HL7.FHIR.US.CORE\US Core Ethnicity Extension

US Core Implementation Guide
4.0.0 - STU4 Release

This page is part of the US Core (v4.0.0: STU4) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

Extension: US Core Ethnicity Extension

Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the CDC ethnicity and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.

The official URL for this extension is:

http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity

Status: active
Extension maintained by: HL7 International - US Realm Steering Committee

Context of Use

This extension may be used on the following element(s):

Patient
RelatedPerson
Person
Practitioner

US Core Ethnicity Extension

This Complex Extension for ethnicity allows one or more ethnicity codes of which:

Must Support one code from OMB Ethnicity Categories
May include additional ethnicity codes from CDC Ethnicity Codes
Must include text description of ethnicity

Example can be found in Patient-example

Usage info

Usage:

Use this Extension: US Core Patient Profile

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

Text Summary
Differential Table
Snapshot Table
All

This structure is derived from Extension

Summary

Mandatory: 4 elements (4 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 4 elements
Prohibited: 1 element

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints
Extension		0..1	Extension	US Core ethnicity Extension
extension:ombCategory	S	0..1	Extension	Hispanic or Latino\|Not Hispanic or Latino
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
extension:detailed		0..*	Extension	Extended ethnicity codes
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	ethnicity Text
url		1..1	uri	"text"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
value[x]		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Extension		0..1	Extension	US Core ethnicity Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ombCategory	S	0..1	Extension	Hispanic or Latino\|Not Hispanic or Latino
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
extension:detailed		0..*	Extension	Extended ethnicity codes
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	ethnicity Text
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
url		1..1	uri	"text"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
Documentation for this format

This structure is derived from Extension

Summary

Mandatory: 4 elements (4 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 4 elements
Prohibited: 1 element

Differential View

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints
Extension		0..1	Extension	US Core ethnicity Extension
extension:ombCategory	S	0..1	Extension	Hispanic or Latino\|Not Hispanic or Latino
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
extension:detailed		0..*	Extension	Extended ethnicity codes
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	ethnicity Text
url		1..1	uri	"text"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
value[x]		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Extension		0..1	Extension	US Core ethnicity Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ombCategory	S	0..1	Extension	Hispanic or Latino\|Not Hispanic or Latino
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
url		1..1	uri	"ombCategory"
value[x]		1..1	Coding	Value of extension Binding: OMB Ethnicity Categories (required)
extension:detailed		0..*	Extension	Extended ethnicity codes
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
url		1..1	uri	"detailed"
value[x]		1..1	Coding	Value of extension Binding: Detailed ethnicity (required)
extension:text	S	1..1	Extension	ethnicity Text
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
value[x]		0..1		Value of extension
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
url		1..1	uri	"text"
value[x]		1..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
Extension.extension:ombCategory.value[x]	required	OmbEthnicityCategories
Extension.extension:detailed.value[x]	required	DetailedEthnicity

Notes:

See the General Guidance section for additional rules and expectations when a server requires status parameters.

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