DwPatient

Purpose

The purpose of this resource to demographics and other administrative information about an individual. The data in the Resource covers the "who" information about the patient: its attributes are focused on the demographic information necessary to support the administrative, financial and logistic procedures. A Patient record is generally created and maintained by each organization providing care for a patient.

idΣ1..1id
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedS Σ0..1instant
sourceS Σ0..1uri
profileΣ0..*canonical(StructureDefinition)
securityS Σ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
textS0..1Narrative
contained0..*Resource
id0..1string
extensionC0..0Extension
url1..1uriFixed Value
id0..1string
extensionC0..*Extension
codingΣ0..*CodingBinding
textΣ0..1string
id0..1string
id0..1string
extensionC0..0Extension
url1..1uriFixed Value
id0..1string
extensionC0..*Extension
codingΣ0..*Coding
textS Σ0..1string
id0..1string
extensionC0..0Extension
url1..1uriFixed Value
valuePeriodPeriod
id0..1string
extensionC0..0Extension
url1..1uriFixed Value
valueStringstring
url1..1uriFixed Value
id0..1string
extensionC0..0Extension
url1..1uriFixed Value
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uriBinding
versionΣ0..1string
codeS Σ1..1code
displayS Σ1..1string
userSelectedS Σ0..1boolean
textS Σ0..1string
id0..1string
extensionC0..0Extension
url1..1uriFixed Value
id0..1string
extensionC0..*Extension
codingΣ0..*Coding
textS Σ0..1string
rosterStatusS C0..1Extension(booleanCodeableConcept)
rosterPeriodS C0..*Extension(Period)
rosterTerminationReasonS C0..*Extension(CodeableConcept)
patientStatusS C0..*Extension(CodeableConcept)
patientStatusDateS C0..*Extension(dateTime)
modifierExtension?! C0..*Extension
id0..1string
extensionC0..*Extension
useΣ ?!0..1codeBinding
id0..1string
extensionC0..*Extension
codingS Σ1..*CodingPattern
textS Σ0..1string
systemΣ1..1uri
valueΣ1..1string
periodΣ C0..1Period
assignerΣ C0..1Reference(Organization)
id0..1string
versionCodeS C0..1Extension(string)
useΣ ?!0..1codeBinding
id0..1string
extensionC0..*Extension
codingS Σ1..*CodingPattern
textS Σ0..1string
systemS Σ1..1uri
valueS Σ1..1string
periodΣ C0..1Period
assignerΣ C0..1Reference(Organization)
activeS Σ ?!1..1boolean
id0..1string
extensionC0..*Extension
useS Σ ?!0..1codeBinding
textS Σ0..1string
familyS Σ0..1string
givenS Σ0..*string
prefixS Σ0..1string
suffixS Σ0..1string
periodΣ C0..1Period
telecomS Σ C0..*ContactPoint
genderS Σ0..1codeBinding
birthDateS Σ1..1date
deceasedBooleanboolean
deceasedDateTimedateTime
addressS Σ0..*Address
maritalStatusS0..1CodeableConceptBinding
multipleBirthBooleanboolean
multipleBirthIntegerinteger
photoC0..*Attachment
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
id0..1string
extensionC0..*Extension
codingΣ0..*Coding
textS Σ0..1string
id0..1string
extensionC0..*Extension
useS Σ ?!0..1codeBinding
textS Σ0..1string
familyS Σ0..1string
givenS Σ0..*string
prefixΣ0..*string
suffixΣ0..*string
periodΣ C0..1Period
telecomS C0..*ContactPoint
address0..1Address
gender0..1codeBinding
organizationC0..1Reference(Organization)
periodS C0..1Period
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
id0..1string
extensionC0..*Extension
codingΣ0..*Coding
textS Σ0..1string
preferredS0..1boolean
generalPractitionerS C0..*Reference(DwOrganization | DwPractitioner | DwPractitionerRole)
managingOrganizationΣ C0..1Reference(DwOrganization)
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
otherS Σ C1..1Reference(DwPatient)
typeS Σ1..1codeBinding

Usage note

  • Confidential patient chart For some pipelines, patients marked as confidential in an EMR will only include a patient stub without any patient identifier.

