{
  "resourceType": "StructureDefinition",
  "url": "https://vitalhub.com/caseworks/fhir/StructureDefinition/MHAIEPatient",
  "name": "MHAIEPatient",
  "status": "draft",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient.extension:birthsex",
        "path": "Patient.extension",
        "sliceName": "birthsex"
      },
      {
        "id": "Patient.extension:birthsex.value[x]",
        "path": "Patient.extension.value[x]",
        "type": [
          {
            "code": "Coding"
          }
        ]
      },
      {
        "id": "Patient.extension:ethnicity",
        "path": "Patient.extension",
        "sliceName": "ethnicity",
        "max": "0"
      },
      {
        "id": "Patient.extension:ethnicity.value[x]",
        "path": "Patient.extension.value[x]",
        "type": [
          {
            "code": "Coding"
          }
        ]
      },
      {
        "id": "Patient.extension:alerts",
        "path": "Patient.extension",
        "sliceName": "alerts",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Alerts"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:religion",
        "path": "Patient.extension",
        "sliceName": "religion",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/patient-religion"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:religion.value[x]",
        "path": "Patient.extension.value[x]",
        "binding": {
          "strength": "required"
        }
      },
      {
        "id": "Patient.extension:sexualOrientation",
        "path": "Patient.extension",
        "sliceName": "sexualOrientation",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-SexualOrientation"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:bornInCanada",
        "path": "Patient.extension",
        "sliceName": "bornInCanada",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-BornInCanada"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:education",
        "path": "Patient.extension",
        "sliceName": "education",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Education"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:employment",
        "path": "Patient.extension",
        "sliceName": "employment",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Employment"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:incomeSource",
        "path": "Patient.extension",
        "sliceName": "incomeSource",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-IncomeSource"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:maritalStatus",
        "path": "Patient.extension",
        "sliceName": "maritalStatus",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-MaritalStatus"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:housing",
        "path": "Patient.extension",
        "sliceName": "housing",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Housing"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:income",
        "path": "Patient.extension",
        "sliceName": "income",
        "short": "Total Household Income",
        "definition": "Total Household Income",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Income"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:incomeHouseholdSize",
        "path": "Patient.extension",
        "sliceName": "incomeHouseholdSize",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-IncomeHouseholdSize"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:incomeHouseholdSize.value[x].extension",
        "path": "Patient.extension.value[x].extension",
        "max": "0"
      },
      {
        "id": "Patient.extension:incomeHouseholdSize.value[x].system",
        "path": "Patient.extension.value[x].system",
        "max": "0"
      },
      {
        "id": "Patient.extension:incomeHouseholdSize.value[x].version",
        "path": "Patient.extension.value[x].version",
        "max": "0"
      },
      {
        "id": "Patient.extension:incomeHouseholdSize.value[x].code",
        "path": "Patient.extension.value[x].code",
        "min": 1,
        "binding": {
          "strength": "required",
          "valueSet": "http://vitalhub.com/fhir/ValueSet/vs-incomehhsize"
        }
      },
      {
        "id": "Patient.extension:incomeHouseholdSize.value[x].userSelected",
        "path": "Patient.extension.value[x].userSelected",
        "max": "0"
      },
      {
        "id": "Patient.extension:mentalHealthStatus",
        "path": "Patient.extension",
        "sliceName": "mentalHealthStatus",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-MentalHealthStatus"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:legalStatus",
        "path": "Patient.extension",
        "sliceName": "legalStatus",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-LegalStatus"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:ethnicities",
        "path": "Patient.extension",
        "sliceName": "ethnicities",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Ethnicity"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:ethnicities.value[x]",
