<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="78d7fd75-fd40-4c44-adc4-9e36b86a07ec" />
  <meta>
    <lastUpdated value="2026-01-26T12:35:00+00:00" />
  </meta>
  <text>
    <status value="empty" />
    <div xmlns="http://www.w3.org/1999/xhtml">No human-readable text provided in this case.</div>
  </text>
  <url value="http://ontariohealth.ca/fhir/immunization/StructureDefinition/profile-patient-submission" />
  <version value="1.0.1" />
  <name value="PatientIRSubmission" />
  <title value="Patient IR Submission" />
  <status value="active" />
  <date value="2025-10-23" />
  <description value="Demographics and other administrative information about an individual receiving care or other health-related services. Updated to support PCR Emergency Contact." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Patient" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" />
  <derivation value="constraint" />
  <differential>
    <element id="Patient">
      <path value="Patient" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier">
      <path value="Patient.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="type.coding.code" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:JHN">
      <path value="Patient.identifier" />
      <sliceName value="JHN" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:JHN.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type" />
      </binding>
    </element>
    <element id="Patient.identifier:JHN.type.coding">
      <path value="Patient.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:JHN.type.coding.system">
      <path value="Patient.identifier.type.coding.system" />
      <min value="1" />
      <fixedUri value="http://terminology.hl7.org/CodeSystem/v2-0203" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:JHN.type.coding.code">
      <path value="Patient.identifier.type.coding.code" />
      <min value="1" />
      <fixedCode value="JHN" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:JHN.system">
      <path value="Patient.identifier.system" />
      <min value="1" />
      <fixedUri value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:JHN.value">
      <path value="Patient.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:MRN">
      <path value="Patient.identifier" />
      <sliceName value="MRN" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:MRN.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type" />
      </binding>
    </element>
    <element id="Patient.identifier:MRN.type.coding">
      <path value="Patient.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:MRN.type.coding.system">
      <path value="Patient.identifier.type.coding.system" />
      <min value="1" />
      <fixedUri value="http://terminology.hl7.org/CodeSystem/v2-0203" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:MRN.type.coding.code">
      <path value="Patient.identifier.type.coding.code" />
      <min value="1" />
      <fixedCode value="MR" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:MRN.system">
      <path value="Patient.identifier.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:MRN.value">
      <path value="Patient.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name">
      <path value="Patient.name" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.use">
      <path value="Patient.name.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.family">
      <path value="Patient.name.family" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.given">
      <path value="Patient.name.given" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.prefix">
      <path value="Patient.name.prefix" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.suffix">
      <path value="Patient.name.suffix" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom">
      <path value="Patient.telecom" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom.system">
      <path value="Patient.telecom.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom.value">
      <path value="Patient.telecom.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom.use">
      <path value="Patient.telecom.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender">
      <path value="Patient.gender" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0" />
      </binding>
    </element>
    <element id="Patient.birthDate">
      <path value="Patient.birthDate" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address">
      <path value="Patient.address" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.use">
      <path value="Patient.address.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.type">
      <path value="Patient.address.type" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.line">
      <path value="Patient.address.line" />
      <max value="2" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.city">
      <path value="Patient.address.city" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.state">
      <path value="Patient.address.state" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/province-state-code" />
      </binding>
    </element>
    <element id="Patient.address.postalCode">
      <path value="Patient.address.postalCode" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.country">
      <path value="Patient.address.country" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://ehealthontario.ca/fhir/ValueSet/country-code" />
      </binding>
    </element>
    <element id="Patient.contact">
      <path value="Patient.contact" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.relationship">
      <path value="Patient.contact.relationship" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/patient-contact-relationship" />
      </binding>
    </element>
    <element id="Patient.contact.relationship.coding">
      <path value="Patient.contact.relationship.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Patient.contact.relationship.coding.display.extension:translation">
      <path value="Patient.contact.relationship.coding.display.extension" />
      <sliceName value="translation" />
    </element>
    <element id="Patient.contact.relationship.coding.display.extension:translation.extension">
      <path value="Patient.contact.relationship.coding.display.extension.extension" />
      <min value="2" />
    </element>
    <element id="Patient.contact.name">
      <path value="Patient.contact.name" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name.use">
      <path value="Patient.contact.name.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name.family">
      <path value="Patient.contact.name.family" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name.given">
      <path value="Patient.contact.name.given" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name.prefix">
      <path value="Patient.contact.name.prefix" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name.suffix">
      <path value="Patient.contact.name.suffix" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.telecom">
      <path value="Patient.contact.telecom" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address">
      <path value="Patient.contact.address" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address.use">
      <path value="Patient.contact.address.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address.line">
      <path value="Patient.contact.address.line" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address.city">
      <path value="Patient.contact.address.city" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address.state">
      <path value="Patient.contact.address.state" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/province-state-code" />
      </binding>
    </element>
    <element id="Patient.contact.address.postalCode">
      <path value="Patient.contact.address.postalCode" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address.country">
      <path value="Patient.contact.address.country" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ehealthontario.ca/fhir/ValueSet/country-code" />
      </binding>
    </element>
  </differential>
</StructureDefinition>