DaVinci PDEX Plan Net STU Ballot

This page is part of the DaVinci PDEX Plan Net (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Practitioner

{
  "resourceType" : "StructureDefinition",
  "id" : "plannet-Practitioner",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>Practitioner Profile</b></p>\n  <p>Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.</p>\n  <p><b>Mapping Summary</b></p>\n  <p><pre>plannet.Practitioner maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner:\n  PN_Identifier.IdentifierUse maps to identifier.use\n  PN_Identifier.IdentifierSystem maps to identifier.system\n  PN_Identifier.IdentifierValue maps to identifier.value\n  PN_Identifier.IdentifierType maps to identifier.type\n  PN_Identifier.IdentifierPeriod maps to identifier.period\n  PN_Identifier.IdentifierAssigner maps to identifier.assigner\n  PractitionerName.HumanName maps to name\n  PractitionerActive maps to active\n  PractitionerCommunication maps to communication\n  Gender maps to gender\n  BirthDate maps to birthDate\n  Photo maps to photo\n  Address maps to address\n  Address.Purpose maps to address.use\n  Address.Type maps to address.type\n  Address.DisplayText maps to address.text\n  Address.AddressLine maps to address.line\n  Address.City maps to address.city\n  Address.State maps to address.state\n  Address.PostalCode maps to address.postalCode\n  Address.Country maps to address.country\n  Address.EffectiveTimePeriod maps to address.period\n  PractitionerName.HumanName.Purpose maps to name.use\n  PractitionerName.HumanName.Name maps to name.text\n  PractitionerName.HumanName.FamilyName maps to name.family\n  PractitionerName.HumanName.GivenName maps to name.given\n  PractitionerName.HumanName.Prefix maps to name.prefix\n  PractitionerName.HumanName.Suffix maps to name.suffix\n  PractitionerName.HumanName.EffectiveTimePeriod maps to name.period\n  PractitionerTelecom maps to telecom\n  PractitionerTelecom.ContactPoint.Purpose maps to telecom.use\n  PractitionerTelecom.ContactPoint.Type maps to telecom.system\n  PractitionerTelecom.ContactPoint.PriorityRank maps to telecom.rank\n  PractitionerTelecom.ContactPoint.EffectiveTimePeriod maps to telecom.period\n  PractitionerTelecom.ContactPoint.TelecomNumberOrAddress maps to telecom.value\n  TAvailableTime maps to telecom.extension\n  TViaIntermediary maps to telecom.extension\n  GeoLocation maps to address.extension\n  PractitionerQualification.Practitioner-Qualification-VHDIR maps to qualification.extension\n  PractitionerQualification maps to qualification\n  PractitionerQualification.QualificationIdentifier.PN_Identifier.IdentifierUse maps to qualification.identifier.use\n  PractitionerQualification.QualificationIdentifier.PN_Identifier.IdentifierSystem maps to qualification.identifier.system\n  PractitionerQualification.QualificationIdentifier.PN_Identifier.IdentifierValue maps to qualification.identifier.value\n  PractitionerQualification.QualificationIdentifier.PN_Identifier.IdentifierType maps to qualification.identifier.type\n  PractitionerQualification.QualificationIdentifier.PN_Identifier.IdentifierPeriod maps to qualification.identifier.period\n  PractitionerQualification.QualificationIdentifier.PN_Identifier.IdentifierAssigner maps to qualification.identifier.assigner\n  PractitionerQualification.QualificationID maps to qualification.id\n  PractitionerQualification.Code maps to qualification.code\n  PractitionerQualification.Period maps to qualification.period\n  PractitionerQualification.Issuer maps to qualification.issuer\n  Proficiency maps to communication.extension\n  Accessibility maps to http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility\n  constrain name.family to 1..1\n  constrain name.given to 1..*\n  constrain photo to 0..1\n  constrain qualification.issuer to 1..1\n</pre></p>\n</div>"
  },
  "url" : "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner",
  "name" : "Practitioner",
  "title" : "plannet-Practitioner",
  "status" : "active",
  "experimental" : false,
  "date" : "2019-10-23T00:00:00-04:00",
  "publisher" : "HL7 Financial Management WG",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }
      ]
    }
  ],
  "description" : "Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.0",
  "mapping" : [
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "servd",
      "uri" : "http://www.omg.org/spec/ServD/1.0/",
      "name" : "ServD"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Practitioner",
  "baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Practitioner",
        "path" : "Practitioner",
        "short" : "plannet-Practitioner",
        "definition" : "Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.",
        "alias" : [
          "Provider"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Practitioner",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "PRD (as one example)"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          },
          {
            "identity" : "servd",
            "map" : "Provider"
          }
        ]
      },
      {
        "id" : "Practitioner.id",
        "path" : "Practitioner.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Practitioner.meta",
        "path" : "Practitioner.meta",
        "short" : "Metadata about the resource",
        "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Practitioner.implicitRules",
        "path" : "Practitioner.implicitRules",
        "short" : "A set of rules under which this content was created",
        "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
        "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary" : true
      },
      {
        "id" : "Practitioner.language",
        "path" : "Practitioner.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "Practitioner.text",
        "path" : "Practitioner.text",
        "short" : "Text summary of the resource, for human interpretation",
        "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "Practitioner.contained",
        "path" : "Practitioner.contained",
        "short" : "Contained, inline Resources",
        "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Practitioner.extension",
        "path" : "Practitioner.extension",
        "slicing" : {
