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