{ "resourceType": "StructureDefinition", "id": "profile-patient", "meta": { "lastUpdated": "2020-11-05T04:06:29.339+00:00" }, "text": { "status": "extensions", "div": "
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\"PatientS0..*PatientPatient Profile
\".\"\".\"\".\"extension0..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\"ext-patientbirthsex0..1CodingExtension: Sex at Birth
URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-patientbirthsex
Binding: Birth Sex (example)
\".\"\".\"\".\"ext-ethnicity0..1CodingExtension: ethnicity extension
URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-ethnicity
Binding: EthnicityCode (preferred)
\".\"\".\"\".\"identifier0..*(Slice Definition)An identifier for this patient
Slice: Unordered, Open by pattern:type
\".\"\".\"\".\"\".\" identifier:All SlicesContent/Rules for all slices
\".\"\".\"\".\"\".\"\".\"typeS1..1CodeableConceptDescription of identifier
Example Pattern: {\"coding\":[{\"system\":\"http://terminology.hl7.org/CodeSystem/v2-0203\",\"code\":\"MR\"}]}
\".\"\".\"\".\"\".\"\".\"systemS1..1uriThe namespace for the identifier value
\".\"\".\"\".\"\".\"\".\"valueS1..1stringThe value that is unique within the system.
\".\"\".\"\".\"\".\"identifier:PPN0..*IdentifierCanada Passport Number
\".\"\".\"\".\"\".\"\".\"type1..1CodeableConceptPassport number identifier type
Fixed Value: As shown (Passport number)
\".\"\".\"\".\"\".\"\".\"\".\"coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
\".\"\".\"\".\"\".\"\".\"\".\"\".\"code1..1codeSymbol in syntax defined by the system
Fixed Value: PPN
\".\"\".\"\".\"\".\"\".\"system1..1uriA Canadian passport number Naming System from the Canadian URI Registry
Fixed Value: https://fhir.infoway-inforoute.ca/NamingSystem/ca-passport-number
\".\"\".\"\".\"\".\"\".\"value1..1stringA Canadian passport number
\".\"\".\"\".\"\".\"identifier:JPID0..*IdentifierJurisdictional Person Identification
\".\"\".\"\".\"\".\"\".\"type1..1CodeableConceptJurisdictional Person Identification
Fixed Value: As shown
\".\"\".\"\".\"\".\"\".\"\".\"coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
\".\"\".\"\".\"\".\"\".\"\".\"\".\"code1..1codeSymbol in syntax defined by the system
Fixed Value: JPID
\".\"\".\"\".\"\".\"\".\"system1..1uriJurisdictional Person identification Naming System from the Canadian URI Registry
\".\"\".\"\".\"\".\"\".\"value1..1stringJurisdictional Person identification number
\".\"\".\"\".\"\".\"identifier:JHN0..*IdentifierJurisdictional Health Number
\".\"\".\"\".\"\".\"\".\"extension0..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\"\".\"\".\"ext-identifierversion0..*stringHealth Number Version Code
URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-identifierversion
\".\"\".\"\".\"\".\"\".\"typeS1..1CodeableConceptDescription of identifier
Fixed Value: As shown (Jurisdictional health number)
\".\"\".\"\".\"\".\"\".\"\".\"coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
\".\"\".\"\".\"\".\"\".\"\".\"\".\"code1..1codeSymbol in syntax defined by the system
Fixed Value: JHN
\".\"\".\"\".\"\".\"\".\"system1..1uriA Health Number Naming System from the Canadian URI Registry
\".\"\".\"\".\"\".\"\".\"value1..1stringThe value that is unique
\".\"\".\"\".\"nameSI0..*HumanNameA name associated with the patient
ca-core-name: Patient.name.given or Patient.name.family or both SHALL be present
\".\"\".\"\".\"\".\"family0..1stringFamily name (often called 'Surname')
\".\"\".\"\".\"\".\"given0..*stringGiven names (not always 'first'). Includes middle names
\".\"\".\"\".\"telecomS0..*ContactPointA contact detail for the individual
\".\"\".\"\".\"\".\"system1..1codephone | fax | email | pager | url | sms | other
\".\"\".\"\".\"\".\"value1..1stringThe actual contact point details
\".\"\".\"\".\"birthDateS0..1dateThe date of birth for the individual
\".\"\".\"\".\"address0..*AddressAn address for the individual
