{
  "resourceType": "StructureDefinition",
  "url": "http://apiframework.dedalus.eu/fhir/StructureDefinition/Patient",
  "name": "Patient",
  "title": "API Framework Patient",
  "status": "active",
  "experimental": false,
  "description": "Dedalus API Framework core profile for Patient",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient.id",
        "path": "Patient.id",
        "mustSupport": true
      },
      {
        "id": "Patient.meta",
        "path": "Patient.meta",
        "type": [
          {
            "code": "Meta",
            "profile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/Meta-ForCommonConformance"
          }
        ]
      },
      {
        "id": "Patient.text",
        "path": "Patient.text",
        "mustSupport": true
      },
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Patient.extension:birthPlace",
        "path": "Patient.extension",
        "sliceName": "birthPlace",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.extension:birthPlace.valueAddress:valueAddress",
        "path": "Patient.extension.valueAddress",
        "sliceName": "valueAddress",
        "max": "1",
        "type": [
          {
            "code": "Address",
            "profile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/Address"
          }
        ]
      },
      {
        "id": "Patient.extension:birthPlace.valueAddress:valueAddress.extension:qualifier",
        "path": "Patient.extension.valueAddress.extension",
        "sliceName": "qualifier",
        "requirements": "Qualifier is not used since the birthPlace extension already qualifies the address purpose."
      },
      {
        "id": "Patient.extension:birthPlace.valueAddress:valueAddress.extension:qualifier.valueCode:valueCode",
        "path": "Patient.extension.valueAddress.extension.valueCode",
        "sliceName": "valueCode",
        "min": 1,
        "fixedCode": "BIRTHPL"
      },
      {
        "id": "Patient.extension:citizenship",
        "path": "Patient.extension",
        "sliceName": "citizenship",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.extension:citizenship.extension:code",
        "path": "Patient.extension.extension",
        "sliceName": "code"
      },
      {
        "id": "Patient.extension:citizenship.extension:code.valueCodeableConcept:valueCodeableConcept",
        "path": "Patient.extension.extension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept"
      },
      {
        "id": "Patient.extension:citizenship.extension:period",
        "path": "Patient.extension.extension",
        "sliceName": "period"
      },
      {
        "id": "Patient.extension:citizenship.extension:period.valuePeriod:valuePeriod",
        "path": "Patient.extension.extension.valuePeriod",
        "sliceName": "valuePeriod"
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "requirements": "Slicing on Identifier introduced to manage Dedalus MPI default identifier.",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier.type",
        "path": "Patient.identifier.type",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier.system",
        "path": "Patient.identifier.system",
        "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique. This is the identifier element used to distinguish an identifier inside a list",
        "min": 1,
        "example": [
          {
            "label": "Dedalus registered HL7 OID",
            "valueUri": "urn:oid:2.16.840.1.113883.2.9.3.12.4.1"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Affinity Domain Systems",
          "valueSetReference": {
            "reference": "http://apiframework.dedalus.eu/fhir/ValueSet/PatientIdentifierSystems"
          }
        }
      },
      {
        "id": "Patient.identifier.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier.period",
        "path": "Patient.identifier.period",
        "mustSupport": true
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "type": [
          {
            "code": "HumanName",
            "profile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/HumanName"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "type": [
          {
            "code": "ContactPoint",
            "profile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/ContactPoint"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.telecom.extension:note",
        "path": "Patient.telecom.extension",
        "sliceName": "note",
        "short": "Notes to qualify different informations",
        "definition": "example: when I can call you?\r\nIs this number only private?"
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "mustSupport": true
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "mustSupport": true
      },
      {
        "id": "Patient.deceased[x]:deceasedDateTime",
        "path": "Patient.deceasedDateTime",
        "sliceName": "deceasedDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "type": [
          {
            "code": "Address",
            "profile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/Address"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.address.extension:qualifier",
        "path": "Patient.address.extension",
        "sliceName": "qualifier",
        "short": "Extension to define different types of address",
        "definition": "See CS concepts for definitions"
      },
      {
        "id": "Patient.address.extension:placeCode",
        "path": "Patient.address.extension",
        "sliceName": "placeCode",
        "short": "ISTAT code",
        "definition": "see CS"
      },
      {
        "id": "Patient.address.extension:placeCode.valueCoding:valueCoding.system",
        "path": "Patient.address.extension.valueCoding.system",
        "mustSupport": true
      },
      {
        "id": "Patient.address.extension:placeCode.valueCoding:valueCoding.code",
        "path": "Patient.address.extension.valueCoding.code",
        "mustSupport": true
      },
      {
        "id": "Patient.address.extension:unitId",
        "path": "Patient.address.extension",
        "sliceName": "unitId",
        "short": "Address UnitID definition",
        "definition": "example \"floor 2/b\"",
        "requirements": "Fragment of address containing information on address unit id (aka building). In italy, this is the \"numero civico\"."
      },
      {
        "id": "Patient.address.extension:unitId.valueString:valueString",
        "path": "Patient.address.extension.valueString",
        "sliceName": "valueString",
        "mustSupport": true
      },
      {
        "id": "Patient.address.extension:houseNumber",
        "path": "Patient.address.extension",
        "sliceName": "houseNumber",
        "requirements": "Fragment of address containing information on house number. In italy, this is the \"interno\"."
      },
      {
        "id": "Patient.maritalStatus",
        "path": "Patient.maritalStatus",
        "mustSupport": true
      },
      {
        "id": "Patient.photo",
        "path": "Patient.photo",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.animal",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Animal"
          }
        ],
        "path": "Patient.animal",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Patient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/Practitioner"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.generalPractitioner.reference",
        "path": "Patient.generalPractitioner.reference",
        "mustSupport": true
      },
      {
        "id": "Patient.managingOrganization",
        "path": "Patient.managingOrganization",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/Organization"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.managingOrganization.reference",
        "path": "Patient.managingOrganization.reference",
        "mustSupport": true
      },
      {
        "id": "Patient.link",
        "path": "Patient.link",
        "requirements": "This Field is intended for Merge Communication purposes. If present in a DELETE method call it's used as a Reference to the remaining Patient record. \nAccording to REST semantic, record related to the main Patient resource is deleted and all his remaining attributes reconnected to the linked Patient resource.",
        "mustSupport": true
      },
      {
        "id": "Patient.link.other",
        "path": "Patient.link.other",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://apiframework.dedalus.eu/fhir/StructureDefinition/Patient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.link.type",
        "path": "Patient.link.type",
        "fixedCode": "replaced-by",
        "mustSupport": true
      }
    ]
  }
}