        "path": "Patient.extension.value[x]",
        "min": 1
      },
      {
        "id": "Patient.extension:ethnicities.value[x].system",
        "path": "Patient.extension.value[x].system",
        "max": "0"
      },
      {
        "id": "Patient.extension:ethnicities.value[x].version",
        "path": "Patient.extension.value[x].version",
        "max": "0"
      },
      {
        "id": "Patient.extension:ethnicities.value[x].code",
        "path": "Patient.extension.value[x].code",
        "min": 1
      },
      {
        "id": "Patient.extension:ethnicities.value[x].userSelected",
        "path": "Patient.extension.value[x].userSelected",
        "max": "0"
      },
      {
        "id": "Patient.extension:citizenship",
        "path": "Patient.extension",
        "sliceName": "citizenship",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Citizenship"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.extension:pronouns",
        "path": "Patient.extension",
        "sliceName": "pronouns",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Pronouns"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.identifier:JHN",
        "path": "Patient.identifier",
        "sliceName": "JHN",
        "max": "1"
      },
      {
        "id": "Patient.identifier:JHN.assigner",
        "path": "Patient.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MRN",
        "path": "Patient.identifier",
        "sliceName": "MRN",
        "definition": "The unique identifier for a person in an organizations CMS/EHR",
        "max": "1"
      },
      {
        "id": "Patient.identifier:MRN.use",
        "path": "Patient.identifier.use",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MRN.type",
        "path": "Patient.identifier.type",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MRN.period",
        "path": "Patient.identifier.period",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MRN.assigner",
        "path": "Patient.identifier.assigner",
        "min": 1
      },
      {
        "id": "Patient.identifier:MRN.assigner.reference",
        "path": "Patient.identifier.assigner.reference",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MRN.assigner.type",
        "path": "Patient.identifier.assigner.type",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MRN.assigner.identifier",
        "path": "Patient.identifier.assigner.identifier",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MRN.assigner.display",
        "path": "Patient.identifier.assigner.display",
        "min": 1
      },
      {
        "id": "Patient.identifier:MHAIE",
        "path": "Patient.identifier",
        "sliceName": "MHAIE",
        "definition": "The unique identifer for a person in the MHAIE",
        "max": "1"
      },
      {
        "id": "Patient.identifier:MHAIE.use",
        "path": "Patient.identifier.use",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MHAIE.type",
        "path": "Patient.identifier.type",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MHAIE.period",
        "path": "Patient.identifier.period",
        "max": "0"
      },
      {
        "id": "Patient.identifier:MHAIE.assigner",
        "path": "Patient.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "use"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "2"
      },
      {
        "id": "Patient.name.use",
        "path": "Patient.name.use",
        "short": "usual | official | old",
        "definition": "Identifies the purpose for this name. Only Usual, Official, and Old should be used.  Official is the legal name. Usual is the preferred name.",
        "min": 1
      },
      {
        "id": "Patient.name.text",
        "path": "Patient.name.text",
        "max": "0"
      },
      {
        "id": "Patient.name.family",
        "path": "Patient.name.family",
        "min": 1
      },
      {
        "id": "Patient.name.given",
        "path": "Patient.name.given",
        "definition": "The first or given name of the client. If middle name is available, it should be provided as the second value.",
        "min": 1,
        "max": "2",
        "mapping": [
          {
            "identity": "MHAIE",
            "map": "Client First Name, Client Middle Name"
          }
        ]
      },
      {
        "id": "Patient.name.prefix",
        "path": "Patient.name.prefix",
        "max": "0"
      },
      {
        "id": "Patient.name.suffix",
        "path": "Patient.name.suffix",
        "max": "0"
      },
      {
        "id": "Patient.name.period",
        "path": "Patient.name.period",
        "max": "0"
      },
      {
        "id": "Patient.name:official",
        "path": "Patient.name",
        "sliceName": "official",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.name:official.use",
        "path": "Patient.name.use",
        "min": 1,
        "fixedCode": "official"
      },
      {
