{
  "resourceType": "StructureDefinition",
  "id": "aa9847ae-6ca2-4207-ba22-6ff6226ab38f",
  "url": "https://pmpdevhdsws001-pmp-dev-fhir001.fhir.azurehealthcareapis.com/StructureDefinition/PdmsPatient",
  "name": "PdmsPatient",
  "status": "active",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type.coding.code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Patient.identifier:CareCenterIdentifier",
        "path": "Patient.identifier",
        "sliceName": "CareCenterIdentifier",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:CareCenterIdentifier.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:CareCenterIdentifier.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.identifier:CareCenterIdentifier.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203"
      },
      {
        "id": "Patient.identifier:CareCenterIdentifier.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "MR"
      },
      {
        "id": "Patient.identifier:CareCenterIdentifier.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.active",
        "path": "Patient.active",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "use"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Patient.name:officialName",
        "path": "Patient.name",
        "sliceName": "officialName",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.name:officialName.use",
        "path": "Patient.name.use",
        "min": 1,
        "fixedCode": "official",
        "mustSupport": true
      },
      {
        "id": "Patient.name:officialName.family",
        "path": "Patient.name.family",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name:officialName.given",
        "path": "Patient.name.given",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate.extension:isApproximated",
        "path": "Patient.birthDate.extension",
        "sliceName": "isApproximated",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://pmpdevhdsws001-pmp-dev-fhir001.fhir.azurehealthcareapis.com/StructureDefinition/pdms-patient-approximate-birthdate"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.family",
        "path": "Patient.contact.name.family",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.contact.name.given",
        "path": "Patient.contact.name.given",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.managingOrganization",
        "path": "Patient.managingOrganization",
        "min": 1
      }
    ]
  }
}