This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
HSPCPatient
<Profile xmlns="http://hl7.org/fhir"> <id value="patient-hspc-hspcpatient"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div> </text> <url value="http://hl7.org/fhir/Profile/patient-hspc-hspcpatient"/> <name value="Health Service Platform Consortium (HSPC) Patient Profile"/> <publisher value="U.S. Office of the National Coordinator (ONC)"/> <contact> <telecom> <system value="url"/> <value value="http://www.healthit.gov"/> </telecom> </contact> <description value="Defines constraints and extensions on the patient resource for use in querying and retrieving patient demographic information. : Health Service Platform Consortium (HSPC) Patient Profile"/> <status value="draft"/> <date value="2015-02-05"/> <type value="Patient"/> <base value="http://hl7.org/fhir/Profile/Patient"/> <snapshot> <element> <path value="Patient"/> <name value="HSPCPatient"/> <short value="Information about a person or animal receiving health care services"/> <definition value="Demographics and other administrative information about a person or animal receiving care or other health-related services."/> <requirements value="Tracking patient is the center of the healthcare process."/> <synonym value="SubjectOfCare Client Resident"/> <min value="1"/> <max value="1"/> <mapping> <identity value="rim"/> <map value="Patient[classCode=PAT]"/> </mapping> </element> <element> <path value="Patient.id"/> <short value="Logical id of this artefact"/> <definition value="The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes."/> <comments 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. Bundles always have an id, though it is usually a generated UUID."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> </element> <element> <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 may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <type> <code value="Meta"/> </type> </element> <element> <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."/> <comments 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 as much as possible."/> <min value="0"/> <max value="1"/> <type> <code value="uri"/> </type> <isModifier value="true"/> </element> <element> <path value="Patient.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comments 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)."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <name value="Language"/> <isExtensible value="false"/> <conformance value="required"/> <description value="A human language"/> <referenceUri value="http://tools.ietf.org/html/bcp47"/> </binding> </element> <element> <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 may 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."/> <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/> <synonym value="narrative"/> <synonym value="html"/> <synonym value="xhtml"/> <synonym value="display"/> <min value="0"/> <max value="1"/> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <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."/> <comments 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."/> <synonym value="inline resources"/> <synonym value="anonymous resources"/> <synonym value="contained resources"/> <min value="0"/> <max value="*"/> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="usGovernmentRace"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-race"/> </type> <binding> <name value="HSPCRace"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Race of the patient"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-race"/> </referenceReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="usGovernmentEthnicity"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-ethnicity"/> </type> <binding> <name value="HSPCEthnicity"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Ethnicity of the patient"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-ethnicity"/> </referenceReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="religion"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-religion"/> </type> <binding> <name value="HSPCReligion"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Religion associated with the patient"/> <referenceReference> <reference value="http://hl7.org/fhir/v3/vs/ReligiousAffiliation"/> </referenceReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="mothersMaidenName"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-mothersMaidenName"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="birthPlace"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-birthPlace"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="disability"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-disability"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="importance"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/Profile/patient-hspc-importance"/> </type> <binding> <name value="HSPCImportance"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Importance of the patient in order to inform record handling"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-importance"/> </referenceReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="nationality"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-nationality"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.extension"/> <name value="nationality.core"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-nationalityCode"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.extension"/> <name value="nationality.period"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-nationalityPeriod"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/> <min value="1"/> <max value="1"/> <type> <code value="uri"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="1"/> <type> <code value="*"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="citizenship"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-citizenship"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.extension"/> <name value="citizenship.core"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-citizenshipCode"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.extension"/> <name value="citizenship.period"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-citizenshipPeriod"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific. This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #."/> <min value="1"/> <max value="1"/> <type> <code value="uri"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="1"/> <type> <code value="*"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="cadavericDonor"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-cadavericDonor"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="congregation"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-congregation"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="veteranMilitaryStatus"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-veteranMilitaryStatus"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.extension"/> <name value="adoptionInfo"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-adoptionInfo"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.modifierExtension"/> <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. Usually modifier elements provide negation or qualification. