Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Identifier.profile.xml

Modeling and Methodology Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

StructureDefinition for Identifier

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Identifier"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==" style="background-color: white; background-color: inherit" title="Element"/>  
            <a href="datatypes-definitions.html#Identifier" title="Identifier : An identifier - identifies some entity uniquely and unambiguously. Typically
             this is used for business identifiers.">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #e6ffe6" title="Standards Status = Normative">N</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="element.html">Element</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">An identifier intended for computation
            <br/>  Elements defined in Ancestors: 
            <a href="element.html#Element" title="Unique id for the element within a resource (for internal references). This may be any
             string value that does not contain spaces.">id</a> , 
            <a href="element.html#Element" title="May be used to represent additional information that is not part of the basic definition
             of the element. 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
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension.">extension</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <a href="datatypes-definitions.html#Identifier.use" title="Identifier.use : The purpose of this identifier.">use</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">usual | official | temp | secondary | old (If known)
            <br/>  
            <a href="valueset-identifier-use.html" title="Identifies the purpose for this identifier, if known .">IdentifierUse</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
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            <a href="datatypes-definitions.html#Identifier.type" title="Identifier.type : A coded type for the identifier that can be used to determine which
             identifier to use for a specific purpose.">type</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Description of identifier
            <br/>  
            <a href="valueset-identifier-type.html" title="A coded type for an identifier that can be used to determine which identifier to use for
             a specific purpose.">IdentifierType</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.">Extensible</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <a href="datatypes-definitions.html#Identifier.system" title="Identifier.system : Establishes the namespace for the value - that is, a URL that describes
             a set values that are unique.">system</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">The namespace for the identifier value</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <a href="datatypes-definitions.html#Identifier.value" title="Identifier.value : The portion of the identifier typically relevant to the user and which
             is unique within the context of the system.">value</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">The value that is unique</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
            z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <a href="datatypes-definitions.html#Identifier.period" title="Identifier.period : Time period during which identifier is/was valid for use.">period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Time period when id is/was valid for use</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAA
          AASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUO
            L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
            wv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjE
            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <a href="datatypes-definitions.html#Identifier.assigner" title="Identifier.assigner : Organization that issued/manages the identifier.">assigner</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Organization that issued id (may be just text)</td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
    <valueCode value="4.0.0"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/Identifier"/> 
  <version value="4.0.1"/> 
  <name value="Identifier"/> 
  <status value="active"/> 
  <date value="2019-11-01T09:29:23+11:00"/> 
  <publisher value="HL7 FHIR Standard"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <description value="Base StructureDefinition for Identifier Type: An identifier - identifies some entity uniquely
   and unambiguously. Typically this is used for business identifiers."/> 
  <purpose value="Need to be able to identify things with confidence and be sure that the identification
   is not subject to misinterpretation."/> 
  <fhirVersion value="4.0.1"/> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="servd"/> 
    <uri value="http://www.omg.org/spec/ServD/1.0/"/> 
    <name value="ServD"/> 
  </mapping> 
  <kind value="complex-type"/> 
  <abstract value="false"/> 
  <type value="Identifier"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="Identifier">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0"/> 
      </extension> 
      <path value="Identifier"/> 
      <short value="An identifier intended for computation"/> 
      <definition value="An identifier - identifies some entity uniquely and unambiguously. Typically this is used
       for business identifiers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <condition value="ele-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs
         as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/> 
      </mapping> 
      <mapping> 
        <identity value="servd"/> 
        <map value="Identifier"/> 
      </mapping> 
    </element> 
    <element id="Identifier.id">
      <path value="Identifier.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler magic
       (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Identifier.extension">
      <path value="Identifier.extension"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="url"/> 
        </discriminator> 
        <description value="Extensions are always sliced by (at least) url"/> 
        <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. 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
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment 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="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Identifier.use">
      <path value="Identifier.use"/> 
      <short value="usual | official | temp | secondary | old (If known)"/> 
      <definition value="The purpose of this identifier."/> 
      <comment value="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="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Identifier.use"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary
       id for a permanent one."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="IdentifierUse"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Identifies the purpose for this identifier, if known ."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"/> 
      </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 id="Identifier.type">
      <path value="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."/> 
