FHIR IG Statistics: StructureDefinition/profile-patient
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{
"resourceType": "StructureDefinition",
"id": "profile-patient",
"meta": {
"lastUpdated": "2024-09-20T16:22:09.2751728+00:00"
},
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient",
"version": "0.1.1",
"name": "Patient",
"title": "MHA Patient Profile",
"status": "active",
"date": "2023-10-03T13:43:06.889914+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:clientReligion",
"path": "Patient.extension",
"sliceName": "clientReligion",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/patient-religion"
]
}
],
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Religion and Spiritual Affiliation"
}
]
},
{
"id": "Patient.extension:clientReligion.value[x]",
"path": "Patient.extension.value[x]",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Assignment of spiritual faith affiliation",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/religion-and-spiritual-affiliation"
}
},
{
"id": "Patient.extension:clientReligion.value[x].coding",
"path": "Patient.extension.value[x].coding"
},
{
"id": "Patient.extension:clientReligion.value[x].coding.system",
"path": "Patient.extension.value[x].coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.extension:clientReligion.value[x].coding.code",
"path": "Patient.extension.value[x].coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.extension:clientReligion.value[x].coding.display",
"path": "Patient.extension.value[x].coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.extension:ethnicity",
"path": "Patient.extension",
"sliceName": "ethnicity",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-ethnicity"
]
}
],
"mustSupport": true
},
{
"id": "Patient.extension:ethnicity.value[x]",
"path": "Patient.extension.value[x]",
"min": 1,
"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",
"mustSupport": true
},
{
"id": "Patient.identifier:JHN.extension:VersionCode",
"path": "Patient.identifier.extension",
"sliceName": "VersionCode",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion"
]
}
],
"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.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",
"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",
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Postal Code"
}
]
},
{
"id": "Patient.maritalStatus",
"path": "Patient.maritalStatus",
"mustSupport": true
},
{
"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:MotherTongue",
"path": "Patient.communication",
"sliceName": "MotherTongue",
"mustSupport": true
},
{
"id": "Patient.communication:MotherTongue.extension",
"path": "Patient.communication.extension",
"min": 1
},
{
"id": "Patient.communication:MotherTongue.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:MotherTongue.extension:languageUse.value[x]",
"path": "Patient.communication.extension.value[x]",
"label": "MotherTongue",
"min": 1
},
{
"id": "Patient.communication:MotherTongue.extension:languageUse.value[x].coding",
"path": "Patient.communication.extension.value[x].coding"
},
{
"id": "Patient.communication:MotherTongue.extension:languageUse.value[x].coding.code",
"path": "Patient.communication.extension.value[x].coding.code",
"fixedCode": "224075005"
},
{
"id": "Patient.communication:MotherTongue.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:MotherTongue.language.coding",
"path": "Patient.communication.language.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Patient.communication:MotherTongue.language.coding.system",
"path": "Patient.communication.language.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:MotherTongue.language.coding.code",
"path": "Patient.communication.language.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:MotherTongue.language.coding.display",
"path": "Patient.communication.language.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:preferredOfficialLanguage",
"path": "Patient.communication",
"sliceName": "preferredOfficialLanguage",
"max": "1",
"mustSupport": true
},
{
"id": "Patient.communication:preferredOfficialLanguage.extension",
"path": "Patient.communication.extension",
"min": 1
},
{
"id": "Patient.communication:preferredOfficialLanguage.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:preferredOfficialLanguage.extension:languageUse.value[x]",
"path": "Patient.communication.extension.value[x]",
"min": 1
},
{
"id": "Patient.communication:preferredOfficialLanguage.extension:languageUse.value[x].coding",
"path": "Patient.communication.extension.value[x].coding"
},
{
"id": "Patient.communication:preferredOfficialLanguage.extension:languageUse.value[x].coding.code",
"path": "Patient.communication.extension.value[x].coding.code",
"fixedCode": "OFL"
},
{
"id": "Patient.communication:preferredOfficialLanguage.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:preferredOfficialLanguage.language.coding",
"path": "Patient.communication.language.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Patient.communication:preferredOfficialLanguage.language.coding.system",
"path": "Patient.communication.language.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:preferredOfficialLanguage.language.coding.code",
"path": "Patient.communication.language.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:preferredOfficialLanguage.language.coding.display",
"path": "Patient.communication.language.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:serviceLanguage",
"path": "Patient.communication",
"sliceName": "serviceLanguage",
"mustSupport": true
},
{
"id": "Patient.communication:serviceLanguage.extension",
"path": "Patient.communication.extension",
"min": 1
},
{
"id": "Patient.communication:serviceLanguage.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:serviceLanguage.extension:languageUse.value[x]",
"path": "Patient.communication.extension.value[x]",
"label": "ServiceLanguage",
"min": 1
},
{
"id": "Patient.communication:serviceLanguage.extension:languageUse.value[x].coding",
"path": "Patient.communication.extension.value[x].coding"
},
{
"id": "Patient.communication:serviceLanguage.extension:languageUse.value[x].coding.code",
"path": "Patient.communication.extension.value[x].coding.code",
"fixedCode": "428996008"
},
{
"id": "Patient.communication:serviceLanguage.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:serviceLanguage.language.coding",
"path": "Patient.communication.language.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Patient.communication:serviceLanguage.language.coding.system",
"path": "Patient.communication.language.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:serviceLanguage.language.coding.code",
"path": "Patient.communication.language.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.communication:serviceLanguage.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
}
]
}
}