DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: USLab-PerformingLab - XML

USLab-PerformingLab

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="uslab-performinglab"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/uslab-performinglab"/>
  <name value="US Laboratory Organization Profile"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Orders and Observations - US Lab)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <date value="2014-11-17"/>
  <description value="Performing Laboratory"/>
  <fhirVersion value="1.0.2"/>
  <kind value="resource"/>
  <constrainedType value="Organization"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Organization"/>
  <snapshot>
    <element>
      <path value="Organization"/>
      <name value="USLab-PerformingLab"/>
      <short value="Performing Laboratory"/>
      <definition value="The Performing Laboratory is ths lab that produced the tests results."/>
      <comments value="This information supports CLIA regulations in the US.  For the US producing laboratories,
       which are CLIA  certified, the CLIA identifier should be used for the organization identifier."/>
      <alias value="Ordering Facility"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Organization"/>
      </type>
      <constraint>
        <key value="org-1"/>
        <severity value="error"/>
        <human value="The organization SHALL at least have a name or an id, and possibly more than one"/>
        <xpath value="count(f:identifier | f:name) &gt; 0"/>
      </constraint>
      <constraint>
        <key value="inv-1"/>
        <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="(also see master files messages)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Organization(classCode=ORG, determinerCode=INST)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <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"/>
      <base>
        <path value="Organization.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Organization.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Organization.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Organization.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Organization.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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="*"/>
      <base>
        <path value="Organization.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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="*"/>
      <base>
        <path value="Organization.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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="*"/>
      <base>
        <path value="Organization.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.identifier"/>
      <slicing>
        <discriminator value="system"/>
        <ordered value="true"/>
        <rules value="open"/>
      </slicing>
      <short value="Identifies this organization  across multiple systems"/>
      <definition value="Identifier for the organization that is used to identify the organization across multiple
       disparate systems."/>
      <requirements value="Organizations are known by a variety of ids. Some institutions maintain several, and most
       collect identifiers for exchange with other organizations concerning the organization."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <condition value="org-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XON.10 / XON.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".scopes[Role](classCode=IDENT)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Identifiers"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.identifier"/>
      <name value="USLabPerformingLabCLIA"/>
      <short value="Identifies this organization  across multiple systems"/>
      <definition value="Identifier for the organization that is used to identify the organization across multiple
       disparate systems."/>
      <comments value="The first identifier shall be the NPI facility ID."/>
      <requirements value="For the US producing laboratories, which are CLIA certified, the CLIA identifier should
       be used for the organization identifier."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <condition value="org-1"/>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XON.10 / XON.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".scopes[Role](classCode=IDENT)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Identifiers"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Identifier.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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="*"/>
      <base>
        <path value="Identifier.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Identifier.use"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Identifies the purpose for this identifier, if known ."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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="Organization.identifier.type"/>
      <short value="Description of identifier"/>
      <definition value="A coded type for the identifier that can be used to determine which identifier to use
       for a specific purpose."/>
      <comments value="This element deals only with general categories of identifiers.  It SHOULD not be used
       for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into
       multiple categories due to common usage.   Where the system is known, a type is unnecessary
       because the type is always part of the system definition. However systems often need to
       handle identifiers where the system is not known. There is not a 1:1 relationship between
       type and system, since many different systems have the same type."/>
      <requirements value="Allows users to make use of identifiers when the identifier system is not known."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Identifier.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="A coded type for an identifier that can be used to determine which identifier to use for
         a specific purpose."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/identifier-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="CX.5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Role.code or implied by context"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.identifier.system"/>
      <short value="See https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Laboratory_Registry.html"/>
      <definition value="See https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Laboratory_Registry.html."/>
      <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"/>
      <base>
        <path value="Identifier.system"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="urn:oid:2.16.840.1.113883.4.7"/>
      <exampleUri value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself
       is a full uri"/>
      <mustSupport value="true"/>
      <isSummary 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="Organization.identifier.value"/>
      <short value="CLIA Number"/>
      <definition value="CLIA 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"/>
      <base>
        <path value="Identifier.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="123456"/>
      <mustSupport value="true"/>
      <isSummary 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="Organization.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"/>
      <base>
        <path value="Identifier.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <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="Organization.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"/>
      <base>
        <path value="Identifier.assigner"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <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="Organization.active"/>
      <short value="Whether the organization's record is still in active use"/>
      <definition value="Whether the organization's record is still in active use."/>
      <comments value="Default is true."/>
      <requirements value="Need a flag to indicate a record is no longer to be used and should generally be hidden
       for the user in the UI."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.active"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="No equivalent in HL7 v2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".status"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Status (however this concept in ServD more covers why the organization is active or
         not, could be delisted, deregistered, not operational yet) this could alternatively be
         derived from ./StartDate and ./EndDate and given a context date."/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.type"/>
      <short value="Kind of organization"/>
      <definition value="The kind of organization that this is."/>
      <comments value="Organizations can be corporations, wards, sections, clinical teams, government departments,
       etc. Note that code is generally a classifier of the type of organization; in many applications,
       codes are used to identity a particular organization (say, ward) as opposed to another
       of the same type - these are identifiers, not codes."/>
      <requirements value="Need to be able to track the kind of organization that this is - different organization
