{ "description": "Constrained version of CareConnect-Patient-1 Profile (v1.3.0) to facilitate Supported Hospital Discharges (SHD) to Social Care. The Supported Hospital Discharge API enables full digitisation of the process for safely discharging Patients where Social Care intervention may be required.", "_filename": "CareConnect-SHD-Patient-1.StructureDefinition.json", "package_name": "SupportedHospitalDischarge.STU3", "date": "2020-02-14T08:23:50.845261+00:00", "derivation": "constraint", "meta": { "lastUpdated": "2020-02-14T08:23:51.207+00:00" }, "publisher": null, "fhirVersion": "3.0.2", "purpose": "The CareConnect-SHD-Patient-1 resource can be used to share details of the individual who needs a supported hospital discharge", "name": "CareConnect-SHD-Patient-1", "abstract": false, "copyright": "Copyright © Nottinghamshire County Council 2020", "type": "Patient", "experimental": null, "resourceType": "StructureDefinition", "title": null, "package_version": "0.1.0", "status": "active", "id": "2495c121-7e18-4a2a-aa09-80b17c558dcb", "kind": "resource", "url": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Patient-1", "version": "0.0.1", "differential": { "element": [ { "id": "Patient.extension:patient-cadavericDonor", "path": "Patient.extension", "sliceName": "patient-cadavericDonor" }, { "id": "Patient.extension:patient-cadavericDonor.valueBoolean:valueBoolean", "path": "Patient.extension.valueBoolean", "sliceName": "valueBoolean" }, { "id": "Patient.extension:nhsCommunication", "max": "1", "path": "Patient.extension", "sliceName": "nhsCommunication", "mustSupport": true }, { "id": "Patient.extension:nhsCommunication.extension:language", "path": "Patient.extension.extension", "sliceName": "language", "mustSupport": true }, { "id": "Patient.extension:nhsCommunication.extension:language.valueCodeableConcept:valueCodeableConcept.text", "min": 1, "path": "Patient.extension.extension.valueCodeableConcept.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Patient.extension:nhsCommunication.extension:preferred", "min": 1, "path": "Patient.extension.extension", "sliceName": "preferred", "mustSupport": true }, { "id": "Patient.extension:nhsCommunication.extension:preferred.valueBoolean:valueBoolean", "path": "Patient.extension.extension.valueBoolean", "sliceName": "valueBoolean", "fixedBoolean": true }, { "id": "Patient.extension:nhsCommunication.extension:interpreterRequired", "path": "Patient.extension.extension", "sliceName": "interpreterRequired", "mustSupport": true }, { "id": "Patient.identifier:nhsNumber", "min": 1, "path": "Patient.identifier", "sliceName": "nhsNumber", "mustSupport": true }, { "id": "Patient.identifier:nhsNumber.use", "min": 1, "path": "Patient.identifier.use", "fixedCode": "official" }, { "id": "Patient.identifier:localIdentifier", "path": "Patient.identifier", "sliceName": "localIdentifier", "mustSupport": true }, { "id": "Patient.identifier:localIdentifier.use", "min": 1, "path": "Patient.identifier.use", "fixedCode": "secondary" }, { "id": "Patient.name:official", "path": "Patient.name", "sliceName": "official", "mustSupport": true }, { "id": "Patient.name:official.given", "path": "Patient.name.given", "mustSupport": true }, { "id": "Patient.telecom", "path": "Patient.telecom", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" }, { "path": "use", "type": "value" } ] } }, { "id": "Patient.telecom:homePhone", "max": "1", "path": "Patient.telecom", "sliceName": "homePhone", "mustSupport": true }, { "id": "Patient.telecom:homePhone.system", "path": "Patient.telecom.system", "fixedCode": "phone" }, { "id": "Patient.telecom:homePhone.use", "min": 1, "path": "Patient.telecom.use", "fixedCode": "home" }, { "id": "Patient.telecom:mobilePhone", "max": "1", "path": "Patient.telecom", "sliceName": "mobilePhone", "mustSupport": true }, { "id": "Patient.telecom:mobilePhone.system", "path": "Patient.telecom.system", "fixedCode": "phone" }, { "id": "Patient.telecom:mobilePhone.use", "min": 1, "path": "Patient.telecom.use", "fixedCode": "mobile" }, { "id": "Patient.telecom:homeEmail", "max": "1", "path": "Patient.telecom", "sliceName": "homeEmail", "mustSupport": true }, { "id": "Patient.telecom:homeEmail.system", "path": "Patient.telecom.system", "fixedCode": "phone" }, { "id": "Patient.telecom:homeEmail.use", "min": 1, "path": "Patient.telecom.use", "fixedCode": "home" }, { "id": "Patient.gender", "min": 1, "path": "Patient.gender", "mustSupport": true }, { "id": "Patient.birthDate", "min": 1, "path": "Patient.birthDate", "mustSupport": true }, { "id": "Patient.birthDate.extension:patient-birthTime", "path": "Patient.birthDate.extension", "sliceName": "patient-birthTime" }, { "id": "Patient.birthDate.extension:patient-birthTime.valueDateTime:valueDateTime", "path": "Patient.birthDate.extension.valueDateTime", "sliceName": "valueDateTime" }, { "id": "Patient.deceased[x]", "max": "0", "path": "Patient.deceased[x]" }, { "id": "Patient.address", "path": "Patient.address", "slicing": { "rules": "open", "discriminator": [ { "path": "use", "type": "value" } ] } }, { "id": "Patient.address:homeAddress", "max": "1", "min": 1, "path": "Patient.address", "sliceName": "homeAddress", "mustSupport": true }, { "id": "Patient.address:homeAddress.use", "min": 