<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2024-01-22T13:58:18.2442422+00:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pa" />
  </extension>
  <url value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
  <version value="1.8.0" />
  <name value="PCDS-Patient" />
  <status value="draft" />
  <date value="2024-01-22T13:58:24.4167561+00:00" />
  <publisher value="NHS Digital" />
  <description value="The patient resource represents the patient involved in the provision of healthcare related services." />
  <copyright value="Copyright © 2019 HL7 UK&#xD;&#xA;&#xD;&#xA;Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at&#xD;&#xA;&#xD;&#xA;http://www.apache.org/licenses/LICENSE-2.0&#xD;&#xA;&#xD;&#xA;Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.&#xD;&#xA;&#xD;&#xA;HL7® FHIR® standard Copyright © 2011+ HL7&#xD;&#xA;&#xD;&#xA;The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at&#xD;&#xA;&#xD;&#xA;https://www.hl7.org/fhir/license.html" />
  <fhirVersion value="3.0.0" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Patient" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" />
  <derivation value="constraint" />
  <differential>
    <element id="Patient.id">
      <path value="Patient.id" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:registrationDetails">
      <path value="Patient.extension" />
      <sliceName value="registrationDetails" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.extension:ethnicCategory">
      <path value="Patient.extension" />
      <sliceName value="ethnicCategory" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-EthnicCategory-1" />
      </type>
    </element>
    <element id="Patient.extension:religiousAffiliation">
      <path value="Patient.extension" />
      <sliceName value="religiousAffiliation" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ReligiousAffiliation-1" />
      </type>
    </element>
    <element id="Patient.extension:patient-cadavericDonor">
      <path value="Patient.extension" />
      <sliceName value="patient-cadavericDonor" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" />
      </type>
    </element>
    <element id="Patient.extension:patient-cadavericDonor.valueBoolean:valueBoolean">
      <path value="Patient.extension.valueBoolean" />
      <sliceName value="valueBoolean" />
    </element>
    <element id="Patient.extension:residentialStatus">
      <path value="Patient.extension" />
      <sliceName value="residentialStatus" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ResidentialStatus-1" />
      </type>
    </element>
    <element id="Patient.extension:treatmentCategory">
      <path value="Patient.extension" />
      <sliceName value="treatmentCategory" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-TreatmentCategory-1" />
      </type>
    </element>
    <element id="Patient.extension:nhsCommunication">
      <path value="Patient.extension" />
      <sliceName value="nhsCommunication" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1" />
      </type>
    </element>
    <element id="Patient.extension:nhsCommunication.extension">
      <path value="Patient.extension.extension" />
      <min value="1" />
    </element>
    <element id="Patient.extension:nhsCommunication.extension:preferred">
      <path value="Patient.extension.extension" />
      <sliceName value="preferred" />
    </element>
    <element id="Patient.extension:nhsCommunication.extension:preferred.valueBoolean:valueBoolean">
      <path value="Patient.extension.extension.valueBoolean" />
      <sliceName value="valueBoolean" />
    </element>
    <element id="Patient.extension:nhsCommunication.extension:interpreterRequired">
      <path value="Patient.extension.extension" />
      <sliceName value="interpreterRequired" />
    </element>
    <element id="Patient.extension:nhsCommunication.extension:interpreterRequired.valueBoolean:valueBoolean">
      <path value="Patient.extension.extension.valueBoolean" />
      <sliceName value="valueBoolean" />
    </element>
    <element id="Patient.extension:birthPlace">
      <path value="Patient.extension" />
      <sliceName value="birthPlace" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/birthPlace" />
      </type>
    </element>
    <element id="Patient.extension:nominatedPharmacy">
      <path value="Patient.extension" />
      <sliceName value="nominatedPharmacy" />
      <max value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NominatedPharmacy-1" />
      </type>
    </element>
    <element id="Patient.extension:deathNotificationStatus">
      <path value="Patient.extension" />
      <sliceName value="deathNotificationStatus" />
      <max value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-DeathNotificationStatus-1" />
      </type>
    </element>
    <element id="Patient.identifier">
      <path value="Patient.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="openAtEnd" />
      </slicing>
    </element>
    <element id="Patient.identifier:nhsNumber">
      <path value="Patient.identifier" />
      <sliceName value="nhsNumber" />
      <short value="The unique identifier for a person within the NHS in England and Wales." />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier:nhsNumber.extension">
      <path value="Patient.identifier.extension" />
      <min value="1" />
    </element>
    <element id="Patient.identifier:nhsNumber.extension:nhsNumberVerificationStatus">
      <path value="Patient.identifier.extension" />
      <sliceName value="nhsNumberVerificationStatus" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1" />
      </type>
    </element>
    <element id="Patient.identifier:nhsNumber.use">
      <path value="Patient.identifier.use" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:nhsNumber.type">
      <path value="Patient.identifier.type" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:nhsNumber.system">
      <path value="Patient.identifier.system" />
      <min value="1" />
      <fixedUri value="https://fhir.nhs.uk/Id/nhs-number" />
    </element>
    <element id="Patient.identifier:nhsNumber.value">
      <path value="Patient.identifier.value" />
