{
  "description": "Demographics and other administrative information about an individual receiving care or other health-related services. Updated to support PCR Emergency Contact.",
  "_filename": "PatientIRSubmission.json",
  "package_name": "ca.on.ir.r4",
  "date": "2025-10-23",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2026-01-26T12:35:00+00:00"
  },
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "PatientIRSubmission",
  "abstract": false,
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Patient IR Submission",
  "package_version": "1.0.0-draft1",
  "status": "active",
  "id": "ad7dcddd-d858-4013-ac17-d50f3b2265e5",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/immunization/StructureDefinition/profile-patient-submission",
  "version": "1.0.1",
  "differential": {
    "element": [ {
      "id": "Patient",
      "path": "Patient",
      "mustSupport": true
    }, {
      "id": "Patient.identifier",
      "min": 1,
      "path": "Patient.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "type.coding.code",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN",
      "max": "1",
      "path": "Patient.identifier",
      "sliceName": "JHN",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type"
      },
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN.type.coding",
      "max": "1",
      "min": 1,
      "path": "Patient.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "JHN",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "fixedUri": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:JHN.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN",
      "max": "1",
      "min": 1,
      "path": "Patient.identifier",
      "sliceName": "MRN",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type"
      },
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN.type.coding",
      "max": "1",
      "min": 1,
      "path": "Patient.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "MR",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "mustSupport": true
    }, {
      "id": "Patient.identifier:MRN.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "mustSupport": true
    }, {
      "id": "Patient.name",
      "max": "1",
      "min": 1,
      "path": "Patient.name",
      "mustSupport": true
    }, {
      "id": "Patient.name.use",
      "path": "Patient.name.use",
      "mustSupport": true
    }, {
      "id": "Patient.name.family",
      "min": 1,
      "path": "Patient.name.family",
      "mustSupport": true
    }, {
      "id": "Patient.name.given",
      "min": 1,
      "path": "Patient.name.given",
      "mustSupport": true
    }, {
      "id": "Patient.name.prefix",
      "path": "Patient.name.prefix",
      "mustSupport": true
    }, {
      "id": "Patient.name.suffix",
      "path": "Patient.name.suffix",
      "mustSupport": true
    }, {
      "id": "Patient.telecom",
      "path": "Patient.telecom",
      "mustSupport": true
    }, {
      "id": "Patient.telecom.system",
      "min": 1,
      "path": "Patient.telecom.system",
      "mustSupport": true
    }, {
      "id": "Patient.telecom.value",
      "min": 1,
      "path": "Patient.telecom.value",
      "mustSupport": true
    }, {
      "id": "Patient.telecom.use",
      "path": "Patient.telecom.use",
      "mustSupport": true
    }, {
      "id": "Patient.gender",
      "min": 1,
      "path": "Patient.gender",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
      },
      "mustSupport": true
    }, {
      "id": "Patient.birthDate",
      "min": 1,
      "path": "Patient.birthDate",
      "mustSupport": true
    }, {
      "id": "Patient.address",
      "path": "Patient.address",
      "mustSupport": true
    }, {
      "id": "Patient.address.use",
      "path": "Patient.address.use",
      "mustSupport": true
    }, {
      "id": "Patient.address.type",
      "path": "Patient.address.type",
      "mustSupport": true
    }, {
      "id": "Patient.address.line",
      "max": "2",
      "path": "Patient.address.line",
      "mustSupport": true
    }, {
      "id": "Patient.address.city",
      "min": 1,
      "path": "Patient.address.city",
      "mustSupport": true
    }, {
      "id": "Patient.address.state",
      "min": 1,
      "path": "Patient.address.state",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/province-state-code"
      },
      "mustSupport": true
    }, {
      "id": "Patient.address.postalCode",
      "path": "Patient.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Patient.address.country",
      "min": 1,
      "path": "Patient.address.country",
      "binding": {
        "strength": "required",
        "valueSet": "http://ehealthontario.ca/fhir/ValueSet/country-code"
      },
      "mustSupport": true
    }, {
      "id": "Patient.contact",
      "path": "Patient.contact",
      "mustSupport": true
    }, {
      "id": "Patient.contact.relationship",
      "path": "Patient.contact.relationship",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/patient-contact-relationship"
      },
      "mustSupport": true
    }, {
      "id": "Patient.contact.relationship.coding",
      "max": "1",
      "min": 1,
      "path": "Patient.contact.relationship.coding"
    }, {
      "id": "Patient.contact.relationship.coding.display.extension:translation",
      "path": "Patient.contact.relationship.coding.display.extension",
      "sliceName": "translation"
    }, {
      "id": "Patient.contact.relationship.coding.display.extension:translation.extension",
      "min": 2,
      "path": "Patient.contact.relationship.coding.display.extension.extension"
    }, {
      "id": "Patient.contact.name",
      "path": "Patient.contact.name",
      "mustSupport": true
    }, {
      "id": "Patient.contact.name.use",
      "path": "Patient.contact.name.use",
      "mustSupport": true
    }, {
      "id": "Patient.contact.name.family",
      "path": "Patient.contact.name.family",
      "mustSupport": true
    }, {
      "id": "Patient.contact.name.given",
      "path": "Patient.contact.name.given",
      "mustSupport": true
    }, {
      "id": "Patient.contact.name.prefix",
      "path": "Patient.contact.name.prefix",
      "mustSupport": true
    }, {
      "id": "Patient.contact.name.suffix",
      "path": "Patient.contact.name.suffix",
      "mustSupport": true
    }, {
      "id": "Patient.contact.telecom",
      "path": "Patient.contact.telecom",
      "mustSupport": true
    }, {
      "id": "Patient.contact.address",
      "path": "Patient.contact.address",
      "mustSupport": true
    }, {
      "id": "Patient.contact.address.use",
      "path": "Patient.contact.address.use",
      "mustSupport": true
    }, {
      "id": "Patient.contact.address.line",
      "path": "Patient.contact.address.line",
      "mustSupport": true
    }, {
      "id": "Patient.contact.address.city",
      "path": "Patient.contact.address.city",
      "mustSupport": true
    }, {
      "id": "Patient.contact.address.state",
      "path": "Patient.contact.address.state",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/province-state-code"
      },
      "mustSupport": true
    }, {
      "id": "Patient.contact.address.postalCode",
      "path": "Patient.contact.address.postalCode",
      "mustSupport": true
    }, {
      "id": "Patient.contact.address.country",
      "path": "Patient.contact.address.country",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ehealthontario.ca/fhir/ValueSet/country-code"
      },
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}