<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ca-on-eReferral-profile-Patient" />
  <url value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Patient" />
  <version value="1.0.1" />
  <name value="EReferralPatient" />
  <title value="Patient" />
  <status value="draft" />
  <description value="The Patient resources contain demographics and other administrative information about the individual who is the subject of the referral." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Patient" />
  <baseDefinition value="https://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Patient" />
  <derivation value="constraint" />
  <differential>
    <element id="Patient.meta">
      <path value="Patient.meta" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.meta.profile">
      <path value="Patient.meta.profile" />
      <comment value="#### **_` FOR eREFERRAL USAGE: The meta.profile = http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Patient|1.0.1 `_**&#xA;&#xA;It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.meta.security">
      <path value="Patient.meta.security" />
    </element>
    <element id="Patient.meta.security.id">
      <path value="Patient.meta.security.id" />
      <max value="0" />
    </element>
    <element id="Patient.meta.security.version">
      <path value="Patient.meta.security.version" />
      <max value="0" />
    </element>
    <element id="Patient.meta.security.userSelected">
      <path value="Patient.meta.security.userSelected" />
      <max value="0" />
    </element>
    <element id="Patient.identifier">
      <path value="Patient.identifier" />
      <comment value="Include patient health card number. May also include HCN version code extension." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:ReasonForNoHCN">
      <path value="Patient.identifier.extension" />
      <sliceName value="ReasonForNoHCN" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ext-reason-for-no-HCN" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:ReasonForNoHCN.value[x]">
      <path value="Patient.identifier.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:ReasonForNoHCN.value[x].coding">
      <path value="Patient.identifier.extension.value[x].coding" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:ReasonForNoHCN.value[x].coding.system">
      <path value="Patient.identifier.extension.value[x].coding.system" />
      <fixedUri value="http://ehealthontario.ca/fhir/CodeSystem/ereferral-Reason-For-No-HCN" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:ReasonForNoHCN.value[x].coding.code">
      <path value="Patient.identifier.extension.value[x].coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:ReasonForNoHCN.value[x].coding.display">
      <path value="Patient.identifier.extension.value[x].coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:HCNVersionCode">
      <path value="Patient.identifier.extension" />
      <sliceName value="HCNVersionCode" />
      <type>
        <code value="Extension" />
        <profile value="http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.extension:HCNVersionCode.value[x]">
      <path value="Patient.identifier.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.type">
      <path value="Patient.identifier.type" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.type.coding">
      <path value="Patient.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.type.coding.system">
      <path value="Patient.identifier.type.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.type.coding.code">
      <path value="Patient.identifier.type.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.type.coding.display">
      <path value="Patient.identifier.type.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.type.text">
      <path value="Patient.identifier.type.text" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.system">
      <path value="Patient.identifier.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.identifier.value">
      <path value="Patient.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name">
      <path value="Patient.name" />
      <comment value="name.family and name.given will only be used. &#xA;Middle name is supported by using subsequent given names." />
      <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.family">
      <path value="Patient.name.family" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.given">
      <path value="Patient.name.given" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.prefix">
      <path value="Patient.name.prefix" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.name.suffix">
      <path value="Patient.name.suffix" />
      <max value="1" />
      <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" />
      <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" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.gender">
      <path value="Patient.gender" />
      <min value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Patient.birthDate">
      <path value="Patient.birthDate" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address">
      <path value="Patient.address" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.use">
      <path value="Patient.address.use" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.type">
      <path value="Patient.address.type" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.text">
      <path value="Patient.address.text" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.line">
      <path value="Patient.address.line" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.city">
      <path value="Patient.address.city" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.address.state">
      <path value="Patient.address.state" />
      <mustSupport value="true" />
    </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" />
    </element>
    <element id="Patient.maritalStatus">
      <path value="Patient.maritalStatus" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding">
      <path value="Patient.maritalStatus.coding" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.system">
      <path value="Patient.maritalStatus.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.code">
      <path value="Patient.maritalStatus.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.coding.display">
      <path value="Patient.maritalStatus.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.maritalStatus.text">
      <path value="Patient.maritalStatus.text" />
      <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" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.relationship.coding">
      <path value="Patient.contact.relationship.coding" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.relationship.coding.system">
      <path value="Patient.contact.relationship.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.relationship.coding.code">
      <path value="Patient.contact.relationship.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.relationship.coding.display">
      <path value="Patient.contact.relationship.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.name">
      <path value="Patient.contact.name" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.telecom">
      <path value="Patient.contact.telecom" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.address">
      <path value="Patient.contact.address" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.gender">
      <path value="Patient.contact.gender" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.contact.organization">
      <path value="Patient.contact.organization" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication">
      <path value="Patient.communication" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.extension:ComunicationBarrier">
      <path value="Patient.communication.extension" />
      <sliceName value="ComunicationBarrier" />
      <type>
        <code value="Extension" />
        <profile value="http://ehealthontario.ca/fhir/StructureDefinition/cms-ext-CommunicationBarrier" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.extension:ComunicationBarrier.value[x]">
      <path value="Patient.communication.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.extension:ComunicationBarrier.value[x].system">
      <path value="Patient.communication.extension.value[x].system" />
      <fixedUri value="https://ehealthontario.ca/fhir/CodeSystem/communication-barrier" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.extension:ComunicationBarrier.value[x].code">
      <path value="Patient.communication.extension.value[x].code" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ehealthontario.ca/fhir/ValueSet/communication-barrier" />
      </binding>
    </element>
    <element id="Patient.communication.extension:ComunicationBarrier.value[x].display">
      <path value="Patient.communication.extension.value[x].display" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language">
      <path value="Patient.communication.language" />
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <valueSet value="http://ehealthontario.ca/fhir/ValueSet/human-language" />
      </binding>
    </element>
    <element id="Patient.communication.language.coding">
      <path value="Patient.communication.language.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <valueSet value="http://ehealthontario.ca/fhir/ValueSet/human-language" />
      </binding>
    </element>
    <element id="Patient.communication.language.coding.system">
      <path value="Patient.communication.language.coding.system" />
      <min value="1" />
      <fixedUri value="urn:ietf:bcp:47" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.language.coding.code">
      <path value="Patient.communication.language.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <valueSet value="http://ehealthontario.ca/fhir/ValueSet/human-language" />
      </binding>
    </element>
    <element id="Patient.communication.language.coding.display">
      <path value="Patient.communication.language.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.communication.preferred">
      <path value="Patient.communication.preferred" />
      <mustSupport value="true" />
    </element>
    <element id="Patient.generalPractitioner">
      <path value="Patient.generalPractitioner" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-PractitionerRole" />
        <aggregation value="referenced" />
      </type>
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>