{
"description": "Proposed constraints and extensions on the Patient Resource. This represents client information.",
"_filename": "Patient.json",
"package_name": "ca.on.oh.mha-pds",
"date": "2023-10-03T13:43:06.889914+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2024-09-20T16:22:09.2751728+00:00"
},
"publisher": "HL7 Canada",
"fhirVersion": "4.0.1",
"purpose": "The Patient Profile will serve to exchange client related data including but not limited to identifiers and demographics.",
"name": "Patient",
"mapping": [ {
"name": "MHA PDS Mapping",
"identity": "MHA-PDS-Mapping"
} ],
"abstract": false,
"type": "Patient",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MHA Patient Profile",
"package_version": "0.9.0-alpha-1.9.7.37",
"status": "active",
"id": "979827e1-03bb-4dae-af9c-61e531ce72d6",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient",
"version": "0.1.1",
"differential": {
"element": [ {
"id": "Patient",
"path": "Patient",
"short": "Patient Profile",
"definition": "The Patient Profile is based upon the core FHIR Patient Resource",
"isModifier": false,
"mustSupport": true
}, {
"id": "Patient.meta",
"min": 1,
"path": "Patient.meta",
"mustSupport": true
}, {
"id": "Patient.meta.profile",
"max": "1",
"min": 1,
"path": "Patient.meta.profile",
"mustSupport": true,
"fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient"
}, {
"id": "Patient.extension:clientReligion",
"path": "Patient.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/patient-religion" ]
} ],
"mapping": [ {
"map": "Religion and Spiritual Affiliation",
"identity": "MHA-PDS-Mapping"
} ],
"sliceName": "clientReligion",
"mustSupport": true
}, {
"id": "Patient.extension:clientReligion.value[x]",
"path": "Patient.extension.value[x]",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/religion-and-spiritual-affiliation",
"description": "Assignment of spiritual faith affiliation"
},
"mustSupport": true
}, {
"id": "Patient.extension:clientReligion.value[x].coding",
"path": "Patient.extension.value[x].coding"
}, {
"id": "Patient.extension:clientReligion.value[x].coding.system",
"min": 1,
"path": "Patient.extension.value[x].coding.system",
"mustSupport": true
}, {
"id": "Patient.extension:clientReligion.value[x].coding.code",
"min": 1,
"path": "Patient.extension.value[x].coding.code",
"mustSupport": true
}, {
"id": "Patient.extension:clientReligion.value[x].coding.display",
"min": 1,
"path": "Patient.extension.value[x].coding.display",
"mustSupport": true
}, {
"id": "Patient.extension:ethnicity",
"path": "Patient.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-ethnicity" ]
} ],
"sliceName": "ethnicity",
"mustSupport": true
}, {
"id": "Patient.extension:ethnicity.value[x]",
"min": 1,
"path": "Patient.extension.value[x]",
"mustSupport": true
}, {
"id": "Patient.identifier",
"path": "Patient.identifier",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "type.coding.code",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "Patient.identifier.type",
"min": 1,
"path": "Patient.identifier.type",
"example": [ {
"label": "Pattern",
"valueCodeableConcept": {
"coding": [ {
"code": "MR",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
} ]
}
} ],
"mapping": [ {
"map": "Identifier Type",
"identity": "MHA-PDS-Mapping"
} ]
}, {
"id": "Patient.identifier.system",
"min": 1,
"path": "Patient.identifier.system",
"isModifier": false
}, {
"id": "Patient.identifier.value",
"min": 1,
"path": "Patient.identifier.value",
"short": "The value that is unique within the system.",
"isModifier": false
}, {
"id": "Patient.identifier:MRN",
"max": "1",
"min": 1,
"path": "Patient.identifier",
"short": "Medical Record Number",
"sliceName": "MRN",
"definition": "An identifier assigned by the vendor system.",
"mustSupport": true
}, {
"id": "Patient.identifier:MRN.type",
"min": 1,
"path": "Patient.identifier.type",
"short": "Medical Record Number identifier type",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code"
},
"mustSupport": true,
"fixedCodeableConcept": {
"coding": [ {
"code": "MR",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Medical record number"
} ]
}
}, {
"id": "Patient.identifier:MRN.type.coding",
"max": "1",
"min": 1,
"path": "Patient.identifier.type.coding",
"mustSupport": true
}, {
"id": "Patient.identifier:MRN.type.coding.system",
"min": 1,
"path": "Patient.identifier.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
}, {
"id": "Patient.identifier:MRN.type.coding.code",
"min": 1,
"path": "Patient.identifier.type.coding.code",
"fixedCode": "MR",
"mustSupport": true
}, {
"id": "Patient.identifier:MRN.type.coding.display",
"min": 1,
"path": "Patient.identifier.type.coding.display",
"mustSupport": true
}, {
"id": "Patient.identifier:MRN.system",
"min": 1,
"path": "Patient.identifier.system",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha/patient-mrn-identifier-system",
"description": "MHA Patient MRN system URI values"
},
"mustSupport": true
}, {
"id": "Patient.identifier:MRN.value",
"min": 1,
"path": "Patient.identifier.value",
"short": "A Medical Record Number.",
"mapping": [ {
"map": "Client Identifier - MRN",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Patient.identifier:MRN.assigner",
"path": "Patient.identifier.assigner",
"short": "Vendor that issued id (may be just text)",
"definition": "Vendor that issued/manages the identifier."
