StructureDefinition: USLabPHPract

USLabPHPract

Raw XML

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="pract-uslab-uslabphpract"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/pract-uslab-uslabphpract"/>
  <name value="US Laboratory Practitioner Profile"/>
  <publisher value="HL7 International - Orders and Observations WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <description value="USLab Practitioner"/>
  <status value="draft"/>
  <date value="2014-11-17"/>
  <type value="constraint"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
  <snapshot>
    <element>
      <path value="Practitioner"/>
      <name value="USLabPHPract"/>
      <short value="USLab Practitioner"/>
      <definition value="This is the provider who either ordered a lab test or to whom the results have been sent."/>
      <comments value="Note that a cab driver no longer fits the bill. You probably would be interested in the
       organization rather than the individual?"/>
      <requirements value="Need to track doctors, staff, locums etc. for both healthcare practitioners, funders,
       etc."/>
      <alias value="Provider"/>
      <alias value="Orderer"/>
      <alias value="Submitting  Physician"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Practitioner"/>
      </type>
      <constraint>
        <key value="inv-1"/>
        <name value="NameandorID"/>
        <severity value="error"/>
        <human value="Shall have Organization.name and/or Organization.identifier."/>
        <xpath value="exists(f:name) or exists(f:identifier)"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="PRD (as one example)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Provider"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.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="Practitioner.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="Practitioner.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="Practitioner.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"/>
        <strength value="required"/>
        <description value="A human language"/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="Practitioner.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 &quot;clinically
       safe&quot; 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."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias 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="Practitioner.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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias 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="Practitioner.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 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."/>
      <alias value="extensions"/>
      <alias 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="Practitioner.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."/>
      <alias value="extensions"/>
      <alias 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="Practitioner.identifier"/>
      <short value="A identifier for the person as this agent"/>
      <definition value="An identifier that applies to this person in this role."/>
      <requirements value="Often, specific identities are assigned for the agent."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-7 (or XCN.1 Person Identifier)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./id"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Identifiers"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.identifier.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="Practitioner.identifier.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."/>
      <alias value="extensions"/>
      <alias 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="Practitioner.identifier.use"/>
      <short value="usual | official | temp | secondary (If known)"/>
      <definition value="The purpose of this identifier."/>
      <comments value="This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary
       id for a permanent one. Applications can assume that an identifier is permanent unless
       it explicitly says that it is temporary."/>
      <requirements value="Allows the appropriate identifier for a particular context of use to be selected from
       among a set of identifiers."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <binding>
        <name value="IdentifierUse"/>
        <strength value="required"/>
        <description value="Identifies the purpose for this identifier, if known"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/identifier-use"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role.code or implied by context"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.identifier.label"/>
      <short value="Description of identifier"/>
      <definition value="A text string for the identifier that can be displayed to a human so they can recognize
       the identifier."/>
      <requirements value="Allows humans to make use of identifiers when the identifier system is not known."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="CX.5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role.title or implied by context"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.identifier.system"/>
      <short value="OID for National Provider Identifier (NPI)"/>
      <definition value="See https://nppes.cms.hhs.gov/NPPES/."/>
      <requirements value="There are many sequences of identifiers.  To perform matching, we need to know what sequence
       we're dealing with. The system identifies a particular sequence or set of unique identifiers."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="urn:oid:2.16.840.1.113883.4.6"/>
      <exampleUri value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the id itself is a full
       uri"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="CX.4 / EI-2-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="II.root or Role.id.root"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./IdentifierType"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.identifier.value"/>
      <short value="NPI Provider Number"/>
      <definition value="NPI Provider Number."/>
      <comments value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="123456"/>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="CX.1 / EI.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Value"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.identifier.period"/>
      <short value="Time period when id is/was valid for use"/>
      <definition value="Time period during which identifier is/was valid for use."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="CX.7 + CX.8"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role.effectiveTime or implied by context"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StartDate and ./EndDate"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.identifier.assigner"/>
      <short value="Organization that issued id (may be just text)"/>
