<id value="7e9f1983-3f01-4997-884b-d01a1e952df9" />
<url value="https://example.org/fhir/StructureDefinition/MyPatient" />
<name value="MyPatient" />
<kind value="resource" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" />
<short value="Information about an individual or animal receiving health care services" />
<definition value="Demographics and other administrative information about an individual or animal receiving care or other health-related services." />
<alias value="SubjectOfCare Client Resident" />
</base>
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
<expression value="contained.contained.empty()" />
<xpath value="not(parent::f:contained and f:contained)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
<expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
<xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
</extension>
<human value="A resource should have narrative for robust management" />
<xpath value="exists(f:text/h:div)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
<expression value="contained.meta.security.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:security))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<map value="Entity. Role, or Act" />
</mapping>
<map value="Patient[classCode=PAT]" />
</mapping>
<map value="ClinicalDocument.recordTarget.patientRole" />
</mapping>
</element>
<path value="Patient.id" />
<short value="Logical id of this artifact" />
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
<path value="Resource.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.meta" />
<short value="Metadata about the resource" />
<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." />
<path value="Resource.meta" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
</element>
<path value="Patient.meta.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.meta.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.meta.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.meta.versionId">
<path value="Patient.meta.versionId" />
<short value="Version specific identifier" />
<definition value="The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." />
<comment value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." />
<path value="Meta.versionId" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</element>
<element id="Patient.meta.lastUpdated">
<path value="Patient.meta.lastUpdated" />
<short value="When the resource version last changed" />
<definition value="When the resource last changed - e.g. when the version changed." />
<comment value="This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http.html#read) interaction." />
<path value="Meta.lastUpdated" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</element>
<path value="Patient.meta.source" />
<short value="Identifies where the resource comes from" />
<definition value="A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." />
<comment value="In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." />
<path value="Meta.source" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</element>
<element id="Patient.meta.profile">
<path value="Patient.meta.profile" />
<short value="Profiles this resource claims to conform to" />
<definition value="A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url)." />
<comment value="It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." />
<path value="Meta.profile" />
</base>
<code value="canonical" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</element>
<element id="Patient.meta.profile.id">
<path value="Patient.meta.profile.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.meta.profile.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.meta.profile.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.meta.profile.value">
<path value="Patient.meta.profile.value" />
<short value="Primitive value for canonical" />
<definition value="Primitive value for canonical" />
<path value="uri.value" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</element>
<element id="Patient.meta.security">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.meta.security" />
<short value="Security Labels applied to this resource" />
<definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." />
<comment value="The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." />
<path value="Meta.security" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
</extension>
<description value="Security Labels from the Healthcare Privacy and Security Classification System." />
<valueSet value="http://hl7.org/fhir/ValueSet/security-labels" />
</binding>
</mapping>
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
</mapping>
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.meta.tag" />
<short value="Tags applied to this resource" />
<definition value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." />
<comment value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." />
<path value="Meta.tag" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<description value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"." />
<valueSet value="http://hl7.org/fhir/ValueSet/common-tags" />
</binding>
</mapping>
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
</mapping>
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
</element>
<element id="Patient.implicitRules">
<path value="Patient.implicitRules" />
<short value="A set of rules under which this content was created" />
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." />
<comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." />
<path value="Resource.implicitRules" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
</mapping>
</element>
<path value="Patient.language" />
<short value="Language of the resource content" />
<definition value="The base language in which the resource is written." />
<comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
<path value="Resource.language" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
</extension>
<valueSet value="http://hl7.org/fhir/ValueSet/languages" />
</binding>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.text" />
<short value="Text summary of the resource, for human interpretation" />
<definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
<comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later." />
<alias value="narrative" />
<alias value="display" />
<path value="DomainResource.text" />
</base>
<code value="Narrative" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
<map value="Act.text?" />
</mapping>
</element>
<path value="Patient.contained" />
<short value="Contained, inline Resources" />
<definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
<comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." />
<alias value="inline resources" />
<alias value="anonymous resources" />
<alias value="contained resources" />
<path value="DomainResource.contained" />
</base>
<code value="Resource" />
</type>
<map value="Entity. Role, or Act" />
</mapping>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="DomainResource.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.extension:uSCoreRaceExtension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.extension" />
<short value="US Core Race Extension" />
<definition value="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="DomainResource.extension" />
</base>
<code value="Extension" />
<profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.modifierExtension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.modifierExtension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Extensions that cannot be ignored" />
<definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<path value="DomainResource.modifierExtension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
</mapping>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.identifier" />
<short value="An identifier for this patient" />
<definition value="An identifier for this patient." />
<requirements value="Patients are almost always assigned specific numerical identifiers." />
<path value="Patient.identifier" />
</base>
<code value="Identifier" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" />
</mapping>
<map value="Identifier" />
</mapping>
<map value="FiveWs.identifier" />
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<element id="Patient.identifier.id">
<path value="Patient.identifier.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.identifier.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.identifier.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.identifier.use">
<path value="Patient.identifier.use" />
<short value="usual | official | temp | secondary | old (If known)" />
<definition value="The purpose of this identifier." />
<comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
<path value="Identifier.use" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<description value="Identifies the purpose for this identifier, if known ." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" />
</binding>
</mapping>
</mapping>
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Patient.identifier.type">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.identifier.type" />
<short value="Description of identifier" />
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
<path value="Identifier.type" />
</base>
<code value="CodeableConcept" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
</extension>
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type" />
</binding>
</mapping>
<map value="CE/CNE/CWE" />
</mapping>
</mapping>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
</mapping>
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Patient.identifier.system">
<path value="Patient.identifier.system" />
<short value="The namespace for the identifier value" />
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<comment value="Identifier.system is always case sensitive." />
<requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." />
<path value="Identifier.system" />
</base>
</type>
<label value="General" />
<valueUri value="http://www.acme.com/identifiers/patient" />
</example>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="CX.4 / EI-2-4" />
</mapping>
<map value="II.root or Role.id.root" />
</mapping>
<map value="./IdentifierType" />
</mapping>
</element>
<element id="Patient.identifier.system.id">
<path value="Patient.identifier.system.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.identifier.system.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.identifier.system.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.identifier.system.value">
<path value="Patient.identifier.system.value" />
<short value="Primitive value for uri" />
<path value="uri.value" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</element>
<element id="Patient.identifier.value">
<path value="Patient.identifier.value" />
<short value="The value that is unique" />
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." />
<path value="Identifier.value" />
</base>
</type>
<label value="General" />
</example>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="CX.1 / EI.1" />
</mapping>
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
</mapping>
</element>
<element id="Patient.identifier.value.id">
<path value="Patient.identifier.value.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.identifier.value.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.identifier.value.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.identifier.value.value">
<path value="Patient.identifier.value.value" />
<short value="Primitive value for string" />
<path value="string.value" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</element>
<element id="Patient.identifier.period">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.identifier.period" />
<short value="Time period when id is/was valid for use" />
<definition value="Time period during which identifier is/was valid for use." />
<comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration)." />
<path value="Identifier.period" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="If present, start SHALL have a lower value than end" />
<expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" />
<xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" />
