BC Client Registry FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: PatientByExample

Will get removed. General constraints on the Patient resource for use in the BC Client Registry project for queries. PatientByExample is a resource of the Client Registry FHIR implementation use only by Get Demographics and Find Candidates

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from PatientProfile

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	PatientProfile	Patient Profile
implicitRules		0..0
language		0..0
contained		0..0
identifier	S	0..1	IdentifierCABaseline	An identifier intended for computation
Slices for identifier				Content/Rules for all slices
identifier:JHN		0..1	IdentifierCABaseline	An identifier intended for computation
active		0..0
name		0..1	HumanName	A name associated with the patient
use		0..1	code	usual | official | nickname Binding: BC Name Use value set. (required)
telecom	S	0..2	ContactPoint	A contact detail for the individual
gender	S	0..1	code	male | female | other | unknown
Slices for deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedDateTime	S	0..1	dateTime	Indicates if the individual is deceased or not
address	S	0..1	Address	An address for the individual
type		0..1	code	postal | physical
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
managingOrganization		0..0
link		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUseVS https://terminology.hlth.gov.bc.ca/ClientRegistry/ValueSet/bc-name-use-value-set from this IG

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	PatientProfile	Patient Profile
Slices for extension				Content/Rules for all slices
aboriginalidentitygroup	N	0..1	Coding	Extension: Aboriginal Identity Group URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentitygroup Binding: Aboriginal Identity Group (preferred): One of aboriginal identity codes
aboriginalidentityindicator	N	0..1	Coding	Extension: Aboriginal Identity Indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentityindicator Binding: Aboriginal Identity Indicator (preferred): One of self-reported codes identity as an aboriginal person
birthsex	N	0..1	Coding	Extension: Sex at Birth URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-patientbirthsex Binding: Birth Sex (example): Code for sex assigned at birth
ethnicity	N	0..1	Coding	Extension: ethnicity extension URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-ethnicity Binding: EthnicityCode (preferred): One of self-reported ethnic group codes representing the ethnicity concept and should not be confused with citizenship or nationality.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..1	IdentifierCABaseline	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:JHN		0..1	IdentifierCABaseline	An identifier intended for computation
Slices for extension				Content/Rules for all slices
versionCode	N	0..1	string	Health Number Version Code URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Fixed Value: As shown (Jurisdictional health number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: JHN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	A Health Number Naming System from the Canadian URI Registry Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
name	SΣC	0..1	HumanName	A name associated with the patient ca-baseline-name: Patient.name.given or Patient.name.family or both SHALL be present
use	?!Σ	0..1	code	usual | official | nickname Binding: BC Name Use value set. (required)
telecom	SΣC	0..2	ContactPoint	A contact detail for the individual cpt-2: A system is required if a value is provided.
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..1	Address	An address for the individual
Slices for extension				Content/Rules for all slices
preferred	N	0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
noFixedAddress	N	0..1	boolean	No Fixed Address indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:JHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:JHN.type	extensible	Fixed Value: JHN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUseVS https://terminology.hlth.gov.bc.ca/ClientRegistry/ValueSet/bc-name-use-value-set from this IG
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ca-baseline-name	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	PatientProfile	Patient Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
text		0..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
aboriginalidentitygroup	N	0..1	Coding	Extension: Aboriginal Identity Group URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentitygroup Binding: Aboriginal Identity Group (preferred): One of aboriginal identity codes
aboriginalidentityindicator	N	0..1	Coding	Extension: Aboriginal Identity Indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentityindicator Binding: Aboriginal Identity Indicator (preferred): One of self-reported codes identity as an aboriginal person
birthsex	N	0..1	Coding	Extension: Sex at Birth URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-patientbirthsex Binding: Birth Sex (example): Code for sex assigned at birth
ethnicity	N	0..1	Coding	Extension: ethnicity extension URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-ethnicity Binding: EthnicityCode (preferred): One of self-reported ethnic group codes representing the ethnicity concept and should not be confused with citizenship or nationality.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..1	IdentifierCABaseline	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:JHN		0..1	IdentifierCABaseline	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionCode	N	0..1	string	Health Number Version Code URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Fixed Value: As shown (Jurisdictional health number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: JHN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	A Health Number Naming System from the Canadian URI Registry Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
name	SΣC	0..1	HumanName	A name associated with the patient ca-baseline-name: Patient.name.given or Patient.name.family or both SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | nickname Binding: BC Name Use value set. (required)
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	ΣC	0..1	Period	Time period when name was/is in use per-1: If present, start SHALL have a lower value than end
telecom	SΣC	0..2	ContactPoint	A contact detail for the individual cpt-2: A system is required if a value is provided.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	ΣC	0..1	Period	Time period when the contact point was/is in use per-1: If present, start SHALL have a lower value than end
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..1	Address	An address for the individual
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
preferred	N	0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
noFixedAddress	N	0..1	boolean	No Fixed Address indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	ΣC	0..1	Period	Time period when address was/is in use per-1: If present, start SHALL have a lower value than end Example General: {"start":"2010-03-23","end":"2010-07-01"}
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:JHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:JHN.type	extensible	Fixed Value: JHN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUseVS https://terminology.hlth.gov.bc.ca/ClientRegistry/ValueSet/bc-name-use-value-set from this IG
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ca-baseline-name	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	Patient.identifier:JHN.period, Patient.name.period, Patient.telecom.period, Patient.address.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:JHN.assigner, Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from PatientProfile