      <definition value="Organization that issued/manages the identifier."/>
      <comments value="The reference may be just a text description of the assigner."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="CX.4 / (CX.4,CX.9,CX.10)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the
         field.  Also Role.scoper"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./IdentifierIssuingAuthority"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.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>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XCN Components"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./name"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./PreferredName (GivenNames, FamilyName, TitleCode)"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.name.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="Practitioner.name.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."/>
      <alias value="extensions"/>
      <alias 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="Practitioner.name.use"/>
      <short value="usual | official | temp | nickname | anonymous | old | maiden"/>
      <definition value="Identifies the purpose for this name."/>
      <comments value="This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary
       or old name etc for a current/permanent one. Applications can assume that a name is current
       unless it explicitly says that it is temporary or old."/>
      <requirements value="Allows the appropriate name for a particular context of use to be selected from among
       a set of names."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <binding>
        <name value="NameUse"/>
        <strength value="required"/>
        <description value="The use of a human name"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/name-use"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XPN.7, but often indicated by which field contains the name"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./use)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./NamePurpose"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.name.text"/>
      <short value="Text representation of the full name"/>
      <definition value="A full text representation of the name."/>
      <comments value="Can provide both a text representation and structured parts."/>
      <requirements value="A renderable, unencoded form."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="implied by XPN.11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./formatted"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.name.family"/>
      <short value="Family name (often called 'Surname')"/>
      <definition value="The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family
       name of a son is the first name of his father."/>
      <comments value="For family name, hyphenated names such as &quot;Smith-Jones&quot; are a single name, but
       names with spaces such as &quot;Smith Jones&quot; are broken into multiple parts."/>
      <alias value="surname"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XPN.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./part[partType = FAM]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./FamilyName"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.name.given"/>
      <short value="Given names (not always 'first'). Includes middle names"/>
      <definition value="Given name."/>
      <comments value="If only initials are recorded, they may be used in place of the full name.  Not called
       &quot;first name&quot; since given names do not always come first."/>
      <alias value="first name"/>
      <alias value="middle name"/>
      <min value="0"/>
      <max value="2"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XPN.2 + XPN.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./part[partType = GIV]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./GivenNames"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.name.prefix"/>
      <short value="Parts that come before the name"/>
      <definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility
       status, etc. and that appears at the start of the name."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XPN.5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./part[partType = PFX]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./TitleCode"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.name.suffix"/>
      <short value="Parts that come after the name"/>
      <definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility
       status, etc. and that appears at the end of the name."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XPN/4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./part[partType = SFX]"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.name.period"/>
      <short value="Time period when name was/is in use"/>
      <definition value="Indicates the period of time when this name was valid for the named person."/>
      <requirements value="Allows names to be placed in historical context."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="XPN.13 + XPN.14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./usablePeriod[type=&quot;IVL&lt;TS&gt;&quot;]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StartDate and ./EndDate"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.telecom"/>
      <short value="A contact detail for the practitioner"/>
      <definition value="A contact detail for the practitioner, 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="Need to know how to reach a practitioner."/>
      <min value="0"/>
      <max value="2"/>
      <type>
        <code value="ContactPoint"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-15, STF-10, ROL-12"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./telecom"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ContactPoints"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.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="Practitioner.telecom.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."/>
      <alias value="extensions"/>
      <alias 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="Practitioner.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="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <condition value="cpt-2"/>
      <mustSupport value="true"/>
      <binding>
        <name value="ContactPointSystem"/>
        <strength value="required"/>
        <description value="Telecommunications form for contact point"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/contact-point-system"/>
        </valueSetReference>
      </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="Practitioner.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="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <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="Practitioner.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 &quot;Is Modifier&quot; 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"/>
