HL7 Segment - FHIR R4: PID[Patient]

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	S
1	HL7 v2						Condition (IF True)			HL7 FHIR								Comments
2	Sort Order	Identifier	Name	Data Type	Cardinality - Min	Cardinality - Max	Computable ANTLR	Computable FHIRPath	Narrative	FHIR Attribute		Data Type	Cardinality - Min	Cardinality - Max	Data Type Mapping	Vocabulary Mapping (IS, ID, CE, CNE, CWE)	Assignment	Comments

3	1	PID-1	Set ID - PID	SI	0	1
4	2	PID-2	Patient ID	CX	0	1				identifier[1]		Identifier	0	-1	CX[Identifier]
5	3	PID-3	Patient Identifier List	CX	1	-1				identifier[2]		Identifier	0	-1	CX[Identifier]
6	4	PID-4	Alternate Patient ID - PID	CX	0	1				identifier[3]		Identifier	0	-1	CX[Identifier]
7	5	PID-5	Patient Name	XPN	1	-1				name[1]		HumanName	0	-1	XPN[HumanName]
8	6	PID-6	Mother's Maiden Name	XPN	0	-1				extension[1].url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"
9	6	PID-6	Mother's Maiden Name	XPN	0	-1				extension[1].valueString		string	1	1	XPN[String]			This may not be the second name if there are repeats in PID-5. ext.patientMothersMaiden (string) also exists if we prefer.
10	7	PID-7	Date/Time of Birth	DTM	0	1				birthDate		date	0	1				PROPOSAL MOVE TO IG IMPLEMENTATION GUIDANCE SECTION: Use ISO 8601 to establish the re-formatting from HL7 v2 data type to HL7 FHIR data type, particularly when mapping a platform datetime to platform date. ADD OTHER REFERENCES ON HOW TO ACHIEVE THESE CONVERSIONS in Java, CSHarp, etc., etc.
11	7	PID-7	Date/Time of Birth	DTM	0	1	IF PID-7 LENGTH GREATER THAN 8			birthDate.extension[1].url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/patient-birthTime"
12	7	PID-7	Date/Time of Birth	DTM	0	1	IF PID-7 LENGTH GREATER THAN 8			birthDate.extension[1].valueDateTime		dateTime	1	1
13	8	PID-8	Administrative Sex	CWE	0	1				gender		code	0	1	CWE[code]	AdministrativeSex
14	9	PID-9	Patient Alias	XPN	0	-1				name[2]		HumanName	0	-1	XPN[HumanName]
15	10	PID-10	Race	CWE	0	-1			PID-10 is may map different based on local requirements and should use the local extension, e.g., US = US Core Race Extension, AUS = indiginous extension.		local implementation							For an international document, it may not be possible to come up with a FHIR value set for race. Therefore the appropriate extension for the local implementation should be used based on preferably a country/realm specific extension, e.g., US Core Race Extension for the US or the Indiginous Extension for Australia.
16	11	PID-11	Patient Address	XAD	0	-1				address[1]		Address	0	-1	XAD[Address]
17	12	PID-12	County Code	ID	0	1	IF PID-11 LST.COUNT EQUALS 1 AND PID-11.9 IS NOT VALUED			address[1].district		string	0	1	ID[String]			This may not be the second occurrence if PID-11 repeats. Because PID-11 can repeat but PID-12 cannot, it's not appropriate to include PID-12 in an iteration of .address populated from PID-11
18	12	PID-12	County Code	ID	0	1	IF PID-11 LST.COUNT EQUALS 1 AND PID-11.9 IS VALUED NOT EQUAL PID-12			address[2].district		string			ID[String]
19	12	PID-12	County Code	ID	0	1	IF PID-11 LST.COUNT GREATER THAN 1			address[2].district		string	0	1	ID[String]
20	12	PID-12	County Code	ID	0	1	IF PID-11 IS NOT VALUED			address[1].district		string	0	1	ID[String]
21	13	PID-13	Phone Number - Home	XTN	0	-1				telecom[1]		ContactPoint	0	-1	XTN[ContactPoint]
22	13	PID-13	Phone Number - Home	XTN	0	-1	IF PID-13.2 IS NOT VALUED			telecom[1].use							"home"
23	14	PID-14	Phone Number - Business	XTN	0	-1				telecom[2]		ContactPoint	0	-1	XTN[ContactPoint]
24	14	PID-14	Phone Number - Business	XTN	0	-1	IF PID-14.2 IS NOT VALUED			telecom[2].use							"work"
25	15	PID-15	Primary Language	CWE	0	1				communication.language		CodeableConcept	0	-1	CWE[CodeableConcept]	PrimaryLanguage		During implementation, if you know that the value in PID-15 is the preferred patient language, then Patient.communication.preferred can be set to "true".
