{ "resourceType": "StructureDefinition", "id": "CancerPatient", "meta": { "versionId": "2", "lastUpdated": "2016-11-23T21:14:23.488+00:00" }, "url": "http://icecoldfhirga.tech/baseDstu3/StructureDefinition/CancerPatient", "identifier": [ { "system": "http://clinfhir.com", "value": "author" } ], "name": "CancerPatient", "status": "active", "experimental": true, "publisher": "http://icecoldfhirga.tech/baseDstu3/", "kind": "resource", "abstract": false, "snapshot": { "element": [ { "id": "Patient", "path": "Patient", "short": "Information about an individual or animal receiving health care services", "definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.", "min": 0, "max": "*", "type": [ { "code": "DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Patient[classCode=PAT]" }, { "identity": "cda", "map": "ClinicalDocument.recordTarget.patientRole" }, { "identity": "w5", "map": "administrative.individual" } ], "alias": [ "SubjectOfCare Client Resident" ] }, { "id": "Patient.id", "path": "Patient.id", "definition": "Id", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ] }, { "id": "Patient.meta", "path": "Patient.meta", "definition": "The meta element", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ] }, { "id": "Patient.text", "path": "Patient.text", "definition": "Narrative", "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "*" }, "type": [ { "code": "Narrative" } ] }, { "id": "Patient.identifier", "path": "Patient.identifier", "short": "An identifier for this patient", "definition": "An identifier for this patient.", "requirements": "Patients are almost always assigned specific numerical identifiers.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": ".id" }, { "identity": "w5", "map": "id" } ] }, { "id": "Patient.active", "path": "Patient.active", "short": "Whether this patient's record is in active use", "definition": "Whether this patient record is in active use.", "min": 0, "max": "1", "type": [ { "code": "boolean" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "statusCode" }, { "identity": "cda", "map": "n/a" }, { "identity": "w5", "map": "status" } ], "requirements": "Need to be able to mark a patient record as not to be used because it was created in error.", "defaultValueBoolean": true, "isModifier": true }, { "id": "Patient.name", "path": "Patient.name", "short": "A name associated with the patient", "definition": "A name associated with the individual.", "min": 1, "max": "*", "type": [ { "code": "HumanName" } ], "isSummary": true, "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.", "mapping": [ { "identity": "v2", "map": "PID-5, PID-9" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": ".patient.name" } ] }, { "id": "Patient.telecom", "path": "Patient.telecom", "short": "A contact detail for the individual", "definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.", "min": 0, "max": "*", "type": [ { "code": "ContactPoint" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-13, PID-14, PID-40" }, { "identity": "rim", "map": "telecom" }, { "identity": "cda", "map": ".telecom" } ], "requirements": "People have (primary) ways to contact them in some way such as phone, email." }, { "id": "Patient.gender", "path": "Patient.gender", "short": "male | female | other | unknown", "definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isSummary": true, "binding": { "strength": "required", "description": "The gender of a person used for administrative purposes.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/administrative-gender" } }, "mapping": [ { "identity": "v2", "map": "PID-8" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": ".patient.administrativeGenderCode" } ], "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes." }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "short": "The date of birth for the individual", "definition": "The date of birth for the individual.", "min": 1, "max": "1", "type": [ { "code": "date" } ], "mapping": [ { "identity": "v2", "map": "PID-7" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" }, { "identity": "cda", "map": ".patient.birthTime" }, { "identity": "loinc", "map": "21112-8" } ], "requirements": "Age of the individual drives many clinical processes.", "isSummary": true }, { "id": "Patient.deceased[x]", "path": "Patient.deceased[x]", "short": "Indicates if the individual is deceased or not", "definition": "Indicates if the individual is deceased or not.", "min": 0, "max": "1", "type": [ { "code": "boolean" }, { "code": "dateTime" } ], "mapping": [ { "identity": "v2", "map": "PID-30 (bool) and PID-29 (datetime)" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" }, { "identity": "cda", "map": "n/a" } ], "requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.", "isModifier": true, "isSummary": true }, { "id": "Patient.address", "path": "Patient.address", "short": "Addresses for the individual", "definition": "Addresses for the individual.", "min": 0, "max": "*", "type": [ { "code": "Address" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "PID-11" }, { "identity": "rim", "map": "addr" }, { "identity": "cda", "map": ".addr" } ], "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification." }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "short": "Marital (civil) status of a patient", "definition": "This field contains a patient's most recent marital (civil) status.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "description": "The domestic partnership status of a person.