<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="f68c0e19-c1e1-4a09-bb6a-9b071049522a" />
  <meta>
    <versionId value="10" />
    <lastUpdated value="2025-12-05T22:02:50.2267777+00:00" />
  </meta>
  <url value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Patient" />
  <name value="Patient_CAbaseline" />
  <status value="draft" />
  <date value="2022-02-18T18:22:50.968212Z" />
  <description value="Resource Patient is profiled based on Canadian Baseline" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Patient" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" />
  <derivation value="constraint" />
  <differential>
    <element id="Patient">
      <path value="Patient" />
      <short value="IFHIR resource applies for PIR Client" />
      <definition value="IFHIR resource applies for PIR Client" />
    </element>
    <element id="Patient.id">
      <path value="Patient.id" />
      <short value="PIR Client ID" />
      <definition value="Unique Panorama Client ID" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="source-PIR" />
        <map value="PIR subject_id" />
      </mapping>
    </element>
    <element id="Patient.meta">
      <path value="Patient.meta" />
      <min value="1" />
    </element>
    <element id="Patient.meta.versionId">
      <path value="Patient.meta.versionId" />
      <comment value="Apply '2025.01.1' (This indicates the FHIR Specs changes on 2025 - Jan)" />
    </element>
    <element id="Patient.meta.lastUpdated">
      <path value="Patient.meta.lastUpdated" />
      <comment value="Updated: Relax the previously crossed-out elements." />
    </element>
    <element id="Patient.meta.profile">
      <path value="Patient.meta.profile" />
      <comment value="Use 'http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Patient'" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Patient.meta.security">
      <path value="Patient.meta.security" />
      <max value="1" />
    </element>
    <element id="Patient.meta.tag">
      <path value="Patient.meta.tag" />
      <max value="1" />
    </element>
    <element id="Patient.contained">
      <path value="Patient.contained" />
      <max value="1" />
    </element>
    <element id="Patient.extension">
      <path value="Patient.extension" />
      <min value="2" />
    </element>
    <element id="Patient.extension:genderIdentityExtension">
      <path value="Patient.extension" />
      <sliceName value="genderIdentityExtension" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity" />
      </type>
    </element>
    <element id="Patient.extension:clientWarningExtension">
      <path value="Patient.extension" />
      <sliceName value="clientWarningExtension" />
      <type>
        <code value="Extension" />
        <profile value="http://infoway-inforoute.ca/StructureDefinition/ca-bc-client-warning" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Patient.extension:inactiveClientReasonExtension">
      <path value="Patient.extension" />
      <sliceName value="inactiveClientReasonExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/ca-bc-inactive-client-reason" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Patient.extension:pIRIdentifierExtension">
      <path value="Patient.extension" />
      <sliceName value="pIRIdentifierExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-identifier" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Patient.extension:pIRLockSeqNumberExtension">
      <path value="Patient.extension" />
      <sliceName value="pIRLockSeqNumberExtension" />
      <type>
        <code value="Extension" />
        <profile value="https://ehealth.bc.ca/fhir/StructureDefinition/bcy-ids-pir-lock-sequence-number" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Patient.identifier">
      <path value="Patient.identifier" />
      <short value="Identifier(s) for this patient" />
      <definition value="Different types of patient identifier which includes JHN (Jurisdictional Health Number e.g. BC PHN),  PI (Patient Internal Identifier e.g. PIR Client ID, HAs' Internal Client ID)." />
      <comment value="Extract from PIR &lt;client.human_subject&gt;" />
      <min value="1" />
    </element>
    <element id="Patient.identifier.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
    </element>
    <element id="Patient.identifier.type.coding">
      <path value="Patient.identifier.type.coding" />
      <min value="1" />
    </element>
    <element id="Patient.identifier.type.coding.system">
      <path value="Patient.identifier.type.coding.system" />
      <comment value="http://terminology.hl7.org/CodeSystem/v2-0203" />
      <fixedUri value="http://terminology.hl7.org/CodeSystem/v2-0203" />
    </element>
    <element id="Patient.identifier.type.coding.code">
      <path value="Patient.identifier.type.coding.code" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="JHN" />
        <map value="JHN" />
        <comment value="For all Canadian provincial health card number" />
      </mapping>
      <mapping>
        <identity value="JPID" />
        <map value="JPID" />
        <comment value="Jurisdictional Person Identification" />
      </mapping>
      <mapping>
        <identity value="MR" />
        <map value="MR" />
        <comment value="Medical Record Number" />
      </mapping>
      <mapping>
        <identity value="PI" />
        <map value="PI" />
        <comment value="Patient Internal Identifier" />
      </mapping>
    </element>
