# DAPL Home Page - De-identified, Anonymized FHIR Profiles Library v1.0.0-ballot

* [**Table of Contents**](toc.md)
* **DAPL Home Page**

## DAPL Home Page

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/dapl/ImplementationGuide/hl7.fhir.us.dapl | *Version*:1.0.0-ballot | |
| * IG Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:DAPL |

### Introduction

 The health care industry has embraced FHIR as the standard for data exchange and has been implementing FHIR in the real-world as part of the various accelerators such as Argonaut, DaVinci, and Helios. The adoption of FHIR has been further expedited by the Assistant Secretary for Technology Policy (ASTP) and Centers for Medicare and Medicaid Services (CMS) regulations that require the implementation of FHIR for multiple use cases. One of the competing requirements that is emerging in the industry is the need for data that does not contain protected health information (PHI) or personally identifiable information (PII). These requirements are common among federal reporting use cases such as Health Resources and Services Administration (HRSA) reporting, public health reporting to Centers for Disease Control and Prevention (CDC), data needs for training artificial intelligence (AI) models, and data needs for research programs. 

 This Implementation Guide (IG) defines the data structures (profiles) which federal agencies such as HRSA, SAMHSA, and others can use to receive line-level de-identified and/or anonymized information. The IG defines profiles to represent and exchange 
* **De-identified Patient data using FHIR Resources**
* **Anonymized Patient data using FHIR Resources**
 

 The main sections of this IG are: 

*  [Background](background.md) - The page provides an introduction and definitions for de-identification, pseudonymization and anonymization. 
*  [Use Cases](usecases.md) - Defines the use case, workflows, actors and systems that are used as part of the IG. 
*  [FHIR Artifacts](artifacts.md) - Defines the FHIR artifacts for the IG. 
*  [Downloads](downloads.md) - Allows you to download a copy of this implementation guide and other useful information 

### Relationship to other Implementation Guides

 This section elaborates on the relationship of this IG to other implementation guides 

#### Relationship to US Core Implementation Guide

 This implementation guide, leverages terminology from US Core. The profiles are not derived from US Core because they eliminate many of the data elements that are mandatory in US Core profiles. Therefore this IG is aligned with US core in terms of terminology only. 

#### Relationship to De-identification, Anonymization and Redaction Toolkit Services (DARTS) Implementation Guide

 This implementation guide complements the the DARTS IG by defining the data structures (profiles) used to represent de-identified and anonymized data. DARTS services consume identifiable information and produce de-identified or anonymized information and use the DAPL profiles to represent the output produced by each DARTS service. 

#### Relationship to Data Segmentation for Privacy (DS4P) Implmentation Guide

 The DS4P IG specifies the tags,labels and obligations to be used to protect patient privacy of patients' data. The DAPL IG on the other hand aims to remove PHI/PII from the data structures. Implementers of this IG can leverage any existing DS4P mechanisms if needed as part of the DAPL profiles and data exchanges containing DAPL profiles. 