}, {
"id": "Patient.identifier:MRN.assigner.display",
"min": 1,
"path": "Patient.identifier.assigner.display"
}, {
"id": "Patient.identifier:JHN",
"path": "Patient.identifier",
"short": "Jurisdictional Health Number",
"sliceName": "JHN",
"definition": "Federal patient and person health numbers used by all jurisdictions across Canada",
"mustSupport": true
}, {
"id": "Patient.identifier:JHN.extension:VersionCode",
"path": "Patient.identifier.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion" ]
} ],
"sliceName": "VersionCode",
"isModifier": false
}, {
"id": "Patient.identifier:JHN.type",
"min": 1,
"path": "Patient.identifier.type",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code"
},
"mustSupport": true,
"fixedCodeableConcept": {
"coding": [ {
"code": "JHN",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Jurisdictional health number"
} ]
}
}, {
"id": "Patient.identifier:JHN.type.coding",
"max": "1",
"min": 1,
"path": "Patient.identifier.type.coding",
"mustSupport": true
}, {
"id": "Patient.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:JHN.type.coding.code",
"min": 1,
"path": "Patient.identifier.type.coding.code",
"fixedCode": "JHN",
"mustSupport": true
}, {
"id": "Patient.identifier:JHN.type.coding.display",
"min": 1,
"path": "Patient.identifier.type.coding.display",
"mustSupport": true
}, {
"id": "Patient.identifier:JHN.system",
"min": 1,
"path": "Patient.identifier.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",
"description": "MHA Patient JHN system URI values"
},
"mustSupport": true
}, {
"id": "Patient.identifier:JHN.value",
"min": 1,
"path": "Patient.identifier.value",
"mapping": [ {
"map": "Health Card Number",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Patient.active",
"path": "Patient.active",
"definition": "Only use this field to mark a patient record is inactive.",
"mustSupport": true
}, {
"id": "Patient.name",
"max": "1",
"min": 1,
"path": "Patient.name",
"short": "A name associated with the patient(client)",
"constraint": [ {
"key": "ca-baseline-name",
"human": "Patient.name.given or Patient.name.family or both SHALL be present",
"xpath": "f:given or f:family",
"source": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient",
"severity": "error",
"expression": "family.exists() or given.exists()"
} ],
"mustSupport": true
}, {
"id": "Patient.name.family",
"min": 1,
"path": "Patient.name.family",
"mapping": [ {
"map": "Client Last Name",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Patient.name.given",
"max": "2",
"min": 1,
"path": "Patient.name.given",
"mapping": [ {
"map": "Client First Name, Client Middle Name",
"identity": "MHA-PDS-Mapping"
} ],
"definition": "The first or given name of the client. If middle name is available, it should be provided as the second value.",
"mustSupport": true
}, {
"id": "Patient.birthDate",
"min": 1,
"path": "Patient.birthDate",
"comment": "At least an estimated year should be provided as a guess if the real DOB is unknown",
"mapping": [ {
"map": "Date of Birth",
"identity": "MHA-PDS-Mapping"
} ],
"constraint": [ {
"key": "bd-1",
"human": "birthDate must have a date value",
"severity": "error",
"expression": "hasValue() = true"
}, {
"key": "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 $this.extension.value = true"
}, {
"key": "bd-3",
"human": "BirthDate must not be before '1900-01-01' or after the current date and it must be a valid date",
"severity": "error",
"expression": "$this >= @1900-01-01 and $this < today()"
} ],
"mustSupport": true,
"requirements": "• Used to calculate the age of the person and which age group the person belongs to.\r\n• Used to categorize data for reporting."