\".\"\".\"\".\"\".\"extension0..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\"\".\"iso21090-preferred0..1booleanHL7 Preferred Address Flag extension
URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
\".\"\".\"\".\"\".\"ext-nofixedaddress0..1booleanNo Fixed Address indicator
URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-nofixedaddress

\"doco\" Documentation for this format
" }, "url": "https://fhir.infoway-inforoute.ca/StructureDefinition/AccessPatientProfile", "version": "0.1", "name": "PHIAccessPatientProfile", "title": "PHI Access Patient Profile", "status": "draft", "date": "2020-11-05T04:05:24.064708+00:00", "publisher": "Canada Health Infoway", "description": "Proposed constraints and extensions on the Patient Resource", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "CA", "display": "Canada" } ] } ], "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", "snapshot": {}, "differential": { "element": [ { "id": "Patient", "path": "Patient", "short": "Information about an individual receiving health care services", "definition": "The Patient Profile is based upon the core FHIR Patient Resource", "mustSupport": false, "isModifier": false }, { "id": "Patient.extension", "path": "Patient.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Patient.extension:birthsex", "path": "Patient.extension", "sliceName": "birthsex", "short": "Extension: Sex at Birth", "definition": "A code classifying the person's sex assigned at birth as specified by the [TODO: assigning authority]. This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9)", "max": "1", "type": [ { "profile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/ext-patientbirthsex" ], "code": "Extension" } ], "mustSupport": false }, { "id": "Patient.extension:ethnicity", "path": "Patient.extension", "sliceName": "ethnicity", "short": "Extension: ethnicity extension", "definition": "A code classifying the person's ethnic group or ethnicity as the category of people who identify with each other, usually on the basis of a presumed common genealogy or ancestry or on other similarities.", "comment": "This attribute is based on the belief of the person or the person reporting the attribute, not on any formal analysis of genetic, geneological or historical relationships as these would need to be captured as observations.", "max": "1", "type": [ { "profile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/ext-ethnicity" ], "code": "Extension" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "HL7v2", "map": "PID.22 [Ethnic Group]", "comment": "This field further defines the patient's ancestry. Refer to User-defined Table 0189 - Ethnic Group in Chapter 2C, Code Tables, for suggested values." }, { "identity": "rim", "map": "Person.ethnicGroupCode", "comment": "A code classifying the person into a named category of humans sharing a common real or presumed heritage" }, { "identity": "CDA", "map": "/ClinicalDocument/recordTarget/patientRole/patient/sdtc:ethnicGroupCode", "comment": "This CDA R2 SDTC ethnicGroupCode extension is used to record additional ethnicity groups for the recordTarget or subjectPerson" } ] }, { "id": "Patient.id", "path": "Patient.id", "mustSupport": true }, { "id": "Patient.meta", "path": "Patient.meta", "min": 1 }, { "id": "Patient.meta.versionId", "path": "Patient.meta.versionId", "min": 1, "mustSupport": true }, { "id": "Patient.meta.lastUpdated", "path": "Patient.meta.lastUpdated", "min": 1, "mustSupport": true }, { "id": "Patient.meta.source", "path": "Patient.meta.source", "min": 1, "mustSupport": true }, { "id": "Patient.identifier", "path": "Patient.identifier", "slicing": { "discriminator": [ { "type": "pattern", "path": "type" } ], "rules": "open" }, "min": 1, "mustSupport": true }, { "id": "Patient.identifier:JPID", "path": "Patient.identifier", "sliceName": "JPID", "short": "Jurisdictional Person Identification", "definition": "Federal