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    Packages
    ca.on.mha.pds@2.0.0-beta-1
    http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-Patient
description: Proposed constraints and extensions on the Patient Resource. This represents client information.
package_name: ca.on.mha.pds
derivation: constraint
name: Patient
type: Patient
elements:
  meta:
    index: 0
    elements:
      profile:
        pattern: {type: Canonical, value: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient'}
        index: 1
  identifier:
    mustSupport: true
    index: 2
    elements:
      type:
        binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mha-client-identifier-type-code'}
        index: 3
      system: {isModifier: false, index: 4}
      value: {short: The value that is unique within the system., isModifier: false, index: 5}
    required: [value, type, system]
    slicing:
      rules: open
      discriminator:
      - {path: type.coding.code, type: value}
      min: 1
      slices:
        MRN:
          match:
            type:
              coding: {code: MR}
          schema:
            short: Medical Record Number
            mustSupport: true
            _required: true
            index: 6
            elements:
              type:
                short: Medical Record Number identifier type
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code'}
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: MR, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Medical record number}
                index: 7
                elements:
                  coding:
                    mustSupport: true
                    index: 8
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 9
                      code:
                        pattern: {type: Code, value: MR}
                        mustSupport: true
                        index: 10
                      display: {mustSupport: true, index: 11}
                    required: [display, system, code]
                required: [coding]
              system:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mha/patient-mrn-identifier-system'}
                mustSupport: true
                index: 12
              value: {short: A Medical Record Number., mustSupport: true, index: 13}
              assigner:
                short: Vendor that issued id (may be just text)
                index: 14
                elements:
                  display: {index: 15}
                required: [display]
            required: [value, type, system]
        JHN:
          match:
            type:
              coding: {code: JHN}
          schema:
            short: Jurisdictional Health Number
            mustSupport: true
            _required: true
            index: 16
            extensions:
              mHADataAbsentReason: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', max: 1, type: Extension, isModifier: false, mustSupport: true, index: 17}
            elements:
              extension:
                type: Extension
                isModifier: false
                mustSupport: true
                url: http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason
                index: 17
                slicing:
                  slices:
                    mHADataAbsentReason:
                      match: {}
                      schema: {type: Extension, isModifier: false, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', index: 17}
                      max: 1
              type:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code'}
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: JHN, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Jurisdictional health number}
                index: 18
                elements:
                  coding:
                    mustSupport: true
                    index: 19
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 20
                      code:
                        pattern: {type: Code, value: JHN}
                        mustSupport: true
                        index: 21
                      display: {mustSupport: true, index: 22}
                    required: [display, system, code]
                required: [coding]
              system:
                short: A Health Number Naming System from the Canadian URI Registry
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mha/patient-jhn-identifier-system'}
                mustSupport: true
                index: 23
              value: {mustSupport: true, index: 24}
            required: [type]
        Anonymous:
          match:
            type:
              coding: {code: ANON}
          schema:
            mustSupport: true
            index: 25
            elements:
              type:
                mustSupport: true
                index: 26
                elements:
                  coding:
                    mustSupport: true
                    index: 27
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 28
                      code:
                        pattern: {type: Code, value: ANON}
                        mustSupport: true
                        index: 29
                      display: {mustSupport: true, index: 30}
                    required: [display, system, code]
                required: [coding]
              system: {mustSupport: true, index: 31}
              value: {mustSupport: true, index: 32}
            required: [value, type, system]
  active: {mustSupport: true, index: 33}
  name:
    short: A name associated with the patient(client)
    constraint:
      ca-baseline-name: {human: Patient.name.given  or Patient.name.family or both SHALL be present, source: 'http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient', severity: error, expression: family.exists() or given.exists()}
    mustSupport: true
    index: 34
    elements:
      family: {mustSupport: true, index: 35}
      given: {mustSupport: true, array: true, min: 1, max: 2, index: 36}
    required: [given, family]
  birthDate:
    constraint:
      bd-1: {human: birthDate must have a date value, severity: error, expression: hasValue() = true}
      bd-2: {human: 'If birthDate is "1900-01-01", BirthDate estimated flag must be set to ''true''', severity: error, expression: $this = @1900-01-01 implies $this.extension.value = true}
