Resource StructureDefinition/FHIR Server from package ca.on.oh.mha.pds#2.0.0-alpha-preview (62 ms)
Resources that use this resource
Resources that this resource uses
Source
{
"resourceType" : "StructureDefinition",
"id" : "profile-patient",
"meta" : {
"lastUpdated" : "2024-11-25T21:08:23.7207216+00:00"
},
"url" : "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-Patient",
"version" : "2.0.0",
"name" : "PatientV2Draft",
"title" : "MHA Patient Profile",
"status" : "draft",
"date" : "2024-10-03T13:43:06.889914+00:00",
"publisher" : "HL7 Canada",
"description" : "Proposed constraints and extensions on the Patient Resource. This represents client information.",
"purpose" : "The Patient Profile will serve to exchange client related data including but not limited to identifiers and demographics.",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"name" : "MHA PDS Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Patient",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Patient",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Patient",
"path" : "Patient",
"short" : "Patient Profile",
"definition" : "The Patient Profile is based upon the core FHIR Patient Resource",
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Patient.meta",
"path" : "Patient.meta",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.meta.profile",
"path" : "Patient.meta.profile",
"min" : 1,
"max" : "1",
"fixedCanonical" : "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient",
"mustSupport" : true
},
{
"id" : "Patient.extension:disability",
"path" : "Patient.extension",
"sliceName" : "disability",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-disability"
]
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Patient.extension:race",
"path" : "Patient.extension",
"sliceName" : "race",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-race-Group"
]
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Patient.extension:indigenousIdentity",
"path" : "Patient.extension",
"sliceName" : "indigenousIdentity",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/StructureDefinition/ca-on-mha-ext-indigenous-identity"
]
}
],
"mustSupport" : true
},
{
"id" : "Patient.identifier",
"path" : "Patient.identifier",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "type.coding.code"
}
],
"rules" : "open"
},
"mustSupport" : true
},
{
"id" : "Patient.identifier.type",
"path" : "Patient.identifier.type",
"min" : 1,
"example" : [
{
"label" : "Pattern",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
}
}
],
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Identifier Type"
}
]
},
{
"id" : "Patient.identifier.system",
"path" : "Patient.identifier.system",
"min" : 1,
"isModifier" : false
},
{
"id" : "Patient.identifier.value",
"path" : "Patient.identifier.value",
"short" : "The value that is unique within the system.",
"min" : 1,
"isModifier" : false
},
{
"id" : "Patient.identifier:MRN",
"path" : "Patient.identifier",
"sliceName" : "MRN",
"short" : "Medical Record Number",
"definition" : "An identifier assigned by the vendor system.",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.identifier:MRN.type",
"path" : "Patient.identifier.type",
"short" : "Medical Record Number identifier type",
"min" : 1,
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
]
},
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code"
}
},
{
"id" : "Patient.identifier:MRN.type.coding",
"path" : "Patient.identifier.type.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.identifier:MRN.type.coding.system",
"path" : "Patient.identifier.type.coding.system",
"min" : 1,
"fixedUri" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport" : true
},
{
"id" : "Patient.identifier:MRN.type.coding.code",
"path" : "Patient.identifier.type.coding.code",
"min" : 1,
"fixedCode" : "MR",
"mustSupport" : true
},
{
"id" : "Patient.identifier:MRN.type.coding.display",
"path" : "Patient.identifier.type.coding.display",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.identifier:MRN.system",
"path" : "Patient.identifier.system",
"min" : 1,
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "MHA Patient MRN system URI values",
"valueSet" : "http://ontariohealth.ca/fhir/ValueSet/mha/patient-mrn-identifier-system"
}
},
{
"id" : "Patient.identifier:MRN.value",
"path" : "Patient.identifier.value",
"short" : "A Medical Record Number.",
"min" : 1,
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Client Identifier - MRN"
}
]
},
{
"id" : "Patient.identifier:MRN.assigner",
"path" : "Patient.identifier.assigner",
"short" : "Vendor that issued id (may be just text)",
"definition" : "Vendor that issued/manages the identifier."