      <min value="1" />
      <example>
        <label value="General" />
        <valueString value="1234567890" />
      </example>
    </element>
    <element id="Patient.identifier:nhsNumber.period">
      <path value="Patient.identifier.period" />
      <max value="0" />
    </element>
    <element id="Patient.identifier:nhsNumber.assigner">
      <path value="Patient.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Patient.name">
      <path value="Patient.name" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="use" />
        </discriminator>
        <ordered value="false" />
        <rules value="openAtEnd" />
      </slicing>
      <definition value="A name associated with the individual. There will only be one name with the value of 'official'." />
    </element>
    <element id="Patient.name:official">
      <path value="Patient.name" />
      <sliceName value="official" />
      <short value="A name associated with the patient. There will only be one name with the value of 'official'." />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Patient.name:official.use">
      <path value="Patient.name.use" />
      <min value="1" />
      <fixedCode value="official" />
      <binding>
        <strength value="required" />
        <valueSetReference>
          <reference value="https://www.datadictionary.nhs.uk/data_elements/person_given_name.html" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient.name:official.text">
      <path value="Patient.name.text" />
      <short value="The full name of the person in text representation." />
      <binding>
        <strength value="example" />
        <description value="The use of the text representation of the name." />
        <valueSetUri value="https://www.datadictionary.nhs.uk/data_elements/patient_full_name.html" />
      </binding>
    </element>
    <element id="Patient.name:official.family">
      <path value="Patient.name.family" />
      <short value="The family name or surname of the person" />
      <definition value="The family name or surname of the person" />
      <min value="1" />
      <binding>
        <strength value="example" />
        <description value="The use of a family name" />
        <valueSetUri value="https://www.datadictionary.nhs.uk/data_elements/person_family_name.html" />
      </binding>
    </element>
    <element id="Patient.name:official.given">
      <path value="Patient.name.given" />
      <definition value="The name by which a person wishes to be addressed. The preferred name volunteered by the person or a preferred name given by PDS that the person has asked to be called by." />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="example" />
        <description value="The use of a given name" />
        <valueSetUri value="https://www.datadictionary.nhs.uk/data_elements/person_full_name.html" />
      </binding>
    </element>
    <element id="Patient.name:official.prefix">
      <path value="Patient.name.prefix" />
      <short value="Person's title" />
      <binding>
        <strength value="example" />
        <description value="Prefix example" />
        <valueSetUri value="https://www.datadictionary.nhs.uk/data_elements/person_title.html" />
      </binding>
    </element>
    <element id="Patient.name:official.suffix">
      <path value="Patient.name.suffix" />
      <short value="A textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GM" />
      <binding>
        <strength value="example" />
        <description value="Suffix example" />
        <valueSetReference>
          <reference value="https://www.datadictionary.nhs.uk/data_elements/person_name_suffix.html" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient.gender">
      <path value="Patient.gender" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="The person's stated gender." />
        <valueSetReference>
          <reference value="https://fhir.nhs.uk/STU3/ValueSet/CareConnect-AdministrativeGender-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient.birthDate">
      <path value="Patient.birthDate" />
      <short value="The date of birth of the person." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.birthDate.extension:patient-birthTime">
      <path value="Patient.birthDate.extension" />
      <sliceName value="patient-birthTime" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-birthTime" />
      </type>
    </element>
    <element id="Patient.birthDate.extension:patient-birthTime.valueDateTime:valueDateTime">
      <path value="Patient.birthDate.extension.valueDateTime" />
      <sliceName value="valueDateTime" />
    </element>
    <element id="Patient.deceased[x]:deceasedDateTime">
      <path value="Patient.deceasedDateTime" />
      <sliceName value="deceasedDateTime" />
      <max value="0" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.text">
      <path value="Patient.address.text" />
      <example>
        <label value="General" />
        <valueString value="42 Grove Street, Overtown, West Yorkshire, LS21 1PF" />
      </example>
    </element>
    <element id="Patient.address.line">
      <path value="Patient.address.line" />
      <short value="Person's first line of address." />
      <min value="1" />
      <max value="1" />
      <example>
        <label value="General" />
        <valueString value="42 Grove Street" />
      </example>
    </element>
    <element id="Patient.address.city">
      <path value="Patient.address.city" />
      <short value="Person's second line of address." />
      <example>
        <label value="General" />
        <valueString value="Overtown" />
      </example>
    </element>
    <element id="Patient.address.district">
      <path value="Patient.address.district" />
      <short value="Person's third line of address." />
      <example>
        <label value="General" />
        <valueString value="West Yorkshire" />
      </example>
    </element>
    <element id="Patient.address.state">
      <path value="Patient.address.state" />
      <short value="Address line 4" />
    </element>
    <element id="Patient.address.postalCode">
      <path value="Patient.address.postalCode" />
