<status value="active" /> <date value="2022-10-15T12:00:00+00:00" /> <publisher value="Ontario Health" /> <description value="This profile defines a set of constraints to the FHIR Patient resource for use in Ontario Patient Summaries (PS-ON). It refines constraints applied to the Patient resource by the PS-CA project to represent the minimum expectations for the Patient resource when used in the PS-CA composition profile or in one of the referred resources. It is informed by the constraints of the [Patient-UV-IPS profile](http://hl7.org/fhir/uv/ips/StructureDefinition-Patient-uv-ips.html) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-patient.html)" /> <fhirVersion value="4.0.1" /> <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" /> <constraint> <key value="pson-pat-1" /> <severity value="error" /> <human value="Patient.identifier:JHN or Patient.identifier:MRN or both SHALL be present" /> <expression value="identifier.where(type.coding.code = 'JHN').exists() or identifier.where(type.coding.code = 'MR').exists()" /> </constraint> </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" /> <mustSupport value="true" /> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="pattern" /> <path value="type" /> </discriminator> <rules value="open" /> </slicing> <comment value="This element employs the constraints on identifier put forth in the CA Baseline using a profiled data type." /> <min value="1" /> <type> <code value="Identifier" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-oh-profile-identifier" /> </type> <mustSupport value="true" /> </element> <element id="Patient.identifier.type"> <path value="Patient.identifier.type" /> <example> <label value="Pattern" /> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MR" /> </coding> </valueCodeableConcept> </example> </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:JHN"> <path value="Patient.identifier" /> <sliceName value="JHN" /> <short value="Jurisdictional Health Number" /> <definition value="Federal patient and person health numbers used by all jurisdictions across Canada" /> <comment value="**MS applied in PS-ON**" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.extension"> <path value="Patient.identifier.extension" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.extension:versionCode"> <path value="Patient.identifier.extension" /> <sliceName value="versionCode" /> <short value="Health Number Version Code" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion" /> </type> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.extension:versionCode.value[x]"> <path value="Patient.identifier.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.type"> <path value="Patient.identifier.type" /> <min value="1" /> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="JHN" /> </coding> </fixedCodeableConcept> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.type.coding"> <path value="Patient.identifier.type.coding" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.type.coding.system"> <path value="Patient.identifier.type.coding.system" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.type.coding.code"> <path value="Patient.identifier.type.coding.code" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.system"> <path value="Patient.identifier.system" /> <short value="A Health Number Naming System from the Canadian URI Registry" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JHN.value"> <path value="Patient.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN"> <path value="Patient.identifier" /> <sliceName value="MRN" /> <short value="Medical Record Number" /> <definition value="A local patient identifier from the submitting PoS System" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN.type"> <path value="Patient.identifier.type" /> <min value="1" /> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="MR" /> </coding> </fixedCodeableConcept> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN.type.coding"> <path value="Patient.identifier.type.coding" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN.type.coding.system"> <path value="Patient.identifier.type.coding.system" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN.type.coding.code"> <path value="Patient.identifier.type.coding.code" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN.system"> <path value="Patient.identifier.system" /> <short value="An identifier for the system supplying the MRN" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:MRN.value"> <path value="Patient.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.name"> <path value="Patient.name" /> <requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name. The Alphabetic representation of the name SHALL be always provided" /> <min value="1" /> <constraint> <key value="cabaseline-pat-1" /> <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" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.name.text"> <path value="Patient.name.text" /> <definition value="Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element" /> <comment value="Some systems will not have a field for representing the full name as a string, these systems are still expected to be able to demonstrate they can construct name.text when developing the patient summary instance" /> <mustSupport value="true" /> </element> <element id="Patient.name.family"> <path value="Patient.name.family" /> <mustSupport value="true" /> </element> <element id="Patient.name.given"> <path value="Patient.name.given" /> <mustSupport value="true" /> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <mustSupport value="true" /> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.address"> <path value="Patient.address" /> <constraint> <key value="pat-cnt-2or3-char" /> <severity value="warning" /> <human value="The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2." /> <expression value="country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept" /> </type> </element> <element id="Patient.contact.relationship.coding.display.extension:translation"> <path value="Patient.contact.relationship.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="Patient.contact.relationship.coding.display.extension:translation.extension"> <path value="Patient.contact.relationship.coding.display.extension.extension" /> <min value="2" /> </element> <element id="Patient.contact.relationship.coding.display.extension:translation.url"> <path value="Patient.contact.relationship.coding.display.extension.url" /> <fixedUri value="translation" /> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages" /> </binding> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <slicing> <discriminator> <type value="profile" /> <path value="resolve()" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="Patient.generalPractitioner:generalPractitionerPSON"> <path value="Patient.generalPractitioner" /> <sliceName value="generalPractitionerPSON" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitionerrole" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitioner" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-organization" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>