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.identifier"/> <short value="An identifier for the person as this patient"/> <definition value="An identifier that applies to this person as a patient."/> <requirements value="Patients are almost always assigned specific numerical identifiers."/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value="id"/> </mapping> </element> <element> <path value="Patient.name"/> <short value="A name associated with the patient"/> <definition value="A name associated with the individual."/> <comments value="Person 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 person by multiple names. Examples are your official name and a partner name."/> <min value="0"/> <max value="*"/> <type> <code value="HumanName"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-5, PID-9"/> </mapping> <mapping> <identity value="rim"/> <map value="name"/> </mapping> </element> <element> <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."/> <comments value="Person 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 may 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."/> <min value="0"/> <max value="*"/> <type> <code value="ContactPoint"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-13, PID-14, PID-40"/> </mapping> <mapping> <identity value="rim"/> <map value="telecom"/> </mapping> </element> <element> <path value="Patient.telecom.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.telecom.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.telecom.extension"/> <name value="telecom.preferred"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/iso21090-preferred"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.telecom.system"/> <short value="phone | fax | email | url"/> <definition value="Telecommunications form for contact point - what communications system is required to make use of the contact."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="cpt-2"/> <binding> <name value="ContactPointSystem"/> <isExtensible value="false"/> <conformance value="required"/> <description value="Telecommunications form for contact point"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/contact-point-system"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="XTN.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./scheme"/> </mapping> <mapping> <identity value="servd"/> <map value="./ContactPointType"/> </mapping> </element> <element> <path value="Patient.telecom.value"/> <short value="The actual contact point details"/> <definition value="The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address)."/> <comments value="Additional out of band data such as extensions, or notes about use of the contact are sometimes included in the value."/> <requirements value="Need to support legacy numbers that are not in a tightly controlled format."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="v2"/> <map value="XTN.1 (or XTN.12)"/> </mapping> <mapping> <identity value="rim"/> <map value="./url"/> </mapping> <mapping> <identity value="servd"/> <map value="./Value"/> </mapping> </element> <element> <path value="Patient.telecom.use"/> <short value="home | work | temp | old | mobile - purpose of this contact point"/> <definition value="Identifies the purpose for the contact point."/> <comments value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old."/> <requirements value="Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <isModifier value="true"/> <binding> <name value="ContactPointUse"/> <isExtensible value="false"/> <conformance value="required"/> <description value="Use of contact point"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/contact-point-use"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="XTN.2 - but often indicated by field"/> </mapping> <mapping> <identity value="rim"/> <map value="unique(./use)"/> </mapping> <mapping> <identity value="servd"/> <map value="./ContactPointPurpose"/> </mapping> </element> <element> <path value="Patient.telecom.period"/> <short value="Time period when the contact point was/is in use"/> <definition value="Time period when the contact point was/is in use."/> <min value="0"/> <max value="1"/> <type> <code value="Period"/> </type> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="./useablePeriod[type="IVL<TS>"]"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <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."/> <comments value="The gender may 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 M and F, though the vast majority of systems and contexts only support M and F."/> <requirements value="Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <isSummary value="true"/> <binding> <name value="AdministrativeGender"/> <isExtensible value="false"/> <conformance value="required"/> <description value="The gender of a person used for administrative purposes"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/administrative-gender"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="PID-8"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"/> </mapping> </element> <element> <path value="Patient.birthDate"/> <short value="The date of birth for the individual"/> <definition value="The date of birth for the individual."/> <comments value="At least an estimated year should be provided as a guess if the real dob is unknown."/> <requirements value="Age of the individual drives many clinical processes."/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> <isSummary value="true"/> <mapping> <identity value="loinc"/> <map value="21112-8"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-7"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"/> </mapping> </element> <element> <path value="Patient.birthDate.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> </element> <element> <path value="Patient.birthDate.extension"/> <name value="birthDate.verification"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/iso21090-verification"/> </type> <binding> <name value="HSPCVerification"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Verification method used to validate data field"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-verification"/> </referenceReference> </binding> </element> <element> <path value="Patient.birthDate.value"/> <representation value="xmlAttr"/> <short value="Primitive value for date"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <type> <code value="xsd:xs:gYear, xs:gYearMonth, xs:date"/> </type> </element> <element> <path value="Patient.birthTime"/> <short value="The time of birth for the individual"/> <definition value="The time of birth for the individual."