FHIR IG Statistics: StructureDefinition/ca-on-ps-profile-patient

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{
  "resourceType": "StructureDefinition",
  "id": "ca-on-ps-profile-patient",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient",
  "version": "0.12.0",
  "name": "PatientPSON",
  "title": "Patient (PS-ON)",
  "status": "active",
  "date": "2022-10-15T12:00:00+00:00",
  "publisher": "Ontario Health",
  "description": "This profile defines a set of constraints to the FHIR Patient resource for use in Ontario Patient Summaries (PS-ON).  It refines constraints applied to the Patient resource by the PS-CA project to represent the minimum expectations for the Patient resource when used in the PS-CA composition profile or in one of the referred resources. It is informed by the constraints of the [Patient-UV-IPS profile](http://hl7.org/fhir/uv/ips/StructureDefinition-Patient-uv-ips.html) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-patient.html)",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient",
        "path": "Patient",
        "constraint": [
          {
            "key": "pson-pat-1",
            "severity": "error",
            "human": "Patient.identifier:JHN or Patient.identifier:MRN or both SHALL be present",
            "expression": "identifier.where(type.coding.code = 'JHN').exists() or identifier.where(type.coding.code = 'MR').exists()"
          }
        ]
      },
      {
        "id": "Patient.meta",
        "path": "Patient.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.meta.profile",
        "path": "Patient.meta.profile",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "comment": "This element employs the constraints on identifier put forth in the CA Baseline using a profiled data type.",
        "min": 1,
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-identifier"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.identifier.type",
        "path": "Patient.identifier.type",
        "example": [
          {
            "label": "Pattern",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ]
            }
          }
        ]
      },
      {
        "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:JHN",
        "path": "Patient.identifier",
        "sliceName": "JHN",
        "short": "Jurisdictional Health Number",
        "definition": "Federal patient and person health numbers used by all jurisdictions across Canada",
        "comment": "**MS applied in PS-ON**",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:JHN.extension:versionCode",
        "path": "Patient.identifier.extension",
        "sliceName": "versionCode",
        "short": "Health Number Version Code",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier:JHN.extension:versionCode.url",
        "path": "Patient.identifier.extension.url",
        "fixedUri": "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion"
      },
      {
        "id": "Patient.identifier:JHN.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "JHN"
            }
          ]
        }
      },
      {
        "id": "Patient.identifier:JHN.system",
        "path": "Patient.identifier.system",
        "short": "A Health Number Naming System from the Canadian URI Registry",
        "min": 1
      },
      {
        "id": "Patient.identifier:JHN.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.identifier:MRN",
        "path": "Patient.identifier",
        "sliceName": "MRN",
        "short": "Medical Record Number",
        "definition": "A local patient identifier from the submitting PoS System",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:MRN.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "MR"
            }
          ]
        }
      },
      {
        "id": "Patient.identifier:MRN.system",
        "path": "Patient.identifier.system",
        "short": "An identifier for the system supplying the MRN",
        "min": 1
      },
      {
        "id": "Patient.identifier:MRN.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.\r\nThe Alphabetic representation of the name SHALL be always provided",
        "min": 1,
        "constraint": [
          {
            "key": "cabaseline-pat-1",
            "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"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.name.text",
        "path": "Patient.name.text",
        "definition": "Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element",
        "comment": "Some systems will not have a field for representing the full name as a string, these systems are still expected to be able to demonstrate they can construct name.text when developing the patient summary instance",
        "mustSupport": true
      },
      {
        "id": "Patient.name.family",
        "path": "Patient.name.family",
        "mustSupport": true
      },
      {
        "id": "Patient.name.given",
        "path": "Patient.name.given",
        "mustSupport": true
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "mustSupport": true
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "constraint": [
          {
            "key": "pat-cnt-2or3-char",
            "severity": "warning",
            "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
            "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.relationship.coding.display.extension:translation",
        "path": "Patient.contact.relationship.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Patient.contact.relationship.coding.display.extension:translation.url",
        "path": "Patient.contact.relationship.coding.display.extension.url",
        "fixedUri": "translation"
      },
      {
        "id": "Patient.communication.language",
        "path": "Patient.communication.language",
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      {
        "id": "Patient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Patient.generalPractitioner:generalPractitionerPSON",
        "path": "Patient.generalPractitioner",
        "sliceName": "generalPractitionerPSON",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitionerrole",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitioner",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-organization"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}