       types have different uses."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Used to categorize the organization"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/organization-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="No equivalent in v2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.name"/>
      <short value="Name used for the organization"/>
      <definition value="A name associated with the organization."/>
      <requirements value="Need to use the name as the label of the organization."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <condition value="org-1"/>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XON.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".name"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value=".PreferredName/Name"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.telecom"/>
      <short value="A contact detail for the organization"/>
      <definition value="A contact detail for the organization."/>
      <comments value="The use code home is not to be used. Note that these contacts are not the contact details
       of people who are employed by or represent the organization, but official contacts for
       the organization itself."/>
      <requirements value="Human contact for the organization."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <condition value="org-3"/>
      <constraint>
        <key value="org-3"/>
        <severity value="error"/>
        <human value="The telecom of an organization can never be of use 'home'"/>
        <xpath value="count(f:use[@value='home']) = 0"/>
      </constraint>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-22?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".telecom"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ContactPoints"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.address"/>
      <short value="An address for the organization"/>
      <definition value="An address for the organization."/>
      <comments value="Organization may have multiple addresses with different uses or applicable periods. The
       use code home is not to be used."/>
      <requirements value="May need to keep track of the organization's addresses for contacting, billing or reporting
       requirements."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Organization.address"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <condition value="org-2"/>
      <constraint>
        <key value="org-2"/>
        <severity value="error"/>
        <human value="An address of an organization can never be of use 'home'"/>
        <xpath value="count(f:use[@value='home']) = 0"/>
      </constraint>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-23?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".address"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./PrimaryAddress and ./OtherAddresses"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Address.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.address.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Address.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.address.extension"/>
      <name value="USLabCountycodes"/>
      <short value="County/Parish FIPS codes"/>
      <definition value="County/Parish FIPS codes."/>
      <requirements value="County/Parish Code SHALL use FIPS 6-4  ( INCITS 31:2009)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-county"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <strength value="required"/>
        <description value="FIPS codes for US counties and county equivalent entities."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fips-county"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Address.use"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="home"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The use of an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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="Organization.address.type"/>
      <short value="postal | physical | both"/>
      <definition value="Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g.
       PO Boxes and care-of addresses). Most addresses are both."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="both"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The type of an address (physical / postal)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/address-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="vcard"/>
        <map value="address type parameter"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./use)"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.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"/>
      <base>
        <path value="Address.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="137 Nowhere Street, Erewhon 9132"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="vcard"/>
        <map value="address label parameter"/>
      </mapping>
      <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="Organization.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"/>
      <base>
        <path value="Address.line"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="137 Nowhere Street"/>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="vcard"/>
        <map value="street"/>
      </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="Organization.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="Municpality"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.city"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Erewhon"/>
      <mustSupport value="true"/>
      <isSummary 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="Organization.address.district"/>
      <short value="District name (aka county)"/>
      <definition value="The name of the administrative area (county)."/>
      <comments value="District is sometimes known as county, but in some regions 'county' in used in place of
       city (municipality), so county name should be conveyed in city instead."/>
      <alias value="County"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.district"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Madison"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = CNT | CPA]"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.address.state"/>
      <short value="Sub-unit of country (abbreviations 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)."/>
      <requirements value="State SHALL be the two letter USPS alphabetic codes."/>
      <alias value="Province"/>
      <alias value="Territory"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.state"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Two letter USPS alphabetic codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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="Organization.address.postalCode"/>
      <short value="US Zip Codes"/>
      <definition value="US Zip Codes."/>
      <requirements value="Zip or Postal Code SHALL be formatted as 99999[-9999] for US Zip or ZIP +4 codes."/>
      <alias value="Zip"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.postalCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="9132"/>
      <constraint>
        <key value="inv-2"/>
        <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"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="vcard"/>
        <map value="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="Organization.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."/>
      <requirements value="Country SHALL be ISO 3166 3 letter codes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.country"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <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"/>
      </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="Organization.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"/>
      <base>
        <path value="Address.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <examplePeriod>
        <start value="2010-03-23"/>
        <end value="2010-07-01"/>
      </examplePeriod>
      <isSummary value="true"/>
      <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="Organization.partOf"/>
      <short value="The organization of which this organization forms a part"/>
      <definition value="The organization of which this organization forms a part."/>
      <requirements value="Need to be able to track the hierarchy of organizations within an organization."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.partOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="No equivalent in HL7 v2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".playedBy[classCode=Part].scoper"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact"/>
      <short value="Medical Director"/>
      <definition value="The official contact for the laboratory is the medical director."/>
      <comments value="Where multiple contacts for the same purpose are provided there is a standard extension
       that can be used to determine which one is the preferred contact to use."/>
      <requirements value="Need to keep track of assigned contact points within bigger organization."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".contactParty"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.contact.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.contact.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.purpose"/>
