões do Identificador do indivíduo.

Uso do Identificador do indivíduo.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Qualifica o uso deste identificador

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Tipo de Identificador do indivíduo.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Qualifica o tipo deste identificador

Allows users to make use of identifiers when the identifier system is not known.

Sistema de Identificação do indivíduo.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Número do Documento do indivíduo.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Período de validade do Identificador do indivíduo.

Entidade que emitiu o Identificador do indivíduo.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

CNS do Paciente.

Patients are almost always assigned specific numerical identifiers.

Identificador lógico do Identificador do indivíduo.

Extensões do Identificador do indivíduo.

Uso do Identificador do indivíduo.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Qualifica o uso deste identificador

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Tipo de Identificador do indivíduo.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Qualifica o tipo deste identificador

Allows users to make use of identifiers when the identifier system is not known.

Sistema de Identificação do indivíduo.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Número do Cartão Nacional de Saúde.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Período de validade do Identificador do indivíduo.

Entidade que emitiu o Identificador do indivíduo.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Indica se o registro desse indivíduo ainda está em uso. A codição de inativo pode indicar que tanto uma informação errada quanto um indivíduo falecido, e indivíduos falecidos podem permanecer ativos por algum tempo após o falecimento para fins de registro da informação. Logo, esta não deve ser opção para identificar um indivíduo falecido, sendo mais adequado o elemento deceased.

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Identificar registros que não estão mais em uso.

Nome do Paciente.

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Contato do Paciente.

A Patient 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. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

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

male: masculino. female: feminino. unknown: ignorado.

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 male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

Sexo

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

Data de nascimento do indivíduo

At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

Age of the individual drives many clinical processes.

Indica se o indivíduo foi a óbito. O óbito pode ser interpretado pelo booleano = true ou pela existência de uma data/hora.

If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

Dados do endereço onde o paciente é localizado.

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

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Identificador do endereço.

Extensão do endereço.

Uso do endereço.

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Uso do Endereço

Allows an appropriate address to be chosen from a list of many.

Tipo de endereço.

The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

Tipo de Endereço

Texto do endereço.

Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

A renderable, unencoded form.

Endereço

Cidade

Bairro

District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

Estado

CEP

País

ISO 3166 3 letter codes can be used in place of a human readable country name.

Período de endereço.

Allows addresses to be placed in historical context.

Complexo das qualidades do indivíudo referentes à ordem pública, à ordem privada e à ordem física do ser humano. Refere-se, assim, à cidadania, à família, e à capacidade civil. MIRABETE, Julio Fabbrini. Código de processo penal interpretado.11. ed. 6. tir. São Paulo: Atlas, 2003.

Estado Civil.

Most, if not all systems capture it.

Indica se o indivíduo é parte de um parto múltiplo (gemelar) de forma booleana (true = sim) ou pela ordem de nascimento (inteiro).

Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

Foto do indivíduo.

Guidelines:

• Use id photos, not clinical photos.
• Limit dimensions to thumbnail.
• Keep byte count low to ease resource updates.

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

Contato para o indivíduo.

Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

Need to track people you can contact about the patient.

Identificador do contato.

Extensão do contato.

Extensão modificadora do contato.

Relação com o indivíduo.

Relação com o Indivíduo.

Used to determine which contact person is the most relevant to approach, depending on circumstances.

Nome do contato.

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

Detalhes de contato associados a pessoa do contato

Contact 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.

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

Endereço do contato.

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

Sexo do contato.

Sexo do Contato

Needed to address the person correctly.

Organização do contato.

For guardians or business related contacts, the organization is relevant.

Período do contato.

Idioma para comunicação com o indivíduo.

If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

Identificador do idioma.

Extensão do idioma.

Extensão do modificador do idioma.

Idioma.

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Idioma

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Indicador de idioma preferido.

This language is specifically identified for communicating healthcare information.

People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

Profissional de saúde de referência para atenção primária

This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

Organização responsável.

There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

Need to know who recognizes this patient record, manages and updates it.

Links para outros recursos.

There is no assumption that linked patient records have mutual links.

There are multiple use cases:

• Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
• Distribution of patient information across multiple servers.

Identificador do link.

Extensão do link.

Extensão do modificador do link.

Outro recurso.

Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

Tipo de link.

Tipo de Link

Dados demográficos de um paciente que sofreu AVC enquanto sujeito de ações e serviços de saúde. Baseado na RNDS e na ICHOM

This profile is used to capture data about the patient.

Identificador lógico e único deste recurso

Metadados sobre o recurso

Regras de negócio que se aplicam a este recurso

Recursos contidos neste recurso

Extensões do recurso

The patient's gender identity.

The cultural ethnicity of the person that they most closely identify with.

the cultural ethnicity of the person that they most closely identify with.

Identificador do Paciente.

CPF do Paciente.

Identificador lógico do Identificador do indivíduo.

Extensões do Identificador do indivíduo.

Uso do Identificador do indivíduo.

Qualifica o uso deste identificador

Tipo de Identificador do indivíduo.

Qualifica o tipo deste identificador

Sistema de Identificação do indivíduo.

Número do Documento do indivíduo.

Período de validade do Identificador do indivíduo.