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/marital-status" } }, "mapping": [ { "identity": "v2", "map": "PID-16" }, { "identity": "rim", "map": "player[classCode=PSN]/maritalStatusCode" }, { "identity": "cda", "map": ".patient.maritalStatusCode" } ], "requirements": "Most, if not all systems capture it." }, { "id": "Patient.multipleBirth[x]", "path": "Patient.multipleBirth[x]", "short": "Whether patient is part of a multiple birth", "definition": "Indicates whether the patient is part of a multiple or indicates the actual birth order.", "min": 0, "max": "1", "type": [ { "code": "boolean" }, { "code": "integer" } ], "mapping": [ { "identity": "v2", "map": "PID-24 (bool), PID-25 (integer)" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" }, { "identity": "cda", "map": "n/a" } ], "requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs." }, { "id": "Patient.photo", "path": "Patient.photo", "short": "Image of the patient", "definition": "Image of the patient.", "min": 0, "max": "*", "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "v2", "map": "OBX-5 - needs a profile" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" }, { "identity": "cda", "map": "n/a" } ], "requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too." }, { "id": "Patient.contact", "path": "Patient.contact", "short": "A contact party (e.g. guardian, partner, friend) for the patient", "definition": "A contact party (e.g. guardian, partner, friend) for the patient.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" }, { "identity": "cda", "map": "n/a" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Contact" } ], "requirements": "Need to track people you can contact about the patient.", "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "name or telecom or address or organization" } ], "key": "pat-1", "severity": "error", "human": "SHALL at least contain a contact's details or a reference to an organization", "xpath": "f:name or f:telecom or f:address or f:organization" } ] }, { "id": "Patient.contact.relationship", "path": "Patient.contact.relationship", "short": "The kind of relationship", "definition": "The nature of the relationship between the patient and the contact person.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "v2", "map": "NK1-7, NK1-3" }, { "identity": "rim", "map": "code" }, { "identity": "cda", "map": "n/a" } ], "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.", "binding": { "strength": "extensible", "description": "The nature of the relationship between a patient and a contact person for that patient.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/patient-contact-relationship" } } }, { "id": "Patient.contact.name", "path": "Patient.contact.name", "short": "A name associated with the contact person", "definition": "A name associated with the contact person.", "min": 0, "max": "1", "type": [ { "code": "HumanName" } ], "mapping": [ { "identity": "v2", "map": "NK1-2" }, { "identity": "rim", "map": "name" }, { "identity": "cda", "map": "n/a" } ], "requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person." }, { "id": "Patient.contact.telecom", "path": "Patient.contact.telecom", "short": "A contact detail for the person", "definition": "A contact detail for the person, e.g. a telephone number or an email address.", "requirements": "People have (primary) ways to contact them in some way such as phone, email.", "min": 0, "max": "*", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "v2", "map": "NK1-5, NK1-6, NK1-40" }, { "identity": "rim", "map": "telecom" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.contact.address", "path": "Patient.contact.address", "short": "Address for the contact person", "definition": "Address for the contact person.", "min": 0, "max": "1", "type": [ { "code": "Address" } ], "mapping": [ { "identity": "v2", "map": "NK1-4" }, { "identity": "rim", "map": "addr" }, { "identity": "cda", "map": "n/a" } ], "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited." }, { "id": "Patient.contact.gender", "path": "Patient.contact.gender", "short": "male | female | other | unknown", "definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "v2", "map": "NK1-15" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" }, { "identity": "cda", "map": "n/a" } ], "requirements": "Needed to address the person correctly.", "binding": { "strength": "required", "description": "The gender of a person used for administrative purposes.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/administrative-gender" } } }, { "id": "Patient.contact.organization", "path": "Patient.contact.organization", "short": "Organization that is associated with the contact", "definition": "Organization on behalf of which the contact is acting or for which the contact is working.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "mapping": [ { "identity": "v2", "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" }, { "identity": "rim", "map": "scoper" }, { "identity": "cda", "map": "n/a" } ], "requirements": "For guardians or business related contacts, the organization is relevant.", "condition": [ "pat-1" ] }, { "id": "Patient.contact.period", "path": "Patient.contact.period", "short": "The period during which this contact person or organization is valid to be contacted relating to this patient", "definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "mapping": [ { "identity": "rim", "map": "effectiveTime" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.animal", "path": "Patient.animal", "short": "This patient is known to be an animal (non-human)", "definition": "This patient is known to be an animal.", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Animal" } ], "requirements": "Many clinical systems are extended to care for animal patients as well as human.", "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "player[classCode=ANM]" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.animal.species", "path": "Patient.animal.species", "short": "E.g. Dog, Cow", "definition": "Identifies the high level taxonomic categorization of the kind of animal.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "v2", "map": "PID-35" }, { "identity": "rim", "map": "code" }, { "identity": "cda", "map": "n/a" } ], "requirements": "Need to know what kind of animal.", "isSummary": true, "binding": { "strength": "example", "description": "The species of an animal.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/animal-species" } } }, { "id": "Patient.animal.breed", "path": "Patient.animal.breed", "short": "E.g. Poodle, Angus", "definition": "Identifies the detailed categorization of the kind of animal.