<status value="active" /> <date value="2024-10-03T13:43:06.889914+00:00" /> <publisher value="HL7 Canada" /> <description value="Proposed constraints and extensions on the Patient Resource. This represents client information." /> <purpose value="The Patient Profile will serve to exchange client related data including but not limited to identifiers and demographics." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="MHA-PDS-Mapping" /> <name value="MHA PDS Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <differential> <element id="Patient"> <path value="Patient" /> <short value="Patient Profile" /> <definition value="The Patient Profile is based upon the core FHIR Patient Resource" /> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="Patient.meta"> <path value="Patient.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.meta.profile"> <path value="Patient.meta.profile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient" /> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="pattern" /> <path value="type" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier.type"> <path value="Patient.identifier.type" /> <min value="1" /> <binding> <strength value="required" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code" /> </binding> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Identifier Type" /> </mapping> </element> <element id="Patient.identifier.system"> <path value="Patient.identifier.system" /> <isModifier value="false" /> </element> <element id="Patient.identifier.value"> <path value="Patient.identifier.value" /> <short value="The value that is unique within the system." /> <isModifier value="false" /> </element> <element id="Patient.identifier:MRN"> <path value="Patient.identifier" /> <sliceName value="MRN" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN.type"> <path value="Patient.identifier.type" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MR" /> <display value="Medical record number" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code" /> </binding> </element> <element id="Patient.identifier:MRN.system"> <path value="Patient.identifier.system" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="MHA Patient MRN system URI values" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/mha/patient-mrn-identifier-system" /> </binding> </element> <element id="Patient.identifier:MRN.value"> <path value="Patient.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN"> <path value="Patient.identifier" /> <sliceName value="JHN" /> <min value="1" /> <max value="1" /> <constraint> <key value="jhn-inv-1" /> <severity value="error" /> <human value="Either both system and value exists or none of them exists" /> <expression value="system.exists() = value.exists()" /> </constraint> <constraint> <key value="jhn-inv-2" /> <severity value="error" /> <human value="Healthcard must be provide either with value or data-absent-reason" /> <expression value="$this.where(type.coding.code = 'JHN').value.exists() or $this.where(type.coding.code = 'JHN').extension('http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason').exists()" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.extension:mHADataAbsentReason"> <path value="Patient.identifier.extension" /> <sliceName value="mHADataAbsentReason" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="Patient.identifier:JHN.type"> <path value="Patient.identifier.type" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="JHN" /> <display value="Jurisdictional health number" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code" /> </binding> </element> <element id="Patient.identifier:JHN.system"> <path value="Patient.identifier.system" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/mha/patient-jhn-identifier-system" /> </binding> </element> <element id="Patient.identifier:JHN.value"> <path value="Patient.identifier.value" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:Anonymous"> <path value="Patient.identifier" /> <sliceName value="Anonymous" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:Anonymous.type"> <path value="Patient.identifier.type" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="ANON" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code" /> </binding> </element> <element id="Patient.identifier:Anonymous.system"> <path value="Patient.identifier.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:Anonymous.value"> <path value="Patient.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.active"> <path value="Patient.active" /> <definition value="Only use this field to mark a patient record is inactive." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.name"> <path value="Patient.name" /> <short value="A name associated with the patient(client)" /> <min value="1" /> <max value="1" /> <constraint> <key value="ca-baseline-name" /> <severity value="error" /> <human value="Patient.name.given or Patient.name.family or both SHALL be present" /> <expression value="family.exists() or given.exists()" /> <xpath value="f:given or f:family" /> <source value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.name.family"> <path value="Patient.name.family" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Client Last Name" /> </mapping> </element> <element id="Patient.name.given"> <path value="Patient.name.given" /> <definition value="The first or given name of the client. If middle name is available, it should be provided as the second value." /> <min value="1" /> <max value="2" /> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Client First Name, Client Middle Name" /> </mapping> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <comment value="At least an estimated year should be provided as a guess if the real DOB is unknown" /> <requirements value="• Used to calculate the age of the person and which age group the person belongs to. • Used to categorize data for reporting." /> <min value="1" /> <constraint> <key value="bd-1" /> <severity value="error" /> <human value="birthDate must have a date value" /> <expression value="hasValue() = true" /> </constraint> <constraint> <key value="bd-2" /> <severity value="error" /> <human value="If birthDate is "1900-01-01", BirthDate estimated flag must be set to 'true'" /> <expression value="$this = @1900-01-01 implies $this.extension.value = true" /> </constraint> <constraint> <key value="bd-3" /> <severity value="error" /> <human value="BirthDate must not be before '1900-01-01' or after the current date and it must be a valid date" /> <expression value="$this >= @1900-01-01 and $this < today()" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Date of Birth" /> </mapping> </element> <element id="Patient.birthDate.extension"> <path value="Patient.birthDate.extension" /> <min value="1" /> </element> <element id="Patient.birthDate.extension:BirthDateEstimatedFlag"> <path value="Patient.birthDate.extension" /> <sliceName value="BirthDateEstimatedFlag" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag" /> </type> <mustSupport value="true" /> </element> <element id="Patient.address"> <path value="Patient.address" /> <constraint> <key