<status value="draft" /> <date value="2020-11-05T04:05:24.064708+00:00" /> <publisher value="Canada Health Infoway" /> <description value="Proposed constraints and extensions on the Patient Resource" /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> <display value="Canada" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="loinc" /> <uri value="http://loinc.org" /> <name value="LOINC code for the element" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Patient"> <path value="Patient" /> <short value="Information about an individual receiving health care services" /> <definition value="The Patient Profile is based upon the core FHIR Patient Resource" /> <mustSupport value="false" /> <isModifier value="false" /> </element> <element id="Patient.extension"> <path value="Patient.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Patient.extension:birthsex"> <path value="Patient.extension" /> <sliceName value="birthsex" /> <short value="Extension: Sex at Birth" /> <definition value="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 value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/ca/core/StructureDefinition/ext-patientbirthsex" /> </type> <mustSupport value="false" /> </element> <element id="Patient.extension:ethnicity"> <path value="Patient.extension" /> <sliceName value="ethnicity" /> <short value="Extension: ethnicity extension" /> <definition value="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 value="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 value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/ca/core/StructureDefinition/ext-ethnicity" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="HL7v2" /> <map value="PID.22 [Ethnic Group]" /> <comment value="This field further defines the patient's ancestry. Refer to User-defined Table 0189 - Ethnic Group in Chapter 2C, Code Tables, for suggested values." /> </mapping> <mapping> <identity value="rim" /> <map value="Person.ethnicGroupCode" /> <comment value="A code classifying the person into a named category of humans sharing a common real or presumed heritage" /> </mapping> <mapping> <identity value="CDA" /> <map value="/ClinicalDocument/recordTarget/patientRole/patient/sdtc:ethnicGroupCode" /> <comment value="This CDA R2 SDTC ethnicGroupCode extension is used to record additional ethnicity groups for the recordTarget or subjectPerson" /> </mapping> </element> <element id="Patient.id"> <path value="Patient.id" /> <mustSupport value="true" /> </element> <element id="Patient.meta"> <path value="Patient.meta" /> <min value="1" /> </element> <element id="Patient.meta.versionId"> <path value="Patient.meta.versionId" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.meta.lastUpdated"> <path value="Patient.meta.lastUpdated" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.meta.source"> <path value="Patient.meta.source" /> <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> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:JPID"> <path value="Patient.identifier" /> <sliceName value="JPID" /> <short value="Jurisdictional Person Identification" /> <definition value="Federal patient and person identifiers used by all jurisdictions across Canada" /> <mustSupport value="false" /> </element> <element id="Patient.identifier:JPID.type"> <path value="Patient.identifier.type" /> <short value="Jurisdictional Person Identification" /> <min value="1" /> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="JPID" /> </coding> </fixedCodeableConcept> </element> <element id="Patient.identifier:JPID.system"> <path value="Patient.identifier.system" /> <short value="Jurisdictional Person identification Naming System from the Canadian URI Registry" /> <min value="1" /> </element> <element id="Patient.identifier:JPID.value"> <path value="Patient.identifier.value" /> <short value="Jurisdictional Person identification number" /> <min value="1" /> </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" /> </element> <element id="Patient.identifier:JHN.extension"> <path value="Patient.identifier.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </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/core/StructureDefinition/ext-identifierversion" /> </type> </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.system"> <path value="Patient.identifier.system" /> <short value="A Health Number Naming System from the Canadian URI Registry" /> <min value="1" /> </element> <element id="Patient.identifier:JHN.value"> <path value="Patient.identifier.value" /> <min value="1" /> </element> <element id="Patient.identifier:OTHER"> <path value="Patient.identifier" /> <sliceName value="OTHER" /> </element> <element id="Patient.identifier:OTHER.type"> <path value="Patient.identifier.type" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:OTHER.system"> <path value="Patient.identifier.