## 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..1System.String
versionIdΣ0..1id
lastUpdatedS Σ0..1instant
sourceS Σ0..1uri
profileΣ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
genderIdentityS I0..1Extension(CodeableConcept)
pronounsI0..1Extension
useΣ ?!0..1codeBinding
systemS Σ0..1uriFixed Value
versionΣ0..1string
codeS Σ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemΣ1..1uri
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
versionCodeI0..1Extension(string)
useΣ ?!0..1codeBinding
systemΣ0..1uriFixed Value
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
valueS Σ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Organization)
activeΣ ?!1..1boolean
useS Σ ?!0..1codeBinding
textS Σ0..1string
familyS Σ0..1string
givenS Σ0..*string
prefixS Σ0..1string
suffixS Σ0..1string
periodΣ I0..1Period
telecomS Σ I0..*ContactPoint
genderS Σ1..1codeBinding
birthDateS Σ1..1date
deceasedBooleanboolean
deceasedDateTimedateTime
addressS Σ0..*Address
maritalStatus0..1CodeableConceptBinding
multipleBirthBooleanboolean
multipleBirthIntegerinteger
photoI0..*Attachment
relationship0..*CodeableConceptBinding
name0..1HumanName
telecomI0..*ContactPoint
address0..1Address
gender0..1codeBinding
organizationI0..1Reference(Organization)
periodI0..1Period
language1..1CodeableConceptBinding
preferred0..1boolean
generalPractitionerS I0..*Reference(Organization | Practitioner | PractitionerRole)
managingOrganizationΣ I0..1Reference(Organization)
otherΣ I1..1Reference(Patient | RelatedPerson)
typeΣ1..1codeBinding

Usage note

  • 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
    • 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

Example

{
    "resourceType": "Patient",
    "id": "pss-CDK5-Patient-304",
    "meta": {
        "source": "urn:telus:emr:pss:CDK5",
        "lastUpdated": "2022-11-17T15:06:53.000Z",
        "security": [{
                "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                "code": "N",
                "display": "normal"
            }
        ]
    },
    "identifier": [{
            "type": {
                "coding": [{
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MR",
                        "display": "Medical Record Number"
                    }
                ]
            },
            "system": "urn:telus:emr:pss:CDK5:patientid",
            "value": "304"
        }, {
            "type": {
                "coding": [{
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "JHN",
                        "display": "Jurisdictional Health Number"
                    }
                ]
            },
            "value": "846181284981",
            "assigner": {
                "display": "NL"
            }
        }
    ],
    "active": true,
    "name": [{
            "use": "usual",
            "family": "Cassie",
            "given": ["Kennedy", "Fabe"]
        }
    ],
    "telecom": [{
            "system": "email",
            "value": "Kennedy.Cassie@testing.org",
            "use": "home"
        }, {
            "system": "phone",
            "value": "5643781912",
            "use": "home"
        }, {
            "system": "phone",
            "value": "5887592807 7568",
            "use": "work"
        }
    ],
    "gender": "male",
    "birthDate": "1952-04-20",
    "deceasedBoolean": false,
    "address": [{
            "use": "home",
            "type": "postal",
            "line": ["417 Hamilton Crescent", "Suite 8"],
            "city": "Saint John's",
            "state": "NL",
            "postalCode": "X7O 6K2",
            "country": "CA"
        }
    ],
    "communication": [{
            "language": {
                "text": "fr"
            }
        }
    ],
    "generalPractitioner": [{
            "reference": "Practitioner/pss-CDK5-Practitioner-16",
            "display": "Dan Dalton",
            "type": "Practitioner"
        }
    ],
    "managingOrganization": {
        "reference": "Organization/pss-CDK5-Organization-0",
        "display": "CDS5 130k",
        "type": "Organization"
    }
}