      <comment 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> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="IdentifierType"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <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."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/identifier-type"/> 
      </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 id="Identifier.system">
      <path value="Identifier.system"/> 
      <short value="The namespace for the identifier value"/> 
      <definition value="Establishes the namespace for the value - that is, a URL that describes a set values that
       are unique."/> 
      <comment value="Identifier.system is always case sensitive."/> 
      <requirements value="There are many sets  of identifiers.  To perform matching of two identifiers, we need
       to know what set we're dealing with. The system identifies a particular set of unique
       identifiers."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Identifier.system"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueUri value="http://www.acme.com/identifiers/patient"/> 
      </example> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <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 id="Identifier.value">
      <path value="Identifier.value"/> 
      <short value="The value that is unique"/> 
      <definition value="The portion of the identifier typically relevant to the user and which is unique within
       the context of the system."/> 
      <comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary
       purpose is computational mapping.  As a result, it may be normalized for comparison purposes
       (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human
       display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).
       Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system
       allows the processer to be confident that non-case-sensitive processing is safe."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Identifier.value"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueString value="123456"/> 
      </example> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <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 id="Identifier.period">
      <path value="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> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <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 id="Identifier.assigner">
      <path value="Identifier.assigner"/> 
      <short value="Organization that issued id (may be just text)"/> 
      <definition value="Organization that issued/manages the identifier."/> 
      <comment value="The Identifier.assigner may omit the .reference element and only contain a .display element
       reflecting the name or other textual information about the assigning organization."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Identifier.assigner"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <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> 
  </snapshot> 
  <differential> 
    <element id="Identifier">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative"/> 
      </extension> 
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0"/> 
      </extension> 
      <path value="Identifier"/> 
      <short value="An identifier intended for computation"/> 
      <definition value="An identifier - identifies some entity uniquely and unambiguously. Typically this is used
       for business identifiers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs
         as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/> 
      </mapping> 
      <mapping> 
        <identity value="servd"/> 
        <map value="Identifier"/> 
      </mapping> 
    </element> 
    <element id="Identifier.use">
      <path value="Identifier.use"/> 
      <short value="usual | official | temp | secondary | old (If known)"/> 
      <definition value="The purpose of this identifier."/> 
      <comment value="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="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary
       id for a permanent one."/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="IdentifierUse"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Identifies the purpose for this identifier, if known ."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"/> 
      </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 id="Identifier.type">
      <path value="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."/> 
      <comment 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"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="IdentifierType"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <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."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/identifier-type"/> 
      </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 id="Identifier.system">
      <path value="Identifier.system"/> 
      <short value="The namespace for the identifier value"/> 
      <definition value="Establishes the namespace for the value - that is, a URL that describes a set values that
       are unique."/> 
      <comment value="Identifier.system is always case sensitive."/> 
      <requirements value="There are many sets  of identifiers.  To perform matching of two identifiers, we need
       to know what set we're dealing with. The system identifies a particular set of unique
       identifiers."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueUri value="http://www.acme.com/identifiers/patient"/> 
      </example> 
      <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 id="Identifier.value">
      <path value="Identifier.value"/> 
      <short value="The value that is unique"/> 
      <definition value="The portion of the identifier typically relevant to the user and which is unique within
       the context of the system."/> 
      <comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary
       purpose is computational mapping.  As a result, it may be normalized for comparison purposes
       (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human
       display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).
       Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system
       allows the processer to be confident that non-case-sensitive processing is safe."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueString value="123456"/> 
      </example> 
      <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 id="Identifier.period">
      <path value="Identifier.period"/> 
      <short value="Time period when id is/was valid for use"/> 
      <definition value="Time period during which identifier is/was valid for use."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Period"/> 
      </type> 
      <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 id="Identifier.assigner">
      <path value="Identifier.assigner"/> 
      <short value="Organization that issued id (may be just text)"/> 
      <definition value="Organization that issued/manages the identifier."/> 
      <comment value="The Identifier.assigner may omit the .reference element and only contain a .display element
       reflecting the name or other textual information about the assigning organization."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile 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> 
  </differential> 
</StructureDefinition> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.