{
  "resourceType": "StructureDefinition",
  "id": "structuredefinition-profile-iar-patient",
  "url": "http://ontariohealth.ca/fhir/iar/StructureDefinition/profile-patient",
  "version": "1.0.0",
  "name": "PatientIAR",
  "title": "Patient IAR",
  "status": "active",
  "description": "Demographics and other administrative information about an individual receiving care or other health-related services.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Patient.extension:indigenousIdentity",
        "path": "Patient.extension",
        "sliceName": "indigenousIdentity",
        "short": "Extension for representing a code classifying a person's indigenous identity.",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-indigenousIdentity"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.extension:indigenousIdentity.value[x]",
        "path": "Patient.extension.value[x]",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/indigenous-identity"
        }
      },
      {
        "id": "Patient.extension:indigenousIdentity.value[x].coding.display.extension:translation",
        "path": "Patient.extension.value[x].coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Patient.extension:indigenousIdentity.value[x].coding.display.extension:translation.extension",
        "path": "Patient.extension.value[x].coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Patient.extension:genderIdentity",
        "path": "Patient.extension",
        "sliceName": "genderIdentity",
        "short": "Extension for representing how the person prefers to self-describe.",
        "definition": "A code that specifies an individual's personal experience of being a woman, man, nonbinary, or how the person prefers to self-describe. People may identify with more than one gender identity or use different gender identities in different settings.",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.extension:genderIdentity.extension",
        "path": "Patient.extension.extension",
        "min": 1
      },
      {
        "id": "Patient.extension:genderIdentity.extension:value",
        "path": "Patient.extension.extension",
        "sliceName": "value",
        "mustSupport": true
      },
      {
        "id": "Patient.extension:genderIdentity.extension:value.value[x]",
        "path": "Patient.extension.extension.value[x]",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/gender-identity"
        }
      },
      {
        "id": "Patient.extension:genderIdentity.extension:value.value[x].coding.display.extension:translation",
        "path": "Patient.extension.extension.value[x].coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Patient.extension:genderIdentity.extension:value.value[x].coding.display.extension:translation.extension",
        "path": "Patient.extension.extension.value[x].coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Patient.extension:ethnicity",
        "path": "Patient.extension",
        "sliceName": "ethnicity",
        "short": "Extension: ethnicity extension",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-ethnicity"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.extension:ethnicity.value[x]",
        "path": "Patient.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.extension:ethnicity.value[x]:valueCoding",
        "path": "Patient.extension.value[x]",
        "sliceName": "valueCoding",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/Coding-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/ethnicity-race"
        }
      },
      {
        "id": "Patient.extension:ethnicity.value[x]:valueCoding.display.extension:translation",
        "path": "Patient.extension.value[x].display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Patient.extension:ethnicity.value[x]:valueCoding.display.extension:translation.extension",
        "path": "Patient.extension.value[x].display.extension.extension",
        "min": 2
      },
      {
        "id": "Patient.extension:birthSex",
        "path": "Patient.extension",
        "sliceName": "birthSex",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.infoway-inforoute.ca/ca-ext/StructureDefinition/patient-birthSex"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Patient.extension:birthSex.value[x]",
        "path": "Patient.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.extension:birthSex.value[x]:valueCoding",
        "path": "Patient.extension.value[x]",
        "sliceName": "valueCoding",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/sex"
        }
      },
      {
        "id": "Patient.extension:birthSex.value[x]:valueCoding.system",
        "path": "Patient.extension.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Patient.extension:birthSex.value[x]:valueCoding.code",
        "path": "Patient.extension.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Patient.extension:birthSex.value[x]:valueCoding.display",
        "path": "Patient.extension.value[x].display",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:JHN",
        "path": "Patient.identifier",
        "sliceName": "JHN"
      },
      {
        "id": "Patient.identifier:JHN.extension:versionCode",
        "path": "Patient.identifier.extension",
        "sliceName": "versionCode",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier:JHN.type",
        "path": "Patient.identifier.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "JHN"
            }
          ]
        }
      },
      {
        "id": "Patient.identifier:JHN.system",
        "path": "Patient.identifier.system",
        "example": [
          {
            "label": "General",
            "valueUri": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn"
          }
        ]
      },
      {
        "id": "Patient.identifier:MRN",
        "path": "Patient.identifier",
        "sliceName": "MRN"
      },
      {
        "id": "Patient.identifier:MRN.type",
        "path": "Patient.identifier.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "MR"
            }
          ]
        }
      },
      {
        "id": "Patient.contact.relationship.coding.display.extension:translation",
        "path": "Patient.contact.relationship.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Patient.contact.relationship.coding.display.extension:translation.extension",
        "path": "Patient.contact.relationship.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Patient.contact.address.state",
        "path": "Patient.contact.address.state",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/province-state-code"
        }
      },
      {
        "id": "Patient.contact.address.country",
        "path": "Patient.contact.address.country",
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ehealthontario.ca/fhir/ValueSet/country-code"
        }
      },
      {
        "id": "Patient.communication.language.coding.display.extension:translation",
        "path": "Patient.communication.language.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Patient.communication.language.coding.display.extension:translation.extension",
        "path": "Patient.communication.language.coding.display.extension.extension",
        "min": 2
      }
    ]
  }
}