  • patient.identifier - There are often multiple patient identifiers recorded for one patient, medical record number and Health Card number will be included as part of the extract.

  • patient.extension.genderIdentity - The gender with which the patient identifies.

  • patient.extension.pronouns - Pronouns the patients would like to use as they are documented in the EMR.

  • patient.deceasedBoolean - Deceased status only for the patient with deceased status in the EMR.

  • patient.deceasedDate - Deceased date will be provided where it approrpiately documented in the EMR.

    • PSS - Only deceased status will be provided
    • CHR and MedAccess - Deceased status and date can be provided. Date will only be included for the patient whose status is deceased.

  • patient.generalPractitioner - Practitioner references to the Primary MD/NP, Family MD and Referring MD are included under this element when documented in the EMR. It will also include organization reference for the clinic If a patient has not been assigned a doctor at the clinic only the organization resources (parent organization if there are more than 1) will be included When a Primary MD/NP for that provider at that clinic is assigned then the reference to the sub-organization and the practitioners are included.

  • patient.managingOrganization - Reference to the parent organization is provided under this element.

Bundle

PatientBundle

Examples

Example EMR
Sarah Marie Johnson CHR
ma-labtestns-Patient-17780 MA
John Michael Smith MA
Kennedy Fabe Cassie PSS

CHR UI Navigation

The following table shows where each FHIR element comes from in CHR: the UI path a clinician follows to enter or view the data.