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        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-context"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-jurisdiction"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-publisher"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/dapl-deidentified-bundle"
      },
      "name" : "Bundle Example containing de-identified data using DAPL profiles",
      "description" : "An Example of a Bundle containing de-identified data using DAPL profiles.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/example"
      },
      "name" : "US Core Patient Example",
      "description" : "An Example of a conformant US Core Patient resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/smallpop-example"
      },
      "name" : "US Core Patient identified to be part of a small population",
      "description" : "An Example of a conformant US Core Patient resource with identifiable small popultion information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Encounter"
      }],
      "reference" : {
        "reference" : "Encounter/example"
      },
      "name" : "US Core Encounter Example",
      "description" : "An Example of a conformant US Core Encounter resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/example"
      },
      "name" : "US Core Condition Example",
      "description" : "An Example of a conformant US Core Condition resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/example"
      },
      "name" : "US Core Practitioner Example",
      "description" : "An Example of a conformant US Core Practitioner resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Location"
      }],
      "reference" : {
        "reference" : "Location/hospital"
      },
      "name" : "US Core Location Example",
      "description" : "An Example of a conformant US Core Location resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Location"
      }],
      "reference" : {
        "reference" : "Location/deidentified-location-example"
      },
      "name" : "DAPL De-identified Location Example",
      "description" : "An Example of a conformant DAPL Location resource with de-identified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/deidentified-organization-example"
      },
      "name" : "DAPL De-identified Organization Example",
      "description" : "An Example of a conformant DAPL Organization resource with de-identified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/holy-healthcare"
      },
      "name" : "US Core Healthcare Organization Example",
      "description" : "An Example of a conformant US Core Healthcare Organization resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Organization"
      }],
      "reference" : {
        "reference" : "Organization/acme-payer"
      },
      "name" : "US Core Payer Organization Example",
      "description" : "An Example of a conformant US Core Payer Organization resource with identifiable information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "RelatedPerson"
      }],
      "reference" : {
        "reference" : "RelatedPerson/de-identified-example"
      },
      "name" : "DAPL Deidentified RelatedPerson Example",
      "description" : "An Example of a conformant DAPL Related Person resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationStatement"
      }],
      "reference" : {
        "reference" : "MedicationStatement/de-identified-example"
      },
      "name" : "DAPL Deidentified MedicationStatement Example",
      "description" : "An Example of a conformant DAPL MedicationStatement resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MedicationRequest"
      }],
      "reference" : {
        "reference" : "MedicationRequest/de-identified-example"
      },
      "name" : "DAPL Deidentified MedicationRequest Example",
      "description" : "An Example of a conformant DAPL MedicationRequest resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-lab-observation-example"
      },
      "name" : "DAPL Deidentified Lab Observation Example",
      "description" : "An Example of a conformant DAPL Lab Observation resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Immunization"
      }],
      "reference" : {
        "reference" : "Immunization/de-identified-example"
      },
      "name" : "DAPL Deidentified Immunization Example",
      "description" : "An Example of a conformant DAPL Immunization resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Encounter"
      }],
      "reference" : {
        "reference" : "Encounter/de-identified-example"
      },
      "name" : "DAPL Deidentified Encounter Example",
      "description" : "An Example of a conformant DAPL Encounter resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Coverage"
      }],
      "reference" : {
        "reference" : "Coverage/de-identified-example"
      },
      "name" : "DAPL Deidentified Coverage Example",
      "description" : "An Example of a conformant DAPL Coverage resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/de-identified-example"
      },
      "name" : "DAPL Deidentified Condition(Diagnosis) Example",
      "description" : "An Example of a conformant DAPL Condition(Diagnosis) resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ServiceRequest"
      }],
      "reference" : {
        "reference" : "ServiceRequest/de-identified-example"
      },
      "name" : "DAPL Deidentified ServiceRequest Example",
      "description" : "An Example of a conformant DAPL ServiceRequest resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Procedure"
      }],
      "reference" : {
        "reference" : "Procedure/de-identified-example"
      },
      "name" : "DAPL Deidentified Procedure Example",
      "description" : "An Example of a conformant DAPL Procedure resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Procedure"
      }],
      "reference" : {
        "reference" : "Procedure/de-identified-not-done-example"
      },
      "name" : "DAPL De-identified Procedure not-done Example",
      "description" : "An Example of a conformant DAPL Procedure not performed resource with de-identified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/de-identified-example"
      },
      "name" : "DAPL Deidentified Patient Example",
      "description" : "An Example of a conformant DAPL Patient resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/de-identified-smallpop-example"
      },
      "name" : "DAPL Deidentified Patient Example that is part of a small population",
      "description" : "An Example of a conformant DAPL Patient resource with deidentified information who is part of a small population.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-income-example"
      },
      "name" : "DAPL Deidentified Income Observation Example",
      "description" : "An Example of a conformant DAPL Income Observation resource with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-income-with-quantity-example"
      },
      "name" : "DAPL Deidentified Income Observation Example to represent Income using Quantity",
      "description" : "An Example of a conformant DAPL Income Observation resource with deidentified information where income is represented using quantity.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-low-income-example"
      },
      "name" : "DAPL Deidentified Income Observation Example for low income",
      "description" : "An Example of a conformant DAPL Income Observation representing low income with deidentified information.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/de-identified-age89-example"
      },
      "name" : "DAPL Deidentified Patient Aged >89 Example",
      "description" : "An Example of a conformant DAPL Deidentified Patient resource with age above 89.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "AdverseEvent"
      }],
      "reference" : {
        "reference" : "AdverseEvent/de-identified-example"
