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