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.identifier:OTHER.value"> <path value="Patient.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.active"> <path value="Patient.active" /> <mustSupport value="true" /> </element> <element id="Patient.name"> <path value="Patient.name" /> <min 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/core/StructureDefinition/profile-patient" /> </constraint> <mustSupport value="true" /> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <mustSupport value="true" /> </element> <element id="Patient.telecom.system"> <path value="Patient.telecom.system" /> <min value="1" /> </element> <element id="Patient.telecom.value"> <path value="Patient.telecom.value" /> <min value="1" /> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <mustSupport value="true" /> </element> <element id="Patient.address.extension"> <path value="Patient.address.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Patient.address.extension:preferred"> <path value="Patient.address.extension" /> <sliceName value="preferred" /> <short value="HL7 Preferred Address Flag extension" /> <definition value="Flag denoting whether parent address item is preferred" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred" /> </type> </element> <element id="Patient.address.extension:noFixedAddress"> <path value="Patient.address.extension" /> <sliceName value="noFixedAddress" /> <short value="No Fixed Address indicator" /> <definition value="Flag indicating that there is an assertion that there is no fixed address" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/ca/core/StructureDefinition/ext-nofixedaddress" /> </type> </element> <element id="Patient.link"> <path value="Patient.link" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>

Name	Flags	Card.	Type	Description & Constraints
Patient	S	0 .. *	Patient	Patient Profile
extension		0 .. *	Extension	Extension Slice: Unordered, Open by value:url
ext-patientbirthsex		0..1	Coding	Extension: Sex at Birth URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-patientbirthsex Binding: Birth Sex (example)
ext-ethnicity		0..1	Coding	Extension: ethnicity extension URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-ethnicity Binding: EthnicityCode (preferred)
identifier		0 .. *	(Slice Definition)	An identifier for this patient Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
type	S	1..1	CodeableConcept	Description of identifier Example Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0203","code":"MR"}]}
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique within the system.
identifier:PPN		0 .. *	Identifier	Canada Passport Number
type		1..1	CodeableConcept	Passport number identifier type Fixed Value: As shown (Passport number)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PPN
system		1..1	uri	A Canadian passport number Naming System from the Canadian URI Registry Fixed Value: https://fhir.infoway-inforoute.ca/NamingSystem/ca-passport-number
value		1..1	string	A Canadian passport number
identifier:JPID		0 .. *	Identifier	Jurisdictional Person Identification
type		1..1	CodeableConcept	Jurisdictional Person Identification Fixed Value: As shown
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: JPID
system		1..1	uri	Jurisdictional Person identification Naming System from the Canadian URI Registry
value		1..1	string	Jurisdictional Person identification number
identifier:JHN		0 .. *	Identifier	Jurisdictional Health Number
extension		0 .. *	Extension	Extension Slice: Unordered, Open by value:url
ext-identifierversion		0 .. *	string	Health Number Version Code URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-identifierversion
type	S	1..1	CodeableConcept	Description of identifier Fixed Value: As shown (Jurisdictional health number)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: JHN
system		1..1	uri	A Health Number Naming System from the Canadian URI Registry
value		1..1	string	The value that is unique
name	S I	0..*	HumanName	A name associated with the patient ca-core-name: Patient.name.given or Patient.name.family or both SHALL be present
family		0 .. 1	string	Family name (often called 'Surname')
given		0 .. *	string	Given names (not always 'first'). Includes middle names
telecom	S	0 .. *	ContactPoint	A contact detail for the individual
system		1..1	code	phone \| fax \| email \| pager \| url \| sms \| other
value		1..1	string	The actual contact point details
birthDate	S	0 .. 1	date	The date of birth for the individual
address		0 .. *	Address	An address for the individual
extension		0 .. *	Extension	Extension Slice: Unordered, Open by value:url
iso21090-preferred		0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
ext-nofixedaddress		0..1	boolean	No Fixed Address indicator URL: http://hl7.org/fhir/ca/core/StructureDefinition/ext-nofixedaddress
Documentation for this format