      <short value="The person's postcode." />
      <example>
        <label value="General" />
        <valueString value="LS21 1PF" />
      </example>
    </element>
    <element id="Patient.address.country">
      <path value="Patient.address.country" />
      <short value="Address line 5" />
      <example>
        <label value="General" />
        <valueString value="GBR" />
      </example>
    </element>
    <element id="Patient.maritalStatus">
      <path value="Patient.maritalStatus" />
      <binding>
        <strength value="required" />
        <valueSetReference>
          <reference value="https://fhir.nhs.uk/STU3/ValueSet/CareConnect-MaritalStatus-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient.maritalStatus.coding">
      <path value="Patient.maritalStatus.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Patient.maritalStatus.coding.system">
      <path value="Patient.maritalStatus.coding.system" />
      <min value="1" />
      <example>
        <label value="General" />
        <valueUri value="http://hl7.org/fhir/v3/MaritalStatus" />
      </example>
    </element>
    <element id="Patient.maritalStatus.coding.version">
      <path value="Patient.maritalStatus.coding.version" />
      <max value="0" />
    </element>
    <element id="Patient.maritalStatus.coding.code">
      <path value="Patient.maritalStatus.coding.code" />
      <min value="1" />
    </element>
    <element id="Patient.maritalStatus.coding.display">
      <path value="Patient.maritalStatus.coding.display" />
      <min value="1" />
    </element>
    <element id="Patient.maritalStatus.coding.userSelected">
      <path value="Patient.maritalStatus.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Patient.multipleBirth[x]:multipleBirthBoolean">
      <path value="Patient.multipleBirthBoolean" />
      <sliceName value="multipleBirthBoolean" />
      <max value="0" />
      <type>
        <code value="boolean" />
      </type>
    </element>
    <element id="Patient.photo">
      <path value="Patient.photo" />
      <max value="1" />
    </element>
    <element id="Patient.contact">
      <path value="Patient.contact" />
      <short value="The details of the individual's personal contacts." />
    </element>
    <element id="Patient.contact.relationship">
      <path value="Patient.contact.relationship" />
      <short value="The relationship the personal contact has to the person, e.g. father, grandmother, family friend etc." />
      <max value="1" />
    </element>
    <element id="Patient.contact.relationship.coding.system">
      <path value="Patient.contact.relationship.coding.system" />
      <min value="1" />
    </element>
    <element id="Patient.contact.relationship.coding.code">
      <path value="Patient.contact.relationship.coding.code" />
      <min value="1" />
    </element>
    <element id="Patient.contact.relationship.coding.display">
      <path value="Patient.contact.relationship.coding.display" />
      <min value="1" />
    </element>
    <element id="Patient.contact.name">
      <path value="Patient.contact.name" />
      <short value="The name of the personal contact." />
      <min value="1" />
    </element>
    <element id="Patient.contact.name.use">
      <path value="Patient.contact.name.use" />
      <min value="1" />
    </element>
    <element id="Patient.contact.address.text">
      <path value="Patient.contact.address.text" />
      <example>
        <label value="General" />
        <valueString value="120, Grove Street, Overtown, West Yorkshire, LS21 1PT" />
      </example>
    </element>
    <element id="Patient.contact.address.line">
      <path value="Patient.contact.address.line" />
      <example>
        <label value="General" />
        <valueString value="120, Grove Street" />
      </example>
    </element>
    <element id="Patient.contact.address.city">
      <path value="Patient.contact.address.city" />
      <example>
        <label value="General" />
        <valueString value="Overtown" />
      </example>
    </element>
    <element id="Patient.contact.address.district">
      <path value="Patient.contact.address.district" />
      <example>
        <label value="General" />
        <valueString value="West Yorkshire" />
      </example>
    </element>
    <element id="Patient.contact.address.state">
      <path value="Patient.contact.address.state" />
      <max value="0" />
    </element>
    <element id="Patient.contact.address.postalCode">
      <path value="Patient.contact.address.postalCode" />
      <example>
        <label value="General" />
        <valueString value="LS21 1PT" />
      </example>
    </element>
    <element id="Patient.contact.address.country">
      <path value="Patient.contact.address.country" />
      <example>
        <label value="General" />
        <valueString value="GBR" />
      </example>
    </element>
    <element id="Patient.contact.gender">
      <path value="Patient.contact.gender" />
      <binding>
        <strength value="required" />
        <valueSetReference>
          <reference value="https://fhir.nhs.uk/STU3/ValueSet/CareConnect-AdministrativeGender-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient.contact.organization">
      <path value="Patient.contact.organization" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
    </element>
    <element id="Patient.animal">
      <path value="Patient.animal" />
      <max value="0" />
    </element>
    <element id="Patient.communication">
      <path value="Patient.communication" />
      <max value="0" />
    </element>
    <element id="Patient.generalPractitioner">
      <path value="Patient.generalPractitioner" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
      </type>
    </element>
    <element id="Patient.managingOrganization">
      <path value="Patient.managingOrganization" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
      </type>
    </element>
    <element id="Patient.link.other">
      <path value="Patient.link.other" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
      </type>
    </element>
  </differential>
</StructureDefinition>