<status value="draft" /> <date value="2022-03-24T10:46:38.3751258+00:00" /> <publisher value="biobank.cy" /> <contact> <name value="Molecular Medicine Research Center (MMRC)" /> <telecom> <system value="email" /> <value value="biobank@ucy.ac.cy" /> <use value="work" /> </telecom> </contact> <description value="The identified participants joining the biobank.cy data warehouse either for research or diagnostic purposes." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <differential> <element id="Patient"> <path value="Patient" /> <short value="Information about an individual" /> <definition value="Demographics and other administrative information about an receiving research or diagnostic services in biobank.cy" /> <mustSupport value="true" /> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <definition value="Identifiers can be provided for every person registered in the biobank. There are three possible identifiers that can be used: (1) the national identity and the issuing country (2) the passport and the issuing country (3) the Alien Resident Card (in Cyprus) Additionally, there are internal identifiers for the biobank.cy which are (1) MPI (Master Patient Index) which identifies the citizens accross all the research projects internally in the biobank.cy" /> <requirements value="People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the person. Examples are national person identifier and local identifier." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:nationalIdentity"> <path value="Patient.identifier" /> <sliceName value="nationalIdentity" /> <short value="An identifier for this patient: National Identification Number from any country." /> <definition value="An identifier for this patient. CyprusEHR: Represents the national identity as published by a specific country. Therefore, the value of the nationalIdentity is the combination of a country code (see issuingCountry: http://hl7.org/fhir/ValueSet/iso3166-1-2) + the special character "/" + the national identity number (e.g. CY/1234567, GR/X-982120). The nationalIdentity can be used to record the national identity number of a person from any country included in the value set defined by the ISO 3166-1." /> <comment value="The nationalIdentity.system is the number taken from the NeHA OID tree representing the national identification number as an indentification mechanism for humans." /> <requirements value="People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the person. Examples are national person identifier and local identifier." /> <max value="1" /> <patternIdentifier> <use value="official" /> <system value="urn:oid:2.16.840.1.113883.3.9143.2.1.1" /> </patternIdentifier> <constraint> <key value="cyehr-patient-3" /> <severity value="error" /> <human value="If the identification is the nationalIdentity or passport then the first 2 digits of the identification.value must be the same with the issuingCountry and the third digit must be the slash character" /> <expression value="value.substring(0,3) = extension('http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-ext-issuingcountry').valueCodeableConcept.coding.code + '/'" /> <source value="http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-patient-r4" /> </constraint> </element> <element id="Patient.identifier:nationalIdentity.extension"> <path value="Patient.identifier.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Patient.identifier:nationalIdentity.extension:issuingCountry"> <path value="Patient.identifier.extension" /> <sliceName value="issuingCountry" /> <min value="1" /> <type> <code value="Extension" /> <profile value="http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-ext-issuingcountry" /> </type> <isModifier value="false" /> </element> <element id="Patient.identifier:nationalIdentity.extension:issuingCountry.value[x]"> <path value="Patient.identifier.extension.value[x]" /> <binding> <strength value="extensible" /> <description value="Iso 3166 Part 1: 2 Letter Codes" /> <valueSet value="http://hl7.org/fhir/ValueSet/iso3166-1-2" /> </binding> </element> <element id="Patient.identifier:nationalIdentity.system"> <path value="Patient.identifier.system" /> <min value="1" /> </element> <element id="Patient.identifier:nationalIdentity.value"> <path value="Patient.identifier.value" /> <min value="1" /> </element> <element id="Patient.identifier:passport"> <path value="Patient.identifier" /> <sliceName value="passport" /> <short value="The passport as identification of a human." /> <definition value="Identifier for a patient within a particular scope. CyprusEHR: Represents the passport as published by a specific country. Therefore, the value of the passport is the combination of a country code (see issuingCountry: http://hl7.org/fhir/ValueSet/iso3166-1-2) + the special character "/" + the