<source value="http://hl7.org/fhir/StructureDefinition/Period" />
</constraint>
</mapping>
</mapping>
<map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" />
</mapping>
<map value="CX.7 + CX.8" />
</mapping>
<map value="Role.effectiveTime or implied by context" />
</mapping>
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<element id="Patient.identifier.assigner">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.identifier.assigner" />
<short value="Organization that issued id (may be just text)" />
<definition value="Organization that issued/manages the identifier." />
<comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." />
<path value="Identifier.assigner" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
</mapping>
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<map value="CX.4 / (CX.4,CX.9,CX.10)" />
</mapping>
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
<map value="./IdentifierIssuingAuthority" />
</mapping>
</element>
<path value="Patient.active" />
<short value="Whether this patient's record is in active use" />
<definition value="Whether this patient record is in active use. \nMany systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death." />
<comment value="If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient." />
<requirements value="Need to be able to mark a patient record as not to be used because it was created in error." />
<path value="Patient.active" />
</base>
</type>
<meaningWhenMissing value="This resource is generally assumed to be active if no value is provided for the active element" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifierReason value="This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid" />
</mapping>
<map value="FiveWs.status" />
</mapping>
<map value="statusCode" />
</mapping>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.name" />
<short value="A name associated with the patient" />
<definition value="A name associated with the individual." />
<comment value="A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns." />
<requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name." />
<path value="Patient.name" />
</base>
<code value="HumanName" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
<map value="EN (actually, PN)" />
</mapping>
<map value="ProviderName" />
</mapping>
<map value="PID-5, PID-9" />
</mapping>
</mapping>
<map value=".patient.name" />
</mapping>
</element>
<path value="Patient.name.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.name.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.name.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<path value="Patient.name.use" />
<short value="usual | official | temp | nickname | anonymous | old | maiden" />
<definition value="Identifies the purpose for this name." />
<comment value="Applications can assume that a name is current unless it explicitly says that it is temporary or old." />
<requirements value="Allows the appropriate name for a particular context of use to be selected from among a set of names." />
<path value="HumanName.use" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.0.1" />
</binding>
</mapping>
<map value="XPN.7, but often indicated by which field contains the name" />
</mapping>
<map value="unique(./use)" />
</mapping>
<map value="./NamePurpose" />
</mapping>
</element>
<path value="Patient.name.text" />
<short value="Text representation of the full name" />
<definition value="Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts." />
<comment value="Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part." />
<path value="HumanName.text" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="implied by XPN.11" />
</mapping>
<map value="./formatted" />
</mapping>
</element>
<path value="Patient.name.family" />
<short value="Family name (often called 'Surname')" />
<definition value="The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father." />
<comment value="Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures)." />
<alias value="surname" />
<path value="HumanName.family" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="XPN.1/FN.1" />
</mapping>
<map value="./part[partType = FAM]" />
</mapping>
<map value="./FamilyName" />
</mapping>
</element>
<element id="Patient.name.family.id">
<path value="Patient.name.family.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.name.family.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.name.family.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.name.family.value">
<path value="Patient.name.family.value" />
<short value="Primitive value for string" />
<path value="string.value" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</element>
<path value="Patient.name.given" />
<short value="Given names (not always 'first'). Includes middle names" />
<comment value="If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first." />
<alias value="first name" />
<alias value="middle name" />
<path value="HumanName.given" />
</base>
</type>
<orderMeaning value="Given Names appear in the correct order for presenting the name" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="XPN.2 + XPN.3" />
</mapping>
<map value="./part[partType = GIV]" />
</mapping>
<map value="./GivenNames" />
</mapping>
</element>
<element id="Patient.name.given.id">
<path value="Patient.name.given.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.name.given.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.name.given.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.name.given.value">
<path value="Patient.name.given.value" />
<short value="Primitive value for string" />
<path value="string.value" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</element>
<path value="Patient.name.prefix" />
<short value="Parts that come before the name" />
<definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<path value="HumanName.prefix" />
</base>
</type>
<orderMeaning value="Prefixes appear in the correct order for presenting the name" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
<map value="./part[partType = PFX]" />
</mapping>
<map value="./TitleCode" />
</mapping>
</element>
<path value="Patient.name.suffix" />