/> <requirements value="In some cases birth time is important (e.g. multiple births). Hospitals will capture the time of birth in most cases."/> <min value="0"/> <max value="1"/> <type> <code value="time"/> </type> <isSummary value="true"/> <mapping> <identity value="loinc"/> <map value="21112-8"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-7"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"/> </mapping> </element> <element> <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."/> <comments 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."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <type> <code value="dateTime"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-30 (bool) and PID-29 (datetime)"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"/> </mapping> </element> <element> <path value="Patient.address"/> <short value="Addresses for the individual"/> <definition value="Addresses for the individual."/> <comments value="Person may have multiple addresses with different uses or applicable periods."/> <requirements value="May need to keep track of persons addresses for contacting, billing or reporting requirements and also to help with identification."/> <min value="0"/> <max value="*"/> <type> <code value="Address"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-11"/> </mapping> <mapping> <identity value="rim"/> <map value="addr"/> </mapping> </element> <element> <path value="Patient.address.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.address.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.address.extension"/> <name value="address.preferred"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/iso21090-preferred"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.address.use"/> <short value="home | work | temp | old - purpose of this address"/> <definition value="The purpose of this address."/> <comments value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old."/> <requirements value="Allows an appropriate address to be chosen from a list of many."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <exampleCode value="home"/> <isModifier value="true"/> <binding> <name value="AddressUse"/> <isExtensible value="false"/> <conformance value="required"/> <description value="The use of an address"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/address-use"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="XAD.7"/> </mapping> <mapping> <identity value="rim"/> <map value="unique(./use)"/> </mapping> <mapping> <identity value="servd"/> <map value="./AddressPurpose"/> </mapping> </element> <element> <path value="Patient.address.text"/> <short value="Text representation of the address"/> <definition value="A full text representation of the address."/> <comments value="Can provide both a text representation and parts."/> <requirements value="A renderable, unencoded form."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <exampleString value="137 Nowhere Street, Erewhon 9132"/> <mapping> <identity value="v2"/> <map value="XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"/> </mapping> <mapping> <identity value="rim"/> <map value="./formatted"/> </mapping> </element> <element> <path value="Patient.address.line"/> <short value="Street name, number, direction & P.O. Box etc"/> <definition value="This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information."/> <requirements value="home | work | temp | old - purpose of this address."/> <min value="0"/> <max value="*"/> <type> <code value="string"/> </type> <exampleString value="137 Nowhere Street"/> <mapping> <identity value="vcard"/> <map value="street address"/> </mapping> <mapping> <identity value="v2"/> <map value="XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = AL]"/> </mapping> <mapping> <identity value="servd"/> <map value="./StreetAddress (newline delimitted)"/> </mapping> </element> <element> <path value="Patient.address.city"/> <short value="Name of city, town etc."/> <definition value="The name of the city, town, village or other community or delivery center."/> <synonym value="Muncipality"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <exampleString value="Erewhon"/> <mapping> <identity value="vcard"/> <map value="locality"/> </mapping> <mapping> <identity value="v2"/> <map value="XAD.3"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = CTY]"/> </mapping> <mapping> <identity value="servd"/> <map value="./Jurisdiction"/> </mapping> </element> <element> <path value="Patient.address.state"/> <short value="Sub-unit of country (abreviations ok)"/> <definition value="Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes)."/> <synonym value="Province"/> <synonym value="Territory"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="vcard"/> <map value="region"/> </mapping> <mapping> <identity value="v2"/> <map value="XAD.4"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = STA]"/> </mapping> <mapping> <identity value="servd"/> <map value="./Region"/> </mapping> </element> <element> <path value="Patient.address.postalCode"/> <short value="Postal code for area"/> <definition value="A postal code designating a region defined by the postal service."/> <synonym value="Zip"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <exampleString value="9132"/> <mapping> <identity value="vcard"/> <map value="postal code"/> </mapping> <mapping> <identity value="v2"/> <map value="XAD.5"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = ZIP]"/> </mapping> <mapping> <identity value="servd"/> <map value="./PostalIdentificationCode"/> </mapping> </element> <element> <path value="Patient.address.country"/> <short value="Country (can be ISO 3166 3 letter code)"/> <definition value="Country - a nation as commonly understood or generally accepted."/> <comments value="ISO 3166 3 letter codes can be used in place of a full country name."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="vcard"/> <map value="country name"/> </mapping> <mapping> <identity value="v2"/> <map value="XAD.6"/> </mapping> <mapping> <identity value="rim"/> <map value="AD.part[parttype = CNT]"/> </mapping> <mapping> <identity value="servd"/> <map value="./Country"/> </mapping> </element> <element> <path value="Patient.address.period"/> <short value="Time period when address was/is in use"/> <definition value="Time period when address was/is in use."/> <requirements value="Allows addresses to be placed in historical context."