          "id" : "1",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. 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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Practitioner.extension:accessibility",
        "path" : "Practitioner.extension",
        "sliceName" : "accessibility",
        "definition" : "Accessibilty indicates accessibility options offered by the practitioner (e.g. cultural competence)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.modifierExtension",
        "path" : "Practitioner.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier",
        "path" : "Practitioner.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "short" : "An identifier for the person as this agent",
        "definition" : "An identifier that applies to this person in this role.",
        "comment" : "NPI must be supported as the identifier system in the US, Tax id is allowed, Local id is allowed in addition to an another identifier supplied by a jurisdictional authority such as a practitioner's *Drug Enforcement Administration (DEA)* number.",
        "requirements" : "Often, specific identities are assigned for the agent.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Practitioner.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PRD-7 (or XCN.1)"
          },
          {
            "identity" : "rim",
            "map" : "./id"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.id",
        "path" : "Practitioner.identifier.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.extension",
        "path" : "Practitioner.identifier.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.use",
        "path" : "Practitioner.identifier.use",
        "short" : "usual | official | temp | secondary | old (If known)",
        "definition" : "The purpose of this identifier.",
        "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierUse"
            }
          ],
          "strength" : "required",
          "description" : "Identifies the purpose for this identifier, if known .",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.type",
        "path" : "Practitioner.identifier.type",
        "short" : "Description of identifier",
        "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment" : "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" : "Allows users to make use of identifiers when the identifier system is not known.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.5"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.system",
        "path" : "Practitioner.identifier.system",
        "short" : "The namespace for the identifier value",
        "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
        "comment" : "Identifier.system is always case sensitive.",
        "requirements" : "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" : 1,
        "max" : "1",
        "base" : {
          "path" : "Identifier.system",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.4 / EI-2-4"
          },
          {
            "identity" : "rim",
            "map" : "II.root or Role.id.root"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierType"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.value",
        "path" : "Practitioner.identifier.value",
        "short" : "The value that is unique",
        "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "comment" : "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](http://hl7.org/fhir/R4/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" : 1,
        "max" : "1",
        "base" : {
          "path" : "Identifier.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.1 / EI.1"
          },
          {
            "identity" : "rim",
            "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity" : "servd",
            "map" : "./Value"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.period",
        "path" : "Practitioner.identifier.period",
        "short" : "Time period when id is/was valid for use",
        "definition" : "Time period during which identifier is/was valid for use.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.7 + CX.8"
          },
          {
            "identity" : "rim",
            "map" : "Role.effectiveTime or implied by context"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier.assigner",
        "path" : "Practitioner.identifier.assigner",
        "short" : "Organization that issued id (may be just text)",
        "definition" : "Organization that issued/manages the identifier.",
        "comment" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.assigner",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity" : "rim",
            "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice",
        "path" : "Practitioner.identifier",
        "sliceName" : "npislice",
        "short" : "An identifier for the person as this agent",
        "definition" : "An identifier that applies to this person in this role.",
        "requirements" : "Often, specific identities are assigned for the agent.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PRD-7 (or XCN.1)"
          },
          {
            "identity" : "rim",
            "map" : "./id"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.id",
        "path" : "Practitioner.identifier.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.extension",
        "path" : "Practitioner.identifier.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.use",
        "path" : "Practitioner.identifier.use",
        "short" : "usual | official | temp | secondary | old (If known)",
        "definition" : "The purpose of this identifier.",
        "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierUse"
            }
          ],
          "strength" : "required",
          "description" : "Identifies the purpose for this identifier, if known .",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.type",
        "path" : "Practitioner.identifier.type",
        "short" : "Description of identifier",
        "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment" : "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" : "Allows users to make use of identifiers when the identifier system is not known.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.5"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.system",
        "path" : "Practitioner.identifier.system",
        "short" : "The namespace for the identifier value",
