{
"description": null,
"_filename": "PatientProfile.json",
"package_name": "accdr.fhir.ig.pkg",
"date": "2024-03-01T15:19:04.4040332+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2024-03-01T15:18:03.4275888+00:00"
},
"publisher": null,
"fhirVersion": "4.0.1",
"name": "CDRPatient",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/v3/cda",
"name": "CDA (R2)",
"identity": "cda"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://loinc.org",
"name": "LOINC code for the element",
"identity": "loinc"
}, {
"name": "CDR HL7 v2 Data In",
"identity": "cdr-v2-fhir"
} ],
"abstract": false,
"type": "Patient",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "0.9.19",
"status": "draft",
"id": "83c4bb66-c375-4c37-849b-ababdc43e6a7",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient",
"version": null,
"differential": {
"element": [ {
"id": "Patient.meta",
"path": "Patient.meta"
}, {
"id": "Patient.meta.profile",
"max": "1",
"min": 1,
"path": "Patient.meta.profile",
"fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient"
}, {
"id": "Patient.identifier",
"min": 1,
"path": "Patient.identifier",
"slicing": {
"rules": "open",
"description": "must contain at least one repetition of an identifier type code of MR (MRN).\r\nIf the HSP assigns any local secondary identifiers (such as alternate MRNs, clinic patient numbers, etc.) these should be provided if it is convenient to do so.\r\nIf the HSP collects a provincial health number (e.g. OHIP number or other province health card number) this must be sent.\r\nIf the HSP collects other types of identifiers which might be useful in identifying the patient, these should be sent if it is convenient to do so.",
"discriminator": [ {
"path": "type.coding.code",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR",
"min": 1,
"path": "Patient.identifier",
"short": "patient's MRN",
"comment": "If the HSP assigns any local secondary identifiers (such as alternate MRNs, clinic patient numbers, etc.) these should be provided if it is convenient to do so.",
"sliceName": "identifier-MR",
"definition": "patient's medical record number",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.type",
"min": 1,
"path": "Patient.identifier.type",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.type.coding",
"max": "1",
"min": 1,
"path": "Patient.identifier.type.coding",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.type.coding.system",
"min": 1,
"path": "Patient.identifier.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.type.coding.code",
"min": 1,
"path": "Patient.identifier.type.coding.code",
"fixedCode": "MR",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.system",
"min": 1,
"path": "Patient.identifier.system",
"definition": "Must be a valid URI describing the patient's MRN assigning authority. This should come from Ontario Health",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.value",
"min": 1,
"path": "Patient.identifier.value",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.period",
"path": "Patient.identifier.period",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.period.start",
"path": "Patient.identifier.period.start",
"mustSupport": true
}, {
"id": "Patient.identifier:identifier-MR.period.end",
"path": "Patient.identifier.period.end",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN",
"max": "1",
"path": "Patient.identifier",
"comment": "If the HSP collects a provincial health number (e.g. OHIP number or other province health card number) this must be sent.",
"sliceName": "Identifier-JHN",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.type",
"min": 1,
"path": "Patient.identifier.type",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.type.coding",
"max": "1",
"min": 1,
"path": "Patient.identifier.type.coding",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.type.coding.system",
"min": 1,
"path": "Patient.identifier.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.type.coding.code",
"min": 1,
"path": "Patient.identifier.type.coding.code",
"fixedCode": "JHN",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.system",
"min": 1,
"path": "Patient.identifier.system",
"fixedUri": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.value",
"min": 1,
"path": "Patient.identifier.value",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.value.extension",
"min": 0,
