Ontario Provincial Consent Override Interface HL7® FHIR® Implementation Guide v1.0.0-draft1

For a full list of available versions, see the Directory of published versions

4.2.1. Profile: Patient

This profile is used to capture limited information about the Patient that is subject to the Consent block.

Simplifier project page: Patient

Derived From: Patient

Canonical_Url	Profile_Status	Profile_Version	FHIR_Version

4.2.1.1. Usage

The Patient Resource is used to provide information about the person who is the subject of the Consent Override request, as a contained Patient resource.

4.2.1.2. Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work

Differential View

Command 'tree' could not render: Could not find a codec for type Hl7.Fhir.Validation.CodedValidationException.

Hybrid View

Command 'tree' could not render: Could not find a codec for type Hl7.Fhir.Validation.CodedValidationException.

Snapshot View

Command 'tree' could not render: Could not find a codec for type Hl7.Fhir.Validation.CodedValidationException.

Table View

The resource cannot be rendered.

JSON View

{

"resourceType": "StructureDefinition",
"id": "1454ad45-fbc8-474a-907f-bd75050b3075",
"meta": {
"versionId": "1",
"lastUpdated": "2024-04-30T16:04:51.4458234+00:00"
},
"url": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-consent-pcoi-profile-Patient",
"version": "1.0.0",
"name": "Patient",
"status": "draft",
"date": "2024-04-30T16:08:02.1275853+00:00",
"description": "Patient resource conforming to this profile is referenced by the Ontario Provincial Consent Override Consent Profile, to capture limited information about the Patient that is subject to the Consent block.",
"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",
"path": "Patient",
"mustSupport": false
},
{
"id": "Patient.meta",
"path": "Patient.meta",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.meta.profile",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Patient.meta.profile",
"comment": "#### **_` FOR PCOI USAGE: The meta.profile = http://ehealthontario.ca/fhir/StructureDefinition/ca-on-consent-pcoi-profile-Patient|1.0.0 `_** \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.",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.identifier",
"path": "Patient.identifier",
"definition": "An identifier for this patient",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.identifier.use",
"path": "Patient.identifier.use",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-use"
}
},
{
"id": "Patient.identifier.system",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Patient.identifier.system",
"comment": "Identifier.system is always case sensitive.\n\n**PCOI**:\n\nFor HCN, use \"https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn\".",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.identifier.value",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Patient.identifier.value",
"min": 1,
"mustSupport": true
},
{
"id": "Patient.name",
"path": "Patient.name",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Patient.name.use",
"path": "Patient.name.use",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/name-use"
}
},
{
"id": "Patient.name.family",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Patient.name.family",
"min": 0,
"max": 1,
"mustSupport": true
},
{
"id": "Patient.name.given",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Patient.name.given",
"min": 0,
"max": "*",
"mustSupport": true
},
{
"id": "Patient.telecom.system",
"path": "Patient.telecom.system",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/contact-point-system"
}
},
{
"id": "Patient.gender",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Patient.gender",
"min": 1,
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
}
},
{
"id": "Patient.birthDate",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
"path": "Patient.birthDate",
"min": 0,
"max": 1,
"mustSupport": true
}
]
}

}

4.2.1.3. Notes

.id

used to uniquely identify the resource
if a persistent identity for the resource is not available to use when constructing the Consent request, a UUID SHOULD be used in this element

.meta.profile

used to declare conformance to this profile
populate with a fixed value: http://ehealthontario.ca/fhir/StructureDefinition/ca-on-consent-pcoi-profile-Patient

.identifier

business identifier(s) for the patient, multiple allowed
SHALL include at least one unique identifier

this is expected to be an Ontario Health Card Number (HCN), a hospital Medical Record Number (MRN), or an Ontario Health Enterprice Client Identifier (ECID), in order to support all use cases (depending on overriden repository)

.name

SHALL contain the patient's full name
at least one of family or given is required; some patients may have only one name

.gender

SHALL contain the patient's gender for administrative purposes

.birthDate

SHOULD contain the patient's date of birth

4.2.1.4. Terminology Bindings

Path	Conformance	ValueSet
Patient.gender	required	http://hl7.org/fhir/ValueSet/administrative-gender