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Source1

{
  "resourceType": "StructureDefinition",
  "id": "59ca366d-c71f-4237-924d-039b309dc49e",
  "meta": {
    "lastUpdated": "2025-02-06T20:48:25.0448104+00:00"
  },
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient",
  "name": "CDRPatient",
  "status": "draft",
  "date": "2024-03-01T15:19:04.4040332+00:00",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "loinc",
      "uri": "http://loinc.org",
      "name": "LOINC code for the element"
    },
    {
      "identity": "cdr-v2-fhir",
      "name": "CDR HL7 v2 Data In"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "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": "value",
              "path": "type.coding.code"
            }
          ],
          "description": "must contain at least one repetition of an identifier type code of MR (MRN).\r\nIf the HSP assigns any local secondary identifiers (such as alternate MRNs, clinic patient numbers, etc.) these should be provided if it is convenient to do so.\r\nIf the HSP collects a provincial health number (e.g. OHIP number or other province health card number) this must be sent.\r\nIf the HSP collects other types of identifiers which might be useful in identifying the patient, these should be sent if it is convenient to do so.",
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR",
        "path": "Patient.identifier",
        "sliceName": "identifier-MR",
        "short": "patient's MRN",
        "definition": "patient's medical record number",
        "comment": "If the HSP assigns any local secondary identifiers (such as alternate MRNs, clinic patient numbers, etc.) these should be provided if it is convenient to do so.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "MR",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.system",
        "path": "Patient.identifier.system",
        "definition": "Must be a valid URI describing the patient's MRN assigning authority. This should come from Ontario Health",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.period",
        "path": "Patient.identifier.period",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.period.start",
        "path": "Patient.identifier.period.start",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.period.end",
        "path": "Patient.identifier.period.end",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN",
        "path": "Patient.identifier",
        "sliceName": "Identifier-JHN",
        "comment": "If the HSP collects a provincial health number (e.g. OHIP number or other province health card number) this must be sent.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier: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:Identifier-JHN.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "JHN",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "fixedUri": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN.value.extension:ext-HealthCardVersionCode",
        "path": "Patient.identifier.value.extension",
        "sliceName": "ext-HealthCardVersionCode",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier:Identifier-JHN.value.extension:ext-HealthCardVersionCode.value[x]",
        "path": "Patient.identifier.value.extension.value[x]",
        "mapping": [
          {
            "identity": "cdr-v2-fhir",
            "map": "PID.3.2",
            "comment": "Health Card only"
          }
        ]
      },
      {
        "id": "Patient.identifier:Identifier-JHN.period",
        "path": "Patient.identifier.period",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN.period.start",
        "path": "Patient.identifier.period.start",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:Identifier-JHN.period.end",
        "path": "Patient.identifier.period.end",
        "mustSupport": true
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name.use",
        "path": "Patient.name.use",
        "mustSupport": true
      },
      {
        "id": "Patient.name.family",
        "path": "Patient.name.family",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name.given",
        "path": "Patient.name.given",
        "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.extension:ext-telephone-note",
        "path": "Patient.telecom.extension",
        "sliceName": "ext-telephone-note",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-ext-note"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Patient.telecom.extension:ext-telephone-note.value[x]",
        "path": "Patient.telecom.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.telecom.system",
        "path": "Patient.telecom.system",
        "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",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate.extension:ext-patient-birth-time",
        "path": "Patient.birthDate.extension",
        "sliceName": "ext-patient-birth-time",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Patient.birthDate.extension:ext-patient-birth-time.value[x]",
        "path": "Patient.birthDate.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.deceased[x]",
        "path": "Patient.deceased[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "type": [
          {
            "code": "Address",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-PatientAddress"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.address.period",
        "path": "Patient.address.period",
        "mustSupport": true
      },
      {
        "id": "Patient.address.period.start",
        "path": "Patient.address.period.start",
        "mustSupport": true
      },
      {
        "id": "Patient.address.period.end",
        "path": "Patient.address.period.end",
        "mustSupport": true
      },
      {
        "id": "Patient.contact",
        "path": "Patient.contact",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-patient-contact-relationship"
        }
      },
      {
        "id": "Patient.contact.relationship.coding",
        "path": "Patient.contact.relationship.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.relationship.coding.system",
        "path": "Patient.contact.relationship.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.relationship.coding.code",
        "path": "Patient.contact.relationship.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.relationship.coding.display",
        "path": "Patient.contact.relationship.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.relationship.text",
        "path": "Patient.contact.relationship.text",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.use",
        "path": "Patient.contact.name.use",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.family",
        "path": "Patient.contact.name.family",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.given",
        "path": "Patient.contact.name.given",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.prefix",
        "path": "Patient.contact.name.prefix",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.suffix",
        "path": "Patient.contact.name.suffix",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.telecom",
        "path": "Patient.contact.telecom",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.telecom.extension:ext-contact-phone-note",
        "path": "Patient.contact.telecom.extension",
        "sliceName": "ext-contact-phone-note",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-ext-note"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Patient.contact.telecom.extension:ext-contact-phone-note.value[x]",
        "path": "Patient.contact.telecom.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.telecom.system",
        "path": "Patient.contact.telecom.system",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.telecom.value",
        "path": "Patient.contact.telecom.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.telecom.use",
        "path": "Patient.contact.telecom.use",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address",
        "path": "Patient.contact.address",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.use",
        "path": "Patient.contact.address.use",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.text",
        "path": "Patient.contact.address.text",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.line",
        "path": "Patient.contact.address.line",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.city",
        "path": "Patient.contact.address.city",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.state",
        "path": "Patient.contact.address.state",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.postalCode",
        "path": "Patient.contact.address.postalCode",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.country",
        "path": "Patient.contact.address.country",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.period",
        "path": "Patient.contact.address.period",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.period.start",
        "path": "Patient.contact.address.period.start",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.address.period.end",
        "path": "Patient.contact.address.period.end",
        "mustSupport": true
      },
      {
        "id": "Patient.communication",
        "path": "Patient.communication",
        "mustSupport": true
      },
      {
        "id": "Patient.communication.language",
        "path": "Patient.communication.language",
        "mustSupport": true
      },
      {
        "id": "Patient.communication.language.coding",
        "path": "Patient.communication.language.coding",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.communication.language.coding.system",
        "path": "Patient.communication.language.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0296",
        "mustSupport": true
      },
      {
        "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.language.text",
        "path": "Patient.communication.language.text",
        "mustSupport": true
      },
      {
        "id": "Patient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "comment": "acCDR only supports one primary care provider per patient.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-PractitionerRole",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Practitioner",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.generalPractitioner.reference",
        "path": "Patient.generalPractitioner.reference",
        "mustSupport": true
      }
    ]
  }
}