{
  "resourceType": "StructureDefinition",
  "id": "PatientPSAB3",
  "url": "https://www.alberta.ca/fhir/psab/StructureDefinition/PatientPSAB3",
  "name": "PatientPSAB3",
  "title": "Patient (PS-AB3)",
  "status": "draft",
  "description": "This profile defines a set of constraints to the FHIR Patient resource for use in Alberta Patient Summaries (PS-AB). It re-profiles the PS-CA Patient profile and refines constraints applied to the Patient resource by the PS-CA project to represent the minimum expectations for the Patient resource when used in the PS-AB Composition profile or in one of the referred resources.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient",
        "path": "Patient",
        "comment": "Patient resources included in Alberta Patient Summary Document Bundles SHALL NOT contain any of the following Patient details: text, active, name.period, address.text, maritalStatus, multipleBirth, photo, contact.address, contact.gender, contact.organization, contact.period, communication, generalPractitioner, managingOrganization. These rules are mechanically enforced through invariants at the PS-AB Bundle level."
      },
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "min": 1
      },
      {
        "id": "Patient.extension:individual-recordedSexOrGender",
        "path": "Patient.extension",
        "sliceName": "individual-recordedSexOrGender",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.extension:individual-recordedSexOrGender.extension:value",
        "path": "Patient.extension.extension",
        "sliceName": "value"
      },
      {
        "id": "Patient.extension:individual-recordedSexOrGender.extension:value.value[x]",
        "path": "Patient.extension.extension.value[x]",
        "binding": {
          "strength": "required",
          "valueSet": "https://www.alberta.ca/fhir/ValueSet/administrative-gender-ab",
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "recordedSexOrGender"
            }
          ]
        }
      },
      {
        "id": "Patient.extension:individual-recordedSexOrGender.extension:type",
        "path": "Patient.extension.extension",
        "sliceName": "type"
      },
      {
        "id": "Patient.extension:individual-recordedSexOrGender.extension:type.value[x]",
        "path": "Patient.extension.extension.value[x]",
        "binding": {
          "strength": "required",
          "valueSet": "https://www.alberta.ca/fhir/ValueSet/XCA04739-9",
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "recordedSexOrGenderType"
            }
          ]
        }
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "min": 1
      },
      {
        "id": "Patient.identifier:JHN",
        "path": "Patient.identifier",
        "sliceName": "JHN",
        "sliceIsConstraining": true,
        "comment": "Patients must have at least an AB ULI identifier or another provincial JHN identifier. Implementers supplying ULIs shall use identifier.system of https://fhir.infoway-inforoute.ca/NamingSystem/ca-ab-patient-healthcare-id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.name.text",
        "path": "Patient.name.text",
        "comment": "Mandatory String: Max Character length: 200",
        "min": 1
      },
      {
        "id": "Patient.name.family",
        "path": "Patient.name.family",
        "min": 1
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.telecom:Phone",
        "path": "Patient.telecom",
        "sliceName": "Phone",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Patient.telecom:Phone.system",
        "path": "Patient.telecom.system",
        "min": 1,
        "fixedCode": "phone"
      },
      {
        "id": "Patient.gender.extension",
        "path": "Patient.gender.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Patient.gender.extension:data-absent-reason",
        "path": "Patient.gender.extension",
        "sliceName": "data-absent-reason",
        "short": "element absence reason",
        "definition": "Provides a reason why the element is missing.",
        "comment": "Alberta Patient Summaries are not permitted to have a value outside of data absent reason for the gender element, given that recorded gender is to be conveyed in the individual-recordedSexOrGender extension to account for additional values in use in Alberta. Implementers are expected to demonstrate they can supply a 'not-permitted' value for this context",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "mustSupport": true
      },
      {
        "id": "Patient.address.use",
        "path": "Patient.address.use",
        "comment": "Assumed to be current home address if Address is present but no Use value is provided"
      },
      {
        "id": "Patient.address.type",
        "path": "Patient.address.type",
        "comment": "Valid values: postal / physical / both. Assumed to be 'both' if no value is provided"
      },
      {
        "id": "Patient.address.line",
        "path": "Patient.address.line",
        "min": 1
      },
      {
        "id": "Patient.address.city",
        "path": "Patient.address.city",
        "min": 1
      },
      {
        "id": "Patient.address.state",
        "path": "Patient.address.state",
        "min": 1
      },
      {
        "id": "Patient.address.postalCode",
        "path": "Patient.address.postalCode",
        "min": 1
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "min": 1
      }
    ]
  }
}