      bd-3: {human: BirthDate must not be before '1900-01-01' or after the current date and it must be a valid date, severity: error, expression: $this >= @1900-01-01 and $this < today()}
    mustSupport: true
    index: 37
    extensions:
      BirthDateEstimatedFlag: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag', max: 1, type: Extension, mustSupport: true, index: 38}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag
        index: 38
        slicing:
          slices:
            BirthDateEstimatedFlag:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag', index: 38}
              max: 1
  address:
    constraint:
      adr-key-1: {human: Province must be provided if 'address use' is provided, severity: error, expression: use.exists() implies state.exists()}
    mustSupport: true
    index: 39
    elements:
      use: {index: 40}
      line: {index: 41}
      city: {mustSupport: true, index: 42}
      state:
        binding: {strength: required, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction'}
        mustSupport: true
        index: 43
      postalCode:
        mustSupport: true
        index: 44
        extensions:
          mHADataAbsentReason: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', max: 1, type: Extension, isModifier: false, mustSupport: true, index: 45}
        elements:
          extension:
            type: Extension
            isModifier: false
            mustSupport: true
            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason
            index: 45
            slicing:
              slices:
                mHADataAbsentReason:
                  match: {}
                  schema: {type: Extension, isModifier: false, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', index: 45}
                  max: 1
    required: [postalCode, state]
  communication:
    mustSupport: true
    index: 46
    extensions:
      languageUse: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse', min: 1, type: Extension, index: 48}
    elements:
      extension:
        index: 47
        slicing:
          slices:
            languageUse:
              match: {}
              schema: {type: Extension, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse', index: 48}
              min: 1
      language:
        index: 49
        elements:
          coding:
            elements:
              system: {index: 50}
              code: {mustSupport: true, index: 51}
              display: {mustSupport: true, index: 52}
            required: [display, system, code]
    required: [extension]
    slicing:
      rules: open
      discriminator:
      - {path: extension.value.coding.code, type: value}
      min: null
      slices:
        languageOfComfort:
          match:
            extension:
              value:
                coding: {code: null}
          schema:
            mustSupport: true
            index: 53
            extensions:
              languageUse:
                url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse
                type: Extension
                index: 55
                elements:
                  value:
                    choices: []
                    index: 57
                required: [value]
            elements:
              extension:
                index: 54
                slicing:
                  slices:
                    languageUse:
                      match: {}
                      schema:
                        type: Extension
                        url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse
                        index: 55
                        elements:
                          value:
                            choices: []
                            index: 57
                        required: [value]
              language:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/human-language'}
                mustSupport: true
                index: 58
                elements:
                  coding:
                    mustSupport: true
                    index: 59
                    elements:
                      system: {mustSupport: true, index: 60}
                      code: {mustSupport: true, index: 61}
                      display: {mustSupport: true, index: 62}
                    required: [display, system, code]
                required: [coding]
            required: [extension]
        officialLanguage:
          match:
            extension:
              value:
                coding: {code: null}
          schema:
            mustSupport: true
            index: 63
            extensions:
              languageUse:
                url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse
                type: Extension
                index: 65
                elements:
                  value:
                    label: ServiceLanguage
                    choices: []
                    index: 67
                required: [value]
            elements:
              extension:
                index: 64
                slicing:
                  slices:
                    languageUse:
                      match: {}
                      schema:
                        type: Extension
                        url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse
                        index: 65
                        elements:
                          value:
                            label: ServiceLanguage
                            choices: []
                            index: 67
                        required: [value]
              language:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/official-language'}
                mustSupport: true
                index: 68
                elements:
                  coding:
                    mustSupport: true
                    index: 69
                    elements:
                      system: {mustSupport: true, index: 70}
                      code: {mustSupport: true, index: 71}
                      display: {mustSupport: true, index: 72}
                    required: [display, system, code]
                required: [coding]
            required: [extension]
package_version: 2.0.0-beta-1
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-Patient
base: http://hl7.org/fhir/StructureDefinition/Patient
version: 2.0.0
required: [name, identifier, birthDate]