<short value="Parts that come after the name" />
<definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<path value="HumanName.suffix" />
</base>
</type>
<orderMeaning value="Suffixes appear in the correct order for presenting the name" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
<map value="./part[partType = SFX]" />
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.name.period" />
<short value="Time period when name was/is in use" />
<definition value="Indicates the period of time when this name was valid for the named person." />
<comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration)." />
<requirements value="Allows names to be placed in historical context." />
<path value="HumanName.period" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="If present, start SHALL have a lower value than end" />
<expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" />
<xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" />
<source value="http://hl7.org/fhir/StructureDefinition/Period" />
</constraint>
</mapping>
</mapping>
<map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" />
</mapping>
<map value="XPN.13 + XPN.14" />
</mapping>
<map value="./usablePeriod[type="IVL<TS>"]" />
</mapping>
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.telecom" />
<short value="A contact detail for the individual" />
<definition value="A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted." />
<comment value="A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone)." />
<requirements value="People have (primary) ways to contact them in some way such as phone, email." />
<path value="Patient.telecom" />
</base>
<code value="ContactPoint" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="A system is required if a value is provided." />
<expression value="value.empty() or system.exists()" />
<xpath value="not(exists(f:value)) or exists(f:system)" />
<source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" />
</constraint>
</mapping>
</mapping>
</mapping>
<map value="ContactPoint" />
</mapping>
<map value="PID-13, PID-14, PID-40" />
</mapping>
</mapping>
</mapping>
</element>
<path value="Patient.gender" />
<short value="male | female | other | unknown" />
<definition value="Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes." />
<comment value="The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex." />
<requirements value="Needed for identification of the individual, in combination with (at least) name and birth date." />
<path value="Patient.gender" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
</extension>
<description value="The gender of a person used for administrative purposes." />
<valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" />
</binding>
</mapping>
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" />
</mapping>
<map value=".patient.administrativeGenderCode" />
</mapping>
</element>
<path value="Patient.birthDate" />
<short value="The date of birth for the individual" />
<definition value="The date of birth for the individual." />
<comment value="At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems)." />
<requirements value="Age of the individual drives many clinical processes." />
<path value="Patient.birthDate" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" />
</mapping>
<map value=".patient.birthTime" />
</mapping>
</mapping>
</element>
<element id="Patient.birthDate.id">
<path value="Patient.birthDate.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.birthDate.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.birthDate.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.birthDate.value">
<path value="Patient.birthDate.value" />
<short value="Primitive value for date" />
<path value="date.value" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
<valueString value="([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1]))?)?" />
</extension>
<code value="http://hl7.org/fhirpath/System.Date" />
</type>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.deceased[x]" />
<short value="Indicates if the individual is deceased or not" />
<definition value="Indicates if the individual is deceased or not." />
<comment value="If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive." />
<requirements value="The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive." />
<path value="Patient.deceased[x]" />
</base>
</type>
<code value="dateTime" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifierReason value="This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different." />
</mapping>
<map value="PID-30 (bool) and PID-29 (datetime)" />
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" />
</mapping>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.address" />
<short value="An address for the individual" />
<definition value="An address for the individual." />
<comment value="Patient may have multiple addresses with different uses or applicable periods." />
<requirements value="May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification." />
<path value="Patient.address" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<element id="Patient.maritalStatus">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.maritalStatus" />
<short value="Marital (civil) status of a patient" />
<definition value="This field contains a patient's most recent marital (civil) status." />
<comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
<requirements value="Most, if not all systems capture it." />
<path value="Patient.maritalStatus" />
</base>
<code value="CodeableConcept" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
</extension>
<description value="The domestic partnership status of a person." />
<valueSet value="http://hl7.org/fhir/ValueSet/marital-status" />
</binding>
</mapping>
<map value="CE/CNE/CWE" />
</mapping>
</mapping>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
</mapping>
<map value="player[classCode=PSN]/maritalStatusCode" />
</mapping>
<map value=".patient.maritalStatusCode" />
</mapping>
</element>
<element id="Patient.multipleBirth[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.multipleBirth[x]" />
