{
  "resourceType": "StructureDefinition",
  "url": "http://camh.ca/fhir/StructureDefinition/camh-Patient",
  "version": "1.0",
  "name": "CAMH Registry - Patient Response Profile",
  "status": "draft",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type.coding.code"
            },
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://ehealthontario.ca/fhir/ValueSet/pcr-PatientIdentifierType"
          }
        }
      },
      {
        "id": "Patient.identifier.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.identifier.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Patient.identifier.type.coding.version",
        "path": "Patient.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Patient.identifier.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Patient.identifier.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Patient.identifier.type.coding.userSelected",
        "path": "Patient.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Patient.identifier.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.text",
        "min": 1
      },
      {
        "id": "Patient.identifier.system",
        "path": "Patient.identifier.system",
        "min": 1
      },
      {
        "id": "Patient.identifier.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.identifier:identifier-JHN",
        "path": "Patient.identifier",
        "sliceName": "identifier-JHN",
        "short": "A juristiction healtlh number identifier for this patient",
        "definition": "A juristiction healtlh number identifier for this patient"
      },
      {
        "id": "Patient.identifier:identifier-JHN.id",
        "path": "Patient.identifier.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.use",
        "path": "Patient.identifier.use",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.id",
        "path": "Patient.identifier.type.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.coding.id",
        "path": "Patient.identifier.type.coding.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/v2/0203",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.coding.version",
        "path": "Patient.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "JHN",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.coding.userSelected",
        "path": "Patient.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.text",
        "min": 1
      },
      {
        "id": "Patient.identifier:identifier-JHN.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-JHN.period",
        "path": "Patient.identifier.period",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-JHN.assigner",
        "path": "Patient.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR",
        "path": "Patient.identifier",
        "sliceName": "identifier-MR",
        "short": "A medical record number (e.g. MRN, defID) for this patient"
      },
      {
        "id": "Patient.identifier:identifier-MR.id",
        "path": "Patient.identifier.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.use",
        "path": "Patient.identifier.use",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type.id",
        "path": "Patient.identifier.type.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.id",
        "path": "Patient.identifier.type.coding.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/v2/0203",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.version",
        "path": "Patient.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "MR",
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.type.coding.userSelected",
        "path": "Patient.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-MR.period",
        "path": "Patient.identifier.period",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-MR.assigner",
        "path": "Patient.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT",
        "path": "Patient.identifier",
        "sliceName": "identifier-ALT",
        "short": "An alternative identifier (e.g. CHRIS ID) for this patient"
      },
      {
        "id": "Patient.identifier:identifier-ALT.id",
        "path": "Patient.identifier.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.use",
        "path": "Patient.identifier.use",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type",
        "path": "Patient.identifier.type",
        "min": 1
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.id",
        "path": "Patient.identifier.type.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.coding",
        "path": "Patient.identifier.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.coding.id",
        "path": "Patient.identifier.type.coding.id",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.coding.system",
        "path": "Patient.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.coding.version",
        "path": "Patient.identifier.type.coding.version",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.coding.code",
        "path": "Patient.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "ALT"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.coding.display",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.coding.userSelected",
        "path": "Patient.identifier.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.identifier.type.text",
        "min": 1
      },
      {
        "id": "Patient.identifier:identifier-ALT.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-ALT.value",
        "path": "Patient.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Patient.identifier:identifier-ALT.period",
        "path": "Patient.identifier.period",
        "max": "0"
      },
      {
        "id": "Patient.identifier:identifier-ALT.assigner",
        "path": "Patient.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "min": 1,
        "max": "20",
        "mustSupport": true
      },
      {
        "id": "Patient.name.family",
        "path": "Patient.name.family",
        "mustSupport": true
      },
      {
        "id": "Patient.name.given",
        "path": "Patient.name.given",
        "max": "2",
        "mustSupport": true
      },
      {
        "id": "Patient.name.prefix",
        "path": "Patient.name.prefix",
        "max": "1"
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "max": "10"
      },
      {
        "id": "Patient.telecom.system",
        "path": "Patient.telecom.system",
        "min": 1
      },
      {
        "id": "Patient.telecom.value",
        "path": "Patient.telecom.value",
        "min": 1
      },
      {
        "id": "Patient.telecom.use",
        "path": "Patient.telecom.use",
        "min": 1
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "short": "male | female | unknown",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "AdministrativeGender"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean": true
            }
          ],
          "strength": "required",
          "valueSetReference": {
            "reference": "http://ehealthontario.ca/fhir/ValueSet/pcr-AdministrativeGender"
          }
        }
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "mustSupport": true
      },
      {
        "id": "Patient.deceased[x]",
        "path": "Patient.deceased[x]",
        "mustSupport": true
      },
      {
        "id": "Patient.address.use",
        "path": "Patient.address.use",
        "min": 1
      },
      {
        "id": "Patient.address.type",
        "path": "Patient.address.type",
        "min": 1
      },
      {
        "id": "Patient.address.line",
        "path": "Patient.address.line",
        "max": "4"
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.contact.relationship.id",
        "path": "Patient.contact.relationship.id",
        "max": "0"
      },
      {
        "id": "Patient.contact.relationship.coding.id",
        "path": "Patient.contact.relationship.coding.id",
        "max": "0"
      },
      {
        "id": "Patient.contact.relationship.coding.system",
        "path": "Patient.contact.relationship.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/patient-contact-relationship"
      },
      {
        "id": "Patient.contact.relationship.coding.version",
        "path": "Patient.contact.relationship.coding.version",
        "max": "0"
      },
      {
        "id": "Patient.contact.relationship.coding.code",
        "path": "Patient.contact.relationship.coding.code",
        "min": 1,
        "fixedCode": "emergency"
      },
      {
        "id": "Patient.contact.relationship.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.contact.relationship.coding.display",
        "max": "0"
      },
      {
        "id": "Patient.contact.relationship.coding.userSelected",
        "path": "Patient.contact.relationship.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Patient.contact.relationship.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Patient.contact.relationship.text",
        "max": "0"
      },
      {
        "id": "Patient.contact.telecom",
        "path": "Patient.contact.telecom",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.contact.telecom.id",
        "path": "Patient.contact.telecom.id",
        "max": "0"
      },
      {
        "id": "Patient.contact.telecom.system",
        "path": "Patient.contact.telecom.system",
        "max": "0"
      },
      {
        "id": "Patient.contact.telecom.value",
        "path": "Patient.contact.telecom.value",
        "min": 1
      },
      {
        "id": "Patient.contact.telecom.use",
        "path": "Patient.contact.telecom.use",
        "max": "0"
      },
      {
        "id": "Patient.contact.telecom.rank",
        "path": "Patient.contact.telecom.rank",
        "max": "0"
      },
      {
        "id": "Patient.contact.telecom.period",
        "path": "Patient.contact.telecom.period",
        "max": "0"
      },
      {
        "id": "Patient.animal",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Animal"
          }
        ],
        "path": "Patient.animal",
        "max": "0"
      },
      {
        "id": "Patient.link",
        "path": "Patient.link",
        "max": "0"
      }
    ]
  }
}