"path": "Patient.identifier.value.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.identifier:Identifier-JHN.value.extension:ext-HealthCardVersionCode",
"min": 0,
"path": "Patient.identifier.value.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code" ]
} ],
"sliceName": "ext-HealthCardVersionCode"
}, {
"id": "Patient.identifier:Identifier-JHN.value.extension:ext-HealthCardVersionCode.value[x]",
"path": "Patient.identifier.value.extension.value[x]",
"mapping": [ {
"map": "PID.3.2",
"comment": "Health Card only",
"identity": "cdr-v2-fhir"
} ]
}, {
"id": "Patient.identifier:Identifier-JHN.period",
"path": "Patient.identifier.period",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.period.start",
"path": "Patient.identifier.period.start",
"mustSupport": true
}, {
"id": "Patient.identifier:Identifier-JHN.period.end",
"path": "Patient.identifier.period.end",
"mustSupport": true
}, {
"id": "Patient.name",
"min": 1,
"path": "Patient.name",
"mustSupport": true
}, {
"id": "Patient.name.use",
"path": "Patient.name.use",
"mustSupport": true
}, {
"id": "Patient.name.family",
"min": 1,
"path": "Patient.name.family",
"mustSupport": true
}, {
"id": "Patient.name.given",
"path": "Patient.name.given",
"mustSupport": true
}, {
"id": "Patient.name.prefix",
"path": "Patient.name.prefix",
"mustSupport": true
}, {
"id": "Patient.name.suffix",
"path": "Patient.name.suffix",
"mustSupport": true
}, {
"id": "Patient.telecom",
"path": "Patient.telecom",
"mustSupport": true
}, {
"id": "Patient.telecom.extension",
"min": 0,
"path": "Patient.telecom.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.telecom.extension:ext-telephone-note",
"max": "1",
"min": 0,
"path": "Patient.telecom.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-ext-note" ]
} ],
"sliceName": "ext-telephone-note",
"isModifier": false,
"mustSupport": true
}, {
"id": "Patient.telecom.extension:ext-telephone-note.value[x]",
"path": "Patient.telecom.extension.value[x]",
"mustSupport": true
}, {
"id": "Patient.telecom.system",
"path": "Patient.telecom.system",
"mustSupport": true
}, {
"id": "Patient.telecom.value",
"min": 1,
"path": "Patient.telecom.value",
"mustSupport": true
}, {
"id": "Patient.telecom.use",
"path": "Patient.telecom.use",
"mustSupport": true
}, {
"id": "Patient.gender",
"min": 1,
"path": "Patient.gender",
"mustSupport": true
}, {
"id": "Patient.birthDate",
"path": "Patient.birthDate",
"mustSupport": true
}, {
"id": "Patient.birthDate.extension",
"min": 0,
"path": "Patient.birthDate.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.birthDate.extension:ext-patient-birth-time",
"max": "1",
"min": 0,
"path": "Patient.birthDate.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/patient-birthTime" ]
} ],
"sliceName": "ext-patient-birth-time",
"isModifier": false,
"mustSupport": true
}, {
"id": "Patient.birthDate.extension:ext-patient-birth-time.value[x]",
"path": "Patient.birthDate.extension.value[x]",
"mustSupport": true
}, {
"id": "Patient.deceased[x]",
"path": "Patient.deceased[x]",
"mustSupport": true
}, {
"id": "Patient.address",
"path": "Patient.address",
"type": [ {
"code": "Address",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-PatientAddress" ]
} ],
"mustSupport": true
}, {
"id": "Patient.address.period",
"path": "Patient.address.period",
"mustSupport": true
}, {
"id": "Patient.address.period.start",
"path": "Patient.address.period.start",
"mustSupport": true
}, {
"id": "Patient.address.period.end",
"path": "Patient.address.period.end",
"mustSupport": true
}, {
"id": "Patient.contact",
"path": "Patient.contact",
"mustSupport": true
}, {
"id": "Patient.contact.relationship",
"max": "1",
"min": 1,
"path": "Patient.contact.relationship",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/acCDR-patient-contact-relationship"
},
"mustSupport": true
}, {
"id": "Patient.contact.relationship.coding",
"max": "1",
"min": 1,
"path": "Patient.contact.relationship.coding",
"mustSupport": true
}, {
"id": "Patient.contact.relationship.coding.system",
"min": 1,
"path": "Patient.contact.relationship.coding.system",
"mustSupport": true
}, {
"id": "Patient.contact.relationship.coding.code",
"min": 1,
"path": "Patient.contact.relationship.coding.code",
"mustSupport": true
}, {
"id": "Patient.contact.relationship.coding.display",
"min": 1,
"path": "Patient.contact.relationship.coding.display",