value="adr-key-1" /> <severity value="error" /> <human value="Province must be provided if 'address use' is provided" /> <expression value="use.exists() implies state.exists()" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.address.use"> <path value="Patient.address.use" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Address Use" /> </mapping> </element> <element id="Patient.address.line"> <path value="Patient.address.line" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Address Line 1" /> </mapping> </element> <element id="Patient.address.city"> <path value="Patient.address.city" /> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="City" /> </mapping> </element> <element id="Patient.address.state"> <path value="Patient.address.state" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Codes to identify the provinces and territories of Canada" /> <valueSet value="http://ehealthontario.ca/fhir/ValueSet/province-code" /> </binding> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Province" /> </mapping> </element> <element id="Patient.address.postalCode"> <path value="Patient.address.postalCode" /> <min value="1" /> <constraint> <key value="postalcode-inv-1" /> <severity value="error" /> <human value="postal code cannot have both value and data-absent-reason present" /> <expression value="$this.hasValue() != $this.extension('http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason').exists()" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Postal Code" /> </mapping> </element> <element id="Patient.address.postalCode.extension:mHADataAbsentReason"> <path value="Patient.address.postalCode.extension" /> <sliceName value="mHADataAbsentReason" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <slicing> <discriminator> <type value="value" /> <path value="extension.value.coding.code" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="Patient.communication.extension"> <path value="Patient.communication.extension" /> <min value="1" /> </element> <element id="Patient.communication.extension:languageUse"> <path value="Patient.communication.extension" /> <sliceName value="languageUse" /> <min value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse" /> </type> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Preferred Language" /> </mapping> </element> <element id="Patient.communication.language.coding.system"> <path value="Patient.communication.language.coding.system" /> <min value="1" /> </element> <element id="Patient.communication.language.coding.code"> <path value="Patient.communication.language.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication.language.coding.display"> <path value="Patient.communication.language.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:languageOfComfort"> <path value="Patient.communication" /> <sliceName value="languageOfComfort" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:languageOfComfort.extension"> <path value="Patient.communication.extension" /> <min value="1" /> </element> <element id="Patient.communication:languageOfComfort.extension:languageUse"> <path value="Patient.communication.extension" /> <sliceName value="languageUse" /> <min value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse" /> </type> </element> <element id="Patient.communication:languageOfComfort.extension:languageUse.value[x]"> <path value="Patient.communication.extension.value[x]" /> <min value="1" /> </element> <element id="Patient.communication:languageOfComfort.extension:languageUse.value[x].coding"> <path value="Patient.communication.extension.value[x].coding" /> </element> <element id="Patient.communication:languageOfComfort.extension:languageUse.value[x].coding.system"> <path value="Patient.communication.extension.value[x].coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Patient.communication:languageOfComfort.extension:languageUse.value[x].coding.code"> <path value="Patient.communication.extension.value[x].coding.code" /> <fixedCode value="428996008" /> </element> <element id="Patient.communication:languageOfComfort.language"> <path value="Patient.communication.language" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Official languages of Canada." /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/human-language" /> </binding> </element> <element id="Patient.communication:languageOfComfort.language.coding"> <path value="Patient.communication.language.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:languageOfComfort.language.coding.system"> <path value="Patient.communication.language.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:languageOfComfort.language.coding.code"> <path value="Patient.communication.language.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:languageOfComfort.language.coding.display"> <path value="Patient.communication.language.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:officialLanguage"> <path value="Patient.communication" /> <sliceName value="officialLanguage" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:officialLanguage.extension"> <path value="Patient.communication.extension" /> <min value="1" /> </element> <element id="Patient.communication:officialLanguage.extension:languageUse"> <path value="Patient.communication.extension" /> <sliceName value="languageUse" /> <min value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse" /> </type> </element> <element id="Patient.communication:officialLanguage.extension:languageUse.value[x]"> <path value="Patient.communication.extension.value[x]" /> <label value="ServiceLanguage" /> <min value="1" /> </element> <element id="Patient.communication:officialLanguage.extension:languageUse.value[x].coding"> <path value="Patient.communication.extension.value[x].coding" /> </element> <element id="Patient.communication:officialLanguage.extension:languageUse.value[x].coding.system"> <path value="Patient.communication.extension.value[x].coding.system" /> <fixedUri value="http://ontariohealth.ca/fhir/CodeSystem/LanguageUse" /> </element> <element id="Patient.communication:officialLanguage.extension:languageUse.value[x].coding.code"> <path value="Patient.communication.extension.value[x].coding.code" /> <fixedCode value="OFL" /> </element> <element id="Patient.communication:officialLanguage.language"> <path value="Patient.communication.language" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Languages understood or supported by Ontario clients and organizations." /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/official-language" /> </binding> </element> <element id="Patient.communication:officialLanguage.language.coding"> <path value="Patient.communication.language.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:officialLanguage.language.coding.system"> <path value="Patient.communication.language.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:officialLanguage.language.coding.code"> <path value="Patient.communication.language.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.communication:officialLanguage.language.coding.display"> <path value="Patient.communication.language.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>