},
{
"id" : "Patient.identifier:MRN.assigner.display",
"path" : "Patient.identifier.assigner.display",
"min" : 1
},
{
"id" : "Patient.identifier:JHN",
"path" : "Patient.identifier",
"sliceName" : "JHN",
"short" : "Jurisdictional Health Number",
"definition" : "Federal patient and person health numbers used by all jurisdictions across Canada",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.identifier:JHN.extension:extensionIdentifierVersion",
"path" : "Patient.identifier.extension",
"sliceName" : "extensionIdentifierVersion",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion"
]
}
],
"isModifier" : false
},
{
"id" : "Patient.identifier:JHN.extension:mHADataAbsentReason",
"path" : "Patient.identifier.extension",
"sliceName" : "mHADataAbsentReason",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason"
]
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Patient.identifier:JHN.type",
"path" : "Patient.identifier.type",
"min" : 1,
"fixedCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "JHN",
"display" : "Jurisdictional health number"
}
]
},
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code"
}
},
{
"id" : "Patient.identifier:JHN.type.coding",
"path" : "Patient.identifier.type.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.identifier:JHN.type.coding.system",
"path" : "Patient.identifier.type.coding.system",
"min" : 1,
"fixedUri" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport" : true
},
{
"id" : "Patient.identifier:JHN.type.coding.code",
"path" : "Patient.identifier.type.coding.code",
"min" : 1,
"fixedCode" : "JHN",
"mustSupport" : true
},
{
"id" : "Patient.identifier:JHN.type.coding.display",
"path" : "Patient.identifier.type.coding.display",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.identifier:JHN.system",
"path" : "Patient.identifier.system",
"short" : "A Health Number Naming System from the Canadian URI Registry",
"min" : 1,
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "MHA Patient JHN system URI values",
"valueSet" : "http://ontariohealth.ca/fhir/ValueSet/mha/patient-jhn-identifier-system"
}
},
{
"id" : "Patient.identifier:JHN.value",
"path" : "Patient.identifier.value",
"min" : 1,
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Health Card Number"
}
]
},
{
"id" : "Patient.identifier:JHN.value.extension:mHADataAbsentReason",
"path" : "Patient.identifier.value.extension",
"sliceName" : "mHADataAbsentReason",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason"
]
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Patient.active",
"path" : "Patient.active",
"definition" : "Only use this field to mark a patient record is inactive.",
"mustSupport" : true
},
{
"id" : "Patient.name",
"path" : "Patient.name",
"short" : "A name associated with the patient(client)",
"min" : 1,
"max" : "1",
"constraint" : [
{
"key" : "ca-baseline-name",
"severity" : "error",
"human" : "Patient.name.given or Patient.name.family or both SHALL be present",
"expression" : "family.exists() or given.exists()",
"xpath" : "f:given or f:family",
"source" : "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient"
}
],
"mustSupport" : true
},
{
"id" : "Patient.name.family",
"path" : "Patient.name.family",
"min" : 1,
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Client Last Name"
}
]
},
{
"id" : "Patient.name.given",
"path" : "Patient.name.given",
"definition" : "The first or given name of the client. If middle name is available, it should be provided as the second value.",
"min" : 1,
"max" : "2",
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Client First Name, Client Middle Name"
}
]
},
{
"id" : "Patient.birthDate",
"path" : "Patient.birthDate",
"comment" : "At least an estimated year should be provided as a guess if the real DOB is unknown",
"requirements" : "⢠Used to calculate the age of the person and which age group the person belongs to.\r\n⢠Used to categorize data for reporting.",
"min" : 1,
"constraint" : [
{
"key" : "bd-1",
"severity" : "error",
"human" : "birthDate must have a date value",
"expression" : "hasValue() = true"
},
{
"key" : "bd-2",
"severity" : "error",
"human" : "If birthDate is \"1900-01-01\", BirthDate estimated flag must be set to 'true'",
"expression" : "$this = @1900-01-01 implies $this.extension.value = true"
},
{
"key" : "bd-3",
"severity" : "error",
"human" : "BirthDate must not be before '1900-01-01' or after the current date and it must be a valid date",
"expression" : "$this >= @1900-01-01 and $this < today()"
}
],
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Date of Birth"
}
]
},
{
"id" : "Patient.birthDate.extension:BirthDateEstimatedFlag",
"path" : "Patient.birthDate.extension",
"sliceName" : "BirthDateEstimatedFlag",
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag"
]
}
],
"mustSupport" : true
},
{
"id" : "Patient.address",
"path" : "Patient.address",
"constraint" : [
{
"key" : "adr-key-1",
"severity" : "error",
"human" : "Province must be provided if 'address use' is provided",
"expression" : "use.exists() implies state.exists()"
}
],
"mustSupport" : true
},
{
"id" : "Patient.address.extension:preferred",
"path" : "Patient.address.extension",
"sliceName" : "preferred",
"short" : "HL7 Preferred Address Flag extension",
"definition" : "Flag denoting whether parent address item is preferred",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/iso21090-preferred"
]
}
]
},
{
"id" : "Patient.address.extension:noFixedAddress",
"path" : "Patient.address.extension",
"sliceName" : "noFixedAddress",
"short" : "No Fixed Address indicator",
"definition" : "Flag indicating that there is an assertion that there is no fixed address",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress"
]
}
]
},
{
"id" : "Patient.address.use",
"path" : "Patient.address.use",