      <short value="The type of contact"/>
      <definition value="Indicates a purpose for which the contact can be reached."/>
      <requirements value="Need to distinguish between multiple contact persons."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact.purpose"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description value="The purpose for which you would contact a contact party"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/contactentity-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./type"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.name"/>
      <short value="A name associated with the contact"/>
      <definition value="A name associated with the contact."/>
      <requirements value="Need to be able to track the person by name."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-5, PID-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./name"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.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"/>
      <base>
        <path value="HumanName.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.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="*"/>
      <base>
        <path value="HumanName.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.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"/>
      <base>
        <path value="HumanName.use"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The use of a human name"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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="Organization.contact.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"/>
      <base>
        <path value="HumanName.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="implied by XPN.11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./formatted"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.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"/>
      <base>
        <path value="HumanName.family"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary 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="Organization.contact.name.given"/>
      <short value="Given names (not always 'first'). Includes middle names"/>
      <definition value="Given name."/>
      <comments value="Can be first and middle name or initial."/>
      <alias value="first name"/>
      <alias value="middle name"/>
      <min value="0"/>
      <max value="2"/>
      <base>
        <path value="HumanName.given"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary 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="Organization.contact.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"/>
      <base>
        <path value="HumanName.prefix"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary 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="Organization.contact.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"/>
      <base>
        <path value="HumanName.suffix"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary 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="Organization.contact.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"/>
      <base>
        <path value="HumanName.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <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="Organization.contact.telecom"/>
      <short value="Contact details (telephone, email, etc.)  for a contact"/>
      <definition value="A contact detail (e.g. a telephone number or an email address) by which the party may
       be contacted."/>
      <requirements value="People have (primary) ways to contact them in some way such as phone, email."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Organization.contact.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-13, PID-14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./telecom"/>
      </mapping>
    </element>
    <element>
      <path value="Organization.contact.address"/>
      <short value="Visiting or postal addresses for the contact"/>
      <definition value="Visiting or postal addresses for the contact."/>
      <requirements value="May need to keep track of a contact party's address for contacting, billing or reporting
       requirements."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Organization.contact.address"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./addr"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Organization"/>
      <name value="USLab-PerformingLab"/>
      <short value="Performing Laboratory"/>
      <definition value="The Performing Laboratory is ths lab that produced the tests results."/>
      <comments value="This information supports CLIA regulations in the US.  For the US producing laboratories,
       which are CLIA  certified, the CLIA identifier should be used for the organization identifier."/>
      <alias value="Ordering Facility"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Organization"/>
      </type>
      <constraint>
        <key value="inv-1"/>
        <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="Organization.identifier"/>
      <name value="USLabPerformingLabCLIA"/>
      <slicing>
        <discriminator value="system"/>
        <ordered value="true"/>
        <rules value="open"/>
      </slicing>
      <comments value="The first identifier shall be the NPI facility ID."/>
      <requirements value="For the US producing laboratories, which are CLIA certified, the CLIA identifier should
       be used for the organization identifier."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <condition value="inv-1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.identifier.use"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.identifier.system"/>
      <short value="See https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Laboratory_Registry.html"/>
      <definition value="See https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Laboratory_Registry.html."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="urn:oid:2.16.840.1.113883.4.7"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.identifier.value"/>
      <short value="CLIA Number"/>
      <definition value="CLIA Number."/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.name"/>
      <min value="0"/>
      <max value="1"/>
      <condition value="inv-1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.address"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.address.extension"/>
      <name value="USLabCountycodes"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="County/Parish FIPS codes"/>
      <definition value="County/Parish FIPS codes."/>
      <requirements value="County/Parish Code SHALL use FIPS 6-4  ( INCITS 31:2009)."/>
      <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>
        <strength value="required"/>
        <description value="FIPS codes for US counties and county equivalent entities."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fips-county"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Organization.address.line"/>
      <min value="0"/>
      <max value="2"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.address.city"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.address.state"/>
      <requirements value="State SHALL be the two letter USPS alphabetic codes."/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Two letter USPS alphabetic codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/usps-state"/>
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Organization.address.postalCode"/>
      <short value="US Zip Codes"/>
      <definition value="US Zip Codes."/>
      <requirements value="Zip or Postal Code SHALL be formatted as 99999[-9999] for US Zip or ZIP +4 codes."/>
      <min value="0"/>
      <max value="1"/>
      <condition value="inv-2"/>
      <constraint>
        <key value="inv-2"/>
        <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="Organization.address.country"/>
      <short value="ISO 3166 3 letter Country Code"/>
      <definition value="ISO 3166 3 letter Country Code."/>
      <requirements value="Country SHALL be ISO 3166 3 letter codes."/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
      <binding>
        <strength value="required"/>
        <description value="ISO 2 letter country codes."/>
        <valueSetUri value="http://www.iso.org/iso/country_codes.htm"/>
      </binding>
    </element>
    <element>
      <path value="Organization.contact"/>
      <short value="Medical Director"/>
      <definition value="The official contact for the laboratory is the medical director."/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.contact.name"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="HumanName"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.contact.name.family"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.contact.name.given"/>
      <comments value="Can be first and middle name or initial."/>
      <min value="0"/>
      <max value="2"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.contact.name.prefix"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Organization.contact.name.suffix"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>