<short value="Whether patient is part of a multiple birth" />
<definition value="Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer)." />
<comment value="Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated)." />
<requirements value="For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs." />
<path value="Patient.multipleBirth[x]" />
</base>
</type>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="PID-24 (bool), PID-25 (integer)" />
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" />
</mapping>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.photo" />
<short value="Image of the patient" />
<comment value="Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates." />
<requirements value="Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too." />
<path value="Patient.photo" />
</base>
<code value="Attachment" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="If the Attachment has data, it SHALL have a contentType" />
<expression value="data.empty() or contentType.exists()" />
<xpath value="not(exists(f:data)) or exists(f:contentType)" />
<source value="http://hl7.org/fhir/StructureDefinition/Attachment" />
</constraint>
</mapping>
</mapping>
</mapping>
<map value="OBX-5 - needs a profile" />
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" />
</mapping>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
</extension>
<path value="Patient.contact" />
<short value="A contact party (e.g. guardian, partner, friend) for the patient" />
<definition value="A contact party (e.g. guardian, partner, friend) for the patient." />
<comment value="Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact." />
<requirements value="Need to track people you can contact about the patient." />
<path value="Patient.contact" />
</base>
<code value="BackboneElement" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="SHALL at least contain a contact's details or a reference to an organization" />
<expression value="name.exists() or telecom.exists() or address.exists() or organization.exists()" />
<xpath value="exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)" />
<source value="http://hl7.org/fhir/StructureDefinition/Patient" />
</constraint>
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" />
</mapping>
</mapping>
</element>
<path value="Patient.contact.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.contact.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.contact.modifierExtension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<path value="BackboneElement.modifierExtension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
</mapping>
</mapping>
</element>
<element id="Patient.contact.relationship">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.relationship" />
<short value="The kind of relationship" />
<definition value="The nature of the relationship between the patient and the contact person." />
<comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
<requirements value="Used to determine which contact person is the most relevant to approach, depending on circumstances." />
<path value="Patient.contact.relationship" />
</base>
<code value="CodeableConcept" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<description value="The nature of the relationship between a patient and a contact person for that patient." />
<valueSet value="http://hl7.org/fhir/ValueSet/patient-contactrelationship" />
</binding>
</mapping>
<map value="CE/CNE/CWE" />
</mapping>
</mapping>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<map value="NK1-7, NK1-3" />
</mapping>
</mapping>
</mapping>
</element>
<element id="Patient.contact.name">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.name" />
<short value="A name associated with the contact person" />
<definition value="A name associated with the contact person." />
<comment value="Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely." />
<requirements value="Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person." />
<path value="Patient.contact.name" />
</base>
<code value="HumanName" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
<map value="EN (actually, PN)" />
</mapping>
<map value="ProviderName" />
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<element id="Patient.contact.telecom">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.telecom" />
<short value="A contact detail for the person" />
<definition value="A contact detail for the person, e.g. a telephone number or an email address." />
<comment value="Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification." />
<requirements value="People have (primary) ways to contact them in some way such as phone, email." />
<path value="Patient.contact.telecom" />
</base>
<code value="ContactPoint" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="A system is required if a value is provided." />
<expression value="value.empty() or system.exists()" />
<xpath value="not(exists(f:value)) or exists(f:system)" />
<source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" />
</constraint>
</mapping>
</mapping>
</mapping>
<map value="ContactPoint" />
</mapping>
<map value="NK1-5, NK1-6, NK1-40" />
</mapping>
</mapping>
</mapping>
</element>
<element id="Patient.contact.address">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.address" />
<short value="Address for the contact person" />
<definition value="Address for the contact person." />
<comment value="Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource)." />
<requirements value="Need to keep track where the contact person can be contacted per postal mail or visited." />
<path value="Patient.contact.address" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<element id="Patient.contact.gender">
<path value="Patient.contact.gender" />
<short value="male | female | other | unknown" />
<definition value="Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Needed to address the person correctly." />
<path value="Patient.contact.gender" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
</extension>
<description value="The gender of a person used for administrative purposes." />
<valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" />