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Address Use"
}
]
},
{
"id" : "Patient.address.line",
"path" : "Patient.address.line",
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Address Line 1"
}
]
},
{
"id" : "Patient.address.city",
"path" : "Patient.address.city",
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "City"
}
]
},
{
"id" : "Patient.address.state",
"path" : "Patient.address.state",
"min" : 1,
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "Codes to identify the provinces and territories of Canada",
"valueSet" : "https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction"
},
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Province"
}
]
},
{
"id" : "Patient.address.postalCode",
"path" : "Patient.address.postalCode",
"min" : 1,
"mustSupport" : true,
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Postal Code"
}
]
},
{
"id" : "Patient.address.postalCode.extension:mHADataAbsentReason",
"path" : "Patient.address.postalCode.extension",
"sliceName" : "mHADataAbsentReason",
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason"
]
}
],
"mustSupport" : true,
"isModifier" : false
},
{
"id" : "Patient.communication",
"path" : "Patient.communication",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "extension.value.coding.code"
}
],
"rules" : "open"
},
"mustSupport" : true
},
{
"id" : "Patient.communication.extension",
"path" : "Patient.communication.extension",
"min" : 1
},
{
"id" : "Patient.communication.extension:languageUse",
"path" : "Patient.communication.extension",
"sliceName" : "languageUse",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse"
]
}
]
},
{
"id" : "Patient.communication.language",
"path" : "Patient.communication.language",
"mapping" : [
{
"identity" : "MHA-PDS-Mapping",
"map" : "Preferred Language"
}
]
},
{
"id" : "Patient.communication.language.coding.system",
"path" : "Patient.communication.language.coding.system",
"min" : 1
},
{
"id" : "Patient.communication.language.coding.code",
"path" : "Patient.communication.language.coding.code",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.communication.language.coding.display",
"path" : "Patient.communication.language.coding.display",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.communication:languageOfComfort",
"path" : "Patient.communication",
"sliceName" : "languageOfComfort",
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.communication:languageOfComfort.extension",
"path" : "Patient.communication.extension",
"min" : 1
},
{
"id" : "Patient.communication:languageOfComfort.extension:languageUse",
"path" : "Patient.communication.extension",
"sliceName" : "languageUse",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse"
]
}
]
},
{
"id" : "Patient.communication:languageOfComfort.extension:languageUse.value[x]",
"path" : "Patient.communication.extension.value[x]",
"min" : 1
},
{
"id" : "Patient.communication:languageOfComfort.language",
"path" : "Patient.communication.language",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "Official languages of Canada.",
"valueSet" : "http://ontariohealth.ca/fhir/ValueSet/official-language"
}
},
{
"id" : "Patient.communication:languageOfComfort.language.coding",
"path" : "Patient.communication.language.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.communication:languageOfComfort.language.coding.system",
"path" : "Patient.communication.language.coding.system",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.communication:languageOfComfort.language.coding.code",
"path" : "Patient.communication.language.coding.code",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.communication:languageOfComfort.language.coding.display",
"path" : "Patient.communication.language.coding.display",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.communication:officialLanguage",
"path" : "Patient.communication",
"sliceName" : "officialLanguage",
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.communication:officialLanguage.extension",
"path" : "Patient.communication.extension",
"min" : 1
},
{
"id" : "Patient.communication:officialLanguage.extension:languageUse",
"path" : "Patient.communication.extension",
"sliceName" : "languageUse",
"min" : 1,
"type" : [
{
"code" : "Extension",
"profile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse"
]
}
]
},
{
"id" : "Patient.communication:officialLanguage.extension:languageUse.value[x]",
"path" : "Patient.communication.extension.value[x]",
"label" : "ServiceLanguage",
"min" : 1
},
{
"id" : "Patient.communication:officialLanguage.language",
"path" : "Patient.communication.language",
"mustSupport" : true,
"binding" : {
"strength" : "extensible",
"description" : "Languages understood or supported by Ontario clients and organizations.",
"valueSet" : "http://ontariohealth.ca/fhir/ValueSet/human-language"
}
},
{
"id" : "Patient.communication:officialLanguage.language.coding",
"path" : "Patient.communication.language.coding",
"min" : 1,
"max" : "1",
"mustSupport" : true
},
{
"id" : "Patient.communication:officialLanguage.language.coding.system",
"path" : "Patient.communication.language.coding.system",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.communication:officialLanguage.language.coding.code",
"path" : "Patient.communication.language.coding.code",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.communication:officialLanguage.language.coding.display",
"path" : "Patient.communication.language.coding.display",
"min" : 1,
"mustSupport" : true
},
{
"id" : "Patient.managingOrganization",
"path" : "Patient.managingOrganization",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-organization"
]
}
],
"mustSupport" : true
}
]
},
"text" : {
}
}
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