FHIR IG analytics
| Package | nostalgic-ie.fhir.core |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ie-core-patient.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=nostalgic-ie.fhir.core@0.2.0&canonical=https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient |
| URL | https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient |
| Version | 0.2.0 |
| Status | draft |
| Name | IECorePatient |
| Title | IE Core Patient |
| Description | Base Patient profile for the Irish health system, derived from the HL7 Europe Base Patient. It is deliberately permissive: special-category and identity-disambiguation data (for example ethnicity or mother's maiden name) are allowed but NOT MustSupport. Use-case profiles decide what must be sent and what must not be sent: IECorePatientEPrescription for ePrescription and eDispensation, and IECorePatientSummaryPatient for the Patient Summary (ADR-002, GDPR Art. 5(1)(c) data minimisation). |
| Type | Patient |
| Kind | resource |
Resources that use this resource
| CapabilityStatement |
| nostalgic-ie.fhir.core#0.2.0 | ie-core-client | IE Core Client CapabilityStatement |
| nostalgic-ie.fhir.core#0.2.0 | ie-core-server | IE Core Server CapabilityStatement |
Resources that this resource uses
Narrative
No narrative content found in resource
Source1
{
"resourceType": "StructureDefinition",
"id": "ie-core-patient",
"url": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient",
"version": "0.2.0",
"name": "IECorePatient",
"title": "IE Core Patient",
"status": "draft",
"description": "Base Patient profile for the Irish health system, derived from the HL7 Europe Base Patient. It is deliberately permissive: special-category and identity-disambiguation data (for example ethnicity or mother's maiden name) are allowed but NOT MustSupport. Use-case profiles decide what must be sent and what must not be sent: IECorePatientEPrescription for ePrescription and eDispensation, and IECorePatientSummaryPatient for the Patient Summary (ADR-002, GDPR Art. 5(1)(c) data minimisation).",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Patient",
"baseDefinition": "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Patient.extension:gender-identity",
"path": "Patient.extension",
"sliceName": "gender-identity",
"short": "Gender identity (HIQA gender cluster)",
"comment": "HIQA EP 1.4.4 / PS 1.4.5 Gender cluster (Required 0..1). 'Other gender identity' free text (EP 1.4.4.2 / PS 1.4.5.2) goes in valueCodeableConcept.text.",
"mustSupport": true
},
{
"id": "Patient.extension:pronouns",
"path": "Patient.extension",
"sliceName": "pronouns",
"short": "Personal pronouns (not in either HIQA dataset)"
},
{
"id": "Patient.extension:sexAssignedAtBirth",
"path": "Patient.extension",
"sliceName": "sexAssignedAtBirth",
"short": "Sex assigned at birth (recorded sex, type LOINC 76689-9)",
"definition": "The patient's sex assigned at birth, recorded with individual-recordedSexOrGender and typed with LOINC 76689-9 'Sex assigned at birth'. This is distinct from Patient.gender (administrative gender) and from gender identity.",
"comment": "HIQA EP 1.4.3 / PS 1.4.4 Sex (Mandatory 1..1). Mandatory in the use-case profiles (ADR-002). Displaying sex at birth alongside gender identity can disclose a gender reassignment; see the security guidance.",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
]
}
],
"mustSupport": true
},
{
"id": "Patient.extension:sexAssignedAtBirth.extension",
"path": "Patient.extension.extension",
"min": 2
},
{
"id": "Patient.extension:sexAssignedAtBirth.extension:type",
"path": "Patient.extension.extension",
"sliceName": "type",
"min": 1
},
{
"id": "Patient.extension:sexAssignedAtBirth.extension:type.value[x]",
"path": "Patient.extension.extension.value[x]",
"patternCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "76689-9",
"display": "Sex assigned at birth"
}
]
}
},
{
"id": "Patient.extension:ethnicity",
"path": "Patient.extension",
"sliceName": "ethnicity",
"short": "Ethnicity (special-category data; Patient Summary only)",
"comment": "GDPR Art. 9 special-category data. HIQA PS 1.4.10 (Required 0..*). Not part of the HIQA ePrescription dataset, and prohibited in IECorePatientEPrescription (ADR-002).",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-ethnicity"
]
}
]
},
{
"id": "Patient.extension:mothersMaidenName",
"path": "Patient.extension",
"sliceName": "mothersMaidenName",
"short": "Mother's maiden name (not MustSupport)",
"comment": "Not part of the HIQA ePrescription dataset. The Patient Summary uses IECoreMothersFormerSurname (HIQA PS 1.4.6, 0..*).",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"
]
}
]
},
{
"id": "Patient.extension:interpreterRequired",
"path": "Patient.extension",
"sliceName": "interpreterRequired",
"short": "Whether the patient requires an interpreter",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"
]
}
]
},
{
"id": "Patient.identifier",
"path": "Patient.identifier",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"rules": "open"
},
"short": "Identifiers for this patient",
"comment": "HIQA EP/PS 1.3. Identifiers other than the IHI (and the PPSN in the use-case profiles) are carried as 'other identifiers used in health and social care' (HIQA 1.3.3): type, value, validity period and issuing organisation. Examples from HIQA include PCRS scheme numbers (medical card, GP visit card, DPS, LTI, HAA), GP record number, MRN, NHS number and EHIC.",