1, "path": "Patient.address.use", "fixedCode": "home" }, { "id": "Patient.address:homeAddress.line", "max": "5", "min": 2, "path": "Patient.address.line" }, { "id": "Patient.address:homeAddress.postalCode", "min": 1, "path": "Patient.address.postalCode" }, { "id": "Patient.maritalStatus", "path": "Patient.maritalStatus", "mustSupport": true }, { "id": "Patient.maritalStatus.text", "min": 1, "path": "Patient.maritalStatus.text" }, { "id": "Patient.contact", "path": "Patient.contact", "slicing": { "rules": "open", "discriminator": [ { "path": "relationship.coding.system", "type": "value" }, { "path": "relationship.coding.code", "type": "value" } ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Contact" } ] }, { "id": "Patient.contact:nextOfKin", "max": "1", "path": "Patient.contact", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Contact" } ], "sliceName": "nextOfKin", "mustSupport": true }, { "id": "Patient.contact:nextOfKin.relationship", "max": "2", "min": 1, "path": "Patient.contact.relationship", "slicing": { "rules": "open", "discriminator": [ { "path": "text", "type": "value" } ] }, "mustSupport": false }, { "id": "Patient.contact:nextOfKin.relationship:nokIndicator", "max": "1", "min": 1, "path": "Patient.contact.relationship", "sliceName": "nokIndicator", "mustSupport": true }, { "id": "Patient.contact:nextOfKin.relationship:nokIndicator.coding", "max": "1", "min": 1, "path": "Patient.contact.relationship.coding" }, { "id": "Patient.contact:nextOfKin.relationship:nokIndicator.coding.system", "min": 1, "path": "Patient.contact.relationship.coding.system", "fixedUri": "https://fhir.hl7.org.uk/CareConnect-PersonRelationshipType-1" }, { "id": "Patient.contact:nextOfKin.relationship:nokIndicator.coding.code", "min": 1, "path": "Patient.contact.relationship.coding.code", "fixedCode": "04" }, { "id": "Patient.contact:nextOfKin.relationship:nokIndicator.coding.display", "min": 1, "path": "Patient.contact.relationship.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "fixedString": "Next of kin" }, { "id": "Patient.contact:nextOfKin.relationship:nokRelationship", "max": "1", "path": "Patient.contact.relationship", "sliceName": "nokRelationship", "mustSupport": true }, { "id": "Patient.contact:nextOfKin.relationship:nokRelationship.text", "min": 1, "path": "Patient.contact.relationship.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Patient.contact:nextOfKin.name", "path": "Patient.contact.name", "mustSupport": true }, { "id": "Patient.contact:nextOfKin.name.text", "min": 1, "path": "Patient.contact.name.text" }, { "id": "Patient.contact:nextOfKin.telecom", "path": "Patient.contact.telecom", "mustSupport": true }, { "id": "Patient.contact:nextOfKin.address", "path": "Patient.contact.address", "mustSupport": true }, { "id": "Patient.contact:carer", "max": "1", "path": "Patient.contact", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Contact" } ], "sliceName": "carer", "mustSupport": true }, { "id": "Patient.contact:carer.relationship", "max": "2", "min": 1, "path": "Patient.contact.relationship", "slicing": { "rules": "open", "discriminator": [ { "path": "text", "type": "value" } ] }, "mustSupport": false }, { "id": "Patient.contact:carer.relationship:carerIndicator", "max": "1", "min": 1, "path": "Patient.contact.relationship", "sliceName": "carerIndicator", "mustSupport": true }, { "id": "Patient.contact:carer.relationship:carerIndicator.coding", "max": "1", "min": 1, "path": "Patient.contact.relationship.coding" }, { "id": "Patient.contact:carer.relationship:carerIndicator.coding.system", "min": 1, "path": "Patient.contact.relationship.coding.system", "fixedUri": "https://fhir.hl7.org.uk/CareConnect-PersonRelationshipType-1" }, { "id": "Patient.contact:carer.relationship:carerIndicator.coding.code", "min": 1, "path": "Patient.contact.relationship.coding.code", "fixedCode": "20" }, { "id": "Patient.contact:carer.relationship:carerIndicator.coding.display", "min": 1, "path": "Patient.contact.relationship.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "fixedString": "Carer" }, { "id": "Patient.contact:carer.relationship:carerRelationship", "max": "1", "path": "Patient.contact.relationship", "sliceName": "carerRelationship", "mustSupport": true }, { "id": "Patient.contact:carer.relationship:carerRelationship.text", "min": 1, "path": "Patient.contact.relationship.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ] }, { "id": "Patient.contact:carer.name", "path": "Patient.contact.name", "mustSupport": true }, { "id": "Patient.contact:carer.name.text", "min": 1, "path": "Patient.contact.name.text" }, { "id": "Patient.contact:carer.telecom", "path": "Patient.contact.telecom", "mustSupport": true }, { "id": "Patient.contact:carer.address", "path": "Patient.contact.address", "mustSupport": true }, { "id": "Patient.animal", "path": "Patient.animal", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Animal" } ], "requirements": "Cannot refer a deceased patient to Social Care for a Supported Discharge" }, { "id": "Patient.generalPractitioner", "max": "1", "path": "Patient.generalPractitioner", "type": [ { "code": "Reference", "targetProfile": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Practitioner-1" } ], "mustSupport": true } ] }, "baseDefinition": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" }