      },
      "name" : "DAPL Deidentified AdverseEventExample",
      "description" : "An Example of a conformant DAPL Deidentified AdverseEvent resource",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "AllergyIntolerance"
      }],
      "reference" : {
        "reference" : "AllergyIntolerance/de-identified-example"
      },
      "name" : "DAPL De-identified AllergyIntolerance Example",
      "description" : "An Example of a conformant DAPL Deidentified AllergyIntolerance resource.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/de-identified-clinical-result-observation-example"
      },
      "name" : "DAPL De-identified ClinicalResult Example",
      "description" : "An Example of a conformant DAPL De-identified ClinicalResult Observation resource.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MeasureReport"
      }],
      "reference" : {
        "reference" : "MeasureReport/dapl-anonymized-dataset-example"
      },
      "name" : "DAPL Anonymized Dataset Example",
      "description" : "An Example of a conformant DAPL Anonymized Dataset",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-age-extension"
      },
      "name" : "DAPL Age Extension",
      "description" : "Indicates the age of the patient at a specific time"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-clinical-result-observation"
      },
      "name" : "DAPL Clinical Result Observation",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized clinical result observations."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-coverage"
      },
      "name" : "DAPL Coverage",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized Coverage."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-adverseevent"
      },
      "name" : "DAPL De-identified AdverseEvent",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing de-identified Adverse events"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-allergyintolerance"
      },
      "name" : "DAPL De-identified AllergyIntolerance",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing de-identified Allergies and Intolerances."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-encounter"
      },
      "name" : "DAPL De-identified Encounter",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified encounters or visit information."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-instant-extension"
      },
      "name" : "DAPL De-Identified Instant Extension",
      "description" : "Indicates the de-identified instant that can be used for any clinical event"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-location"
      },
      "name" : "DAPL De-identified Location",
      "description" : "Indicates the location where the care was provided"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-anonymized-dataset"
      },
      "name" : "DAPL Anonymized Dataset",
      "description" : "This profile is used to represent an anonymized dataset"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-organization"
      },
      "name" : "DAPL De-identified Organization",
      "description" : "Indicates the Organization responsible for care or payments."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-patient"
      },
      "name" : "DAPL De-identified Patient",
      "description" : "This Patient profile represents a deidentified Patient"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-deidentified-relatedperson"
      },
      "name" : "DAPL De-identified RelatedPerson",
      "description" : "This profile allows for representing deidentified RelatedPerson data of a patient"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-diagnosis"
      },
      "name" : "DAPL Diagnosis",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized Diagnosis."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-ethnicity-extension"
      },
      "name" : "DAPL Ethnicity Extension",
      "description" : "Indicates the ethnicity of the patient."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-event-recorded-datetime-extension"
      },
      "name" : "DAPL Event Recorded Date Time Extension",
      "description" : "Indicates the time the event was recorded, this is a required field when an event is declared as NotDone."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-immunization"
      },
      "name" : "DAPL Immunization",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized immunizations."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-income-observation"
      },
      "name" : "DAPL Income Observation",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing Income ranges."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-lab-observation"
      },
      "name" : "DAPL Lab Observation",
      "description" : "The profile iestablishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized lab observations."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-measure-stratifier-component-value-extension"
      },
      "name" : "DAPL MeasureStratifierComponentValue Extension",
      "description" : "Indicates the value of a component within a MeasureReport Stratifier"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-medicationrequest"
      },
      "name" : "DAPL MedicationRequest",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentifeid or anonymized MedicationRequest."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-medicationstatement"
      },
      "name" : "DAPL MedicationStatement",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized MedicationStatement."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-procedure"
      },
      "name" : "DAPL Procedure",
      "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified or anonymized procedures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-race-extension"
      },
      "name" : "DAPL Deidentified Race Extension",
      "description" : "Indicates the race of the patient."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-recordedDate-extension"
      },
      "name" : "DAPL RecordedDate Extension",
      "description" : "Indicates the recorded date of a clinical event"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-servicerequest"
      },
      "name" : "DAPL ServiceRequest",
      "description" : "The DAPL profile establishes the core elements, extensions, vocabularies and value sets for representing deidentified and anonymized ServiceRequest."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/dapl-sex-extension"
      },
      "name" : "DAPL Sex Extension",
      "description" : "Indicates the birth sex of the patient"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/dapl-sex-codes"
      },
      "name" : "DAPL Sex Codes",
      "description" : "The Birth Sex Codes is a set of codes for identifying the birth sex of Patients."
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "DAPL Home Page",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "background.html"
        }],
        "nameUrl" : "background.html",
        "title" : "Background",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "spec.html"
        }],
        "nameUrl" : "spec.html",
        "title" : "Formal Specification",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "usecases.html"
        }],
        "nameUrl" : "usecases.html",
        "title" : "Use Cases and Workflows",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "changes.html"
        }],
        "nameUrl" : "changes.html",
        "title" : "Change History",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Useful Downloads",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "credits.html"
        }],
        "nameUrl" : "credits.html",
        "title" : "Credits",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "license.html"
        }],
        "nameUrl" : "license.html",
        "title" : "License",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
