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{
    "resourceType": "StructureDefinition",
    "id": "ca-on-ps-profile-patient-demoofderive",
    "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient",
    "name": "PatientPSON-Derived",
    "title": "Patient (PS-ON - Derived from PS-CA)",
    "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://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps",
    "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://ontariohealth.ca/fhir/StructureDefinition/ca-on-oh-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",
                "isModifier": false
            },
            {
                "id": "Patient.identifier.value",
                "path": "Patient.identifier.value",
                "short": "The value that is unique within the system.",
                "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",
                "path": "Patient.identifier.extension",
                "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"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:JHN.extension:versionCode.value[x]",
                "path": "Patient.identifier.extension.value[x]",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:JHN.type",
                "path": "Patient.identifier.type",
                "min": 1,
                "fixedCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                            "code": "JHN"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:JHN.type.coding",
                "path": "Patient.identifier.type.coding",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:JHN.type.coding.system",
                "path": "Patient.identifier.type.coding.system",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:JHN.type.coding.code",
                "path": "Patient.identifier.type.coding.code",
                "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
            },
            {
                "id": "Patient.identifier:JHN.value",
                "path": "Patient.identifier.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "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"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:MRN.type.coding",
                "path": "Patient.identifier.type.coding",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:MRN.type.coding.system",
                "path": "Patient.identifier.type.coding.system",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:MRN.type.coding.code",
                "path": "Patient.identifier.type.coding.code",
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:MRN.system",
                "path": "Patient.identifier.system",
                "short": "An identifier for the system supplying the MRN",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Patient.identifier:MRN.value",
                "path": "Patient.identifier.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "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.\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.extension",
                "path": "Patient.contact.relationship.coding.display.extension.extension",
                "min": 2
            },
            {
                "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
            }
        ]
    }
}

name : PatientPSON-Derived

{

}