        <strength value="required"/>
        <description value="Use of contact point"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/contact-point-use"/>
        </valueSetReference>
      </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="Practitioner.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=&quot;IVL&lt;TS&gt;&quot;]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StartDate and ./EndDate"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.address"/>
      <short value="Where practitioner can be found/visited"/>
      <definition value="The postal address where the practitioner can be found or visited or to which mail can
       be delivered."/>
      <requirements value="Need to keep track where the practitioner can found during work or for directing mail."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Address"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-24, STF-11, ROL-11, PRT-14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./addr"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Addresses"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.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="Practitioner.address.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Practitioner.address.extension"/>
      <name value="USLabCounty"/>
      <short value="County/Parish FIPS codes"/>
      <definition value="County/Parish FIPS codes."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-county"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="USFIPSCounty"/>
        <strength value="required"/>
        <description value="FIPS codes for US counties and county equivalent entities"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/fips-county"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Practitioner.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 &quot;Is Modifier&quot; 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"/>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <binding>
        <name value="AddressUse"/>
        <strength value="required"/>
        <description value="The use of an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/address-use"/>
        </valueSetReference>
      </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="Practitioner.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="Practitioner.address.line"/>
      <short value="Street name, number, direction &amp; 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="2"/>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="137 Nowhere Street"/>
      <mustSupport value="true"/>
      <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="Practitioner.address.city"/>
      <short value="Name of city, town etc."/>
      <definition value="The name of the city, town, village or other community or delivery center."/>
      <alias value="Muncipality"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Erewhon"/>
      <mustSupport value="true"/>
      <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="Practitioner.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)."/>
      <alias value="Province"/>
      <alias value="Territory"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="USPSState"/>
        <strength value="required"/>
        <description value="Two letter USPS alphabetic codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/usps-state"/>
        </valueSetReference>
      </binding>
      <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="Practitioner.address.postalCode"/>
      <short value="US Zip Codes"/>
      <definition value="US Zip Codes."/>
      <alias value="Zip"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="9132"/>
      <constraint>
        <key value="inv-2"/>
        <name value="Regex for Zip"/>
        <severity value="error"/>
        <human value="(Zip or Postal Code) SHALL be formatted as 99999[-9999] for US Zip or ZIP +4 codes or
         as A9A9A9 for Canadian postal codes."/>
        <xpath value="f:matches(issued,[0-9]{5}(-[0-9]{4}){0,1} )"/>
      </constraint>
      <mustSupport value="true"/>
      <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="Practitioner.address.country"/>
      <short value="ISO 3166 3 letter Country Code"/>
      <definition value="ISO 3166 3 letter Country Code."/>
      <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>
      <mustSupport value="true"/>
      <binding>
        <name value="USCountry"/>
        <strength value="extensible"/>
        <description value="ISO 2 letter Country Codes"/>
        <valueSetUri value="http://www.iso.org/iso/country_codes.htm"/>
      </binding>
      <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="Practitioner.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=&quot;IVL&lt;TS&gt;&quot;]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StartDate and ./EndDate"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.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>
      <isSummary value="true"/>
      <binding>
        <name value="AdministrativeGender"/>
        <strength value="required"/>
        <description value="The gender of a person used for administrative purposes"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/administrative-gender"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="STF-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./administrativeGender"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./GenderCode"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.birthDate"/>
      <short value="The date  of birth for the practitioner"/>
      <definition value="The date of birth for the practitioner."/>
      <requirements value="Needed for identification."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="STF-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./birthTime"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="(not represented in ServD)"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.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 patients and personnel. Fits
       with newer social media usage too."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./subjectOf/ObservationEvent[code=&quot;photo&quot;]/value"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ImageURI (only supports the URI reference)"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.practitionerRole"/>
      <short value="The list of Roles/Organizations that the Practitioner is associated with"/>
      <definition value="The list of Roles/Organizations that the Practitioner is associated with."/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.practitionerRole.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="Practitioner.practitionerRole.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."/>
      <alias value="extensions"/>