FHIR Path CHR Name CHR UI Navigation
Patient.identifier[MRN] Patient Number System-assigned — visible in chart header
Patient.identifier[JHN] Health Card Number Patients → select patient → Edit icon → General tab → Identification section → Health Card Number
Patient.active Archived Patients → select patient → Edit icon → Archive tab
Patient.name.given First / Middle Name Patients → select patient → Edit icon → General tab → Demographics → Name → First Name / Middle Initial
Patients → select patient → Patient Data → Demographics → Name
Patients → select patient → chart → Patient data → Demographics → Name
Patient.name[nickname] Preferred Name Patients → select patient → Edit icon → General tab → Demographics → Name → Preferred Name
Patient.name.family Last Name Patients → select patient → Edit icon → General tab → Demographics → Name → Family Name
Patients → select patient → Patient Data → Demographics → Name
Patients → select patient → chart → Patient data → Demographics → Name
Patient.name.prefix Title Patients → select patient → Edit icon → General tab → Demographics → Name → Prefix
Patients → select patient → Patient Data → Demographics → Name
Patients → select patient → chart → Patient data → Demographics → Name
Patient.name.suffix Suffix Patients → select patient → Patient Data → Demographics → Name → Suffix
Patients → select patient → chart → Patient data → Demographics → Name → Suffix
Patient.telecom (email) Email Patients → select patient → Edit icon → General tab → Demographics → Contacts → Email
Patients → select patient → Patient Data → Demographics → Contacts
Patients → select patient → chart → Patient data → Demographics → Contacts
Patient.telecom (cell) Cell Phone Patients → select patient → Edit icon → General tab → Demographics → Contacts → Mobile Phone
Patients → select patient → Patient Data → Demographics → Contacts
Patients → select patient → chart → Patient data → Demographics → Contacts
Patient.telecom (home) Home Phone Patients → select patient → Edit icon → General tab → Demographics → Contacts → Home Phone
Patients → select patient → Patient Data → Demographics → Contacts
Patients → select patient → chart → Patient data → Demographics → Contacts
Patient.telecom (office) Office Phone Patients → select patient → Edit icon → General tab → Demographics → Contacts → Work Phone (+ Extension)
Patients → select patient → Patient Data → Demographics → Contacts
Patients → select patient → chart → Patient data → Demographics → Contacts
Patient.gender Sex / Gender Patients → select patient → Edit icon → General tab → Demographics → Sex & Gender → Sex
Patients → select patient → Patient Data → Demographics → Sex & Gender
Patients → select patient → chart → Patient data → Demographics → Sex & Gender
Patient.birthDate Date of Birth Patients → select patient → Edit icon → General tab → Demographics → Date of Birth
Patients → select patient → Patient Data → Demographics → Date of Birth
Patients → select patient → chart → Patient data → Demographics → Date of Birth
Patient.deceased[deceasedBoolean] Status Patients → select patient → Patient Data → Demographics → Status → Status = Deceased
Patients → select patient → chart → Patient data → Demographics → Status → Status = Deceased
Patient.deceased[deceasedDateTime] Date of Death Patients → select patient → Patient Data → Demographics → Status → Date of Death
Patients → select patient → chart → Patient data → Demographics → Status → Date of Death
Patient.address Address Patients → select patient → Edit icon → Extra tab → Demographics → Addresses
Patients → select patient → Patient Data → Demographics → Addresses
Patients → select patient → chart → Patient data → Demographics → Addresses
Patient.maritalStatus Marital Status Patients → select patient → chart → Health Profile → Social History → + → select type "Living Environment"
Patient.contact.name Emergency Contact Name Patients → select patient → Edit icon → Extra tab → Demographics → Additional Contacts
Patients → select patient → Patient Data → Demographics → Additional Contacts
Patients → select patient → chart → Patient data → Demographics → Additional Contacts
Patient.contact.telecom Emergency Phone Patients → select patient → Edit icon → Extra tab → Demographics → Additional Contacts
Patients → select patient → Patient Data → Demographics → Additional Contacts
Patients → select patient → chart → Patient data → Demographics → Additional Contacts
Patient.contact.relationship Emergency Relationship Patients → select patient → Edit icon → Extra tab → Demographics → Additional Contacts
Patients → select patient → Patient Data → Demographics → Additional Contacts
Patients → select patient → chart → Patient data → Demographics → Additional Contacts
Patient.communication.language Language Spoken Patients → select patient → Edit icon → Extra tab → Demographics → Language
Patients → select patient → Patient Data → Demographics → Language
Patients → select patient → chart → Patient data → Demographics → Language
Patient.communication.preferred Preferred Language Patients → select patient → Edit icon → Extra tab → Demographics → Language
Patients → select patient → Patient Data → Demographics → Language
Patients → select patient → chart → Patient data → Demographics → Language
Patient.generalPractitioner Family Doctor Patients → select patient → Edit icon → General tab → Demographics → Family Doctor / Referring Doctor
Patients → select patient → Patient Data → Demographics → Family Doctor
Patients → select patient → Patient Data → Demographics → Referring Doctor
Patients → select patient → chart → Patient data → Demographics → Family Doctor
Patients → select patient → chart → Patient data → Demographics → Referring Doctor
Patient.managingOrganization Primary Location Patients → select patient → Edit icon → General tab → Demographics → Primary Location
Patient.extension:genderIdentity Gender Identity Patients → select patient → Edit icon → General tab → Demographics → Sex & Gender → Gender Identity
Patients → select patient → Patient Data → Demographics → Sex & Gender
Patients → select patient → chart → Patient data → Demographics → Sex & Gender
Patient.extension:individualPronouns Pronouns Patients → select patient → Edit icon → General tab → Demographics → Sex & Gender → Pronouns
Patients → select patient → Patient Data → Demographics → Sex & Gender
Patients → select patient → chart → Patient data → Demographics → Sex & Gender
Patient.extension:patientStatus Status Tag Patients → select patient → Patient Data → Demographics → Status → Status
Patients → select patient → chart → Patient data → Demographics → Status → Status
Patients → select patient → chart header
Patient.extension:patientStatusDate Status Date Auto-recorded when patient status changes — not a discrete UI entry
Patient.id — —
Patient.meta.source — —
Patient.meta.lastUpdated — —
Patient.meta.security — —
Patient.link — auto-generated on merge for source patient

MA UI Navigation

The following table shows where each FHIR element comes from in MA: the UI path a clinician follows to enter or view the data.

