{
  "description": "This profile defines a set of constraints to the FHIR Patient resource for use in Ontario Patient Summaries (PS-ON).  It refines constraints applied to the Patient resource by the PS-CA project to represent the minimum expectations for the Patient resource when used in the PS-CA composition profile or in one of the referred resources. It is informed by the constraints of the [Patient-UV-IPS profile](http://hl7.org/fhir/uv/ips/StructureDefinition-Patient-uv-ips.html) and the [Canadian Baseline Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-patient.html)",
  "_filename": "PatientPSON.json",
  "package_name": "ca.on.oh.patient-summary",
  "date": "2021-10-04T11:30:20+00:00",
  "derivation": "constraint",
  "publisher": "Ontario Health",
  "name": "PatientPSON",
  "abstract": false,
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Patient (PS-ON)",
  "package_version": "0.0.9-alpha-2",
  "status": "draft",
  "id": "f78e074d-518f-437e-8b06-2a1e8c40fc8f",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient",
  "version": "0.9.1",
  "differential": {
    "element": [ {
      "id": "Patient",
      "path": "Patient",
      "constraint": [ {
        "key": "pson-pat-1",
        "human": "Patient.identifier:JHN or Patient.identifier:MRN or both SHALL be present",
        "severity": "error",
        "expression": "identifier.where(type.coding.code = 'JHN').exists() or identifier.where(type.coding.code = 'MR').exists()"
      } ]
    }, {
      "id": "Patient.id",
      "path": "Patient.id",
      "definition": "Logical id of this artifact"
    }, {
      "id": "Patient.meta",
      "min": 1,
      "path": "Patient.meta",
      "mustSupport": true
    }, {
      "id": "Patient.meta.profile",
      "min": 1,
      "path": "Patient.meta.profile",
      "mustSupport": true
    }, {
      "id": "Patient.identifier",
      "min": 1,
      "path": "Patient.identifier",
      "type": [ {
        "code": "Identifier",
        "profile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-identifier" ]
      } ],
      "comment": "This element employs the constraints on identifier put forth in the CA Baseline using a profiled data type.",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "type",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.identifier.type",
      "path": "Patient.identifier.type",
      "example": [ {
        "label": "Pattern",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "MR",
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
          } ]
        }
      } ]
    }, {
      "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:JHN",
      "path": "Patient.identifier",
      "short": "Jurisdictional Health Number",
      "comment": "**MS applied in PS-ON**",
      "sliceName": "JHN",
      "definition": "Federal patient and person health numbers used by all jurisdictions across Canada",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN.extension",
      "path": "Patient.identifier.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.identifier:JHN.extension:versionCode",
      "path": "Patient.identifier.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion" ]
      } ],
      "short": "Health Number Version Code",
      "sliceName": "versionCode"
    }, {
      "id": "Patient.identifier:JHN.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "fixedCodeableConcept": {
        "coding": [ {
          "code": "JHN",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
        } ]
      }
    }, {
      "id": "Patient.identifier:JHN.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "A Health Number Naming System from the Canadian URI Registry"
    }, {
      "id": "Patient.identifier:JHN.value",
      "min": 1,
      "path": "Patient.identifier.value"
    }, {
      "id": "Patient.identifier:MRN",
      "path": "Patient.identifier",
      "short": "Medical Record Number",
      "sliceName": "MRN",
      "definition": "A local patient identifier from the submitting PoS System",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "fixedCodeableConcept": {
        "coding": [ {
          "code": "MR",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
        } ]
      }
    }, {
      "id": "Patient.identifier:MRN.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "An identifier for the system supplying the MRN"
    }, {
      "id": "Patient.identifier:MRN.value",
      "min": 1,
      "path": "Patient.identifier.value"
    }, {
      "id": "Patient.name",
      "max": "*",
      "min": 1,
      "path": "Patient.name",
      "constraint": [ {
        "key": "cabaseline-pat-1",
        "human": "Patient.name.given or Patient.name.family or both SHALL be present",
        "xpath": "f:given or f:family",
        "severity": "error",
        "expression": "family.exists() or given.exists()"
      } ],
      "mustSupport": true,
      "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.\r\nThe Alphabetic representation of the name SHALL be always provided"
    }, {
      "id": "Patient.name.text",
      "path": "Patient.name.text",
      "comment": "Some systems will not have a field for representing the full name as a string, these systems are still expected to be able to demonstrate they can construct name.text when developing the patient summary instance",
      "definition": "Text representation of the full name. Due to the cultural variance around the world a consuming system may not know how to present the name correctly; moreover not all the parts of the name go in given or family. Creators are therefore strongly encouraged to provide through this element a presented version of the name. Future versions of this guide may require this element",
      "mustSupport": true
    }, {
      "id": "Patient.name.family",
      "path": "Patient.name.family",
      "mustSupport": true
    }, {
      "id": "Patient.name.given",
      "path": "Patient.name.given",
      "mustSupport": true
    }, {
      "id": "Patient.telecom",
      "path": "Patient.telecom",
      "mustSupport": true
    }, {
      "id": "Patient.gender",
      "min": 1,
      "path": "Patient.gender",
      "mustSupport": true
    }, {
      "id": "Patient.birthDate",
      "min": 1,
      "path": "Patient.birthDate",
      "mustSupport": true
    }, {
      "id": "Patient.address",
      "path": "Patient.address",
      "constraint": [ {
        "key": "pat-cnt-2or3-char",
        "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
        "severity": "warning",
        "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))"
      } ],
      "mustSupport": true
    }, {
      "id": "Patient.contact",
      "path": "Patient.contact",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Contact"
      } ],
      "mustSupport": true
    }, {
      "id": "Patient.contact.relationship",
      "path": "Patient.contact.relationship",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept" ]
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ContactRelationship"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.contact.name",
      "path": "Patient.contact.name",
      "mustSupport": true
    }, {
      "id": "Patient.contact.telecom",
      "path": "Patient.contact.telecom",
      "mustSupport": true
    }, {
      "id": "Patient.contact.address",
      "path": "Patient.contact.address",
      "mustSupport": true
    }, {
      "id": "Patient.contact.organization",
      "path": "Patient.contact.organization"
    }, {
      "id": "Patient.communication",
      "path": "Patient.communication",
      "mustSupport": true
    }, {
      "id": "Patient.communication.language",
      "path": "Patient.communication.language",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/all-languages"
      },
      "mustSupport": true
    }, {
      "id": "Patient.generalPractitioner",
      "path": "Patient.generalPractitioner",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this.resolve()",
          "type": "profile"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.generalPractitioner:PractitionerRolePSON",
      "min": 1,
      "path": "Patient.generalPractitioner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitionerrole" ]
      } ],
      "sliceName": "PractitionerRolePSON",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}