</binding>
</mapping>
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" />
</mapping>
</mapping>
</element>
<element id="Patient.contact.organization">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.organization" />
<short value="Organization that is associated with the contact" />
<definition value="Organization on behalf of which the contact is acting or for which the contact is working." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<requirements value="For guardians or business related contacts, the organization is relevant." />
<path value="Patient.contact.organization" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
</mapping>
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<map value="NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" />
</mapping>
</mapping>
</mapping>
</element>
<element id="Patient.contact.period">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.contact.period" />
<short value="The period during which this contact person or organization is valid to be contacted relating to this patient" />
<definition value="The period during which this contact person or organization is valid to be contacted relating to this patient." />
<comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration)." />
<path value="Patient.contact.period" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="If present, start SHALL have a lower value than end" />
<expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" />
<xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" />
<source value="http://hl7.org/fhir/StructureDefinition/Period" />
</constraint>
</mapping>
</mapping>
<map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" />
</mapping>
<map value="effectiveTime" />
</mapping>
</mapping>
</element>
<element id="Patient.communication">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.communication" />
<short value="A language which may be used to communicate with the patient about his or her health" />
<definition value="A language which may be used to communicate with the patient about his or her health." />
<comment value="If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required." />
<requirements value="If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest." />
<path value="Patient.communication" />
</base>
<code value="BackboneElement" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
<map value="LanguageCommunication" />
</mapping>
<map value="patient.languageCommunication" />
</mapping>
</element>
<element id="Patient.communication.id">
<path value="Patient.communication.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.communication.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.communication.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.communication.modifierExtension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.communication.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<path value="BackboneElement.modifierExtension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
</mapping>
</mapping>
</element>
<element id="Patient.communication.language">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.communication.language" />
<short value="The language which can be used to communicate with the patient about his or her health" />
<definition value="The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English." />
<comment value="The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type." />
<requirements value="Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect." />
<path value="Patient.communication.language" />
</base>
<code value="CodeableConcept" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
</extension>
<valueSet value="http://hl7.org/fhir/ValueSet/languages" />
</binding>
</mapping>
<map value="CE/CNE/CWE" />
</mapping>
</mapping>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<map value="PID-15, LAN-2" />
</mapping>
<map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" />
</mapping>
<map value=".languageCode" />
</mapping>
</element>
<element id="Patient.communication.preferred">
<path value="Patient.communication.preferred" />
<short value="Language preference indicator" />
<definition value="Indicates whether or not the patient prefers this language (over other languages he masters up a certain level)." />
<comment value="This language is specifically identified for communicating healthcare information." />
<requirements value="People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method." />
<path value="Patient.communication.preferred" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
</mapping>
</mapping>
<map value="preferenceInd" />
</mapping>
<map value=".preferenceInd" />
</mapping>
</element>
<element id="Patient.generalPractitioner">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.generalPractitioner" />
<short value="Patient's nominated primary care provider" />
<definition value="Patient's nominated care provider." />
<comment value="This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type." />
<alias value="careProvider" />
<path value="Patient.generalPractitioner" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
</mapping>
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
</mapping>
<map value="subjectOf.CareEvent.performer.AssignedEntity" />
</mapping>
</mapping>
</element>
<element id="Patient.managingOrganization">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.managingOrganization" />
<short value="Organization that is the custodian of the patient record" />
<definition value="Organization that is the custodian of the patient record." />
<comment value="There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association)." />
<requirements value="Need to know who recognizes this patient record, manages and updates it." />
<path value="Patient.managingOrganization" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
</mapping>
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
</mapping>
<map value=".providerOrganization" />
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.link" />
<short value="Link to another patient resource that concerns the same actual person" />