Differential View

This structure is derived from PatientProfile

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	PatientProfile	Patient Profile
implicitRules		0..0
language		0..0
contained		0..0
identifier	S	0..1	IdentifierCABaseline	An identifier intended for computation
Slices for identifier				Content/Rules for all slices
identifier:JHN		0..1	IdentifierCABaseline	An identifier intended for computation
active		0..0
name		0..1	HumanName	A name associated with the patient
use		0..1	code	usual | official | nickname Binding: BC Name Use value set. (required)
telecom	S	0..2	ContactPoint	A contact detail for the individual
gender	S	0..1	code	male | female | other | unknown
Slices for deceased[x]		0..1	boolean, dateTime	Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceased[x]:deceasedDateTime	S	0..1	dateTime	Indicates if the individual is deceased or not
address	S	0..1	Address	An address for the individual
type		0..1	code	postal | physical
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
managingOrganization		0..0
link		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.name.use	required	NameUseVS https://terminology.hlth.gov.bc.ca/ClientRegistry/ValueSet/bc-name-use-value-set from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	PatientProfile	Patient Profile
Slices for extension				Content/Rules for all slices
aboriginalidentitygroup	N	0..1	Coding	Extension: Aboriginal Identity Group URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentitygroup Binding: Aboriginal Identity Group (preferred): One of aboriginal identity codes
aboriginalidentityindicator	N	0..1	Coding	Extension: Aboriginal Identity Indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentityindicator Binding: Aboriginal Identity Indicator (preferred): One of self-reported codes identity as an aboriginal person
birthsex	N	0..1	Coding	Extension: Sex at Birth URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-patientbirthsex Binding: Birth Sex (example): Code for sex assigned at birth
ethnicity	N	0..1	Coding	Extension: ethnicity extension URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-ethnicity Binding: EthnicityCode (preferred): One of self-reported ethnic group codes representing the ethnicity concept and should not be confused with citizenship or nationality.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..1	IdentifierCABaseline	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:JHN		0..1	IdentifierCABaseline	An identifier intended for computation
Slices for extension				Content/Rules for all slices
versionCode	N	0..1	string	Health Number Version Code URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Fixed Value: As shown (Jurisdictional health number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: JHN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	A Health Number Naming System from the Canadian URI Registry Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
name	SΣC	0..1	HumanName	A name associated with the patient ca-baseline-name: Patient.name.given or Patient.name.family or both SHALL be present
use	?!Σ	0..1	code	usual | official | nickname Binding: BC Name Use value set. (required)
telecom	SΣC	0..2	ContactPoint	A contact detail for the individual cpt-2: A system is required if a value is provided.
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..1	Address	An address for the individual
Slices for extension				Content/Rules for all slices
preferred	N	0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
noFixedAddress	N	0..1	boolean	No Fixed Address indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical Binding: AddressType (required): The type of an address (physical / postal). Example General: both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:JHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:JHN.type	extensible	Fixed Value: JHN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUseVS https://terminology.hlth.gov.bc.ca/ClientRegistry/ValueSet/bc-name-use-value-set from this IG
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ca-baseline-name	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	PatientProfile	Patient Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
text		0..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
aboriginalidentitygroup	N	0..1	Coding	Extension: Aboriginal Identity Group URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentitygroup Binding: Aboriginal Identity Group (preferred): One of aboriginal identity codes
