{
  "description": "Profile on IL-Core-Patient by DGMC",
  "_filename": "StructureDefinition-dgmc-patient.json",
  "package_name": "il.fhir.r4.dgmc",
  "date": "2025-03-25",
  "derivation": "constraint",
  "publisher": "Division of Governmental Hospitals Israel",
  "fhirVersion": "4.0.1",
  "name": "DgmcPatient",
  "abstract": false,
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "DGMC Patient",
  "package_version": "0.4.0",
  "status": "draft",
  "id": "1c70f8f4-37b9-4fa3-9e90-348386a1a049",
  "kind": "resource",
  "url": "http://fhir.dgmc.health.gov.il/StructureDefinition/dgmc-patient",
  "version": "0.2.0",
  "differential": {
    "element": [ {
      "id": "Patient.id",
      "min": 1,
      "path": "Patient.id"
    }, {
      "id": "Patient.meta.security",
      "path": "Patient.meta.security",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.meta.security:restict",
      "max": "*",
      "min": 0,
      "path": "Patient.meta.security",
      "sliceName": "restict"
    }, {
      "id": "Patient.meta.security:restict.system",
      "min": 1,
      "path": "Patient.meta.security.system",
      "patternUri": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"
    }, {
      "id": "Patient.meta.security:restict.code",
      "min": 1,
      "path": "Patient.meta.security.code",
      "patternCode": "R"
    }, {
      "id": "Patient.meta.security:restict.display",
      "min": 1,
      "path": "Patient.meta.security.display",
      "patternString": "restricted"
    }, {
      "id": "Patient.meta.security:fictive",
      "max": "*",
      "min": 0,
      "path": "Patient.meta.security",
      "sliceName": "fictive"
    }, {
      "id": "Patient.meta.security:fictive.system",
      "min": 1,
      "path": "Patient.meta.security.system",
      "patternUri": "http://terminology.hl7.org/CodeSystem/v3-ActReason"
    }, {
      "id": "Patient.meta.security:fictive.code",
      "min": 1,
      "path": "Patient.meta.security.code",
      "patternCode": "HTEST"
    }, {
      "id": "Patient.meta.security:fictive.display",
      "min": 1,
      "path": "Patient.meta.security.display",
      "patternString": "test health data"
    }, {
      "id": "Patient.extension",
      "min": 1,
      "path": "Patient.extension"
    }, {
      "id": "Patient.extension:hmo",
      "min": 1,
      "path": "Patient.extension",
      "sliceName": "hmo"
    }, {
      "id": "Patient.extension:hmo.value[x].coding",
      "path": "Patient.extension.value[x].coding",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.extension:hmo.value[x].coding:nmr",
      "max": "1",
      "min": 0,
      "path": "Patient.extension.value[x].coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.dgmc.health.gov.il/ValueSet/nmr-hmo-code"
      },
      "sliceName": "nmr"
    }, {
      "id": "Patient.extension:hmo.value[x].coding:nmr.system",
      "min": 1,
      "path": "Patient.extension.value[x].coding.system",
      "fixedUri": "http://fhir.dgmc.health.gov.il/cs/nmr-hmo-code"
    }, {
      "id": "Patient.extension:hmo.value[x].coding:nmr.code",
      "min": 1,
      "path": "Patient.extension.value[x].coding.code"
    }, {
      "id": "Patient.extension:birthPlace",
      "path": "Patient.extension",
      "sliceName": "birthPlace"
    }, {
      "id": "Patient.extension:birthPlace.value[x].country",
      "min": 1,
      "path": "Patient.extension.value[x].country"
    }, {
      "id": "Patient.extension:genderIdentity",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity" ]
      } ],
      "sliceName": "genderIdentity"
    }, {
      "id": "Patient.extension:genderIdentity.value[x].coding",
      "max": "1",
      "min": 1,
      "path": "Patient.extension.value[x].coding"
    }, {
      "id": "Patient.extension:genderIdentity.value[x].coding.system",
      "min": 1,
      "path": "Patient.extension.value[x].coding.system",
      "fixedUri": "http://hl7.org/fhir/gender-identity"
    }, {
      "id": "Patient.extension:genderIdentity.value[x].coding.code",
      "min": 1,
      "path": "Patient.extension.value[x].coding.code",
      "fixedCode": "other"
    }, {
      "id": "Patient.extension:genderIdentity.value[x].coding.display",
      "min": 1,
      "path": "Patient.extension.value[x].coding.display",
      "fixedString": "other"
    }, {
      "id": "Patient.extension:cadavericDonor",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" ]
      } ],
      "sliceName": "cadavericDonor"
    }, {
      "id": "Patient.extension:cadavericDonor.value[x]",
      "path": "Patient.extension.value[x]",
      "patternBoolean": true
    }, {
      "id": "Patient.extension:hearing",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-disability" ]
      } ],
      "sliceName": "hearing"
    }, {
      "id": "Patient.extension:hearing.value[x].coding",
      "max": "1",
      "min": 1,
      "path": "Patient.extension.value[x].coding"
    }, {
      "id": "Patient.extension:hearing.value[x].coding.system",
      "min": 1,
      "path": "Patient.extension.value[x].coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Patient.extension:hearing.value[x].coding.code",
