{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/meditech/refs/heads/main/json-schema/meditech-patient-schema.json",
  "title": "Meditech FHIR R4 Patient",
  "description": "FHIR R4 Patient resource as implemented by Meditech Expanse (US Core Patient Profile)",
  "type": "object",
  "required": ["resourceType", "id"],
  "properties": {
    "resourceType": {
      "type": "string",
      "const": "Patient"
    },
    "id": {
      "type": "string",
      "description": "FHIR logical ID"
    },
    "meta": {
      "type": "object",
      "properties": {
        "versionId": { "type": "string" },
        "lastUpdated": { "type": "string", "format": "date-time" },
        "profile": {
          "type": "array",
          "items": { "type": "string", "format": "uri" }
        }
      }
    },
    "identifier": {
      "type": "array",
      "description": "Patient identifiers (MRN, SSN, etc.)",
      "items": {
        "$ref": "#/$defs/Identifier"
      }
    },
    "active": {
      "type": "boolean"
    },
    "name": {
      "type": "array",
      "items": {
        "$ref": "#/$defs/HumanName"
      }
    },
    "telecom": {
      "type": "array",
      "items": {
        "$ref": "#/$defs/ContactPoint"
      }
    },
    "gender": {
      "type": "string",
      "enum": ["male", "female", "other", "unknown"]
    },
    "birthDate": {
      "type": "string",
      "format": "date"
    },
    "deceasedBoolean": {
      "type": "boolean"
    },
    "deceasedDateTime": {
      "type": "string",
      "format": "date-time"
    },
    "address": {
      "type": "array",
      "items": {
        "$ref": "#/$defs/Address"
      }
    },
    "maritalStatus": {
      "$ref": "#/$defs/CodeableConcept"
    },
    "communication": {
      "type": "array",
      "items": {
        "type": "object",
        "required": ["language"],
        "properties": {
          "language": { "$ref": "#/$defs/CodeableConcept" },
          "preferred": { "type": "boolean" }
        }
      }
    },
    "generalPractitioner": {
      "type": "array",
      "items": { "$ref": "#/$defs/Reference" }
    },
    "managingOrganization": {
      "$ref": "#/$defs/Reference"
    }
  },
  "$defs": {
    "Identifier": {
      "type": "object",
      "properties": {
        "use": {
          "type": "string",
          "enum": ["usual", "official", "temp", "secondary", "old"]
        },
        "type": { "$ref": "#/$defs/CodeableConcept" },
        "system": { "type": "string", "format": "uri" },
        "value": { "type": "string" }
      }
    },
    "HumanName": {
      "type": "object",
      "properties": {
        "use": {
          "type": "string",
          "enum": ["usual", "official", "temp", "nickname", "anonymous", "old", "maiden"]
        },
        "family": { "type": "string" },
        "given": {
          "type": "array",
          "items": { "type": "string" }
        },
        "prefix": {
          "type": "array",
          "items": { "type": "string" }
        },
        "suffix": {
          "type": "array",
          "items": { "type": "string" }
        }
      }
    },
    "ContactPoint": {
      "type": "object",
      "properties": {
        "system": {
          "type": "string",
          "enum": ["phone", "fax", "email", "pager", "url", "sms", "other"]
        },
        "value": { "type": "string" },
        "use": {
          "type": "string",
          "enum": ["home", "work", "temp", "old", "mobile"]
        }
      }
    },
    "Address": {
      "type": "object",
      "properties": {
        "use": {
          "type": "string",
          "enum": ["home", "work", "temp", "old", "billing"]
        },
        "type": {
          "type": "string",
          "enum": ["postal", "physical", "both"]
        },
        "line": {
          "type": "array",
          "items": { "type": "string" }
        },
        "city": { "type": "string" },
        "district": { "type": "string" },
        "state": { "type": "string" },
        "postalCode": { "type": "string" },
        "country": { "type": "string" }
      }
    },
    "CodeableConcept": {
      "type": "object",
      "properties": {
        "coding": {
          "type": "array",
          "items": {
            "type": "object",
            "properties": {
              "system": { "type": "string", "format": "uri" },
              "version": { "type": "string" },
              "code": { "type": "string" },
              "display": { "type": "string" }
            }
          }
        },
        "text": { "type": "string" }
      }
    },
    "Reference": {
      "type": "object",
      "properties": {
        "reference": { "type": "string" },
        "type": { "type": "string" },
        "display": { "type": "string" }
      }
    }
  }
}