This page is part of the FHIR Specification (v1.8.0: STU 3 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
US Core Race Extension
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="us-core-race"/> <url value="http://hl7.org/fhir/StructureDefinition/us-core-race"/> <name value="US Core Race Extension"/> <title value="US Core Race Extension"/> <status value="draft"/> <publisher value="Health Level Seven International (US Realm Steering Committee)"/> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/Committees/usrealm"/> </telecom> </contact> <date value="2013-12-03"/> <description value="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/v ocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White."/> <fhirVersion value="1.8.0"/> <mapping> <identity value="cda"/> <uri value="http://hl7.org/v3/cda"/> <name value="CDA (R2)"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="complex-type"/> <abstract value="false"/> <contextType value="resource"/> <context value="Patient"/> <type value="Extension"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/> <derivation value="constraint"/> <snapshot> <element id="Extension:uscoreraceextension"> <path value="Extension"/> <short value="US Core Race Extension"/> <definition value="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/v ocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White."/> <min value="0"/> <max value="1"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="children().count() > id.count()"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> </element> <element id="Extension:uscoreraceextension.id"> <path value="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). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension"> <path value="Extension.extension"/> <slicing id="57"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Extension:uscoreraceextension.extension:ombcategory"> <path value="Extension.extension"/> <sliceName value="ombCategory"/> <short value="American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White"/> <definition value="The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards)."/> <min value="1"/> <max value="5"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="cda"/> <map value="/ClinicalDocument/recordTarget/patientRole/patient/raceCode"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:ombcategory.id"> <path value="Extension.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). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:ombcategory.extension:extension"> <path value="Extension.extension.extension"/> <sliceName value="extension"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Extension:uscoreraceextension.extension:ombcategory.url"> <path value="Extension.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 SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="ombCategory"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:ombcategory.valueCoding"> <path value="Extension.extension.valueCoding"/> <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="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <binding> <strength value="required"/> <description value="The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards)."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/omb-race"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:detailed"> <path value="Extension.extension"/> <sliceName value="detailed"/> <short value="Extended race codes"/> <definition value="The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="cda"/> <map value="/ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:detailed.id"> <path value="Extension.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). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:detailed.extension:extension"> <path value="Extension.extension.extension"/> <sliceName value="extension"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Extension:uscoreraceextension.extension:detailed.url"> <path value="Extension.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 SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="detailed"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:detailed.valueCoding"> <path value="Extension.extension.valueCoding"/> <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="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <binding> <strength value="required"/> <description value="The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/detailed-race"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:text"> <path value="Extension.extension"/> <sliceName value="text"/> <short value="Race Text"/> <definition value="Plain text representation of the race concept(s)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Extension:uscoreraceextension.extension:text.id"> <path value="Extension.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). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:text.extension:extension"> <path value="Extension.extension.extension"/> <sliceName value="extension"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Extension:uscoreraceextension.extension:text.url"> <path value="Extension.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 SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="text"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:text.valueString"> <path value="Extension.extension.valueString"/> <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="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:uscoreraceextension.url"> <path value="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 SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/us-core-race"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:uscoreraceextension.value[x]"> <path value="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="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <type> <code value="boolean"/> </type> <type> <code value="code"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="decimal"/> </type> <type> <code value="id"/> </type> <type> <code value="instant"/> </type> <type> <code value="integer"/> </type> <type> <code value="markdown"/> </type> <type> <code value="oid"/> </type> <type> <code value="positiveInt"/> </type> <type> <code value="string"/> </type> <type> <code value="time"/> </type> <type> <code value="unsignedInt"/> </type> <type> <code value="uri"/> </type> <type> <code value="Address"/> </type> <type> <code value="Age"/> </type> <type> <code value="Annotation"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="Coding"/> </type> <type> <code value="ContactPoint"/> </type> <type> <code value="Count"/> </type> <type> <code value="Distance"/> </type> <type> <code value="Duration"/> </type> <type> <code value="HumanName"/> </type> <type> <code value="Identifier"/> </type> <type> <code value="Money"/> </type> <type> <code value="Period"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Reference"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="Signature"/> </type> <type> <code value="Timing"/> </type> <type> <code value="Meta"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Extension:uscoreraceextension"> <path value="Extension"/> <short value="US Core Race Extension"/> <definition value="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/v ocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White."/> <min value="0"/> <max value="1"/> </element> <element id="Extension:uscoreraceextension.extension:ombcategory"> <path value="Extension.extension"/> <sliceName value="ombCategory"/> <short value="American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White"/> <definition value="The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards)."/> <min value="1"/> <max value="5"/> <type> <code value="Extension"/> </type> <mapping> <identity value="cda"/> <map value="/ClinicalDocument/recordTarget/patientRole/patient/raceCode"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:ombcategory.extension:extension"> <path value="Extension.extension.extension"/> <sliceName value="extension"/> <max value="0"/> </element> <element id="Extension:uscoreraceextension.extension:ombcategory.url"> <path value="Extension.extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="ombCategory"/> </element> <element id="Extension:uscoreraceextension.extension:ombcategory.value[x]"> <path value="Extension.extension.value[x]"/> <min value="1"/> <type> <code value="Coding"/> </type> <binding> <strength value="required"/> <description value="The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards)."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/omb-race"/> </valueSetReference> </binding> </element> <element id="Extension:uscoreraceextension.extension:detailed"> <path value="Extension.extension"/> <sliceName value="detailed"/> <short value="Extended race codes"/> <definition value="The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:."/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <mapping> <identity value="cda"/> <map value="/ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode"/> </mapping> </element> <element id="Extension:uscoreraceextension.extension:detailed.extension:extension"> <path value="Extension.extension.extension"/> <sliceName value="extension"/> <max value="0"/> </element> <element id="Extension:uscoreraceextension.extension:detailed.url"> <path value="Extension.extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="detailed"/> </element> <element id="Extension:uscoreraceextension.extension:detailed.value[x]"> <path value="Extension.extension.value[x]"/> <min value="1"/> <type> <code value="Coding"/> </type> <binding> <strength value="required"/> <description value="The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/detailed-race"/> </valueSetReference> </binding> </element> <element id="Extension:uscoreraceextension.extension:text"> <path value="Extension.extension"/> <sliceName value="text"/> <short value="Race Text"/> <definition value="Plain text representation of the race concept(s)."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> </type> </element> <element id="Extension:uscoreraceextension.extension:text.extension:extension"> <path value="Extension.extension.extension"/> <sliceName value="extension"/> <max value="0"/> </element> <element id="Extension:uscoreraceextension.extension:text.url"> <path value="Extension.extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="text"/> </element> <element id="Extension:uscoreraceextension.extension:text.value[x]"> <path value="Extension.extension.value[x]"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="Extension:uscoreraceextension.url"> <path value="Extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/StructureDefinition/us-core-race"/> </element> <element id="Extension:uscoreraceextension.value[x]"> <path value="Extension.value[x]"/> <min value="0"/> <max value="0"/> </element> </differential> </StructureDefinition>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.