<definition value="Link to another patient resource that concerns the same actual patient." />
<comment value="There is no assumption that linked patient records have mutual links." />
<requirements value="There are multiple use cases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers." />
<path value="Patient.link" />
</base>
<code value="BackboneElement" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifierReason value="This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'" />
</mapping>
<map value="outboundLink" />
</mapping>
</mapping>
</element>
<path value="Patient.link.id" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<path value="Element.id" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
</mapping>
</element>
<element id="Patient.link.extension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.link.extension" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<path value="Element.extension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
</mapping>
</mapping>
</element>
<element id="Patient.link.modifierExtension">
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.link.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<path value="BackboneElement.modifierExtension" />
</base>
<code value="Extension" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
</mapping>
</mapping>
</element>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
</extension>
<path value="Patient.link.other" />
<short value="The other patient or related person resource that the link refers to" />
<definition value="The other patient resource that the link refers to." />
<comment value="Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual." />
<path value="Patient.link.other" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy">
</extension>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
</mapping>
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<map value="PID-3, MRG-1" />
</mapping>
</mapping>
</mapping>
</element>
<path value="Patient.link.type" />
<short value="replaced-by | replaces | refer | seealso" />
<definition value="The type of link between this patient resource and another patient resource." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<path value="Patient.link.type" />
</base>
</type>
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
</extension>
<description value="The type of link between this patient resource and another patient resource." />
<valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.0.1" />
</binding>
</mapping>
</mapping>
</mapping>
</element>
</snapshot>
<path value="Patient.meta" />
</element>
<path value="Patient.meta.id" />
</element>
<element id="Patient.meta.versionId">
<path value="Patient.meta.versionId" />
</element>
<element id="Patient.meta.lastUpdated">
<path value="Patient.meta.lastUpdated" />
</element>
<path value="Patient.meta.source" />
</element>
<element id="Patient.meta.profile">
<path value="Patient.meta.profile" />
</element>
<element id="Patient.meta.profile.extension">
<path value="Patient.meta.profile.extension" />
</element>
<element id="Patient.meta.security">
<path value="Patient.meta.security" />
</element>
<path value="Patient.meta.tag" />
</element>
<element id="Patient.implicitRules">
<path value="Patient.implicitRules" />
</element>
<path value="Patient.language" />
</element>
<path value="Patient.text" />
</element>
<path value="Patient.contained" />
</element>
<path value="Patient.extension" />
</slicing>
</element>
<element id="Patient.extension:uSCoreRaceExtension">
<path value="Patient.extension" />
<code value="Extension" />
<profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" />
</type>
</element>
<element id="Patient.modifierExtension">
<path value="Patient.modifierExtension" />
</element>
<path value="Patient.identifier" />
</element>
<element id="Patient.identifier.id">
<path value="Patient.identifier.id" />
</element>
<element id="Patient.identifier.extension">
<path value="Patient.identifier.extension" />
</element>
<element id="Patient.identifier.use">
<path value="Patient.identifier.use" />
</element>
<element id="Patient.identifier.type">
<path value="Patient.identifier.type" />
</element>
<element id="Patient.identifier.system.extension">
<path value="Patient.identifier.system.extension" />
</element>
<element id="Patient.identifier.value.extension">
<path value="Patient.identifier.value.extension" />
</element>
<element id="Patient.identifier.period">
<path value="Patient.identifier.period" />
</element>
<element id="Patient.identifier.assigner">
<path value="Patient.identifier.assigner" />
</element>
<path value="Patient.active" />
</element>
<path value="Patient.name" />
</element>
<path value="Patient.name.id" />
</element>
<element id="Patient.name.extension">
<path value="Patient.name.extension" />
</element>
<path value="Patient.name.use" />
</element>
<path value="Patient.name.text" />
</element>
<element id="Patient.name.family.extension">
<path value="Patient.name.family.extension" />
</element>
<element id="Patient.name.given.extension">
<path value="Patient.name.given.extension" />
</element>
<path value="Patient.name.prefix" />
</element>
<path value="Patient.name.suffix" />
</element>
<path value="Patient.name.period" />
</element>
<path value="Patient.telecom" />
</element>
<path value="Patient.gender" />
</element>
<element id="Patient.birthDate.extension">
<path value="Patient.birthDate.extension" />
</element>
<path value="Patient.deceased[x]" />
</element>
<path value="Patient.address" />
</element>
<element id="Patient.maritalStatus">
<path value="Patient.maritalStatus" />
</element>
<element id="Patient.multipleBirth[x]">
<path value="Patient.multipleBirth[x]" />
</element>
<path value="Patient.photo" />
</element>
<path value="Patient.contact" />
</element>
<element id="Patient.communication">
<path value="Patient.communication" />
</element>
<element id="Patient.generalPractitioner">
<path value="Patient.generalPractitioner" />
</element>
<element id="Patient.managingOrganization">
<path value="Patient.managingOrganization" />
</element>
<path value="Patient.link" />
</element>
</differential>
</StructureDefinition>