        "id": "Patient.name:official.family",
        "path": "Patient.name.family",
        "min": 1
      },
      {
        "id": "Patient.name:official.given",
        "path": "Patient.name.given",
        "min": 1,
        "max": "2"
      },
      {
        "id": "Patient.name:official.prefix",
        "path": "Patient.name.prefix",
        "max": "0"
      },
      {
        "id": "Patient.name:official.suffix",
        "path": "Patient.name.suffix",
        "max": "0"
      },
      {
        "id": "Patient.name:official.period",
        "path": "Patient.name.period",
        "max": "0"
      },
      {
        "id": "Patient.name:usual",
        "path": "Patient.name",
        "sliceName": "usual",
        "max": "1"
      },
      {
        "id": "Patient.name:usual.use",
        "path": "Patient.name.use",
        "min": 1,
        "fixedCode": "usual"
      },
      {
        "id": "Patient.name:usual.family",
        "path": "Patient.name.family",
        "min": 1
      },
      {
        "id": "Patient.name:usual.given",
        "path": "Patient.name.given",
        "min": 1,
        "max": "2"
      },
      {
        "id": "Patient.name:usual.prefix",
        "path": "Patient.name.prefix",
        "max": "0"
      },
      {
        "id": "Patient.name:usual.suffix",
        "path": "Patient.name.suffix",
        "max": "0"
      },
      {
        "id": "Patient.name:usual.period",
        "path": "Patient.name.period",
        "max": "0"
      },
      {
        "id": "Patient.telecom.extension:alerts",
        "path": "Patient.telecom.extension",
        "sliceName": "alerts",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Alerts"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "short": "The specific gender code.",
        "definition": "The specific gender code.",
        "binding": {
          "strength": "required",
          "valueSet": "https://vitalhub.com/fhir/ValueSet/vs-Gender"
        }
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "definition": "The date of birth for the individual. If the real DOB is unknown, send the year only.",
        "min": 1
      },
      {
        "id": "Patient.address.extension:preferred",
        "path": "Patient.address.extension",
        "sliceName": "preferred",
        "definition": "Flag denoting whether parent address item is preferred / primary address"
      },
      {
        "id": "Patient.address.extension:alerts",
        "path": "Patient.address.extension",
        "sliceName": "alerts",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Alerts"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.address.extension:alerts.value[x].extension:alertDescription",
        "path": "Patient.address.extension.value[x].extension",
        "sliceName": "alertDescription",
        "max": "0"
      },
      {
        "id": "Patient.address.extension:alerts.value[x].extension:alertResponse",
        "path": "Patient.address.extension.value[x].extension",
        "sliceName": "alertResponse",
        "max": "0"
      },
      {
        "id": "Patient.address.extension:alerts.value[x].extension:alertResponseDescription",
        "path": "Patient.address.extension.value[x].extension",
        "sliceName": "alertResponseDescription",
        "max": "0"
      },
      {
        "id": "Patient.address.use",
        "path": "Patient.address.use",
        "code": [
          {
            "code": "Home",
            "display": "Home"
          },
          {
            "code": "Work",
            "display": "Work"
          }
        ],
        "short": "1 = home | 2 = business | 3 = unknown | 4 = LTC | 5 = Retirement Home",
        "definition": "Determines whether this is a home address or other address",
        "binding": {
          "strength": "required",
          "valueSet": "https://vitalhub.com/fhir/ValueSet/vs-addressuse"
        }
      },
      {
        "id": "Patient.address.type",
        "path": "Patient.address.type",
        "code": [
          {
            "code": "Mail",
            "display": "Mailing"
          },
          {
            "code": "Bill",
            "display": "Billing"
          },
          {
            "code": "Both",
            "display": "Mailing and Billing"
          }
        ],
        "short": "1 = mail | 2 = bill | 3 = both",
        "definition": "Distinguishes whether an address is the mailing addressesm billing addresses, or both",
        "binding": {
          "strength": "required",
          "valueSet": "https://vitalhub.com/fhir/ValueSet/vs-addresstype"
        }
      },
      {
        "id": "Patient.address.text",
        "path": "Patient.address.text",
        "max": "0"
      },
      {
        "id": "Patient.address.line",
        "path": "Patient.address.line",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.address.district",
        "path": "Patient.address.district",
        "definition": "Geographic Location of the Address. This can be a county/region or other differentiatior."