Entidade que emitiu o Identificador do indivíduo.

CNS do Paciente.

Identificador lógico do Identificador do indivíduo.

Extensões do Identificador do indivíduo.

Uso do Identificador do indivíduo.

Qualifica o uso deste identificador

Tipo de Identificador do indivíduo.

Qualifica o tipo deste identificador

Sistema de Identificação do indivíduo.

Número do Cartão Nacional de Saúde.

Período de validade do Identificador do indivíduo.

Entidade que emitiu o Identificador do indivíduo.

Indica se o registro desse indivíduo ainda está em uso. A codição de inativo pode indicar que tanto uma informação errada quanto um indivíduo falecido, e indivíduos falecidos podem permanecer ativos por algum tempo após o falecimento para fins de registro da informação. Logo, esta não deve ser opção para identificar um indivíduo falecido, sendo mais adequado o elemento deceased.

Identificar registros que não estão mais em uso.

Nome do Paciente.

Contato do Paciente.

male: masculino. female: feminino. unknown: ignorado.

Sexo

Data de nascimento do indivíduo

Indica se o indivíduo foi a óbito. O óbito pode ser interpretado pelo booleano = true ou pela existência de uma data/hora.

Dados do endereço onde o paciente é localizado.

Identificador do endereço.

Extensão do endereço.

Uso do endereço.

Uso do Endereço

Tipo de endereço.

Tipo de Endereço

Texto do endereço.

Endereço

Cidade

Bairro

Estado

CEP

País

Período de endereço.

Complexo das qualidades do indivíudo referentes à ordem pública, à ordem privada e à ordem física do ser humano. Refere-se, assim, à cidadania, à família, e à capacidade civil. MIRABETE, Julio Fabbrini. Código de processo penal interpretado.11. ed. 6. tir. São Paulo: Atlas, 2003.

Estado Civil.

Indica se o indivíduo é parte de um parto múltiplo (gemelar) de forma booleana (true = sim) ou pela ordem de nascimento (inteiro).

Foto do indivíduo.

Contato para o indivíduo.

Identificador do contato.

Extensão do contato.

Extensão modificadora do contato.

Relação com o indivíduo.

Relação com o Indivíduo.

Nome do contato.

Detalhes de contato associados a pessoa do contato

Endereço do contato.

Sexo do contato.

Sexo do Contato

Organização do contato.

Período do contato.

Idioma para comunicação com o indivíduo.

Identificador do idioma.

Extensão do idioma.

Extensão do modificador do idioma.

Idioma.

Idioma

Indicador de idioma preferido.

Profissional de saúde de referência para atenção primária

Organização responsável.

Links para outros recursos.

Identificador do link.

Extensão do link.

Extensão do modificador do link.

Outro recurso.

Tipo de link.

Tipo de Link

Dados demográficos de um paciente que sofreu AVC enquanto sujeito de ações e serviços de saúde. Baseado na RNDS e na ICHOM

This profile is used to capture data about the patient.

Identificador lógico e único deste recurso

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

Metadados sobre o recurso

Regras de negócio que se aplicam a este recurso

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.

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).

A human language.

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.

Recursos contidos neste recurso

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.

Extensões do recurso

The patient's gender identity.

The cultural ethnicity of the person that they most closely identify with.

the cultural ethnicity of the person that they most closely identify with.

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.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Identificador do Paciente.

Patients are almost always assigned specific numerical identifiers.

CPF do Paciente.

Patients are almost always assigned specific numerical identifiers.

Identificador lógico do Identificador do indivíduo.

Extensões do Identificador do indivíduo.

Uso do Identificador do indivíduo.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Qualifica o uso deste identificador

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Tipo de Identificador do indivíduo.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Qualifica o tipo deste identificador

Allows users to make use of identifiers when the identifier system is not known.

Sistema de Identificação do indivíduo.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Número do Documento do indivíduo.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Período de validade do Identificador do indivíduo.

Entidade que emitiu o Identificador do indivíduo.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

CNS do Paciente.

Patients are almost always assigned specific numerical identifiers.

Identificador lógico do Identificador do indivíduo.

Extensões do Identificador do indivíduo.

Uso do Identificador do indivíduo.

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Qualifica o uso deste identificador

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Tipo de Identificador do indivíduo.

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Qualifica o tipo deste identificador

Allows users to make use of identifiers when the identifier system is not known.

Sistema de Identificação do indivíduo.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Número do Cartão Nacional de Saúde.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Período de validade do Identificador do indivíduo.

Entidade que emitiu o Identificador do indivíduo.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Indica se o registro desse indivíduo ainda está em uso. A codição de inativo pode indicar que tanto uma informação errada quanto um indivíduo falecido, e indivíduos falecidos podem permanecer ativos por algum tempo após o falecimento para fins de registro da informação. Logo, esta não deve ser opção para identificar um indivíduo falecido, sendo mais adequado o elemento deceased.

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Identificar registros que não estão mais em uso.

Nome do Paciente.

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Contato do Paciente.

A Patient 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. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

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

male: masculino. female: feminino. unknown: ignorado.

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 male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

Sexo

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

Data de nascimento do indivíduo

At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

Age of the individual drives many clinical processes.