    <element id="Patient.identifier.type.text">
      <path value="Patient.identifier.type.text" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="source-PIR" />
        <map value="Panorama Client ID" />
      </mapping>
      <mapping>
        <identity value="source-FHA" />
        <map value="FHA-PARIS Client ID" />
      </mapping>
      <mapping>
        <identity value="source-NHA-CeDaR" />
        <map value="NHA- CeDaR ID" />
      </mapping>
      <mapping>
        <identity value="source-NHA-MOIS" />
        <map value="NHA - MOIS ID" />
      </mapping>
      <mapping>
        <identity value="source-VCH" />
        <map value="VCH-PARIS Client ID" />
      </mapping>
      <mapping>
        <identity value="source-ProfileEMR" />
        <map value="ProfileEMR_ClientID" />
      </mapping>
      <mapping>
        <identity value="source-CAN-ArmedForces" />
        <map value="Canadian Armed Forces IDentification Number" />
      </mapping>
      <mapping>
        <identity value="source-CAN-RCMP" />
        <map value="Canadian RCMP Regiment Number" />
      </mapping>
      <mapping>
        <identity value="source-CAN-VeteranAffairs" />
        <map value="Veteran Affairs CAnadian Identification Number" />
      </mapping>
    </element>
    <element id="Patient.identifier.system">
      <path value="Patient.identifier.system" />
      <comment value="See Mappings below for appropriate URLs and URNs." />
      <min value="1" />
      <mapping>
        <identity value="JHN-BC" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-patient-healthcare-id" />
        <comment value="British Columbia, Canada Personal Health Number" />
      </mapping>
      <mapping>
        <identity value="PI-PIR" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-client-id" />
      </mapping>
      <mapping>
        <identity value="JHN-YT" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-yt-patient-healthcare-id" />
      </mapping>
      <mapping>
        <identity value="PI-FHA" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-fha-patient-id" />
      </mapping>
      <mapping>
        <identity value="PI-NHA" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-nha-patient-id" />
      </mapping>
      <mapping>
        <identity value="PI-VCH" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-vcha-patient-id" />
      </mapping>
      <mapping>
        <identity value="PI-CAN-ArmedForces" />
        <map value="urn: 2.16.840.1.113883.3.51.1.1.6.15" />
      </mapping>
      <mapping>
        <identity value="PI-RCMP" />
        <map value="urn:2.16.840.1.113883.3.51.1.1.6.16" />
      </mapping>
      <mapping>
        <identity value="PI-CAN-VeteranAffairs" />
        <map value="urn:2.16.840.1.113883.3.51.1.1.6.18" />
      </mapping>
      <mapping>
        <identity value="PI-ProfileEMR" />
        <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-profile-emr-patient-id" />
      </mapping>
    </element>
    <element id="Patient.identifier.value">
      <path value="Patient.identifier.value" />
      <comment value="PIR Client ID: Extract from PIR (client.human_subject.subject_id); BC PHN or Yukon PHN: Extract from PIR (client.human_subject.health_card_number)" />
      <min value="1" />
      <mapping>
        <identity value="JHN-BC" />
        <map value="Extract from PIR (client.human_subject.health_card_number)" />
      </mapping>
      <mapping>
        <identity value="JHN-YT" />
        <map value="Extract from PIR (client.human_subject.health_card_number)" />
      </mapping>
      <mapping>
        <identity value="PI-PIR" />
        <map value="Extract from PIR (client.human_subject.subject_id)" />
      </mapping>
      <mapping>
        <identity value="PI-FHA" />
        <map value="FHA-PARIS Client ID" />
      </mapping>
      <mapping>
        <identity value="PI-NHA" />
        <map value="NHA- CeDaR ID" />
      </mapping>
      <mapping>
        <identity value="PI-VCH" />
        <map value="VCH-PARIS Client ID" />
      </mapping>
    </element>
    <element id="Patient.active">
      <path value="Patient.active" />
      <short value="Whether this patient's record is in active use in PIR." />
      <definition value="It is used to filter patient lists to exclude inactive patients   Inactive patient lists include inactive reasons in (Created in Error, Retruned to Birth Parent, Adopted, Soft Deleted, Deceased)." />
      <comment value="Hardcode as 'True' for all PIR active clients." />
      <min value="1" />
    </element>
    <element id="Patient.name">
      <path value="Patient.name" />
      <definition value="PIR Client Lastname, Firstname, Middlename" />
      <comment value="Extract from PIR &lt;client.human_subject&gt;" />
      <min value="1" />
    </element>
    <element id="Patient.name.use">
      <path value="Patient.name.use" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="legal" />
        <map value="official" />
      </mapping>
      <mapping>
        <identity value="alias" />
        <map value="usual" />
      </mapping>
    </element>
    <element id="Patient.name.family">
      <path value="Patient.name.family" />
      <short value="Patient Family Name" />
      <definition value="Patient Family Name" />
      <comment value="Patient Family Name" />
      <min value="1" />
    </element>
    <element id="Patient.name.given">
      <path value="Patient.name.given" />
      <short value="Patient Given Names" />
      <definition value="Patient Given Names" />