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "requirements": "May need to know the specific kind within the species.", "isSummary": true, "binding": { "strength": "example", "description": "The breed of an animal.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/animal-breeds" } }, "mapping": [ { "identity": "v2", "map": "PID-37" }, { "identity": "rim", "map": "playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.animal.genderStatus", "path": "Patient.animal.genderStatus", "short": "E.g. Neutered, Intact", "definition": "Indicates the current state of the animal's reproductive organs.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "The state of the animal's reproductive organs.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/animal-genderstatus" } }, "requirements": "Gender status can affect housing and animal behavior.", "isSummary": true, "mapping": [ { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "genderStatusCode" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.communication", "path": "Patient.communication", "short": "A list of Languages which may be used to communicate with the patient about his or her health", "definition": "Languages which may be used to communicate with the patient about his or her health.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.", "mapping": [ { "identity": "rim", "map": "LanguageCommunication" }, { "identity": "cda", "map": "patient.languageCommunication" } ] }, { "id": "Patient.communication.language", "path": "Patient.communication.language", "short": "The language which can be used to communicate with the patient about his or her health", "definition": "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.", "requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "description": "A human language.", "valueSetUri": "http://tools.ietf.org/html/bcp47" }, "mapping": [ { "identity": "v2", "map": "PID-15, LAN-2" }, { "identity": "rim", "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" }, { "identity": "cda", "map": ".languageCode" } ] }, { "id": "Patient.communication.preferred", "path": "Patient.communication.preferred", "short": "Language preference indicator", "definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).", "requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.", "min": 0, "max": "1", "type": [ { "code": "boolean" } ], "mapping": [ { "identity": "v2", "map": "PID-15" }, { "identity": "rim", "map": "preferenceInd" }, { "identity": "cda", "map": ".preferenceInd" } ] }, { "id": "Patient.careProvider", "path": "Patient.careProvider", "short": "Patient's nominated primary care provider", "definition": "Patient's nominated care provider.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Organization" }, { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Practitioner" } ], "mapping": [ { "identity": "v2", "map": "PD1-4" }, { "identity": "rim", "map": "subjectOf.CareEvent.performer.AssignedEntity" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.managingOrganization", "path": "Patient.managingOrganization", "short": "Organization that is the custodian of the patient record", "definition": "Organization that is the custodian of the patient record.", "requirements": "Need to know who recognizes this patient record, manages and updates it.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "scoper" }, { "identity": "cda", "map": ".providerOrganization" } ] }, { "id": "Patient.link", "path": "Patient.link", "short": "Link to another patient resource that concerns the same actual person", "definition": "Link to another patient resource that concerns the same actual patient.", "requirements": "There are multiple usecases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "outboundLink" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.link.other", "path": "Patient.link.other", "short": "The other patient resource that the link refers to", "definition": "The other patient resource that the link refers to.", "min": 1, "max": "1", "type": [ { "code": "Reference", "profile": "http://hl7.org/fhir/StructureDefinition/Patient" } ], "isModifier": true, "mapping": [ { "identity": "v2", "map": "PID-3, MRG-1" }, { "identity": "rim", "map": "id" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.link.type", "path": "Patient.link.type", "short": "replace | refer | seealso - type of link", "definition": "The type of link between this patient resource and another patient resource.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "binding": { "strength": "required", "description": "The type of link between this patient resource and another patient resource.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/link-type" } }, "mapping": [ { "identity": "rim", "map": "typeCode" }, { "identity": "cda", "map": "n/a" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "definition": "an extension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://icecoldfhirga.tech/baseDstu3/birthplaceCountry" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "definition": "an extension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://icecoldfhirga.tech/baseDstu3/birthplaceState" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "definition": "an extension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://icecoldfhirga.tech/baseDstu3/dateOfLastContact" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "definition": "an extension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://icecoldfhirga.tech/baseDstu3/ethnicity" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "definition": "an extension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://icecoldfhirga.tech/baseDstu3/race" } ] }, { "id": "Patient.extension", "path": "Patient.extension", "definition": "an extension", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://icecoldfhirga.tech/baseDstu3/socialSecurityNumber" } ] } ] } }