"mustSupport": true
},
{
"id": "Patient.identifier.type",
"path": "Patient.identifier.type",
"comment": "HIQA EP/PS 1.3.3.1 (Required).",
"mustSupport": true
},
{
"id": "Patient.identifier.value",
"path": "Patient.identifier.value",
"comment": "HIQA EP/PS 1.3.3.2 (Required).",
"mustSupport": true
},
{
"id": "Patient.identifier.period",
"path": "Patient.identifier.period",
"comment": "HIQA EP/PS 1.3.3.3 (Required).",
"mustSupport": true
},
{
"id": "Patient.identifier.assigner",
"path": "Patient.identifier.assigner",
"comment": "HIQA EP/PS 1.3.3.4 (Required): name of the issuing organisation (assigner.display), for example 'HSE'.",
"mustSupport": true
},
{
"id": "Patient.identifier:IHI",
"path": "Patient.identifier",
"sliceName": "IHI",
"short": "Individual Health Identifier (IHI)",
"definition": "The Individual Health Identifier assigned by the HSE. HIQA describes it as a unique 18 or 10-digit number.",
"comment": "HIQA EP/PS 1.3.1 (Required 0..1). The system URI is a placeholder pending an HSE-published URI (OI-003). The relationship between the 18- and 10-digit forms is Requires Clarification (OI-002).",
"min": 0,
"max": "1",
"constraint": [
{
"key": "ie-pat-1",
"severity": "error",
"human": "IHI SHALL be 18 or 10 digits (HIQA EP/PS 1.3.1: 'A unique 18 or 10-digit number')",
"expression": "value.matches('^([0-9]{18}|[0-9]{10})[%content%]#39;)",
"source": "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient"
}
],
"mustSupport": true
},
{
"id": "Patient.identifier:IHI.type",
"path": "Patient.identifier.type",
"patternCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "NI",
"display": "National unique individual identifier"
}
]
}
},
{
"id": "Patient.identifier:IHI.system",
"path": "Patient.identifier.system",
"min": 1,
"patternUri": "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi",
"mustSupport": true
},
{
"id": "Patient.identifier:IHI.value",
"path": "Patient.identifier.value",
"short": "IHI number (18 or 10 digits)",
"min": 1
},
{
"id": "Patient.name",
"path": "Patient.name",
"mustSupport": true
},
{
"id": "Patient.name.use",
"path": "Patient.name.use",
"mustSupport": true
},
{
"id": "Patient.name.family",
"path": "Patient.name.family",
"short": "Family name (surname)",
"mustSupport": true
},
{
"id": "Patient.name.given",
"path": "Patient.name.given",
"short": "Given names (first and middle names)",
"mustSupport": true
},
{
"id": "Patient.name.prefix",
"path": "Patient.name.prefix",
"mustSupport": true
},
{
"id": "Patient.name.suffix",
"path": "Patient.name.suffix",
"mustSupport": true
},
{
"id": "Patient.telecom",
"path": "Patient.telecom",
"mustSupport": true
},
{
"id": "Patient.telecom.system",
"path": "Patient.telecom.system",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.telecom.value",
"path": "Patient.telecom.value",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.telecom.use",
"path": "Patient.telecom.use",
"mustSupport": true
},
{
"id": "Patient.gender",
"path": "Patient.gender",
"short": "Administrative gender (not sex assigned at birth)",
"comment": "Administrative gender for record-keeping. Sex assigned at birth (HIQA EP 1.4.3 / PS 1.4.4) is carried in extension[sexAssignedAtBirth], and gender identity in extension[gender-identity].",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.birthDate",
"path": "Patient.birthDate",
"short": "The date of birth for the patient",
"comment": "HIQA EP/PS 1.4.1 Date of birth (Mandatory 1..1). 1..1 is inherited from HL7 Europe Base patient-eu-core.",
"mustSupport": true
},
{
"id": "Patient.deceased[x]",
"path": "Patient.deceased[x]",
"mustSupport": true
},
{
"id": "Patient.address",
"path": "Patient.address",
"short": "An address for the patient (Irish address)",
"mustSupport": true
},
{
"id": "Patient.address.use",
"path": "Patient.address.use",
"mustSupport": true
},
{
"id": "Patient.address.line",
"path": "Patient.address.line",
"mustSupport": true
},
{
"id": "Patient.address.city",
"path": "Patient.address.city",
"short": "Suburb, town, townland or locality (Dublin postal district, e.g. 'Dublin 2', goes here)",
"mustSupport": true
},
{
"id": "Patient.address.state",
"path": "Patient.address.state",
"short": "County",
"definition": "The Irish county. Bound to the IE Core County ValueSet.",
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "https://hl7-ie.github.io/ie-core/fhir/ie/core/ValueSet/ie-core-county"
}
},
{
"id": "Patient.address.postalCode",
"path": "Patient.address.postalCode",
"short": "Eircode or postal code (Eircode format XXX XXXX)",
"mustSupport": true
},
{
"id": "Patient.address.country",
"path": "Patient.address.country",
"short": "Country (ISO 3166-1 alpha-2)",
"mustSupport": true
},
{
"id": "Patient.communication",
"path": "Patient.communication",
"mustSupport": true
},
{
"id": "Patient.communication.language",
"path": "Patient.communication.language",
"mustSupport": true
},
{
"id": "Patient.generalPractitioner",
"path": "Patient.generalPractitioner",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization",
"https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitioner",
"https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitionerrole"
]
}
],
"mustSupport": true
},
{
"id": "Patient.managingOrganization",
"path": "Patient.managingOrganization",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization"
]
}
],
"mustSupport": true
}
]
}
}
FHIR
FHIRsmith