      <alias 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="Practitioner.practitionerRole.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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias 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="Practitioner.practitionerRole.managingOrganization"/>
      <short value="Orderer's Organization"/>
      <definition value="A reference to the organization that placed the lab order.  It could be a doctor's office,
       hospital or clinic."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/org-uslab-uslaborderfacility"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.practitionerRole.role"/>
      <short value="Roles which this practitioner may perform"/>
      <definition value="Roles which this practitioner is authorized to perform for the organization."/>
      <comments value="A person may have more than one role. At least one role is required."/>
      <requirements value="Need to know what authority the practitioner has - what can they do?"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <name value="PractitionerRole"/>
        <strength value="example"/>
        <description value="The role a person plays representing an organization"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/practitioner-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-1 / STF-18-job title / PRA-3-practitioner category  / PRT-4-Participation / ROL-3-role-ROL
         / ORC-12-ordering provider / OBR-16-ordering provider / PV1-7-attending doctor / PV1-8-referring
         doctor / PV1-9-consulting doctor / PV1-17-admitting doctor"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not
         available)"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.practitionerRole.specialty"/>
      <short value="Specific specialty of the practitioner"/>
      <definition value="Specific specialty of the practitioner."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <name value="PractitionerSpecialty"/>
        <strength value="example"/>
        <description value="Specific specialty associated with the agency"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/practitioner-specialty"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRA-5-specialty"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="indirectAuthority/QualifiedEntity[code &lt; Speciality]/code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Specialty"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.practitionerRole.period"/>
      <short value="The period during which the practitioner is authorized to perform in these role(s)"/>
      <definition value="The period during which the person is authorized to act as a practitioner in these role(s)
       for the organization."/>
      <requirements value="Even after the agencies is revoked, the fact that it existed must still be recorded."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-8/9 / PRA-5.4-date of certification"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not
         available)"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.practitionerRole.location"/>
      <short value="The location(s) at which this practitioner provides care"/>
      <definition value="The location(s) at which this practitioner provides care."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./target[classCode=&quot;indirectAuthority].source[classCode=SDLOC]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="(ServD maps Practitioners and Organizations via another entity, so this concept is not
         available)&lt;br/&gt; However these are accessed via the Site.ServiceSite.ServiceSiteProvider
         record. (The Site has the location)"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.practitionerRole.healthcareService"/>
      <short value="The list of healthcare services that this worker provides for this role's Organization/Location(s)"/>
      <definition value="The list of healthcare services that this worker provides for this role's Organization/Location(s)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/>
      </type>
    </element>
    <element>
      <path value="Practitioner.qualification"/>
      <short value="Qualifications obtained by training and certification"/>
      <definition value="Qualifications obtained by training and certification."/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="v2"/>
        <map value="CER?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./indirectAuthority/QualifiedEntity[code &lt; qualifiedEntity]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Qualifications"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.qualification.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="Practitioner.qualification.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."/>
      <alias value="extensions"/>
      <alias 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="Practitioner.qualification.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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias 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="Practitioner.qualification.identifier"/>
      <short value="An identifier for this qualification for the practitioner"/>
      <definition value="An identifier that applies to this person's qualification in this role."/>
      <requirements value="Often, specific identities are assigned for the qualification."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="Practitioner.qualification.code"/>
      <short value="Coded representation of the qualification"/>
      <definition value="Coded representation of the qualification."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <name value="Qualification"/>
        <strength value="example"/>
        <description value="Specific qualification the practitioner has to provide a service"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/anzsco-occupations"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Qualifications.Value"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.qualification.period"/>
      <short value="Period during which the qualification is valid"/>
      <definition value="Period during which the qualification is valid."/>
      <requirements value="Qualifications are often for a limited period of time, and can be revoked."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Qualifications.StartDate and ./Qualifications.EndDate"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.qualification.issuer"/>
      <short value="Organization that regulates and issues the qualification"/>
      <definition value="Organization that regulates and issues the qualification."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./scoper"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.communication"/>
      <short value="A language the practitioner is able to use in patient communication"/>
      <definition value="A language the practitioner is able to use in patient communication."/>
      <comments value="The structure aa-BB with this exact casing is one the most widely used notations for locale.
