<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="profile-patient-contribution" />
  <url value="http://ontariohealth.ca/fhir/pcr/StructureDefinition/profile-patient-contribution" />
  <name value="PCRPatientContribution" />
  <title value="PCR Patient Contribution Profile" />
  <status value="active" />
  <description value="This profile is for PCR Contributions." />
  <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.meta.lastUpdated">
      <path value="Patient.meta.lastUpdated" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier">
      <path value="Patient.identifier" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.use">
      <path value="Patient.identifier.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.type">
      <path value="Patient.identifier.type" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://ontariohealth.ca/fhir/pcr/ValueSet/pcr-patient-identifier-type" />
      </binding>
    </element>
    <element id="Patient.identifier.system">
      <path value="Patient.identifier.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.value">
      <path value="Patient.identifier.value" />
      <short value="Maximum of 40 characters or 10 characters for HCNs" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.active">
      <path value="Patient.active" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name">
      <path value="Patient.name" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.use">
      <path value="Patient.name.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.text">
      <path value="Patient.name.text" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.family">
      <path value="Patient.name.family" />
      <short value="Maximum length of 75 characters" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.given">
      <path value="Patient.name.given" />
      <slicing>
        <discriminator>
          <type value="exists" />
          <path value="extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier')" />
        </discriminator>
        <description value="by extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier')" />
        <rules value="open" />
      </slicing>
      <short value="Maximum length of 50 characters" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.given:given-first">
      <path value="Patient.name.given" />
      <sliceName value="given-first" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.given:given-first.extension">
      <path value="Patient.name.given.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Patient.name.given:given-first.extension:EN-qualifier">
      <path value="Patient.name.given.extension" />
      <sliceName value="EN-qualifier" />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" />
      </type>
    </element>
    <element id="Patient.name.given:given-middle">
      <path value="Patient.name.given" />
      <sliceName value="given-middle" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.given:given-middle.extension">
      <path value="Patient.name.given.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Patient.name.given:given-middle.extension:EN-qualifier">
      <path value="Patient.name.given.extension" />
      <sliceName value="EN-qualifier" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.given:given-middle.extension:EN-qualifier.value[x]">
      <path value="Patient.name.given.extension.value[x]" />
      <fixedCode value="MID" />
    </element>
    <element id="Patient.name.prefix">
      <path value="Patient.name.prefix" />
      <short value="Maximum length of 20 characters" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.suffix">
      <path value="Patient.name.suffix" />
      <short value="Maximum length of 50 characters" />
      <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" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.telecom.rank">
      <path value="Patient.telecom.rank" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender">
      <path value="Patient.gender" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.birthDate">
      <path value="Patient.birthDate" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.deceased[x]">
      <path value="Patient.deceased[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address">
      <path value="Patient.address" />
      <constraint>
        <key value="CANUSStateRequired" />
        <severity value="error" />
        <human value="If the country is CAN or USA, then the state and postalCode must exist" />
        <expression value="(country = 'USA' or country = 'CAN') implies (state.exists() and postalCode.exists())" />
        <source value="http://ontariohealth.ca/fhir/pcr/StructureDefinition/profile-patient-contribution" />
      </constraint>
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.use">
      <path value="Patient.address.use" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.type">
      <path value="Patient.address.type" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.text">
      <path value="Patient.address.text" />
      <short value="Maximum length of 250 characters" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.line">
      <path value="Patient.address.line" />
      <short value="Maximum length of 80 characters" />
      <min value="1" />
      <max value="4" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.city">
      <path value="Patient.address.city" />
      <short value="Maximum length of 10 characters" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.state">
      <path value="Patient.address.state" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/pcr/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" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://hl7.org/fhir/ValueSet/iso3166-1-3" />
      </binding>
    </element>
    <element id="Patient.maritalStatus">
      <path value="Patient.maritalStatus" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.multipleBirth[x]">
      <path value="Patient.multipleBirth[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact">
      <path value="Patient.contact" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.relationship">
      <path value="Patient.contact.relationship" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name">
      <path value="Patient.contact.name" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name.text">
      <path value="Patient.contact.name.text" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.telecom">
      <path value="Patient.contact.telecom" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.telecom.system">
      <path value="Patient.contact.telecom.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.telecom.value">
      <path value="Patient.contact.telecom.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.telecom.use">
      <path value="Patient.contact.telecom.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.telecom.rank">
      <path value="Patient.contact.telecom.rank" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address">
      <path value="Patient.contact.address" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address.text">
      <path value="Patient.contact.address.text" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.gender">
      <path value="Patient.contact.gender" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication">
      <path value="Patient.communication" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language">
      <path value="Patient.communication.language" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/pcr/ValueSet/human-language" />
      </binding>
    </element>
    <element id="Patient.communication.preferred">
      <path value="Patient.communication.preferred" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.link">
      <path value="Patient.link" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>