/> <min value="0"/> <max value="1"/> <type> <code value="Period"/> </type> <examplePeriod> <start value="2010-03-23"/> <end value="2010-07-01"/> </examplePeriod> <mapping> <identity value="v2"/> <map value="XAD.12 / XAD.13 + XAD.14"/> </mapping> <mapping> <identity value="rim"/> <map value="./usablePeriod[type="IVL<TS>"]"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element> <path value="Patient.maritalStatus"/> <short value="Marital (civil) status of a person"/> <definition value="This field contains a patient's most recent marital (civil) status."/> <requirements value="Most, if not all systems capture it."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <name value="MaritalStatus"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="The domestic partnership status of a person"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/marital-status"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="PID-16"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN]/maritalStatusCode"/> </mapping> </element> <element> <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 or indicates the actual birth order."/> <requirements value="For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <type> <code value="integer"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-24 (bool), PID-25 (integer)"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"/> </mapping> </element> <element> <path value="Patient.photo"/> <short value="Image of the person"/> <definition value="Image of the person."/> <requirements value="Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too."/> <min value="0"/> <max value="*"/> <type> <code value="Attachment"/> </type> <mapping> <identity value="v2"/> <map value="OBX-5 - needs a profile"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"/> </mapping> </element> <element> <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."/> <comments 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."/> <min value="0"/> <max value="*"/> <constraint> <key value="pat-1"/> <name value="ContactNeedsDetails"/> <severity value="error"/> <human value="SHALL at least contain a contact's details or a reference to an organization"/> <xpath value="f:name or f:telecom or f:address or f:organization"/> </constraint> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"/> </mapping> </element> <element> <path value="Patient.contact.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.contact.extension"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.contact.modifierExtension"/> <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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <synonym value="modifiers"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <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."/> <requirements value="Used to determine which contact person is the most relevant to approach, depending on circumstances."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <binding> <name value="ContactRelationship"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="The nature of the relationship between a patient and a contact person for that patient"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/patient-contact-relationship"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="NK1-7, NK1-3"/> </mapping> <mapping> <identity value="rim"/> <map value="code"/> </mapping> </element> <element> <path value="Patient.contact.name"/> <short value="A name associated with the person"/> <definition value="A name associated with the person."/> <requirements value="Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that person."/> <min value="0"/> <max value="1"/> <type> <code value="HumanName"/> </type> <mapping> <identity value="v2"/> <map value="NK1-2"/> </mapping> <mapping> <identity value="rim"/> <map value="name"/> </mapping> </element> <element> <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."/> <comments value="Person 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."/> <min value="0"/> <max value="*"/> <type> <code value="ContactPoint"/> </type> <mapping> <identity value="v2"/> <map value="NK1-5, NK1-6, NK1-40"/> </mapping> <mapping> <identity value="rim"/> <map value="telecom"/> </mapping> </element> <element> <path value="Patient.contact.address"/> <short value="Address for the contact person"/> <definition value="Address for the contact person."/> <requirements value="Need to keep track where the contact person can be contacted per postal mail or visited."/> <min value="0"/> <max value="1"/> <type> <code value="Address"/> </type> <mapping> <identity value="v2"/> <map value="NK1-4"/> </mapping> <mapping> <identity value="rim"/> <map value="addr"/> </mapping> </element> <element> <path value="Patient.contact.gender"/> <short value="male | female | other | unknown"/> <definition value="Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes."/> <requirements value="Needed to address the person correctly."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <name value="AdministrativeGender"/> <isExtensible value="false"/> <conformance value="required"/> <description value="The gender of a person used for administrative purposes"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/administrative-gender"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="NK1-15"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"/> </mapping> </element> <element> <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."/> <requirements value="For guardians or business related contacts, the organization is relevant."/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/Profile/Organization"/> </type> <condition value="pat-1"/> <mapping> <identity value="v2"/> <map value="NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"/> </mapping> <mapping> <identity value="rim"/> <map value="scoper"/> </mapping> </element> <element> <path value="Patient.contact.period"/> <short value="The period during which this person or organization is valid to be contacted relating to this patient"/> <definition value="The period during which this person or organization is valid to be contacted relating to this patient."/> <min value="0"/> <max value="1"/> <type> <code value="Period"/> </type> </element> <element> <path value="Patient.animal"/> <short value="If this patient is an animal (non-human)"/> <definition value="This element has a value if the patient is an animal."/> <comments value="The animal element is labeled "Is Modifier" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject non-human patient records."/> <requirements value="Many clinical systems are extended to care for animal patients as well as human."/> <min value="0"/> <max value="0"/> <type> <code value="=Animal"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="player[classCode=ANM]"/> </mapping> </element> <element> <path value="Patient.animal.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.animal.extension"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.animal.modifierExtension"/> <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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <synonym value="modifiers"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.animal.species"/> <short value="E.g. Dog, Cow"/> <definition value="Identifies the high level categorization of the kind of animal."