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{
  "resourceType": "StructureDefinition",
  "id": "ca-on-mi-profile-patient",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Patient",
  "version": "0.1.0",
  "name": "MICdrPatient",
  "title": "Patient Profile",
  "status": "draft",
  "date": "2023-08-15T15:59:24.5101526+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"
    }
  ],
  "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,
        "max": "1",
        "fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Patient|1.0.0",
        "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.system",
        "path": "Patient.identifier.system",
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mi-patient-jhn-system"
        }
      },
      {
        "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"
      },
      {
        "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"
      },
      {
        "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,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.value.extension",
        "path": "Patient.identifier.value.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Patient.identifier:identifier-JHN.value.extension:ext-HealthCardVersionCode",
        "path": "Patient.identifier.value.extension",
        "sliceName": "ext-HealthCardVersionCode",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-id-health-card-version-code"
            ]
          }
        ]
      },
      {
        "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",
        "min": 1,
        "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",
        "path": "Patient.telecom.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Patient.telecom.extension:ext-telephone-note",
        "path": "Patient.telecom.extension",
        "sliceName": "ext-telephone-note",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-ext-note"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "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",
        "min": 1
      },
      {
        "id": "Patient.telecom.value",
        "path": "Patient.telecom.value",
        "min": 1
      },
      {
        "id": "Patient.telecom.use",
        "path": "Patient.telecom.use",
        "min": 1
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "mustSupport": true
      },
      {
        "id": "Patient.deceased[x]",
        "path": "Patient.deceased[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "mustSupport": true
      },
      {
        "id": "Patient.address.use",
        "path": "Patient.address.use",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.address.line",
        "path": "Patient.address.line",
        "mustSupport": true
      },
      {
        "id": "Patient.address.city",
        "path": "Patient.address.city",
        "mustSupport": true
      },
      {
        "id": "Patient.address.district",
        "path": "Patient.address.district",
        "mustSupport": true
      },
      {
        "id": "Patient.address.state",
        "path": "Patient.address.state",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Codes for provinces, states and territories supported by Ontario Health interfaces",
          "valueSet": "http://ehealthontario.ca/fhir/ValueSet/province-state-code"
        }
      },
      {
        "id": "Patient.address.postalCode",
        "path": "Patient.address.postalCode",
        "mustSupport": true
      },
      {
        "id": "Patient.address.country",
        "path": "Patient.address.country",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "3-character ISO country codes for use in addresses by Ontario Health",
          "valueSet": "http://ehealthontario.ca/fhir/ValueSet/country-code"
        }
      },
      {
        "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.name",
        "path": "Patient.contact.name",
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.use",
        "path": "Patient.contact.name.use",
        "mustSupport": true
      },
      {
        "id": "Patient.communication",
        "path": "Patient.communication",
        "mustSupport": true
      },
      {
        "id": "Patient.communication.language",
        "path": "Patient.communication.language",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "description": "Languages understood or supported by Ontario clients, practitioners and organizations. This value set represents the subset of all ISO living languages as of April 22, 2020.",
          "valueSet": "http://ehealthontario.ca/fhir/ValueSet/human-language"
        }
      },
      {
        "id": "Patient.communication.language.coding",
        "path": "Patient.communication.language.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.communication.language.coding.system",
        "path": "Patient.communication.language.coding.system",
        "min": 1,
        "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.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "comment": "miCDR only supports one primary care provider per patient.",
        "max": "1",
        "mustSupport": true
      }
    ]
  }
}

name : MICdrPatient

{

}