      },
      {
        "id": "Patient.address.period",
        "path": "Patient.address.period",
        "requirements": "Allows addresses to be placed in historical context. Addresses are assumed to be current unless an End Date is present."
      },
      {
        "id": "Patient.maritalStatus",
        "path": "Patient.maritalStatus",
        "max": "0"
      },
      {
        "id": "Patient.multipleBirth[x]",
        "path": "Patient.multipleBirth[x]",
        "max": "0"
      },
      {
        "id": "Patient.photo",
        "path": "Patient.photo",
        "max": "0"
      },
      {
        "id": "Patient.contact.extension:id",
        "path": "Patient.contact.extension",
        "sliceName": "id",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/cqf-initialValue"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.contact.extension:alerts",
        "path": "Patient.contact.extension",
        "sliceName": "alerts",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Alerts"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "https://vitalhub.com/fhir/ValueSet/vs-RelationshipTypes"
        }
      },
      {
        "id": "Patient.contact.relationship.extension:inverseRelationship",
        "path": "Patient.contact.relationship.extension",
        "sliceName": "inverseRelationship",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-InverseRelationship"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.contact.relationship.extension:inverseRelationship.value[x].version",
        "path": "Patient.contact.relationship.extension.value[x].version",
        "max": "0"
      },
      {
        "id": "Patient.contact.relationship.extension:inverseRelationship.value[x].userSelected",
        "path": "Patient.contact.relationship.extension.value[x].userSelected",
        "max": "0"
      },
      {
        "id": "Patient.contact.relationship.extension:inverseRelationshipAttributes",
        "path": "Patient.contact.relationship.extension",
        "sliceName": "inverseRelationshipAttributes",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-RelationshipAttributes"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.contact.relationship.extension:relationshipAttributes",
        "path": "Patient.contact.relationship.extension",
        "sliceName": "relationshipAttributes",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-RelationshipAttributes"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.contact.relationship.coding",
        "path": "Patient.contact.relationship.coding",
        "max": "1"
      },
      {
        "id": "Patient.contact.relationship.coding.code",
        "path": "Patient.contact.relationship.coding.code",
        "min": 1
      },
      {
        "id": "Patient.contact.relationship.coding.userSelected",
        "path": "Patient.contact.relationship.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "min": 1
      },
      {
        "id": "Patient.contact.name.use",
        "path": "Patient.contact.name.use",
        "max": "0"
      },
      {
        "id": "Patient.contact.name.text",
        "path": "Patient.contact.name.text",
        "max": "0"
      },
      {
        "id": "Patient.contact.name.family",
        "path": "Patient.contact.name.family",
        "min": 1
      },
      {
        "id": "Patient.contact.name.given",
        "path": "Patient.contact.name.given",
        "min": 1,
        "max": "2"
      },
      {
        "id": "Patient.contact.name.prefix",
        "path": "Patient.contact.name.prefix",
        "max": "0"
      },
      {
        "id": "Patient.contact.name.suffix",
        "path": "Patient.contact.name.suffix",
        "max": "0"
      },
      {
        "id": "Patient.contact.telecom.extension:alerts",
        "path": "Patient.contact.telecom.extension",
        "sliceName": "alerts",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://vitalhub.com/fhir/StructureDefinition/ext-Alerts"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.communication",
        "path": "Patient.communication",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "extension.value[x].code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Patient.communication:motherTongue.extension:languageUse",
        "path": "Patient.communication.extension",
        "sliceName": "languageUse",
        "max": "1",
        "type": [
          {
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