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: mustSupport: true index: 0 elements: profile: 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: binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/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: [type] slicing: rules: open discriminator: - {path: type, type: pattern} min: 1 slices: MRN: match: type: coding: - {code: MR, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Medical record number} schema: mustSupport: true _required: true index: 6 elements: 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 system: binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mha/patient-mrn-identifier-system'} mustSupport: true index: 8 value: {mustSupport: true, index: 9} required: [value, system] JHN: match: type: coding: - {code: JHN, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Jurisdictional health number} schema: constraint: jhn-inv-1: {human: Either both system and value exists or none of them exists, severity: error, expression: system.exists() = value.exists()} jhn-inv-2: {human: Healthcard must be provide either with value or data-absent-reason, severity: error, expression: '$this.where(type.coding.code = ''JHN'').value.exists() or $this.where(type.coding.code = ''JHN'').extension(''http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason'').exists()'} mustSupport: true _required: true index: 10 extensions: mHADataAbsentReason: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', max: 1, type: Extension, isModifier: false, mustSupport: true, index: 11} elements: extension: type: Extension isModifier: false mustSupport: true url: http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason index: 11 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: 11} 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: 12 system: binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mha/patient-jhn-identifier-system'} mustSupport: true index: 13 value: {mustSupport: true, index: 14} required: [type] Anonymous: match: type: coding: - {code: ANON, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'} schema: mustSupport: true index: 15 elements: type: binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/client-identifier-type-code'} mustSupport: true pattern: type: CodeableConcept value: coding: - {code: ANON, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'} index: 16 system: {mustSupport: true, index: 17} value: {mustSupport: true, index: 18} required: [value, type, system] active: {mustSupport: true, index: 19} 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: 20 elements: family: {mustSupport: true, index: 21} given: {mustSupport: true, array: true, min: 1, max: 2, index: 22} 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 $this < today()} mustSupport: true index: 23 extensions: BirthDateEstimatedFlag: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag', min: 1, max: 1, type: Extension, mustSupport: true, index: 25} elements: extension: index: 24 slicing: slices: BirthDateEstimatedFlag: match: {} schema: {type: Extension, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-birthdate-estimated-flag', index: 25} min: 1 max: 1 required: [extension] address: constraint: adr-key-1: {human: Province must be provided if 'address use' is provided, severity: error, expression: use.exists() implies state.exists()} mustSupport: true index: 26 elements: use: {index: 27} line: {index: 28} city: {mustSupport: true, index: 29} state: binding: {strength: required, valueSet: 'http://ehealthontario.ca/fhir/ValueSet/province-code'} mustSupport: true index: 30 postalCode: constraint: postalcode-inv-1: {human: postal code cannot have both value and data-absent-reason present, severity: error, expression: '$this.hasValue() != $this.extension(''http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason'').exists()'} mustSupport: true index: 31 extensions: mHADataAbsentReason: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason', max: 1, type: Extension, isModifier: false, mustSupport: true, index: 32} elements: extension: type: Extension isModifier: false mustSupport: true url: http://ontariohealth.ca/fhir/StructureDefinition/ext-ca-on-mha-data-absent-reason index: 32 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: 32} max: 1 required: [postalCode] communication: mustSupport: true index: 33 extensions: languageUse: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse', min: 1, type: Extension, index: 35} elements: extension: index: 34 slicing: slices: languageUse: match: {} schema: {type: Extension, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse', index: 35} min: 1 language: index: 36 elements: coding: elements: system: {index: 37} code: {mustSupport: true, index: 38} display: {mustSupport: true, index: 39} 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: 40 extensions: languageUse: url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse type: Extension index: 42 elements: value: choices: [] index: 44 value[x]: elements: coding: index: 45 elements: system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 46 code: pattern: {type: Code, value: '428996008'} index: 47 required: [value] elements: extension: index: 41 slicing: slices: languageUse: match: {} schema: type: Extension url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-LanguageUse index: 42 elements: value: choices: [] index: 44 value[x]: elements: coding: index: 45 elements: system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 46 code: pattern: {type: Code, value: '428996008'} index: 47 required: [value] language: binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/human-language'} mustSupport: true index: 48 elements: coding: mustSupport: true index: 49 elements: system: {mustSupport: true, index: 50} code: {mustSupport: true, index: 51} display: {mustSupport: true, index: 52} required: [display, system, code] required: [coding] required: [extension] officialLanguage: 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: label: ServiceLanguage choices: [] index: 57 value[x]: elements: coding: index: 58 elements: system: pattern: {type: Uri, value: 'http://ontariohealth.ca/fhir/CodeSystem/LanguageUse'} index: 59 code: pattern: {type: Code, value: OFL} index: 60 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: label: ServiceLanguage choices: [] index: 57 value[x]: elements: coding: index: 58 elements: system: pattern: {type: Uri, value: 'http://ontariohealth.ca/fhir/CodeSystem/LanguageUse'} index: 59 code: pattern: {type: Code, value: OFL} index: 60 required: [value] language: binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/official-language'} mustSupport: true index: 61 elements: coding: mustSupport: true index: 62 elements: system: {mustSupport: true, index: 63} code: {mustSupport: true, index: 64} display: {mustSupport: true, index: 65} required: [display, system, code] required: [coding] required: [extension] package_version: 2.0.0-snapshot11 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, meta, active]