}, {
"id": "Patient.birthDate.extension:BirthDateEstimatedFlag",
"max": "1",
"path": "Patient.birthDate.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag" ]
} ],
"sliceName": "BirthDateEstimatedFlag",
"mustSupport": true
}, {
"id": "Patient.address",
"path": "Patient.address",
"mustSupport": true
}, {
"id": "Patient.address.extension:preferred",
"path": "Patient.address.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/iso21090-preferred" ]
} ],
"short": "HL7 Preferred Address Flag extension",
"sliceName": "preferred",
"definition": "Flag denoting whether parent address item is preferred"
}, {
"id": "Patient.address.extension:noFixedAddress",
"path": "Patient.address.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress" ]
} ],
"short": "No Fixed Address indicator",
"sliceName": "noFixedAddress",
"definition": "Flag indicating that there is an assertion that there is no fixed address"
}, {
"id": "Patient.address.use",
"path": "Patient.address.use",
"mapping": [ {
"map": "Address Use",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Patient.address.line",
"path": "Patient.address.line",
"mapping": [ {
"map": "Address Line 1",
"identity": "MHA-PDS-Mapping"
} ]
}, {
"id": "Patient.address.city",
"path": "Patient.address.city",
"mapping": [ {
"map": "City",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Patient.address.state",
"min": 1,
"path": "Patient.address.state",
"binding": {
"strength": "required",
"valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/canadianjurisdiction",
"description": "Codes to identify the provinces and territories of Canada"
},
"mapping": [ {
"map": "Province",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Patient.address.postalCode",
"path": "Patient.address.postalCode",
"mapping": [ {
"map": "Postal Code",
"identity": "MHA-PDS-Mapping"
} ],
"mustSupport": true
}, {
"id": "Patient.maritalStatus",
"path": "Patient.maritalStatus",
"mustSupport": true
}, {
"id": "Patient.communication",
"path": "Patient.communication",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "extension.value.coding.code",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "Patient.communication.extension",
"min": 1,
"path": "Patient.communication.extension"
}, {
"id": "Patient.communication.extension:languageUse",
"min": 1,
"path": "Patient.communication.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse" ]
} ],
"sliceName": "languageUse"
}, {
"id": "Patient.communication.language",
"path": "Patient.communication.language",
"mapping": [ {
"map": "Preferred Language",
"identity": "MHA-PDS-Mapping"
} ]
}, {
"id": "Patient.communication.language.coding.system",
"min": 1,
"path": "Patient.communication.language.coding.system"
}, {
"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:MotherTongue",
"path": "Patient.communication",
"sliceName": "MotherTongue",
"mustSupport": true
}, {
"id": "Patient.communication:MotherTongue.extension",
"min": 1,
"path": "Patient.communication.extension"
}, {
"id": "Patient.communication:MotherTongue.extension:languageUse",
"min": 1,
"path": "Patient.communication.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse" ]
} ],
"sliceName": "languageUse"
}, {
"id": "Patient.communication:MotherTongue.extension:languageUse.value[x]",
"min": 1,
"path": "Patient.communication.extension.value[x]",
"label": "MotherTongue"
}, {
"id": "Patient.communication:MotherTongue.extension:languageUse.value[x].coding",
"path": "Patient.communication.extension.value[x].coding"
}, {
"id": "Patient.communication:MotherTongue.extension:languageUse.value[x].coding.code",
"path": "Patient.communication.extension.value[x].coding.code",
"fixedCode": "224075005"
}, {
"id": "Patient.communication:MotherTongue.language",
"path": "Patient.communication.language",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/human-language",
"description": "Languages understood or supported by Ontario clients and organizations."
