Patient Profile

Canonical	../StructureDefinition/nexus-emr-core-patient
Status	draft · 1.26.0
Base	Patient (constraint)
Source	FSH · JSON

Generic Nexus EMR core profile for patient demographic and administrative information, based on CA Core+. Designed to support a broad range of integration needs.

Examples

Alice Johnson (referral scenario) · Avery Linwood · David Chen (post-discharge scenario) · Jennifer Martinez (diabetes education scenario) · John Doe (lab review scenario) · John smith alberta · Maria Gonzalez (AI triage scenario) · Not Enrolled (decided negative) · Seen Fee-for-Service · With Indigenous Profile Fields · With No Health Card (identity surface) · With Primary Care Attachment

With Indigenous Profile Fields

Patient carrying the Indigenous profile surface — Indian Act registration status, First Nation registry group and community as flat extensions, and the status card as an Indian registration number identifier (validity period for issue/expiry, IndianStatusCardTypeExtension for the presented document form). The worked example for the Indigenous surface, with each facet recorded independently — the registry group and the community hold different bands

Patient/rowan-crane — claims conformance to Patient Profile

{
  "resourceType": "Patient",
  "id": "rowan-crane",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-patient"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p>Rowan Crane, active patient with Indian Act registration status, status card documentation, and First Nation affiliation recorded.</p></div>"
  },
  "extension": [
    {
      "url": "../StructureDefinition/nexus-emr-indian-act-registration-status",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "../CodeSystem/nexus-emr-indian-act-registration-status",
            "code": "registered",
            "display": "Registered"
          }
        ],
        "text": "Registered"
      }
    },
    {
      "url": "../StructureDefinition/nexus-emr-first-nation-registry-group",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "../CodeSystem/nexus-first-nation-band",
            "code": "587",
            "display": "Shxw'ow'hamel First Nation"
          }
        ],
        "text": "Shxw'ow'hamel First Nation"
      }
    },
    {
      "url": "../StructureDefinition/nexus-emr-first-nation-community",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "../CodeSystem/nexus-first-nation-band",
            "code": "604",
            "display": "?Akisq'nuk First Nation"
          }
        ],
        "text": "?Akisq'nuk First Nation"
      }
    }
  ],
  "identifier": [
    {
      "system": "../NamingSystem/cedarbrook-clinic-patient-raw-code",
      "value": "2233445566"
    },
    {
      "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-indigenous-northern-affairs-number",
      "value": "1234567890",
      "period": {
        "start": "2021-04-12",
        "end": "2031-04-12"
      },
      "extension": [
        {
          "url": "../StructureDefinition/nexus-emr-indian-status-card-type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "../CodeSystem/nexus-emr-indian-status-card-type",
                "code": "scis",
                "display": "Secure Certificate of Indian Status"
              }
            ],
            "text": "Secure Certificate of Indian Status"
          }
        }
      ]
    }
  ],
  "name": [
    {
      "use": "official",
      "family": "Crane",
      "given": [
        "Rowan"
      ]
    }
  ],
  "gender": "female",
  "birthDate": "1987-11-23",
  "active": true,
  "managingOrganization": {
    "identifier": {
      "system": "../NamingSystem/organization-identifier",
      "value": "cedarbrook-clinic"
    }
  }
}