       However not all systems actually code this but instead have it as free text. Hence CodeableConcept
       instead of code as the data type."/>
      <requirements value="Knowing which language a practitioner speaks can help in facilitating communication with
       patients."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <name value="Language"/>
        <strength value="required"/>
        <description value="A human language"/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PID-15, NK1-20, LAN-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./languageCode"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Languages.LanguageSpokenCode"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Practitioner"/>
      <name value="USLabPHPract"/>
      <short value="USLab Practitioner"/>
      <definition value="This is the provider who either ordered a lab test or to whom the results have been sent."/>
      <alias value="Provider"/>
      <alias value="Orderer"/>
      <alias value="Submitting  Physician"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Practitioner"/>
      </type>
      <constraint>
        <key value="inv-1"/>
        <name value="NameandorID"/>
        <severity value="error"/>
        <human value="Shall have Organization.name and/or Organization.identifier."/>
        <xpath value="exists(f:name) or exists(f:identifier)"/>
      </constraint>
    </element>
    <element>
      <path value="Practitioner.identifier"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <condition value="inv-1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.identifier.use"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.identifier.system"/>
      <short value="OID for National Provider Identifier (NPI)"/>
      <definition value="See https://nppes.cms.hhs.gov/NPPES/."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="urn:oid:2.16.840.1.113883.4.6"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.identifier.value"/>
      <short value="NPI Provider Number"/>
      <definition value="NPI Provider Number."/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.name"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="HumanName"/>
      </type>
      <condition value="inv-1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.name.family"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.name.given"/>
      <min value="0"/>
      <max value="2"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.name.prefix"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.name.suffix"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.telecom"/>
      <min value="0"/>
      <max value="2"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.telecom.system"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.telecom.value"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.address"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Address"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.address.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
    </element>
    <element>
      <path value="Practitioner.address.extension"/>
      <name value="USLabCounty"/>
      <short value="County/Parish FIPS codes"/>
      <definition value="County/Parish FIPS codes."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-county"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="USFIPSCounty"/>
        <strength value="required"/>
        <description value="FIPS codes for US counties and county equivalent entities"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/fips-county"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Practitioner.address.use"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.address.line"/>
      <min value="0"/>
      <max value="2"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.address.city"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.address.state"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <binding>
        <name value="USPSState"/>
        <strength value="required"/>
        <description value="Two letter USPS alphabetic codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/usps-state"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Practitioner.address.postalCode"/>
      <short value="US Zip Codes"/>
      <definition value="US Zip Codes."/>
      <min value="0"/>
      <max value="1"/>
      <condition value="inv-2"/>
      <constraint>
        <key value="inv-2"/>
        <name value="Regex for Zip"/>
        <severity value="error"/>
        <human value="(Zip or Postal Code) SHALL be formatted as 99999[-9999] for US Zip or ZIP +4 codes or
         as A9A9A9 for Canadian postal codes."/>
        <xpath value="f:matches(issued,[0-9]{5}(-[0-9]{4}){0,1} )"/>
      </constraint>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.address.country"/>
      <short value="ISO 3166 3 letter Country Code"/>
      <definition value="ISO 3166 3 letter Country Code."/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <binding>
        <name value="USCountry"/>
        <strength value="extensible"/>
        <description value="ISO 2 letter Country Codes"/>
        <valueSetUri value="http://www.iso.org/iso/country_codes.htm"/>
      </binding>
    </element>
    <element>
      <path value="Practitioner.practitionerRole"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Practitioner.practitionerRole.managingOrganization"/>
      <short value="Orderer's Organization"/>
      <definition value="A reference to the organization that placed the lab order.  It could be a doctor's office,
       hospital or clinic."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/org-uslab-uslaborderfacility"/>
      </type>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>