},
"mustSupport": true
}, {
"id": "Patient.communication:MotherTongue.language.coding",
"max": "1",
"min": 1,
"path": "Patient.communication.language.coding",
"mustSupport": true
}, {
"id": "Patient.communication:MotherTongue.language.coding.system",
"min": 1,
"path": "Patient.communication.language.coding.system",
"mustSupport": true
}, {
"id": "Patient.communication:MotherTongue.language.coding.code",
"min": 1,
"path": "Patient.communication.language.coding.code",
"mustSupport": true
}, {
"id": "Patient.communication:MotherTongue.language.coding.display",
"min": 1,
"path": "Patient.communication.language.coding.display",
"mustSupport": true
}, {
"id": "Patient.communication:preferredOfficialLanguage",
"max": "1",
"path": "Patient.communication",
"sliceName": "preferredOfficialLanguage",
"mustSupport": true
}, {
"id": "Patient.communication:preferredOfficialLanguage.extension",
"min": 1,
"path": "Patient.communication.extension"
}, {
"id": "Patient.communication:preferredOfficialLanguage.extension:languageUse",
"min": 1,
"path": "Patient.communication.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse" ]
} ],
"sliceName": "languageUse"
}, {
"id": "Patient.communication:preferredOfficialLanguage.extension:languageUse.value[x]",
"min": 1,
"path": "Patient.communication.extension.value[x]"
}, {
"id": "Patient.communication:preferredOfficialLanguage.extension:languageUse.value[x].coding",
"path": "Patient.communication.extension.value[x].coding"
}, {
"id": "Patient.communication:preferredOfficialLanguage.extension:languageUse.value[x].coding.code",
"path": "Patient.communication.extension.value[x].coding.code",
"fixedCode": "OFL"
}, {
"id": "Patient.communication:preferredOfficialLanguage.language",
"path": "Patient.communication.language",
"binding": {
"strength": "required",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/official-language",
"description": "Official languages of Canada."
},
"mustSupport": true
}, {
"id": "Patient.communication:preferredOfficialLanguage.language.coding",
"max": "1",
"min": 1,
"path": "Patient.communication.language.coding",
"mustSupport": true
}, {
"id": "Patient.communication:preferredOfficialLanguage.language.coding.system",
"min": 1,
"path": "Patient.communication.language.coding.system",
"mustSupport": true
}, {
"id": "Patient.communication:preferredOfficialLanguage.language.coding.code",
"min": 1,
"path": "Patient.communication.language.coding.code",
"mustSupport": true
}, {
"id": "Patient.communication:preferredOfficialLanguage.language.coding.display",
"min": 1,
"path": "Patient.communication.language.coding.display",
"mustSupport": true
}, {
"id": "Patient.communication:serviceLanguage",
"path": "Patient.communication",
"sliceName": "serviceLanguage",
"mustSupport": true
}, {
"id": "Patient.communication:serviceLanguage.extension",
"min": 1,
"path": "Patient.communication.extension"
}, {
"id": "Patient.communication:serviceLanguage.extension:languageUse",
"min": 1,
"path": "Patient.communication.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse" ]
} ],
"sliceName": "languageUse"
}, {
"id": "Patient.communication:serviceLanguage.extension:languageUse.value[x]",
"min": 1,
"path": "Patient.communication.extension.value[x]",
"label": "ServiceLanguage"
}, {
"id": "Patient.communication:serviceLanguage.extension:languageUse.value[x].coding",
"path": "Patient.communication.extension.value[x].coding"
}, {
"id": "Patient.communication:serviceLanguage.extension:languageUse.value[x].coding.code",
"path": "Patient.communication.extension.value[x].coding.code",
"fixedCode": "428996008"
}, {
"id": "Patient.communication:serviceLanguage.language",
"path": "Patient.communication.language",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/human-language",
"description": "Languages understood or supported by Ontario clients and organizations."
},
"mustSupport": true
}, {
"id": "Patient.communication:serviceLanguage.language.coding",
"max": "1",
"min": 1,
"path": "Patient.communication.language.coding",
"mustSupport": true
}, {
"id": "Patient.communication:serviceLanguage.language.coding.system",
"min": 1,
"path": "Patient.communication.language.coding.system",
"mustSupport": true
}, {
"id": "Patient.communication:serviceLanguage.language.coding.code",
"min": 1,
"path": "Patient.communication.language.coding.code",
"mustSupport": true
}, {
"id": "Patient.communication:serviceLanguage.language.coding.display",
"min": 1,
"path": "Patient.communication.language.coding.display",
"mustSupport": true
}, {
"id": "Patient.managingOrganization",
"path": "Patient.managingOrganization",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-organization" ]
} ],
"mustSupport": true
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}