      <comment value="Patient Given Names" />
      <min value="1" />
    </element>
    <element id="Patient.name.prefix">
      <path value="Patient.name.prefix" />
      <max value="1" />
    </element>
    <element id="Patient.name.suffix">
      <path value="Patient.name.suffix" />
      <max value="1" />
    </element>
    <element id="Patient.telecom">
      <path value="Patient.telecom" />
      <short value="A contact detail for the PIR Client" />
      <definition value="A contact detail (e.g. a telephone number or an email address) by which the PIR client may be contacted." />
    </element>
    <element id="Patient.telecom.id">
      <path value="Patient.telecom.id" />
      <max value="0" />
    </element>
    <element id="Patient.telecom.system">
      <path value="Patient.telecom.system" />
      <comment value="Use 'phone | email'. Extract the current phone or email from PIR, not the ones with 'Effective Date To' populated." />
    </element>
    <element id="Patient.telecom.value">
      <path value="Patient.telecom.value" />
      <short value="Patient Phone Number or Email" />
      <definition value="Patient Phone Number or Email" />
      <comment value="Patient Phone Number | Email" />
    </element>
    <element id="Patient.telecom.use">
      <path value="Patient.telecom.use" />
      <short value="home | work | mobile - purpose of this contact point" />
      <comment value="Use &quot;home&quot; | &quot;work&quot; |&quot;mobile&quot;  (See Mappings).  If not listed in the mappings, drop the attirubte USE, do not send." />
      <mapping>
        <identity value="pirHOME" />
        <map value="home" />
      </mapping>
      <mapping>
        <identity value="pirBUSINESS" />
        <map value="work" />
      </mapping>
      <mapping>
        <identity value="pirMOBILE" />
        <map value="mobile" />
      </mapping>
    </element>
    <element id="Patient.telecom.rank">
      <path value="Patient.telecom.rank" />
      <max value="0" />
    </element>
    <element id="Patient.telecom.period.id">
      <path value="Patient.telecom.period.id" />
      <max value="0" />
    </element>
    <element id="Patient.gender">
      <path value="Patient.gender" />
      <definition value="Patient Administrative Gender.  PIR gender &quot;Undifferentiate&quot; is mapped to &quot;unknown&quot; in FHIR." />
      <comment value="Patient Administrative Gender" />
      <min value="1" />
    </element>
    <element id="Patient.gender.id">
      <path value="Patient.gender.id" />
      <max value="0" />
    </element>
    <element id="Patient.birthDate">
      <path value="Patient.birthDate" />
      <short value="Patient Date of Birth" />
      <definition value="Patient Date of Birth" />
      <comment value="Patient Date of Birth (yyyy-mm-dd)" />
      <min value="1" />
    </element>
    <element id="Patient.address">
      <path value="Patient.address" />
      <comment value="If a HOME address exists in PIR, it will always be sent. If the Effective From of Postal Address &gt; Effective From of Home Address, it will also be sent" />
      <max value="2" />
    </element>
    <element id="Patient.address.use">
      <path value="Patient.address.use" />
      <definition value="The purpose of this address: home | work" />
      <comment value="See Mappings" />
      <mapping>
        <identity value="pir-PrimaryHome" />
        <map value="home" />
      </mapping>
    </element>
    <element id="Patient.address.type">
      <path value="Patient.address.type" />
      <comment value="See Mappings." />
      <mapping>
        <identity value="pir-PostalAddress" />
        <map value="postal" />
      </mapping>
    </element>
    <element id="Patient.address.line">
      <path value="Patient.address.line" />
      <comment value="Use address.line for international address" />
    </element>
    <element id="Patient.address.line.extension:_line">
      <path value="Patient.address.line.extension" />
      <sliceName value="_line" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP" />
      </type>
    </element>
    <element id="Patient.photo">
      <path value="Patient.photo" />
      <max value="1" />
    </element>
    <element id="Patient.contact">
      <path value="Patient.contact" />
      <max value="1" />
    </element>
    <element id="Patient.communication">
      <path value="Patient.communication" />
      <max value="1" />
    </element>
    <element id="Patient.generalPractitioner">
      <path value="Patient.generalPractitioner" />
      <max value="1" />
    </element>
    <element id="Patient.link">
      <path value="Patient.link" />
      <max value="1" />
    </element>
    <element id="Patient.link.other.id">
      <path value="Patient.link.other.id" />
      <max value="0" />
    </element>
    <element id="Patient.link.other.reference">
      <path value="Patient.link.other.reference" />
      <comment value="See Mappings" />
      <min value="1" />
      <mapping>
        <identity value="resrouceType-PIRID" />
        <map value="fullURL of Panorama + 'Patient' + &lt;PIR Client ID&gt;" />
      </mapping>
    </element>
    <element id="Patient.link.type">
      <path value="Patient.link.type" />
      <definition value="Use 'replaces' for resourcePatient as the survivor patient out of a merge." />
      <comment value="&quot;replaces&quot; non-survivor patient id with survivor patient id." />
    </element>
  </differential>
</StructureDefinition>