{
  "resourceType": "StructureDefinition",
  "id": "signal-patient",
  "url": "https://signalbhn.org/fhir/StructureDefinition/patient",
  "name": "SignalPatient",
  "title": "Patient Profile",
  "status": "draft",
  "date": "2023-06-15T17:41:33.182674+00:00",
  "description": "Constraints and extensions on the US Core Patient Resource",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient.extension:adoptionInfo",
        "path": "Patient.extension",
        "sliceName": "adoptionInfo",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/patient-adoptionInfo"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Patient.identifier:SSN",
        "path": "Patient.identifier",
        "sliceName": "SSN",
        "short": "SSN Identifier for this patient",
        "definition": "SSN identifier for this patient."
      },
      {
        "id": "Patient.identifier:SSN.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "fixedUri": "https://www.hl7.org/fhir/valueset-identifier-type.html"
      },
      {
        "id": "Patient.identifier:SSN.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "fixedCode": "SB"
      },
      {
        "id": "Patient.identifier:SSN.type.coding.display",
        "path": "Patient.identifier.type.coding.display",
        "fixedString": "Social Beneficiary Identifier"
      },
      {
        "id": "Patient.identifier:SSN.type.text",
        "path": "Patient.identifier.type.text",
        "fixedString": "Social Security Number"
      },
      {
        "id": "Patient.identifier:SSN.system",
        "path": "Patient.identifier.system",
        "fixedUri": "http://hl7.org/fhir/sid/us-ssn"
      },
      {
        "id": "Patient.identifier:MedicaidID",
        "path": "Patient.identifier",
        "sliceName": "MedicaidID",
        "short": "Medicaid identifier for this patient",
        "definition": "Medicaid identifier for this patient."
      },
      {
        "id": "Patient.identifier:MedicaidID.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "fixedUri": "https://www.hl7.org/fhir/valueset-identifier-type.html"
      },
      {
        "id": "Patient.identifier:MedicaidID.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "fixedCode": "SB"
      },
      {
        "id": "Patient.identifier:MedicaidID.type.coding.display",
        "path": "Patient.identifier.type.coding.display",
        "fixedString": "Social Beneficiary Identifier"
      },
      {
        "id": "Patient.identifier:MedicaidID.type.text",
        "path": "Patient.identifier.type.text",
        "fixedString": "Patient Medicaid number"
      },
      {
        "id": "Patient.identifier:MedicaidID.system",
        "path": "Patient.identifier.system",
        "fixedUri": "https://signalbhn.org/fhir/sid/us-medicaidid"
      },
      {
        "id": "Patient.identifier:MedicareID",
        "path": "Patient.identifier",
        "sliceName": "MedicareID",
        "short": "Medicare identifier for this patient",
        "definition": "Medicare identifier for this patient."
      },
      {
        "id": "Patient.identifier:MedicareID.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "fixedUri": "https://www.hl7.org/fhir/valueset-identifier-type.html"
      },
      {
        "id": "Patient.identifier:MedicareID.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "fixedCode": "SB"
      },
      {
        "id": "Patient.identifier:MedicareID.type.coding.display",
        "path": "Patient.identifier.type.coding.display",
        "fixedString": "Social Beneficiary Identifier"
      },
      {
        "id": "Patient.identifier:MedicareID.type.text",
        "path": "Patient.identifier.type.text",
        "fixedString": "Patient Unique Medicare Number"
      },
      {
        "id": "Patient.identifier:MedicareID.system",
        "path": "Patient.identifier.system",
        "fixedUri": "http://hl7.org/fhir/sid/us-mbi"
      },
      {
        "id": "Patient.identifier:ProviderClientId",
        "path": "Patient.identifier",
        "sliceName": "ProviderClientId",
        "short": "ProviderClient identifier for this patient",
        "definition": "ProviderClient identifier for this patient."
      },
      {
        "id": "Patient.identifier:ProviderClientId.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "fixedUri": "https://www.hl7.org/fhir/valueset-identifier-type.html"
      },
      {
        "id": "Patient.identifier:ProviderClientId.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "fixedCode": "MR"
      },
      {
        "id": "Patient.identifier:ProviderClientId.type.coding.display",
        "path": "Patient.identifier.type.coding.display",
        "fixedString": "Medical Record Number"
      },
      {
        "id": "Patient.identifier:ProviderClientId.system",
        "path": "Patient.identifier.system",
        "definition": "This needs to be the URL that is specific to the Provider's domain; e.g. http://example.org"
      },
      {
        "id": "Patient.identifier:ClientId",
        "path": "Patient.identifier",
        "sliceName": "ClientId",
        "short": "Client identifier for this patient",
        "definition": "Signal's Beacon legacy identifier for client."
      },
      {
        "id": "Patient.identifier:ClientId.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "fixedUri": "https://www.hl7.org/fhir/valueset-identifier-type.html"
      },
      {
        "id": "Patient.identifier:ClientId.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "fixedCode": "MR"
      },
      {
        "id": "Patient.identifier:ClientId.type.coding.display",
        "path": "Patient.identifier.type.coding.display",
        "fixedString": "Medical Record Number"
      },
      {
        "id": "Patient.identifier:ClientId.system",
        "path": "Patient.identifier.system",
        "fixedUri": "https://signalbhn.org/fhir/sid/beacon-legacy"
      },
      {
        "id": "Patient.identifier:InsuranceCarrier",
        "path": "Patient.identifier",
        "sliceName": "InsuranceCarrier",
        "short": "Insurance Carrier identifier for this patient",
        "definition": "Insurance Carrier identifier for the client."
      },
      {
        "id": "Patient.identifier:InsuranceCarrier.system",
        "path": "Patient.identifier.system",
        "fixedUri": "http://hl7.org/fhir/sid/us-insuranceid"
      },
      {
        "id": "Patient.identifier:TrailsID",
        "path": "Patient.identifier",
        "sliceName": "TrailsID",
        "short": "Trails identifier for this patient",
        "definition": "Trails identifier for the client."
      },
      {
        "id": "Patient.identifier:TrailsID.system",
        "path": "Patient.identifier.system",
        "fixedUri": "https://signalbhn.org/fhir/sid/us-trailsid"
      },
      {
        "id": "Patient.identifier:HouseholdID",
        "path": "Patient.identifier",
        "sliceName": "HouseholdID",
        "short": "Household identifier for this patient",
        "definition": "Household identifier for the client."
      },
      {
        "id": "Patient.identifier:HouseholdID.system",
        "path": "Patient.identifier.system",
        "fixedUri": "https://signalbhn.org/fhir/sid/us-householdid"
      },
      {
        "id": "Patient.address.extension:noFixedAddress",
        "path": "Patient.address.extension",
        "sliceName": "noFixedAddress",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/no-fixed-address"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Patient.address.district",
        "path": "Patient.address.district",
        "binding": {
          "strength": "required",
          "valueSet": "https://signalbhn.org/fhir/ValueSet/fips-county-co"
        }
      }
    ]
  }
}