"mustSupport": true
}, {
"id": "Patient.contact.relationship.text",
"path": "Patient.contact.relationship.text",
"mustSupport": true
}, {
"id": "Patient.contact.name",
"path": "Patient.contact.name",
"mustSupport": true
}, {
"id": "Patient.contact.name.use",
"path": "Patient.contact.name.use",
"mustSupport": true
}, {
"id": "Patient.contact.name.family",
"min": 1,
"path": "Patient.contact.name.family",
"mustSupport": true
}, {
"id": "Patient.contact.name.given",
"path": "Patient.contact.name.given",
"mustSupport": true
}, {
"id": "Patient.contact.name.prefix",
"path": "Patient.contact.name.prefix",
"mustSupport": true
}, {
"id": "Patient.contact.name.suffix",
"path": "Patient.contact.name.suffix",
"mustSupport": true
}, {
"id": "Patient.contact.telecom",
"path": "Patient.contact.telecom",
"mustSupport": true
}, {
"id": "Patient.contact.telecom.extension",
"min": 0,
"path": "Patient.contact.telecom.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Patient.contact.telecom.extension:ext-contact-phone-note",
"max": "1",
"min": 0,
"path": "Patient.contact.telecom.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-ext-note" ]
} ],
"sliceName": "ext-contact-phone-note",
"isModifier": false,
"mustSupport": true
}, {
"id": "Patient.contact.telecom.extension:ext-contact-phone-note.value[x]",
"path": "Patient.contact.telecom.extension.value[x]",
"mustSupport": true
}, {
"id": "Patient.contact.telecom.system",
"path": "Patient.contact.telecom.system",
"mustSupport": true
}, {
"id": "Patient.contact.telecom.value",
"min": 1,
"path": "Patient.contact.telecom.value",
"mustSupport": true
}, {
"id": "Patient.contact.telecom.use",
"path": "Patient.contact.telecom.use",
"mustSupport": true
}, {
"id": "Patient.contact.address",
"path": "Patient.contact.address",
"mustSupport": true
}, {
"id": "Patient.contact.address.use",
"path": "Patient.contact.address.use",
"mustSupport": true
}, {
"id": "Patient.contact.address.text",
"path": "Patient.contact.address.text",
"mustSupport": true
}, {
"id": "Patient.contact.address.line",
"path": "Patient.contact.address.line",
"mustSupport": true
}, {
"id": "Patient.contact.address.city",
"path": "Patient.contact.address.city",
"mustSupport": true
}, {
"id": "Patient.contact.address.state",
"path": "Patient.contact.address.state",
"mustSupport": true
}, {
"id": "Patient.contact.address.postalCode",
"path": "Patient.contact.address.postalCode",
"mustSupport": true
}, {
"id": "Patient.contact.address.country",
"path": "Patient.contact.address.country",
"mustSupport": true
}, {
"id": "Patient.contact.address.period",
"path": "Patient.contact.address.period",
"mustSupport": true
}, {
"id": "Patient.contact.address.period.start",
"path": "Patient.contact.address.period.start",
"mustSupport": true
}, {
"id": "Patient.contact.address.period.end",
"path": "Patient.contact.address.period.end",
"mustSupport": true
}, {
"id": "Patient.communication",
"path": "Patient.communication",
"mustSupport": true
}, {
"id": "Patient.communication.language",
"path": "Patient.communication.language",
"mustSupport": true
}, {
"id": "Patient.communication.language.coding",
"max": "1",
"path": "Patient.communication.language.coding",
"mustSupport": true
}, {
"id": "Patient.communication.language.coding.system",
"min": 1,
"path": "Patient.communication.language.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0296",
"mustSupport": true
}, {
"id": "Patient.communication.language.coding.code",
"min": 1,
"path": "Patient.communication.language.coding.code",
"mustSupport": true
}, {
"id": "Patient.communication.language.coding.display",
"min": 1,
"path": "Patient.communication.language.coding.display",
"mustSupport": true
}, {
"id": "Patient.communication.language.text",
"path": "Patient.communication.language.text",
"mustSupport": true
}, {
"id": "Patient.generalPractitioner",
"path": "Patient.generalPractitioner",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-PractitionerRole", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Practitioner", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization" ]
} ],
"comment": "acCDR only supports one primary care provider per patient.",
"mustSupport": true
}, {
"id": "Patient.generalPractitioner.reference",
"path": "Patient.generalPractitioner.reference",
"mustSupport": true
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}