passport number (e.g. CY/K675677768E, CN/E65050920). The passport can be used to record the passport number of a person from any country included in the value set defined by the ISO 3166-1." /> <comment value="The passport.system is the number taken from the NeHA OID tree representing the passport number as an indentification mechanism for humans." /> <requirements value="People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the person. Examples are national person identifier and local identifier." /> <max value="1" /> <patternIdentifier> <use value="official" /> <system value="urn:oid:2.16.840.1.113883.3.9143.2.1.2" /> </patternIdentifier> <constraint> <key value="cyehr-patient-4" /> <severity value="error" /> <human value="If the identification is nationalIdentity or passport then the first 2 digits of the identification.value must be the same with the issuingCountry and the third digit must be the slash character" /> <expression value="value.substring(0,3) = extension('http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-ext-issuingcountry').valueCodeableConcept.coding.code + '/'" /> <source value="http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-patient-r4" /> </constraint> </element> <element id="Patient.identifier:passport.extension"> <path value="Patient.identifier.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Patient.identifier:passport.extension:issuingCountry"> <path value="Patient.identifier.extension" /> <sliceName value="issuingCountry" /> <short value="Issuing country of the person's passport." /> <definition value="CyprusEHR: Issuing country of the person's passport using a 2-code of ISO 3166-1 countries." /> <min value="0" /> <type> <code value="Extension" /> <profile value="http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-ext-issuingcountry" /> </type> <isModifier value="false" /> </element> <element id="Patient.identifier:passport.extension:issuingCountry.value[x]"> <path value="Patient.identifier.extension.value[x]" /> <binding> <strength value="extensible" /> <description value="Iso 3166 Part 1: 2 Letter Codes" /> <valueSet value="http://hl7.org/fhir/ValueSet/iso3166-1-2" /> </binding> </element> <element id="Patient.identifier:passport.system"> <path value="Patient.identifier.system" /> <min value="1" /> </element> <element id="Patient.identifier:passport.value"> <path value="Patient.identifier.value" /> <min value="1" /> </element> <element id="Patient.identifier:alienResidentCard"> <path value="Patient.identifier" /> <sliceName value="alienResidentCard" /> <short value="Alien Resident Card Number as registered in Cyprus." /> <definition value="Represents the Alien Resident Card Number as registered in Cyprus." /> <comment value="The alienResidentCard.system is the number taken from the NeHA OID tree representing the alien resident card number of Cyprus as an indentification mechanism for humans." /> <alias value="Yellow Slip" /> <alias value="MEU-1" /> <alias value="MEU-2" /> <alias value="MEU-3" /> <alias value="Registration certificate" /> <alias value="Pink Slip" /> <max value="1" /> <patternIdentifier> <use value="official" /> <system value="urn:oid:2.16.840.1.113883.3.9143.2.1.3" /> </patternIdentifier> </element> <element id="Patient.identifier:alienResidentCard.system"> <path value="Patient.identifier.system" /> <min value="1" /> </element> <element id="Patient.identifier:alienResidentCard.value"> <path value="Patient.identifier.value" /> <min value="1" /> </element> <element id="Patient.identifier:nationalHealthcarePatientId"> <path value="Patient.identifier" /> <sliceName value="nationalHealthcarePatientId" /> <short value="National healthcare patient ID" /> <definition value="National healthcare patient ID. In Cyprus is the General Healthcare System (GESY) number." /> <max value="1" /> <patternIdentifier> <use value="official" /> <system value="urn:oid:2.16.840.1.113883.3.9143.2.1.5" /> </patternIdentifier> </element> <element id="Patient.identifier:nationalHealthcarePatientId.system"> <path value="Patient.identifier.system" /> <min value="1" /> </element> <element id="Patient.identifier:nationalHealthcarePatientId.value"> <path value="Patient.identifier.value" /> <min value="1" /> </element> <element id="Patient.identifier:biobankMPI"> <path value="Patient.identifier" /> <sliceName value="biobankMPI" /> <definition value="Master Patient Index for a citizen in the biobank.cy" /> <min value="1" /> <max value="1" /> <patternIdentifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="PI" /> </coding> </type> </patternIdentifier> </element> <element id="Patient.identifier:biobankMPI.use"> <path value="Patient.identifier.use" /> <min value="1" /> </element> <element id="Patient.identifier:biobankMPI.type"> <path value="Patient.identifier.type" /> <min value="1" /> </element> <element