      "min": 1,
      "path": "Patient.extension.value[x].coding.code",
      "fixedCode": "15188001"
    }, {
      "id": "Patient.extension:hearing.value[x].coding.display",
      "min": 1,
      "path": "Patient.extension.value[x].coding.display",
      "fixedString": "Hearing loss"
    }, {
      "id": "Patient.extension:hearing.value[x].text",
      "min": 1,
      "path": "Patient.extension.value[x].text",
      "fixedString": "כבד שמיעה"
    }, {
      "id": "Patient.extension:nationality",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/patient-nationality" ]
      } ],
      "sliceName": "nationality"
    }, {
      "id": "Patient.extension:nationality.extension",
      "min": 1,
      "path": "Patient.extension.extension"
    }, {
      "id": "Patient.extension:nationality.extension:code",
      "min": 1,
      "path": "Patient.extension.extension",
      "sliceName": "code"
    }, {
      "id": "Patient.extension:nationality.extension:code.value[x].coding",
      "min": 1,
      "path": "Patient.extension.extension.value[x].coding"
    }, {
      "id": "Patient.extension:nationality.extension:code.value[x].coding.system",
      "min": 1,
      "path": "Patient.extension.extension.value[x].coding.system",
      "fixedUri": "urn:iso:std:iso:3166"
    }, {
      "id": "Patient.extension:nationality.extension:code.value[x].coding.code",
      "min": 1,
      "path": "Patient.extension.extension.value[x].coding.code"
    }, {
      "id": "Patient.identifier:nmr-pat-int-num",
      "max": "1",
      "min": 1,
      "path": "Patient.identifier",
      "sliceName": "nmr-pat-int-num"
    }, {
      "id": "Patient.identifier:nmr-pat-int-num.system",
      "path": "Patient.identifier.system",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.dgmc.health.gov.il/ValueSet/nmr-pat-internal-uri"
      }
    }, {
      "id": "Patient.identifier:cml-pat-int-num",
      "max": "1",
      "min": 0,
      "path": "Patient.identifier",
      "sliceName": "cml-pat-int-num"
    }, {
      "id": "Patient.identifier:cml-pat-int-num.system",
      "path": "Patient.identifier.system",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.dgmc.health.gov.il/ValueSet/cml-pat-internal-uri"
      }
    }, {
      "id": "Patient.identifier:nmr-pat-tmp-num",
      "max": "1",
      "min": 0,
      "path": "Patient.identifier",
      "sliceName": "nmr-pat-tmp-num"
    }, {
      "id": "Patient.identifier:nmr-pat-tmp-num.system",
      "path": "Patient.identifier.system",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.dgmc.health.gov.il/ValueSet/nmr-pat-temp-uri"
      }
    }, {
      "id": "Patient.identifier:idf",
      "max": "1",
      "min": 0,
      "path": "Patient.identifier",
      "sliceName": "idf"
    }, {
      "id": "Patient.identifier:idf.system",
      "path": "Patient.identifier.system",
      "fixedUri": "http://fhir.health.gov.il/identifier/idf-service-number"
    }, {
      "id": "Patient.telecom",
      "path": "Patient.telecom",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.telecom:phone",
      "max": "*",
      "min": 0,
      "path": "Patient.telecom",
      "sliceName": "phone"
    }, {
      "id": "Patient.telecom:phone.system",
      "path": "Patient.telecom.system",
      "fixedCode": "phone"
    }, {
      "id": "Patient.telecom:email",
      "max": "*",
      "min": 0,
      "path": "Patient.telecom",
      "sliceName": "email"
    }, {
      "id": "Patient.telecom:email.system",
      "path": "Patient.telecom.system",
      "fixedCode": "email"
    }, {
      "id": "Patient.birthDate.extension",
      "path": "Patient.birthDate.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.birthDate.extension:data-absent-reason",
      "max": "1",
      "min": 0,
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "sliceName": "data-absent-reason"
    }, {
      "id": "Patient.birthDate.extension:data-absent-reason.value[x]",
      "path": "Patient.birthDate.extension.value[x]",
      "fixedCode": "unknown"
    }, {
      "id": "Patient.birthDate.extension:hebrew-date",
      "max": "1",
      "min": 0,
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.health.gov.il/StructureDefinition/ext-hebrew-date" ]
      } ],
      "sliceName": "hebrew-date"
    }, {
      "id": "Patient.address.city.extension:cityCode",
      "path": "Patient.address.city.extension",
      "sliceName": "cityCode"
    }, {
      "id": "Patient.address.city.extension:cityCode.value[x].coding",
      "min": 1,
      "path": "Patient.address.city.extension.value[x].coding",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address.city.extension:cityCode.value[x].coding:symbol",
      "max": "1",
      "min": 1,
      "path": "Patient.address.city.extension.value[x].coding",
      "sliceName": "symbol"
    }, {
      "id": "Patient.address.city.extension:cityCode.value[x].coding:symbol.system",
      "min": 1,
      "path": "Patient.address.city.extension.value[x].coding.system",
      "fixedUri": "http://fhir.health.gov.il/cs/city-symbol"
    } ]
  },
  "baseDefinition": "http://fhir.health.gov.il/StructureDefinition/il-core-patient"
}