patient and person identifiers used by all jurisdictions across Canada", "mustSupport": false }, { "id": "Patient.identifier:JPID.type", "path": "Patient.identifier.type", "short": "Jurisdictional Person Identification", "min": 1, "fixedCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "JPID" } ] } }, { "id": "Patient.identifier:JPID.system", "path": "Patient.identifier.system", "short": "Jurisdictional Person identification Naming System from the Canadian URI Registry", "min": 1 }, { "id": "Patient.identifier:JPID.value", "path": "Patient.identifier.value", "short": "Jurisdictional Person identification number", "min": 1 }, { "id": "Patient.identifier:JHN", "path": "Patient.identifier", "sliceName": "JHN", "short": "Jurisdictional Health Number", "definition": "Federal patient and person health numbers used by all jurisdictions across Canada" }, { "id": "Patient.identifier:JHN.extension", "path": "Patient.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Patient.identifier:JHN.extension:versionCode", "path": "Patient.identifier.extension", "sliceName": "versionCode", "short": "Health Number Version Code", "type": [ { "profile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/ext-identifierversion" ], "code": "Extension" } ] }, { "id": "Patient.identifier:JHN.type", "path": "Patient.identifier.type", "min": 1, "fixedCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "JHN" } ] }, "mustSupport": true }, { "id": "Patient.identifier:JHN.system", "path": "Patient.identifier.system", "short": "A Health Number Naming System from the Canadian URI Registry", "min": 1 }, { "id": "Patient.identifier:JHN.value", "path": "Patient.identifier.value", "min": 1 }, { "id": "Patient.identifier:OTHER", "path": "Patient.identifier", "sliceName": "OTHER" }, { "id": "Patient.identifier:OTHER.type", "path": "Patient.identifier.type", "min": 1, "mustSupport": true }, { "id": "Patient.identifier:OTHER.system", "path": "Patient.identifier.system", "min": 1, "mustSupport": true }, { "id": "Patient.identifier:OTHER.value", "path": "Patient.identifier.value", "min": 1, "mustSupport": true }, { "id": "Patient.active", "path": "Patient.active", "mustSupport": true }, { "id": "Patient.name", "path": "Patient.name", "min": 1, "constraint": [ { "key": "ca-baseline-name", "severity": "error", "human": "Patient.name.given or Patient.name.family or both SHALL be present", "expression": "family.exists() or given.exists()", "xpath": "f:given or f:family", "source": "http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient" } ], "mustSupport": true }, { "id": "Patient.telecom", "path": "Patient.telecom", "mustSupport": true }, { "id": "Patient.telecom.system", "path": "Patient.telecom.system", "min": 1 }, { "id": "Patient.telecom.value", "path": "Patient.telecom.value", "min": 1 }, { "id": "Patient.gender", "path": "Patient.gender", "min": 1, "mustSupport": true }, { "id": "Patient.birthDate", "path": "Patient.birthDate", "mustSupport": true }, { "id": "Patient.address.extension", "path": "Patient.address.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Patient.address.extension:preferred", "path": "Patient.address.extension", "sliceName": "preferred", "short": "HL7 Preferred Address Flag extension", "definition": "Flag denoting whether parent address item is preferred", "type": [ { "profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-preferred" ], "code": "Extension" } ] }, { "id": "Patient.address.extension:noFixedAddress", "path": "Patient.address.extension", "sliceName": "noFixedAddress", "short": "No Fixed Address indicator", "definition": "Flag indicating that there is an assertion that there is no fixed address", "max": "1", "type": [ { "profile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/ext-nofixedaddress" ], "code": "Extension" } ] }, { "id": "Patient.link", "path": "Patient.link", "mustSupport": true } ] } }