aboriginalidentityindicator	N	0..1	Coding	Extension: Aboriginal Identity Indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-aboriginalidentityindicator Binding: Aboriginal Identity Indicator (preferred): One of self-reported codes identity as an aboriginal person
birthsex	N	0..1	Coding	Extension: Sex at Birth URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-patientbirthsex Binding: Birth Sex (example): Code for sex assigned at birth
ethnicity	N	0..1	Coding	Extension: ethnicity extension URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-ethnicity Binding: EthnicityCode (preferred): One of self-reported ethnic group codes representing the ethnicity concept and should not be confused with citizenship or nationality.
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	SΣ	0..1	IdentifierCABaseline	An identifier intended for computation Slice: Unordered, Open by pattern:type
identifier:JHN		0..1	IdentifierCABaseline	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionCode	N	0..1	string	Health Number Version Code URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Fixed Value: As shown (Jurisdictional health number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: JHN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
system	Σ	1..1	uri	A Health Number Naming System from the Canadian URI Registry Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
name	SΣC	0..1	HumanName	A name associated with the patient ca-baseline-name: Patient.name.given or Patient.name.family or both SHALL be present
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | nickname Binding: BC Name Use value set. (required)
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	ΣC	0..1	Period	Time period when name was/is in use per-1: If present, start SHALL have a lower value than end
telecom	SΣC	0..2	ContactPoint	A contact detail for the individual cpt-2: A system is required if a value is provided.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	ΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	Σ	1..1	string	The actual contact point details
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	ΣC	0..1	Period	Time period when the contact point was/is in use per-1: If present, start SHALL have a lower value than end
gender	SΣ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	SΣ	0..1	date	The date of birth for the individual
Slices for deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not Slice: Unordered, Open by type:$this
deceasedBoolean			boolean
deceasedDateTime			dateTime
deceased[x]:deceasedDateTime	?!SΣ	0..1	dateTime	Indicates if the individual is deceased or not
address	SΣ	0..1	Address	An address for the individual
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
preferred	N	0..1	boolean	HL7 Preferred Address Flag extension URL: http://hl7.org/fhir/StructureDefinition/iso21090-preferred
noFixedAddress	N	0..1	boolean	No Fixed Address indicator URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-nofixedaddress
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	ΣC	0..1	Period	Time period when address was/is in use per-1: If present, start SHALL have a lower value than end Example General: {"start":"2010-03-23","end":"2010-07-01"}
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:JHN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:JHN.type	extensible	Fixed Value: JHN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name.use	required	NameUseVS https://terminology.hlth.gov.bc.ca/ClientRegistry/ValueSet/bc-name-use-value-set from this IG
Patient.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
Patient.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ca-baseline-name	error	Patient.name	Patient.name.given or Patient.name.family or both SHALL be present : family.exists() or given.exists()
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided. : value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	Patient.identifier:JHN.period, Patient.name.period, Patient.telecom.period, Patient.address.period, Patient.contact.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Patient.identifier:JHN.assigner, Patient.contact.organization, Patient.link.other	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from PatientProfile

Other representations of profile: CSV, Excel, Schematron