26	16	PID-16	Marital Status	CWE	0	1				maritalStatus		CodeableConcept	0	1	CWE[CodeableConcept]	MaritalStatus
27	17	PID-17	Religion	CWE	0	1				extension[2].url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/patient-religion"
28	17	PID-17	Religion	CWE	0	1				extension[2].valueCodeableConcept		CodeableConcept	1	1	CWE[CodeableConcept]	Religion
29	18	PID-18	Patient Account Number	CX	0	1												Mapped in PID[Account]. In some systems, PID-18 may contain a visit identifier. If that is the case for a given implementation, then a mapping to an Encounter may be more appropriate
30	19	PID-19	SSN Number - Patient	ST	0	1				identifier[4].value		string	0	1				the value set for Identifier.type doesn't contain SSN but it does have SB (social beneficiary)
31	19	PID-19	SSN Number - Patient	ST	0	1			If in the US and various other jurisdictions	identifier[4].type.coding.code		code	0	1			"SS"
32	19	PID-19	SSN Number - Patient	ST	0	1			If outside the US for certain jurisdictions	identifier[4].type.coding.code		code	0	1			"SB"
33	19	PID-19	SSN Number - Patient	ST	0	1				identifier[4].type.coding.system		uri	0	1			"http://terminology.hl7.org/CodeSystem/v2-0203"
34	19	PID-19	SSN Number - Patient	ST	0	1				identifier[4].system		uri	0	1			"http://hl7.org/fhir/sid/us-ssn."	If working in a jurisdiction other than the US and this field is used for the local SSN equivalent, a different system will need to be identified.
35	20	PID-20	Driver's License Number - Patient	DLN	0	1				identifier[5]		Identifier	0	1	DLN[Identifier]
36	21	PID-21	Mother's Identifier	CX	0	-1				$this					CX[RelatedPerson-Mother]
37	22	PID-22	Ethnic Group	CWE	0	-1			If PID-22 is for administrative purposes use, then use your local extension, e.g., for US = US Core Ethnicity.		local implementation							For an international document, it may not be possible to come up with a FHIR value set for ethnic group. Therefore the appropriate extension for the local implementation should be used based on preferably a country/realm specific extension, e.g., US Core Ethnicity for the US.
38	23	PID-23	Birth Place	ST	0	1				extension[3].url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
39	23	PID-23	Birth Place	ST	0	1				extension[3].valueAddress.text		string	0	1
40	24	PID-24	Multiple Birth Indicator	ID	0	1	IF PID-25 NOT VALUED			multipleBirthBoolean		boolean	0	1	ID[Boolean]	Yes/NoIndicator
41	25	PID-25	Birth Order	NM	0	1				multipleBirthInteger		integer	0	1
42	26	PID-26	Citizenship	CWE	0	-1				extension[4].url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
43	26	PID-26	Citizenship	CWE	0	-1				extension[4].extension[1].url		uri	1	1			"code"
44	26	PID-26	Citizenship	CWE	0	-1				extension[4].extension[1].valueCodeableConcept		CodeableConcept	1	1	CWE[CodeableConcept]			The standard extension does not include a value set
45	27	PID-27	Veterans Military Status	CWE	0	1					extension??-veteranMilitaryStatus	CodeableConcept	0	1	CWE[CodeableConcept]
46	28	PID-28	Nationality	CWE	0	1				extension[5].url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/patient-nationality"
47	28	PID-28	Nationality	CWE	0	1				extension[5].extension[1].url		uri	1	1			"code"
48	28	PID-28	Nationality	CWE	0	1				extension[5].extension[1].valueCodeableConcept		CodeableConcept	1	1	CWE[CodeableConcept]			The standard extension does not include a value set
49	29	PID-29	Patient Death Date and Time	DTM	0	1				deceasedDateTime		dateTime	0	1
50	30	PID-30	Patient Death Indicator	ID	0	1	IF PID-29 NOT VALUED			deceasedBoolean		boolean	0	1	ID[Boolean]	Yes/NoIndicator
51	31	PID-31	Identity Unknown Indicator	ID	0	1					extension??-identityUnknown	boolean	0	1	ID[Boolean]	Yes/NoIndicator
52	32	PID-32	Identity Reliability Code	CWE	0	-1
53	33	PID-33	Last Update Date/Time	DTM	0	1
54	34	PID-34	Last Update Facility	HD	0	1
55	35	PID-35	Taxonomic Classification Code	CWE	0	1				extension[6].url		uri	0	-1			"http://hl7.org/fhir/StructureDefinition/patient-animal"
56	35	PID-35	Taxonomic Classification Code	CWE	0	1				extension[6].extension[1].url		uri	0	1			"species"
57	35	PID-35	Taxonomic Classification Code	CWE	0	1				extension[6].extension[1].valueCodeableConcept		CodeableConcept	0	1	CWE[CodeableConcept]
58	36	PID-36	Breed Code	CWE	0	1				extension[6].url		uri	0	-1			"http://hl7.org/fhir/StructureDefinition/patient-animal"
59	36	PID-36	Breed Code	CWE	0	1				extension[6].extension[2].url		uri	0	1			"breed"
60	36	PID-36	Breed Code	CWE	0	1				extension[6].extension[2].valueCodeableConcept		CodeableConcept	0	1	CWE[CodeableConcept]
61	37	PID-37	Strain	ST	0	1												If this is necessary, it should be an update to the existing animal extension
62	38	PID-38	Production Class Code	CWE	0	2
63	39	PID-39	Tribal Citizenship	CWE	0	-1				extension[7].url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/patient-citizenship"
64	39	PID-39	Tribal Citizenship	CWE	0	-1				extension[7].extension[1].url		uri	1	1			"code"
65	39	PID-39	Tribal Citizenship	CWE	0	-1				extension[7].extension[1].valueCodeableConcept		CodeableConcept	1	1	CWE[CodeableConcept]			The standard extension does not include a value set. Also suggest that the extension should not be limited to "country". Consider adding a .type to the extension to distinguish tribal vs. "country" (or whatever we call it), or otherwise add an extension for tribal citizenship to accommodate the return flow.
66	40	PID-40	Patient Telecommunication Information	XTN	0	-1				telecom[3]		ContactPoint	0	-1	XTN[ContactPoint]
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100