<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ext-patient-immigration" />
  <url value="http://fhir.health.gov.il/StructureDefinition/ext-patient-immigration" />
  <version value="0.21.0" />
  <name value="PatientImmigration" />
  <title value="Ext: Patient Immigration" />
  <status value="active" />
  <date value="2026-03-23" />
  <publisher value="Israel Core Team" />
  <contact>
    <telecom>
      <system value="email" />
      <value value="tal.primak@moh.gov.il" />
    </telecom>
  </contact>
  <description value="Extension: Immigration information for patient - for the purpose of this extension - immigration is an international movement of a person to a destination country in order to settle as permanent resident" />
  <fhirVersion value="4.0.1" />
  <kind value="complex-type" />
  <abstract value="false" />
  <context>
    <type value="element" />
    <expression value="Patient" />
  </context>
  <type value="Extension" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
  <derivation value="constraint" />
  <differential>
    <element id="Extension">
      <path value="Extension" />
      <short value="Ext: Patient Immigration" />
      <definition value="Extension: Immigration information for patient - for the purpose of this extension - immigration is an international movement of a person to a destination country in order to settle as permanent resident" />
      <comment value="In case of an Aliyah (A jew immigrating to Israel), the destination should be 'IL' (Israel)" />
    </element>
    <element id="Extension.extension:origin">
      <path value="Extension.extension" />
      <sliceName value="origin" />
      <short value="Country code of origin" />
      <definition value="Country code corresponding to origin country of patient." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension:origin.extension">
      <path value="Extension.extension.extension" />
      <max value="0" />
    </element>
    <element id="Extension.extension:origin.url">
      <path value="Extension.extension.url" />
      <fixedUri value="origin" />
    </element>
    <element id="Extension.extension:origin.value[x]">
      <path value="Extension.extension.value[x]" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <example>
        <label value="Valid Example" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:iso:std:iso:3166" />
            <code value="US" />
            <display value="United States of America" />
          </coding>
        </valueCodeableConcept>
      </example>
      <binding>
        <strength value="preferred" />
        <valueSet value="http://fhir.health.gov.il/ValueSet/il-core-jurisdiction" />
      </binding>
    </element>
    <element id="Extension.extension:destination">
      <path value="Extension.extension" />
      <sliceName value="destination" />
      <short value="Country code of destination" />
      <definition value="Country code corresponding to destination country of patient. When missing, destination country is assumed to be Israel" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension:destination.extension">
      <path value="Extension.extension.extension" />
      <max value="0" />
    </element>
    <element id="Extension.extension:destination.url">
      <path value="Extension.extension.url" />
      <fixedUri value="destination" />
    </element>
    <element id="Extension.extension:destination.value[x]">
      <path value="Extension.extension.value[x]" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <example>
        <label value="Valid Example" />
        <valueCodeableConcept>
          <coding>
            <system value="urn:iso:std:iso:3166" />
            <code value="IL" />
            <display value="Israel" />
          </coding>
        </valueCodeableConcept>
      </example>
      <binding>
        <strength value="preferred" />
        <valueSet value="http://fhir.health.gov.il/ValueSet/il-core-jurisdiction" />
      </binding>
    </element>
    <element id="Extension.extension:date">
      <path value="Extension.extension" />
      <sliceName value="date" />
      <short value="Date of immigration" />
      <definition value="Date of immigration." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension:date.extension">
      <path value="Extension.extension.extension" />
      <max value="0" />
    </element>
    <element id="Extension.extension:date.url">
      <path value="Extension.extension.url" />
      <fixedUri value="date" />
    </element>
    <element id="Extension.extension:date.value[x]">
      <path value="Extension.extension.value[x]" />
      <min value="1" />
      <type>
        <code value="date" />
      </type>
      <example>
        <label value="Valid Example" />
        <valueDateTime value="2022-01-01" />
      </example>
    </element>
    <element id="Extension.extension:status">
      <path value="Extension.extension" />
      <sliceName value="status" />
      <short value="Immigration status code" />
      <definition value="Immigration status according to LOINC answer-list LL5005-5 [http://loinc.org/LL5005-5]" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension:status.extension">
      <path value="Extension.extension.extension" />
      <max value="0" />
    </element>
    <element id="Extension.extension:status.url">
      <path value="Extension.extension.url" />
      <fixedUri value="status" />
    </element>
    <element id="Extension.extension:status.value[x]">
      <path value="Extension.extension.value[x]" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <example>
        <label value="Valid Example" />
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org" />
            <code value="LA29155-1" />
            <display value="Naturalized citizen" />
          </coding>
        </valueCodeableConcept>
      </example>
      <binding>
        <strength value="required" />
        <valueSet value="http://loinc.org/vs/LL5005-5" />
      </binding>
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <fixedUri value="http://fhir.health.gov.il/StructureDefinition/ext-patient-immigration" />
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>