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{
  "resourceType": "StructureDefinition",
  "id": "ca-qc-endo-profile-EndoPatient-v0.9.0",
  "url": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPatient",
  "version": "0.9.0",
  "name": "EndoPatient_0_9_0",
  "status": "active",
  "date": "2025-05-14T10:00:00+00:00",
  "description": "Ressource patient - Informations démographiques et administratives sur le patient\n\nChangements à la version 0.9.0:\n\n- statut de la ressource (draft → active)\n- meta.source est obligatoire",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient",
        "path": "Patient",
        "definition": "Demographics and other administrative information about patient."
      },
      {
        "id": "Patient.meta",
        "path": "Patient.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.meta.source",
        "path": "Patient.meta.source",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.meta.profile",
        "path": "Patient.meta.profile",
        "comment": "Projet endoscopie, utiliser : https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPatient\n\nIt is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set.",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.security",
        "path": "Patient.meta.security",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.security.system",
        "path": "Patient.meta.security.system",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.security.code",
        "path": "Patient.meta.security.code",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.security.display",
        "path": "Patient.meta.security.display",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.tag",
        "path": "Patient.meta.tag",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.tag.system",
        "path": "Patient.meta.tag.system",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.tag.code",
        "path": "Patient.meta.tag.code",
        "mustSupport": true
      },
      {
        "id": "Patient.meta.tag.display",
        "path": "Patient.meta.tag.display",
        "mustSupport": true
      },
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Patient.extension:mothersMaidenName",
        "path": "Patient.extension",
        "sliceName": "mothersMaidenName",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type.coding.system"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN",
        "path": "Patient.identifier",
        "sliceName": "PHIN",
        "short": "Health Insurance Number",
        "definition": "Provincial Healthcare Insurance Number.\nNuméro d'assurance maladie (NAM).",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.use",
        "path": "Patient.identifier.use",
        "fixedCode": "official",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/TypeIdentifiantPatient"
        }
      },
      {
        "id": "Patient.identifier:PHIN.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://ca.qc.patient.identifierType/PHIN",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "JHN",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.type.coding.display",
        "path": "Patient.identifier.type.coding.display",
        "fixedString": "Numéro Assurance maladie du Québec",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.type.text",
        "path": "Patient.identifier.type.text",
        "fixedString": "RAMQ"
      },
      {
        "id": "Patient.identifier:PHIN.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "fixedUri": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-qc-patient-healthcare-id",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.period.end",
        "path": "Patient.identifier.period.end",
        "definition": "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.\nThe format is YYYY, YYYY-MM, e.g. 2020-08-23.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PHIN.assigner.display",
        "path": "Patient.identifier.assigner.display",
        "fixedString": "RAMQ"
      },
      {
        "id": "Patient.identifier:PMRN",
        "path": "Patient.identifier",
        "sliceName": "PMRN",
        "short": "Patient Medical Record Number (PMRN).",
        "definition": "Patient Medical Record Number (PMRN). \nDossier de l'usager",
        "min": 1,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PMRN.use",
        "path": "Patient.identifier.use",
        "fixedCode": "official",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PMRN.type",
        "path": "Patient.identifier.type",
        "definition": "Le type du dossier de l'usager (ex.: IPO, IPM, Identifiant de dossier dans un SI)",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/DossierTypeEndo|3.2"
        }
      },
      {
        "id": "Patient.identifier:PMRN.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PMRN.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "comment": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/CodeSystem/TypeDossierEndo\n\nThe URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
        "min": 1,
        "fixedUri": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/CodeSystem/TypeDossierEndo"
      },
      {
        "id": "Patient.identifier:PMRN.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PMRN.type.coding.display",
        "path": "Patient.identifier.type.coding.display",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PMRN.type.text",
        "path": "Patient.identifier.type.text",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PMRN.system",
        "path": "Patient.identifier.system",
        "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\nURI qui identifie le systeme qu'a genéré le numero du dossier de l'usager.\nFormat:    http://ca.qc.[CodeRegion].[CodeEtablissement].[CodeSite]/IdentifiantSysteme\n\n[CodeRegion]: ex. 1- Bas Saint laurent   - https://www.msss.gouv.qc.ca/reseau/regions-sociosanitaires-du-quebec/\n[CodeEtablissement] ]: code d'etablissement - extrait du M02 pour le public\n[CodeSite]: code site - extrait du M02 pour le public\nIdentifiantSysteme (obligatoire): identifier de maniere unique un systeme source\n\nExemple: si on a un seul systeme pour toute la region de montreal (code=06): http://ca.qc.06/IdentifiantSysteme",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:PMRN.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name.family",
        "path": "Patient.name.family",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name.given",
        "path": "Patient.name.given",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "definition": "The date of birth for the individual.\nThe format is YYYY, YYYY-MM, e.g. 2020-08-23.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.address.use",
        "path": "Patient.address.use",
        "fixedCode": "home"
      },
      {
        "id": "Patient.address.type",
        "path": "Patient.address.type",
        "fixedCode": "postal"
      },
      {
        "id": "Patient.address.line",
        "path": "Patient.address.line",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.address.city",
        "path": "Patient.address.city",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/VilleEndo",
          "description": "city list"
        }
      },
      {
        "id": "Patient.address.postalCode",
        "path": "Patient.address.postalCode",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/CodePostalEndo",
          "description": "Postal code"
        }
      },
      {
        "id": "Patient.link",
        "path": "Patient.link",
        "min": 1,
        "max": "2",
        "mustSupport": true
      },
      {
        "id": "Patient.link.other",
        "path": "Patient.link.other",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoRelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ],
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
                "valueBoolean": false
              }
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.link.other.identifier",
        "path": "Patient.link.other.identifier",
        "mustSupport": true
      },
      {
        "id": "Patient.link.other.identifier.type",
        "path": "Patient.link.other.identifier.type",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/LienUsagerEndo",
          "description": "A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes."
        }
      },
      {
        "id": "Patient.link.other.identifier.type.coding",
        "path": "Patient.link.other.identifier.type.coding",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-RoleCode",
          "description": "A set of codes further specifying the kind of Role"
        }
      },
      {
        "id": "Patient.link.other.identifier.type.coding.code",
        "path": "Patient.link.other.identifier.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.link.other.identifier.type.coding.display",
        "path": "Patient.link.other.identifier.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.link.type",
        "path": "Patient.link.type",
        "fixedCode": "refer",
        "mustSupport": true
      }
    ]
  }
}

name : EndoPatient_0_9_0

{

}