        "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
        "comment" : "Identifier.system is always case sensitive.",
        "requirements" : "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" : 1,
        "max" : "1",
        "base" : {
          "path" : "Identifier.system",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://hl7.org/fhir/sid/us-npi",
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.4 / EI-2-4"
          },
          {
            "identity" : "rim",
            "map" : "II.root or Role.id.root"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierType"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.value",
        "path" : "Practitioner.identifier.value",
        "short" : "The value that is unique",
        "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "comment" : "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](http://hl7.org/fhir/R4/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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.1 / EI.1"
          },
          {
            "identity" : "rim",
            "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity" : "servd",
            "map" : "./Value"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.period",
        "path" : "Practitioner.identifier.period",
        "short" : "Time period when id is/was valid for use",
        "definition" : "Time period during which identifier is/was valid for use.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.7 + CX.8"
          },
          {
            "identity" : "rim",
            "map" : "Role.effectiveTime or implied by context"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "Practitioner.identifier:npislice.assigner",
        "path" : "Practitioner.identifier.assigner",
        "short" : "Organization that issued id (may be just text)",
        "definition" : "Organization that issued/manages the identifier.",
        "comment" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.assigner",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity" : "rim",
            "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id" : "Practitioner.active",
        "path" : "Practitioner.active",
        "short" : "Whether this practitioner's record is in active use",
        "definition" : "Whether this practitioner's record is in active use.",
        "comment" : "If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.",
        "requirements" : "Need to be able to mark a practitioner record as not to be used because it was created in error.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.active",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "./statusCode"
          }
        ]
      },
      {
        "id" : "Practitioner.name",
        "path" : "Practitioner.name",
        "short" : "The name(s) associated with the practitioner",
        "definition" : "The name(s) associated with the practitioner.",
        "comment" : "The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.  \r\rIn general, select the value to be used in the ResourceReference.display based on this:\r\r1. There is more than 1 name\r2. Use = usual\r3. Period is current to the date of the usage\r4. Use = official\r5. Other order as decided by internal business rules.",
        "requirements" : "The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Practitioner.name",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "HumanName"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XCN Components"
          },
          {
            "identity" : "rim",
            "map" : "./name"
          },
          {
            "identity" : "servd",
            "map" : "./PreferredName (GivenNames, FamilyName, TitleCode)"
          }
        ]
      },
      {
        "id" : "Practitioner.name.id",
        "path" : "Practitioner.name.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.name.extension",
        "path" : "Practitioner.name.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.name.use",
        "path" : "Practitioner.name.use",
        "short" : "usual | official | temp | nickname | anonymous | old | maiden",
        "definition" : "Identifies the purpose for this name.",
        "comment" : "Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
        "requirements" : "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "HumanName.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NameUse"
            }
          ],
          "strength" : "required",
          "description" : "The use of a human name.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/name-use|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XPN.7, but often indicated by which field contains the name"
          },
          {
            "identity" : "rim",
            "map" : "unique(./use)"
          },
          {
            "identity" : "servd",
            "map" : "./NamePurpose"
          }
        ]
      },
      {
        "id" : "Practitioner.name.text",
        "path" : "Practitioner.name.text",
        "short" : "Text representation of the full name",
        "definition" : "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.",
        "comment" : "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present,  no content is included in the text that isn't found in a part.",
        "requirements" : "A renderable, unencoded form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "HumanName.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "implied by XPN.11"
          },
          {
            "identity" : "rim",
            "map" : "./formatted"
          }
        ]
      },
      {
        "id" : "Practitioner.name.family",
        "path" : "Practitioner.name.family",
        "short" : "Family name (often called 'Surname')",
        "definition" : "The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.",
        "comment" : "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
        "alias" : [
          "surname"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "HumanName.family",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XPN.1/FN.1"
          },
          {
            "identity" : "rim",
            "map" : "./part[partType = FAM]"
          },
          {
            "identity" : "servd",
            "map" : "./FamilyName"
          }
        ]
      },
