The us-core birth-sex extension has been added to ILCore Patient

http://fhir.health.gov.il/identifier/il-national-id

We added a slice for Palestinian ID and the uri is http://fhir.health.gov.il/identifier/pna-national-id

Fictive IDs should be treated as MRN (i.e., under an organization specific URI).

Currently we decided not to add a dedicated slice of IDF as we have "open all slices". It should be treated as any other MRN.

Yes, it is mandatory to provide a URI in the system field (as in other cases), which represents the naming system of the MRN.

1. We added HMO codable concept extension - not mandatory, but must support. ValueSet binding required: http://fhir.health.gov.il/ValueSet/israel-hmo The HMO's valueSet is a subset of codes from the paying entity code system. http://fhir.health.gov.il/cs/paying-entity 2. IDF and Israeli Prison Service are among the values in the aforementioned ValueSet. 3. Since the extension is not mandatory, there is no need for a value "does not belong to any HMO". Note that in some cases the insurance company has an arrangement with one of the HMOs, in which case it will be appropriate to supply that HMOs code.

The reference SHALL be to an Organization resource which conforms to ILCoreOrganization profile. It is important to note that HMO's have been decided to be represented as an extension. This element may reference different organizations in different instances - where the organization represents the custodian of the specific resource instance, so it is not appropriate for the 1-1 relationship between a patient and their HMO.

Telecom is not Mandatory but if provided, then system and value are mandatory.

Codes are identical for both Post office and MoI, so we've added a single "city-symbol" ValueSet with binding strength "required": http://fhir.health.gov.il/ValueSet/city-symbol - Based on all codes from CodeSystem "city-symbol": http://fhir.health.gov.il/cs/city-symbol

Re-used standard extensions on address.line: - StreetName - HouseNumber - BuildingNumberSuffix - UnitID - PostBox

Not mandatory and not Must Support. If used, no special rules are enforced.

There is a standard extension that can be used : http://hl7.org/fhir/StructureDefinition/patient-birthPlace This is not in the official profile because it does not adhere to the 80/20 rule, can be discussed in the future

Although it is sometimes important for the benefit of medical history, it does not adhere to the 80/20 rule, can be discussed in the future

We decided to create a ParentName extension on the Patient level, because the name element has a cardinality of 0..*, and there is no explicit relationship between the patient's name(s), and his parents'. In other words, a parent's name is an attribute of the patient and not an attribute of the patient's name

Does not adhere to the 80/20 rule, can be discussed in the future

Does not adhere to the 80/20 rule, can be discussed in the future

Does not adhere to the 80/20 rule, can be discussed in the future

Yes - we decided to include leading zeros. In addition, we added a constraint that validates the ID using the check digit: matches('[0-9]{9}') and substring(8,1).toInteger()= (10-((substring(0,1).toInteger() + substring(1,1).toInteger()*2 mod 10 + substring(1,1).toInteger()*2 div 10 + substring(2,1).toInteger() + substring(3,1).toInteger()*2 mod 10 + substring(3,1).toInteger()*2 div 10 + substring(4,1).toInteger() + substring(5,1).toInteger()*2 mod 10 + substring(5,1).toInteger()*2 div 10 + substring(6,1).toInteger() + substring(7,1).toInteger()*2 mod 10 + substring(7,1).toInteger()*2 div 10) mod 10)) mod 10

No, as there might be several other identifiers. However, at least one identifier is mandatory.