/> <comments value="If the patient is non-human, at least a species SHALL be specified."/> <requirements value="Need to know what kind of animal."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <name value="AnimalSpecies"/> <isExtensible value="true"/> <conformance value="example"/> <description value="The species of an animal"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/animal-species"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="PID-35"/> </mapping> <mapping> <identity value="rim"/> <map value="code"/> </mapping> </element> <element> <path value="Patient.animal.breed"/> <short value="E.g. Poodle, Angus"/> <definition value="Identifies the detailed categorization of the kind of animal."/> <requirements value="May need to know the specific kind within the species."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <name value="AnimalBreed"/> <isExtensible value="true"/> <conformance value="example"/> <description value="The breed of an animal"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/animal-breeds"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="PID-37"/> </mapping> <mapping> <identity value="rim"/> <map value="playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"/> </mapping> </element> <element> <path value="Patient.animal.genderStatus"/> <short value="E.g. Neutered, Intact"/> <definition value="Indicates the current state of the animal's reproductive organs."/> <requirements value="Gender status can affect housing and animal behavior."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <name value="AnimalGenderStatus"/> <isExtensible value="true"/> <conformance value="example"/> <description value="The state of the animal's reproductive organs"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/animal-genderstatus"/> </referenceReference> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="genderStatusCode"/> </mapping> </element> <element> <path value="Patient.communication"/> <short value="Languages which may be used to communicate with the patient about his or her health"/> <definition value="Languages which may be used to communicate with the patient about his or her health."/> <comments value="If no language is specified, this *implies* that the default local language is spoken. For animals, language is not a relevant field, and should be absent from the instance."/> <requirements value="If a patient does not speak the local language, interpreters may be required, so languages spoken is an important things to keep track of both for patient and other persons of interest."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <binding> <name value="Language"/> <isExtensible value="false"/> <conformance value="required"/> <description value="A human language"/> <referenceUri value="http://tools.ietf.org/html/bcp47"/> </binding> <mapping> <identity value="v2"/> <map value="LAN-2"/> </mapping> <mapping> <identity value="rim"/> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"/> </mapping> </element> <element> <path value="Patient.communication.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.communication.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.communication.extension"/> <name value="communication.mode"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/Profile/patient-hspc-communicationMode"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.communication.coding"/> <short value="Code defined by a terminology system"/> <definition value="A reference to a code defined by a terminology system."/> <comments value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the V3 Core Principles for more information. Ordering of codings is undefined and SHALL not be used to infer meaning."/> <requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/> <min value="0"/> <max value="*"/> <type> <code value="Coding"/> </type> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> </element> <element> <path value="Patient.communication.text"/> <short value="Plain text representation of the concept"/> <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/> <comments value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> </element> <element> <path value="Patient.careProvider"/> <short value="Patient's nominated care provider"/> <definition value="Patient's nominated care provider."/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/Profile/Organization"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/Profile/Practitioner"/> </type> <mapping> <identity value="rim"/> <map value="subjectOf.CareEvent.performer.AssignedEntity"/> </mapping> </element> <element> <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."/> <requirements value="Need to know who recognizes this patient record, manages and updates it."/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/Profile/Organization"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="scoper"/> </mapping> </element> <element> <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 person."/> <comments value="There is no assumption that linked patient records have mutual links."/> <requirements value="There are multiple usecases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers."/> <min value="0"/> <max value="*"/> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="outboundLink"/> </mapping> </element> <element> <path value="Patient.link.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.link.extension"/> <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. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element> <path value="Patient.link.modifierExtension"/> <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 element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order 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."/> <comments 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."/> <synonym value="extensions"/> <synonym value="user content"/> <synonym value="modifiers"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element> <path value="Patient.link.other"/> <short value="The other patient resource that the link refers to"/> <definition value="The other patient resource that the link refers to."/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/Profile/Patient"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-3, MRG-1"/> </mapping> <mapping> <identity value="rim"/> <map value="id"/> </mapping> </element> <element> <path value="Patient.link.type"/> <short value="replace | refer | seealso - type of link"/> <definition value="The type of link between this patient resource and another patient resource."