Pan-Canadian Patient Summary (PS-CA) 2.1.1 DFT
DFT - For a full list of available versions, see the Directory of published versions
http://hl7.org/fhir/StructureDefinition/Patient
This profile represents the 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 IPS-UV profile and the Canadian Baseline Profile
AllergyIntoleranceNotSupportedPSCA, ConditionNotSupportedPSCA, MedicationStatementNotSupportedPSCA, AllergyIntolerancePSCA, CompositionPSCA, ConditionPSCA, DiagnosticReportPSCA, FamilyMemberHistoryPSCA, ImagingStudyPSCA, ImmunizationPSCA, MedicationRequestPSCA, MedicationStatementPSCA, ObservationAlcoholUsePSCA, ObservationResultsPSCA, ObservationResultsLaboratoryPathologyPSCA, ObservationResultsRadiologyPSCA, ObservationSocialHistoryPSCA, ObservationTobaccoUsePSCA, ProcedurePSCA
| PatientPSCA (Patient) | C | Patient | |
| id | Σ | 0..1 | string |
| meta | Σ | 0..1 | Meta |
| implicitRules | Σ ?! | 0..1 | uri |
| language | 0..1 | codeBinding | |
| text | 0..1 | Narrative | |
| contained | 0..* | Resource | |
| extension | C | 0..* | Extension |
| individual-recordedSexOrGender | C | 0..* | Extension(Complex) |
| modifierExtension | ?! C | 0..* | Extension |
| identifier | S Σ | 0..* | IdentifierCABaseline |
| (All Slices) | |||
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 0..1 | CodeableConceptBinding |
| system | Σ | 1..1 | uri |
| value | Σ | 1..1 | string |
| period | Σ | 0..1 | Period |
| assigner | Σ | 0..1 | Reference(Organization) |
| JHN | Σ | 0..* | Identifier |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| versionCode | C | 0..1 | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 1..1 | CodeableConceptBindingPattern |
| system | Σ | 1..1 | uri |
| value | Σ | 1..1 | string |
| period | Σ | 0..1 | Period |
| assigner | Σ | 0..1 | Reference(Organization) |
| MRN | Σ | 0..* | Identifier |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 1..1 | CodeableConceptBindingPattern |
| system | Σ | 1..1 | uri |
| value | Σ | 1..1 | string |
| period | Σ | 0..1 | Period |
| assigner | Σ | 0..1 | Reference(Organization) |
| active | Σ ?! | 0..1 | boolean |
| name | S Σ C | 1..* | HumanName |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| text | S Σ | 0..1 | string |
| family | S Σ | 0..1 | string |
| given | S Σ | 0..* | string |
| prefix | Σ | 0..* | string |
| suffix | Σ | 0..* | string |
| period | Σ | 0..1 | Period |
| telecom | Σ | 0..* | ContactPoint |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| system | S Σ C | 0..1 | codeBinding |
| value | S Σ | 0..1 | string |
| use | S Σ ?! | 0..1 | codeBinding |
| rank | Σ | 0..1 | positiveInt |
| period | Σ | 0..1 | Period |
| gender | S Σ | 0..1 | codeBinding |
| birthDate | S Σ | 1..1 | date |
| deceased[x] | Σ ?! | 0..1 | |
| deceasedBoolean | boolean | ||
| deceasedDateTime | dateTime | ||
| address | Σ | 0..* | Address |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 0..1 | codeBinding |
| text | Σ | 0..1 | string |
| line | S Σ | 0..* | string |
| city | S Σ | 0..1 | string |
| district | Σ | 0..1 | string |
| state | Σ | 0..1 | string |
| postalCode | S Σ | 0..1 | string |
| country | S Σ | 0..1 | string |
| period | Σ | 0..1 | Period |
| maritalStatus | 0..1 | CodeableConceptBinding | |
| multipleBirth[x] | 0..1 | ||
| multipleBirthBoolean | boolean | ||
| multipleBirthInteger | integer | ||
| photo | 0..* | Attachment | |
| contact | C | 0..* | BackboneElement |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| relationship | 0..* | CodeableConceptBinding | |
| name | 0..1 | HumanName | |
| telecom | 0..* | ContactPoint | |
| address | 0..1 | Address | |
| gender | 0..1 | codeBinding | |
| organization | C | 0..1 | Reference(Organization) |
| period | 0..1 | Period | |
| communication | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| language | 1..1 | CodeableConceptBinding | |
| preferred | 0..1 | boolean | |
| generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | |
| managingOrganization | Σ | 0..1 | Reference(Organization) |
| link | Σ ?! | 0..* | BackboneElement |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| other | Σ | 1..1 | Reference(Patient | RelatedPerson) |
| type | Σ | 1..1 | codeBinding |
| PatientPSCA (Patient) | C | Patient | |
