{
  "resourceType": "StructureDefinition",
  "id": "individual-pronouns-ca-core",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
      "valueCode": "can-bind"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    }
  ],
  "url": "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/individualPronouns",
  "version": "1.1.0",
  "name": "Pronouns",
  "title": "Individual Pronouns",
  "status": "draft",
  "experimental": false,
  "date": "2024-03-15",
  "publisher": "Canada Health Infoway",
  "contact": [
    {
      "name": "National Standards Release Centre",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.infoway-inforoute.ca"
        },
        {
          "system": "email",
          "value": "standards@infoway-inforoute.ca"
        }
      ]
    }
  ],
  "description": "The pronouns to use when referring to an individual in verbal or written communication. This extension is published in this guide to pre-adopt an extension published in R5 and re-profile it further through CA Core+ project. This extension is an R4 (4.0.1) conversion and re-profiling of the canonical extension published in the R5 [FHIR Extensions Pack](http://hl7.org/fhir/extensions/5.1.0-snapshot1/StructureDefinition-individual-pronouns.html).",
  "jurisdiction": [
    {
      "coding": [
        {
          "code": "CA",
          "system": "urn:iso:std:iso:3166"
        }
      ]
    }
  ],
  "copyright": "Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "CACDI",
      "name": "Canadian Core Data for Interoperability (CACDI)"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "expression": "Patient",
      "type": "element"
    },
    {
      "expression": "RelatedPerson",
      "type": "element"
    },
    {
      "expression": "Person",
      "type": "element"
    },
    {
      "expression": "Practitioner",
      "type": "element"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/individual-pronouns",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "comment": "This extension has been re-profiled by the CA Core+ project for use in Canada. It currently provides the mapping details to the pan-Canadian Health Data Content Framework (pCHDCF) concept 'Pronouns'. This pCHDCF concept is still under development and as such does not have further constraints or terminology recommendations at the time of this release",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Personal Pronouns"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension"
      },
      {
        "id": "Extension.extension.extension",
        "path": "Extension.extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.extension.value[x]",
        "path": "Extension.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Extension.extension.value[x]:valueCodeableConcept",
        "path": "Extension.extension.value[x]",
        "sliceName": "valueCodeableConcept",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/pronouns"
        }
      },
      {
        "id": "Extension.extension:period",
        "path": "Extension.extension",
        "sliceName": "period"
      },
      {
        "id": "Extension.extension:period.value[x].start",
        "path": "Extension.extension.value[x].start",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Person Pronoun Effective Date (Recommended)"
          }
        ]
      },
      {
        "id": "Extension.extension:period.value[x].end",
        "path": "Extension.extension.value[x].end",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Person Pronoun Expiry Date (Recommended)"
          }
        ]
      }
    ]
  }
}