      {
        "id" : "Practitioner.name.given",
        "path" : "Practitioner.name.given",
        "short" : "Given names (not always 'first'). Includes middle names",
        "definition" : "Given name.",
        "comment" : "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations.  This element is not called \"first name\" since given names do not always come first.",
        "alias" : [
          "first name",
          "middle name"
        ],
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "HumanName.given",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "orderMeaning" : "Given Names appear in the correct order for presenting the name",
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XPN.2 + XPN.3"
          },
          {
            "identity" : "rim",
            "map" : "./part[partType = GIV]"
          },
          {
            "identity" : "servd",
            "map" : "./GivenNames"
          }
        ]
      },
      {
        "id" : "Practitioner.name.prefix",
        "path" : "Practitioner.name.prefix",
        "short" : "Parts that come before the name",
        "definition" : "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "HumanName.prefix",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "orderMeaning" : "Prefixes appear in the correct order for presenting the name",
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XPN.5"
          },
          {
            "identity" : "rim",
            "map" : "./part[partType = PFX]"
          },
          {
            "identity" : "servd",
            "map" : "./TitleCode"
          }
        ]
      },
      {
        "id" : "Practitioner.name.suffix",
        "path" : "Practitioner.name.suffix",
        "short" : "Parts that come after the name",
        "definition" : "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "HumanName.suffix",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "orderMeaning" : "Suffixes appear in the correct order for presenting the name",
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XPN/4"
          },
          {
            "identity" : "rim",
            "map" : "./part[partType = SFX]"
          }
        ]
      },
      {
        "id" : "Practitioner.name.period",
        "path" : "Practitioner.name.period",
        "short" : "Time period when name was/is in use",
        "definition" : "Indicates the period of time when this name was valid for the named person.",
        "requirements" : "Allows names to be placed in historical context.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "HumanName.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XPN.13 + XPN.14"
          },
          {
            "identity" : "rim",
            "map" : "./usablePeriod[type=\"IVL<TS>\"]"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom",
        "path" : "Practitioner.telecom",
        "short" : "A contact detail for the practitioner (that apply to all roles)",
        "definition" : "A contact detail for the practitioner, e.g. a telephone number or an email address.",
        "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and to help with identification.  These typically will have home numbers, or mobile numbers that are not role specific.",
        "requirements" : "Need to know how to reach a practitioner independent to any roles the practitioner may have.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Practitioner.telecom",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "ContactPoint"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "PRT-15, STF-10, ROL-12"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          },
          {
            "identity" : "servd",
            "map" : "./ContactPoints"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom.id",
        "path" : "Practitioner.telecom.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom.extension",
        "path" : "Practitioner.telecom.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom.extension:tavailabletime",
        "path" : "Practitioner.telecom.extension",
        "sliceName" : "tavailabletime",
        "definition" : "AvailableTime indicates when an organization is available for contact",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.telecom.extension:tviaintermediary",
        "path" : "Practitioner.telecom.extension",
        "sliceName" : "tviaintermediary",
        "definition" : "A reference to an alternative point of contact (plannet-PractitionerRole, plannet-Organization, plannet-OrganizationAffiliation, or plannet-Location) for this organization",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-CViaIntermediary-extension"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.telecom.system",
        "path" : "Practitioner.telecom.system",
        "short" : "phone | fax | email | pager | url | sms | other",
        "definition" : "Telecommunications form for contact point - what communications system is required to make use of the contact.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ContactPoint.system",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "condition" : [
          "cpt-2"
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactPointSystem"
            }
          ],
          "strength" : "required",
          "description" : "Telecommunications form for contact point.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/contact-point-system|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XTN.3"
          },
          {
            "identity" : "rim",
            "map" : "./scheme"
          },
          {
            "identity" : "servd",
            "map" : "./ContactPointType"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom.value",
        "path" : "Practitioner.telecom.value",
        "short" : "The actual contact point details",
        "definition" : "The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).",
        "comment" : "Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.",
        "requirements" : "Need to support legacy numbers that are not in a tightly controlled format.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ContactPoint.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XTN.1 (or XTN.12)"
          },
          {
            "identity" : "rim",
            "map" : "./url"
          },
          {
            "identity" : "servd",