FHIR Path MA Name MA UI Navigation
Patient.identifier[MRN] Patient Number System-assigned — visible in chart header
Patient.identifier[JHN] Health Card Number Menu → Patients → select patient → Demographic → Identification → Health Card Number field
Patient.active Patient Status (derived) Menu → Patients → select patient → Demographic → Status dropdown (Active / Inactive / Deceased / etc.)
Patient.name.family Last Name Menu → Patients → select patient → Demographic → Last Name field
Patient.name.given First / Middle Name Menu → Patients → select patient → Demographic → First Name / Middle Name fields
Patient.name.prefix Name Prefix Menu → Patients → select patient → Demographic → Prefix dropdown
Patient.name.suffix Name Suffix Menu → Patients → select patient → Demographic → Suffix field
Patient.name.text Full Name (derived) Derived by extract — not a discrete UI field
Patient.telecom (phone) Phone Numbers Menu → Patients → select patient → Demographic → Phone Numbers section → Add Phone
Patient.telecom (email) Email Address Menu → Patients → select patient → Demographic → Phone Numbers → Email row
Patient.gender Sex Menu → Patients → select patient → Demographic → Sex dropdown
Patient.birthDate Date of Birth Menu → Patients → select patient → Demographic → Date of Birth field
Patient.deceased[x] Deceased / Date of Death Menu → Patients → select patient → Demographic → Status → Deceased / Date of Death
Patient.address Address Menu → Patients → select patient → Demographic → Address section → Add / Edit Address
Patient.maritalStatus Marital Status Menu → Patients → select patient → Demographic → Marital Status dropdown
Patient.contact.name Emergency Contact Name Menu → Patients → select patient → Demographic → Emergency Contact section → Add Contact → Name fields
Patient.contact.telecom Emergency Phone / Email Menu → Patients → select patient → Demographic → Emergency Contact → Phone / Email fields
Patient.contact.relationship Contact Relationship Menu → Patients → select patient → Demographic → Emergency Contact → Relationship dropdown
Patient.communication.language Preferred Language Menu → Patients → select patient → Demographic → Language / Preferred Language field
Patient.generalPractitioner (primary) Primary Provider Menu → Patients → select patient → Demographic → Primary Provider field
Patient.generalPractitioner (secondary) Secondary Provider Menu → Patients → select patient → Demographic → Secondary Provider field
Patient.generalPractitioner (referring) Referring Provider Menu → Patients → select patient → Demographic → Referring Provider field
Patient.generalPractitioner (family) Family Provider Menu → Patients → select patient → Demographic → Family Provider field
Patient.managingOrganization Site / Clinic Reference built from provider group / site — not a discrete UI field
Patient.extension:genderIdentity Gender Identity Menu → Patients → select patient → Demographic → Gender Identity field
Patient.extension:individualPronouns Preferred Pronouns Menu → Patients → select patient → Demographic → Pronouns field
Patient.extension:ethnicity Ethnic Origin Menu → Patients → select patient → Demographic → Ethnic Origin field
Patient.extension:rosterStatus Roster Status Menu → Patients → select patient → Demographic → Roster Status field
Patient.extension:patientStatus Patient Status Menu → Patients → select patient → Demographic → Status dropdown
Patient.extension:patientStatusDate Status Date Menu → Patients → select patient → Demographic → Status Date field
Patient.meta.source — Derived by extract
Patient.meta.lastUpdated — Derived by extract
Patient.meta.security — Derived by extract — no direct UI field