description: Proposed constraints and extensions on the Patient Resource. This represents client information. package_name: ca.on.oh.mha.pds derivation: constraint name: Patient type: Patient elements: meta: mustSupport: true index: 0 elements: profile: mustSupport: true pattern: {type: Canonical, value: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient'} index: 1 required: [profile] identifier: mustSupport: true index: 2 elements: type: {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: null 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: extensionIdentifierVersion: {url: 'http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion', type: Extension, isModifier: false, index: 17} mHADataAbsentReason: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', max: 1, type: Extension, isModifier: false, mustSupport: true, index: 18} elements: extension: type: Extension isModifier: false url: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion index: 17 slicing: slices: extensionIdentifierVersion: match: {} schema: {type: Extension, isModifier: false, url: 'http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion', index: 17} mHADataAbsentReason: match: {} schema: {type: Extension, isModifier: false, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', index: 18} 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: 19 elements: coding: mustSupport: true index: 20 elements: system: pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'} mustSupport: true index: 21 code: pattern: {type: Code, value: JHN} mustSupport: true index: 22 display: {mustSupport: true, index: 23} 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: 24 value: mustSupport: true index: 25 extensions: mHADataAbsentReason: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', type: Extension, isModifier: false, mustSupport: true, index: 26} elements: extension: type: Extension isModifier: false mustSupport: true url: http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason index: 26 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: 26} required: [value, type, system] active: {mustSupport: true, index: 27} 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: 28 elements: family: {mustSupport: true, index: 29} given: {mustSupport: true, array: true, min: 1, max: 2, index: 30} 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: 31 extensions: BirthDateEstimatedFlag: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag', max: 1, type: Extension, mustSupport: true, index: 32} elements: extension: type: Extension mustSupport: true url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag index: 32 slicing: slices: BirthDateEstimatedFlag: match: {} schema: {type: Extension, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag', index: 32} 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: 33 extensions: preferred: {url: 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred', type: Extension, short: HL7 Preferred Address Flag extension, index: 34} noFixedAddress: {url: 'http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress', type: Extension, short: No Fixed Address indicator, index: 35} elements: extension: type: Extension short: HL7 Preferred Address Flag extension url: http://hl7.org/fhir/StructureDefinition/iso21090-preferred index: 34 slicing: slices: preferred: match: {} schema: {type: Extension, short: HL7 Preferred Address Flag extension, url: 'http://hl7.org/fhir/StructureDefinition/iso21090-preferred', index: 34} noFixedAddress: match: {} schema: {type: Extension, short: No Fixed Address indicator, url: 'http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress', index: 35} use: {mustSupport: true, index: 36} line: {index: 37} city: {mustSupport: true, index: 38} state: binding: {strength: required, valueSet: 'https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction'} mustSupport: true index: 39 postalCode: mustSupport: true index: 40 extensions: mHADataAbsentReason: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', type: Extension, isModifier: false, mustSupport: true, index: 41} elements: extension: type: Extension isModifier: false mustSupport: true url: http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason index: 41 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: 41} required: [postalCode, state] communication: mustSupport: true index: 42 extensions: languageUse: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse', min: 1, type: Extension, index: 44} elements: extension: index: 43 slicing: slices: languageUse: match: {} schema: {type: Extension, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse', index: 44} min: 1 language: index: 45 elements: coding: elements: system: {index: 46} code: {mustSupport: true, index: 47} display: {mustSupport: true, index: 48} 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: 49 extensions: languageUse: url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse type: Extension index: 51 elements: value: choices: [] index: 53 required: [value] elements: extension: index: 50 slicing: slices: languageUse: match: {} schema: type: Extension url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse index: 51 elements: value: choices: [] index: 53 required: [value] language: binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/official-language'} mustSupport: true index: 54 elements: coding: mustSupport: true index: 55 elements: system: {mustSupport: true, index: 56} code: {mustSupport: true, index: 57} display: {mustSupport: true, index: 58} required: [display, system, code] required: [coding] required: [extension] officialLanguage: match: extension: value: coding: {code: null} schema: mustSupport: true index: 59 extensions: languageUse: url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse type: Extension index: 61 elements: value: label: ServiceLanguage choices: [] index: 63 required: [value] elements: extension: index: 60 slicing: slices: languageUse: match: {} schema: type: Extension url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse index: 61 elements: value: label: ServiceLanguage choices: [] index: 63 required: [value] language: binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/human-language'} mustSupport: true index: 64 elements: coding: mustSupport: true index: 65 elements: system: {mustSupport: true, index: 66} code: {mustSupport: true, index: 67} display: {mustSupport: true, index: 68} required: [display, system, code] required: [coding] required: [extension] package_version: 2.0.0-alpha-preview-0.1 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, birthDate, meta]