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <name value="LinkType"/> <isExtensible value="false"/> <conformance value="required"/> <description value="The type of link between this patient resource and another patient resource."/> <referenceReference> <reference value="http://hl7.org/fhir/vs/link-type"/> </referenceReference> </binding> <mapping> <identity value="rim"/> <map value="typeCode"/> </mapping> </element> <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."/> <comments value="Default is true. If a record is inactive, and linked to an active record, then future patient/person/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."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <defaultValueBoolean value="true"/> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="statusCode"/> </mapping> </element> </snapshot> <differential> <element> <path value="Patient"/> <name value="HSPCPatient"/> <min value="1"/> <max value="1"/> </element> <element> <path value="Patient.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element> <path value="Patient.extension"/> <name value="usGovernmentRace"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-race"/> </type> <binding> <name value="HSPCRace"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Race of the patient"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-race"/> </referenceReference> </binding> </element> <element> <path value="Patient.extension"/> <name value="usGovernmentEthnicity"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-ethnicity"/> </type> <binding> <name value="HSPCEthnicity"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Ethnicity of the patient"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-ethnicity"/> </referenceReference> </binding> </element> <element> <path value="Patient.extension"/> <name value="religion"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-religion"/> </type> <binding> <name value="HSPCReligion"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Religion associated with the patient"/> <referenceReference> <reference value="http://hl7.org/fhir/v3/vs/ReligiousAffiliation"/> </referenceReference> </binding> </element> <element> <path value="Patient.extension"/> <name value="mothersMaidenName"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-mothersMaidenName"/> </type> </element> <element> <path value="Patient.extension"/> <name value="birthPlace"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-birthPlace"/> </type> </element> <element> <path value="Patient.extension"/> <name value="disability"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-disability"/> </type> </element> <element> <path value="Patient.extension"/> <name value="importance"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/Profile/patient-hspc-importance"/> </type> <binding> <name value="HSPCImportance"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Importance of the patient in order to inform record handling"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-importance"/> </referenceReference> </binding> </element> <element> <path value="Patient.extension"/> <name value="nationality"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-nationality"/> </type> </element> <element> <path value="Patient.extension.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element> <path value="Patient.extension.extension"/> <name value="nationality.core"/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-nationalityCode"/> </type> </element> <element> <path value="Patient.extension.extension"/> <name value="nationality.period"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-nationalityPeriod"/> </type> </element> <element> <path value="Patient.extension"/> <name value="citizenship"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-citizenship"/> </type> </element> <element> <path value="Patient.extension.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element> <path value="Patient.extension.extension"/> <name value="citizenship.core"/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-citizenshipCode"/> </type> </element> <element> <path value="Patient.extension.extension"/> <name value="citizenship.period"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-citizenshipPeriod"/> </type> </element> <element> <path value="Patient.extension"/> <name value="cadavericDonor"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-cadavericDonor"/> </type> </element> <element> <path value="Patient.extension"/> <name value="congregation"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-congregation"/> </type> </element> <element> <path value="Patient.extension"/> <name value="veteranMilitaryStatus"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-veteranMilitaryStatus"/> </type> </element> <element> <path value="Patient.extension"/> <name value="adoptionInfo"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/patient-adoptionInfo"/> </type> </element> <element> <path value="Patient.telecom"/> <min value="0"/> <max value="*"/> </element> <element> <path value="Patient.telecom.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element> <path value="Patient.telecom.extension"/> <name value="telecom.preferred"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/iso21090-preferred"/> </type> </element> <element> <path value="Patient.birthDate"/> <min value="0"/> <max value="1"/> </element> <element> <path value="Patient.birthDate.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element> <path value="Patient.birthDate.extension"/> <name value="birthDate.verification"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/iso21090-verification"/> </type> <binding> <name value="HSPCVerification"/> <isExtensible value="true"/> <conformance value="preferred"/> <description value="Verification method used to validate data field"/> <referenceReference> <reference value="http://hl7.org/fhir/vs/hspc-verification"/> </referenceReference> </binding> </element> <element> <path value="Patient.address"/> <min value="0"/> <max value="*"/> </element> <element> <path value="Patient.address.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element> <path value="Patient.address.extension"/> <name value="address.preferred"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/ExtensionDefinition/iso21090-preferred"/> </type> </element> <element> <path value="Patient.animal"/> <min value="0"/> <max value="0"/> <type> <code value="=Animal"/> </type> </element> <element> <path value="Patient.communication"/> <min value="0"/> <max value="*"/> </element> <element> <path value="Patient.communication.extension"/> <slicing> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element> <path value="Patient.communication.extension"/> <name value="communication.mode"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/Profile/patient-hspc-communicationMode"/> </type> </element> </differential> </Profile>