            "map" : "./Value"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom.use",
        "path" : "Practitioner.telecom.use",
        "short" : "home | work | temp | old | mobile - purpose of this contact point",
        "definition" : "Identifies the purpose for the contact point.",
        "comment" : "Applications can assume that a contact is current unless it explicitly says that it is temporary or old.",
        "requirements" : "Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ContactPoint.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactPointUse"
            }
          ],
          "strength" : "required",
          "description" : "Use of contact point.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/contact-point-use|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XTN.2 - but often indicated by field"
          },
          {
            "identity" : "rim",
            "map" : "unique(./use)"
          },
          {
            "identity" : "servd",
            "map" : "./ContactPointPurpose"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom.rank",
        "path" : "Practitioner.telecom.rank",
        "short" : "Specify preferred order of use (1 = highest)",
        "definition" : "Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.",
        "comment" : "Note that rank does not necessarily follow the order in which the contacts are represented in the instance.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ContactPoint.rank",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "positiveInt"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.telecom.period",
        "path" : "Practitioner.telecom.period",
        "short" : "Time period when the contact point was/is in use",
        "definition" : "Time period when the contact point was/is in use.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ContactPoint.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "./usablePeriod[type=\"IVL<TS>\"]"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "Practitioner.address",
        "path" : "Practitioner.address",
        "short" : "Address(es) of the practitioner that are not role specific (typically home address)",
        "definition" : "Address(es) of the practitioner that are not role specific (typically home address). \rWork addresses are not typically entered in this property as they are usually role dependent.",
        "comment" : "The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).",
        "requirements" : "The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Practitioner.address",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "ORC-24, STF-11, ROL-11, PRT-14"
          },
          {
            "identity" : "rim",
            "map" : "./addr"
          },
          {
            "identity" : "servd",
            "map" : "./Addresses"
          }
        ]
      },
      {
        "id" : "Practitioner.address.id",
        "path" : "Practitioner.address.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.address.extension",
        "path" : "Practitioner.address.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.address.extension:geolocation",
        "path" : "Practitioner.address.extension",
        "sliceName" : "geolocation",
        "definition" : "GeoLocation indicates the absolute geographic location of an organization’s address",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/StructureDefinition/geolocation"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.address.use",
        "path" : "Practitioner.address.use",
        "short" : "home | work | temp | old | billing - purpose of this address",
        "definition" : "The purpose of this address.",
        "comment" : "Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
        "requirements" : "Allows an appropriate address to be chosen from a list of many.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueCode" : "home"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AddressUse"
            }
          ],
          "strength" : "required",
          "description" : "The use of an address.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/address-use|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.7"
          },
          {
            "identity" : "rim",
            "map" : "unique(./use)"
          },
          {
            "identity" : "servd",
            "map" : "./AddressPurpose"
          }
        ]
      },
      {
        "id" : "Practitioner.address.type",
        "path" : "Practitioner.address.type",
        "short" : "postal | physical | both",
        "definition" : "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
        "comment" : "The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueCode" : "both"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AddressType"
            }
          ],
          "strength" : "required",
          "description" : "The type of an address (physical / postal).",
          "valueSet" : "http://hl7.org/fhir/ValueSet/address-type|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.18"
          },
          {
            "identity" : "rim",
            "map" : "unique(./use)"
          },
          {
            "identity" : "vcard",
            "map" : "address type parameter"
          }
        ]
      },
      {
        "id" : "Practitioner.address.text",
        "path" : "Practitioner.address.text",
        "short" : "Text representation of the address",
        "definition" : "Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.",
        "comment" : "Can provide both a text representation and parts. Applications updating an address SHALL ensure that  when both text and parts are present,  no content is included in the text that isn't found in a part.",
        "requirements" : "A renderable, unencoded form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "137 Nowhere Street, Erewhon 9132"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"
          },
          {
            "identity" : "rim",
            "map" : "./formatted"
          },
          {
            "identity" : "vcard",
            "map" : "address label parameter"
          }
        ]
      },
      {
        "id" : "Practitioner.address.line",
        "path" : "Practitioner.address.line",