id="Patient.identifier:biobankMPI.type.coding"> <path value="Patient.identifier.type.coding" /> <min value="1" /> </element> <element id="Patient.identifier:biobankMPI.system"> <path value="Patient.identifier.system" /> <max value="0" /> </element> <element id="Patient.identifier:biobankMPI.value"> <path value="Patient.identifier.value" /> <min value="1" /> </element> <element id="Patient.identifier:biobankMPI.period"> <path value="Patient.identifier.period" /> <max value="0" /> </element> <element id="Patient.active"> <path value="Patient.active" /> <min value="1" /> </element> <element id="Patient.name"> <path value="Patient.name" /> <constraint> <key value="ips-pat-1" /> <severity value="error" /> <human value="Patient.name.given or Patient.name.family or both SHALL be present" /> <expression value="family.exists() or given.exists()" /> <xpath value="f:given or f:family" /> <source value="http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips" /> </constraint> </element> <element id="Patient.telecom.system"> <path value="Patient.telecom.system" /> <min value="1" /> </element> <element id="Patient.telecom.value"> <path value="Patient.telecom.value" /> <min value="1" /> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <min value="1" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <type> <code value="dateTime" /> </type> </element> <element id="Patient.address"> <path value="Patient.address" /> <short value="One or more addresses for the person." /> <definition value="One or more addresses for the person." /> <comment value="Follow the structure of the prototype of the national EHR address datatype." /> <type> <code value="Address" /> <profile value="http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-address" /> </type> <constraint> <key value="pat-cnt-2or3-char" /> <severity value="warning" /> <human value="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 value="country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))" /> <source value="http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips" /> </constraint> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ContactRelationship" /> </extension> <strength value="required" /> <description value="The nature of the relationship between a patient and a contact person for that patient as defined by eHDSI in MVC" /> <valueSet value="http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsiroleclass" /> </binding> </element> <element id="Patient.contact.name.use"> <path value="Patient.contact.name.use" /> <mustSupport value="true" /> </element> <element id="Patient.contact.name.family"> <path value="Patient.contact.name.family" /> <mustSupport value="true" /> </element> <element id="Patient.contact.name.given"> <path value="Patient.contact.name.given" /> <mustSupport value="true" /> </element> <element id="Patient.contact.telecom.system"> <path value="Patient.contact.telecom.system" /> <mustSupport value="true" /> </element> <element id="Patient.contact.telecom.value"> <path value="Patient.contact.telecom.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.contact.telecom.use"> <path value="Patient.contact.telecom.use" /> <mustSupport value="true" /> </element> <element id="Patient.contact.address"> <path value="Patient.contact.address" /> <type> <code value="Address" /> <profile value="http://hl7.org/fhir/StructureDefinition/Address" /> <profile value="http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-address" /> </type> </element> <element id="Patient.contact.gender"> <path value="Patient.contact.gender" /> <short value="Female | Male | Undifferentiated" /> </element> <element id="Patient.contact.organization.reference"> <path value="Patient.contact.organization.reference" /> <min value="1" /> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <type> <code value="CodeableConcept" /> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" /> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true" /> </extension> <strength value="required" /> <valueSet value="http://ig.biobank.cy/fhir/ValueSet/biobankcy-vs-ehdsilanguage" /> </binding> </element> <element id="Patient.communication.language.coding"> <path value="Patient.communication.language.coding" /> <min value="1" /> </element> <element id="Patient.managingOrganization"> <path value="Patient.managingOrganization" /> <comment value="All the Patients of the biobank.cy shall hve the biobank.cy instance as managingOrganization." /> </element> <element id="Patient.managingOrganization.reference"> <path value="Patient.managingOrganization.reference" /> <comment value="Reference to biobank.cy organization." /> <min value="1" /> </element> <element id="Patient.link.other.reference"> <path value="Patient.link.other.reference" /> <min value="1" /> </element> </differential> </StructureDefinition>