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-Pract - XML

USLab-Pract

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="uslab-pract"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/uslab-pract"/>
  <name value="US Laboratory Practitioner 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="USLab Practitioner"/>
  <fhirVersion value="1.0.2"/>
  <kind value="resource"/>
  <constrainedType value="Practitioner"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
  <snapshot>
    <element>
      <path value="Practitioner"/>
      <name value="USLab-Pract"/>
      <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?"/>
      <alias value="Provider"/>
      <alias value="Orderer"/>
      <alias value="Submitting  Physician"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Practitioner"/>
      </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>
      <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>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.individual"/>
      </mapping>
    </element>
    <element>
      <path value="Practitioner.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="Practitioner.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </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"/>
      <base>
        <path value="Practitioner.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </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"/>
      <base>
        <path value="Practitioner.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary 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"/>
      <base>
        <path value="Practitioner.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="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"/>
      <base>
        <path value="Practitioner.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="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="*"/>
      <base>
        <path value="Practitioner.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="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="*"/>
      <base>
        <path value="Practitioner.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="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="*"/>
      <base>
        <path value="Practitioner.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="Practitioner.identifier"/>
      <short value="A identifier for the person as this agent"/>
      <definition value="An identifier that applies to this person in this role."/>
      <comments value="The identifier shall be a provider NPI."/>
      <requirements value="Either id or name is needed."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-7 (or XCN.1)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./id"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Identifiers"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </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"/>
      <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="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="*"/>
      <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="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"/>
      <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="Practitioner.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="Practitioner.identifier.system"/>
      <short value="OID for National Provider Identifier (NPI)"/>
      <definition value="See http://hl7.org/fhir/sid/us-npi."/>
      <requirements value="NPI for practitioner is used."/>
      <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="http://hl7.org.fhir/sid/us-npi"/>
      <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="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"/>
      <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="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"/>
      <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="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"/>
      <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="Practitioner.active"/>
      <short value="Whether this practitioner's record is in active use"/>
      <definition value="Whether this practitioner's record is in active use."/>
      <comments value="Default is true.   If the practitioner is not in use by one organization, then it should
       mark the period on the PractitonerRole with an end date (even if they are active) as they
       may be active in another role."/>
      <requirements value="Need to be able to mark a practitioner record as not to be used because it was created
       in error."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.active"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./StatusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </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"/>
      <base>
        <path value="Practitioner.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <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"/>
      <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="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="*"/>
      <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="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"/>
      <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="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"/>
      <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="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"/>
      <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="Practitioner.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="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"/>
      <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="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"/>
      <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="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"/>
      <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="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"/>
      <base>
        <path value="Practitioner.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <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"/>
      <base>
        <path value="ContactPoint.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="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="*"/>
      <base>
        <path value="ContactPoint.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="Practitioner.telecom.system"/>
      <short value="phone | fax | email | pager | other"/>
      <definition value="Telecommunications form for contact point - what communications system is required to
       make use of the contact."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ContactPoint.system"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <condition value="cpt-2"/>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Telecommunications form for contact point"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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 text data such as phone extension numbers, 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"/>
      <base>
        <path value="ContactPoint.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="true"/>
      <isSummary 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"/>
      <base>
        <path value="ContactPoint.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="Use of contact point"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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.rank"/>
      <short value="Specify preferred order of use (1 = highest)"/>
      <definition value="Specifies a preferred order in which to use a set of contacts. Contacts are ranked with
       lower values coming before higher values."/>
      <comments value="Note that rank does not necessarily follow the order in which the contacts are represented
       in the instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ContactPoint.rank"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </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"/>
      <base>
        <path value="ContactPoint.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <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="*"/>
      <base>
        <path value="Practitioner.address"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <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.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"/>
      <base>
        <path value="Practitioner.gender"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The gender of a person used for administrative purposes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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  on which the practitioner was born"/>
      <definition value="The date of birth for the practitioner."/>
      <requirements value="Needed for identification."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.birthDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <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="*"/>
      <base>
        <path value="Practitioner.photo"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <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="Roles/organizations the practitioner is associated with"/>
      <definition value="The list of roles/organizations that the practitioner is associated with."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Practitioner.practitionerRole"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".(Role)"/>
      </mapping>
    </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"/>
      <base>
        <path value="Practitioner.practitionerRole.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="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="*"/>
      <base>
        <path value="Practitioner.practitionerRole.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="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="*"/>
      <base>
        <path value="Practitioner.practitionerRole.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="Practitioner.practitionerRole.managingOrganization"/>
      <short value="Organization where the roles are performed"/>
      <definition value="The organization where the Practitioner performs the roles associated."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Practitioner.practitionerRole.managingOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="scopingOrganization"/>
      </mapping>
    </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"/>
      <base>
        <path value="Practitioner.practitionerRole.role"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The role a person plays representing an organization"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/practitioner-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-1 / STF-18  / PRA-3  / PRT-4  / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 /
         PV1-17"/>
      </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="*"/>
      <base>
        <path value="Practitioner.practitionerRole.specialty"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Specific specialty associated with the agency"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/practitioner-specialty"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRA-5"/>
      </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"/>
      <base>
        <path value="Practitioner.practitionerRole.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRD-8/9 / PRA-5.4"/>
      </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>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </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="*"/>
      <base>
        <path value="Practitioner.practitionerRole.location"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <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>
      <mapping>
        <identity value="w5"/>
        <map value="where"/>
      </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="*"/>
      <base>
        <path value="Practitioner.practitionerRole.healthcareService"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./target[classCode=&quot;indirectAuthority].id?"/>
      </mapping>
    </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="*"/>
      <base>
        <path value="Practitioner.qualification"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <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"/>
      <base>
        <path value="Practitioner.qualification.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="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="*"/>
      <base>
        <path value="Practitioner.qualification.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="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="*"/>
      <base>
        <path value="Practitioner.qualification.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="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="*"/>
      <base>
        <path value="Practitioner.qualification.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="./id"/>
      </mapping>
    </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"/>
      <base>
        <path value="Practitioner.qualification.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Specific qualification the practitioner has to provide a service"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/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"/>
      <base>
        <path value="Practitioner.qualification.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <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"/>
      <base>
        <path value="Practitioner.qualification.issuer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <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="*"/>
      <base>
        <path value="Practitioner.communication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <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="USLab-Pract"/>
      <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="0"/>
      <max value="*"/>
      <type>
        <code value="Practitioner"/>
      </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="Practitioner.identifier"/>
      <comments value="The identifier shall be a provider NPI."/>
      <requirements value="Either id or name is needed."/>
      <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 http://hl7.org/fhir/sid/us-npi."/>
      <requirements value="NPI for practitioner is used."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://hl7.org.fhir/sid/us-npi"/>
      <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"/>
      <comments value="Can be first and middle name or initial."/>
      <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>
  </differential>
</StructureDefinition>