| id | Σ | 0..1 | string |
| meta | Σ | 0..1 | Meta |
| implicitRules | Σ ?! | 0..1 | uri |
| language | 0..1 | codeBinding | |
| text | 0..1 | Narrative | |
| contained | 0..* | Resource | |
| extension | C | 0..* | Extension |
| individual-recordedSexOrGender | C | 0..* | Extension(Complex) |
| modifierExtension | ?! C | 0..* | Extension |
| identifier | S Σ | 0..* | IdentifierCABaseline |
| (All Slices) | |||
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 0..1 | CodeableConceptBinding |
| system | Σ | 1..1 | uri |
| value | Σ | 1..1 | string |
| period | Σ | 0..1 | Period |
| assigner | Σ | 0..1 | Reference(Organization) |
| JHN | Σ | 0..* | Identifier |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| versionCode | C | 0..1 | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 1..1 | CodeableConceptBindingPattern |
| system | Σ | 1..1 | uri |
| value | Σ | 1..1 | string |
| period | Σ | 0..1 | Period |
| assigner | Σ | 0..1 | Reference(Organization) |
| MRN | Σ | 0..* | Identifier |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 1..1 | CodeableConceptBindingPattern |
| system | Σ | 1..1 | uri |
| value | Σ | 1..1 | string |
| period | Σ | 0..1 | Period |
| assigner | Σ | 0..1 | Reference(Organization) |
| active | Σ ?! | 0..1 | boolean |
| name | S Σ C | 1..* | HumanName |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| text | S Σ | 0..1 | string |
| family | S Σ | 0..1 | string |
| given | S Σ | 0..* | string |
| prefix | Σ | 0..* | string |
| suffix | Σ | 0..* | string |
| period | Σ | 0..1 | Period |
| telecom | Σ | 0..* | ContactPoint |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| system | S Σ C | 0..1 | codeBinding |
| value | S Σ | 0..1 | string |
| use | S Σ ?! | 0..1 | codeBinding |
| rank | Σ | 0..1 | positiveInt |
| period | Σ | 0..1 | Period |
| gender | S Σ | 0..1 | codeBinding |
| birthDate | S Σ | 1..1 | date |
| deceased[x] | Σ ?! | 0..1 | |
| deceasedBoolean | boolean | ||
| deceasedDateTime | dateTime | ||
| address | Σ | 0..* | Address |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 0..1 | codeBinding |
| text | Σ | 0..1 | string |
| line | S Σ | 0..* | string |
| city | S Σ | 0..1 | string |
| district | Σ | 0..1 | string |
| state | Σ | 0..1 | string |
| postalCode | S Σ | 0..1 | string |
| country | S Σ | 0..1 | string |
| period | Σ | 0..1 | Period |
| maritalStatus | 0..1 | CodeableConceptBinding | |
| multipleBirth[x] | 0..1 | ||
| multipleBirthBoolean | boolean | ||
| multipleBirthInteger | integer | ||
| photo | 0..* | Attachment | |
| contact | C | 0..* | BackboneElement |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| relationship | 0..* | CodeableConceptBinding | |
| name | 0..1 | HumanName | |
| telecom | 0..* | ContactPoint | |
| address | 0..1 | Address | |
| gender | 0..1 | codeBinding | |
| organization | C | 0..1 | Reference(Organization) |
| period | 0..1 | Period | |
| communication | 0..* | BackboneElement | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| language | 1..1 | CodeableConceptBinding | |
| preferred | 0..1 | boolean | |
| generalPractitioner | 0..* | Reference(Organization | Practitioner | PractitionerRole) | |
| managingOrganization | Σ | 0..1 | Reference(Organization) |
| link | Σ ?! | 0..* | BackboneElement |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| modifierExtension | Σ ?! C | 0..* | Extension |
| other | Σ | 1..1 | Reference(Patient | RelatedPerson) |
| type | Σ | 1..1 | codeBinding |
| Path | Id | Grade | Details | Expression |
|---|---|---|---|---|
| Patient.name | core-pat-1 | error | Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. | (family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() |
Must Support Differences:
The following elements are considered Must Support in the IPS-UV specification that are relaxed in this version of the PS-CA profile:
Patient.telecom
Patient.address
Patient.generalPractitioner
Note: Systems that support these elements are encouraged to send them in patient summaries
Cardinality Differences:
There are no cardinality differences between this profile and IPS-UV
Vocabulary Differences:
Patient.identifier
Other differences between the IPS and PS-CA Include:
Patient.name.text: comment added