        "short" : "Street name, number, direction & P.O. Box etc.",
        "definition" : "This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Address.line",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "orderMeaning" : "The order in which lines should appear in an address label",
        "example" : [
          {
            "label" : "General",
            "valueString" : "137 Nowhere Street"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"
          },
          {
            "identity" : "rim",
            "map" : "AD.part[parttype = AL]"
          },
          {
            "identity" : "vcard",
            "map" : "street"
          },
          {
            "identity" : "servd",
            "map" : "./StreetAddress (newline delimitted)"
          }
        ]
      },
      {
        "id" : "Practitioner.address.city",
        "path" : "Practitioner.address.city",
        "short" : "Name of city, town etc.",
        "definition" : "The name of the city, town, suburb, village or other community or delivery center.",
        "alias" : [
          "Municpality"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.city",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "Erewhon"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.3"
          },
          {
            "identity" : "rim",
            "map" : "AD.part[parttype = CTY]"
          },
          {
            "identity" : "vcard",
            "map" : "locality"
          },
          {
            "identity" : "servd",
            "map" : "./Jurisdiction"
          }
        ]
      },
      {
        "id" : "Practitioner.address.district",
        "path" : "Practitioner.address.district",
        "short" : "District name (aka county)",
        "definition" : "The name of the administrative area (county).",
        "comment" : "District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.",
        "alias" : [
          "County"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.district",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "Madison"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.9"
          },
          {
            "identity" : "rim",
            "map" : "AD.part[parttype = CNT | CPA]"
          }
        ]
      },
      {
        "id" : "Practitioner.address.state",
        "path" : "Practitioner.address.state",
        "short" : "Sub-unit of country (abbreviations ok)",
        "definition" : "Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).",
        "alias" : [
          "Province",
          "Territory"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.state",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.4"
          },
          {
            "identity" : "rim",
            "map" : "AD.part[parttype = STA]"
          },
          {
            "identity" : "vcard",
            "map" : "region"
          },
          {
            "identity" : "servd",
            "map" : "./Region"
          }
        ]
      },
      {
        "id" : "Practitioner.address.postalCode",
        "path" : "Practitioner.address.postalCode",
        "short" : "Postal code for area",
        "definition" : "A postal code designating a region defined by the postal service.",
        "alias" : [
          "Zip"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.postalCode",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "9132"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.5"
          },
          {
            "identity" : "rim",
            "map" : "AD.part[parttype = ZIP]"
          },
          {
            "identity" : "vcard",
            "map" : "code"
          },
          {
            "identity" : "servd",
            "map" : "./PostalIdentificationCode"
          }
        ]
      },
      {
        "id" : "Practitioner.address.country",
        "path" : "Practitioner.address.country",
        "short" : "Country (e.g. can be ISO 3166 2 or 3 letter code)",
        "definition" : "Country - a nation as commonly understood or generally accepted.",
        "comment" : "ISO 3166 3 letter codes can be used in place of a human readable country name.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.country",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.6"
          },
          {
            "identity" : "rim",
            "map" : "AD.part[parttype = CNT]"
          },
          {
            "identity" : "vcard",
            "map" : "country"
          },
          {
            "identity" : "servd",
            "map" : "./Country"
          }
        ]
      },
      {
        "id" : "Practitioner.address.period",
        "path" : "Practitioner.address.period",
        "short" : "Time period when address was/is in use",
        "definition" : "Time period when address was/is in use.",
        "requirements" : "Allows addresses to be placed in historical context.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Address.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valuePeriod" : {
              "start" : "2010-03-23T00:00:00-04:00",
              "end" : "2010-07-01T00:00:00-04:00"
            }
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "XAD.12 / XAD.13 + XAD.14"
          },
          {
            "identity" : "rim",
            "map" : "./usablePeriod[type=\"IVL<TS>\"]"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "Practitioner.gender",
        "path" : "Practitioner.gender",
        "short" : "male | female | other | unknown",
        "definition" : "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
        "requirements" : "Needed to address the person correctly.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.gender",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "required",
          "description" : "The gender of a person used for administrative purposes.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "STF-5"
          },
          {
            "identity" : "rim",
            "map" : "./administrativeGender"
          },
          {
            "identity" : "servd",
            "map" : "./GenderCode"
          }
        ]
      },
      {
        "id" : "Practitioner.birthDate",
        "path" : "Practitioner.birthDate",
        "short" : "The date  on which the practitioner was born",
        "definition" : "The date of birth for the practitioner.",
        "requirements" : "Needed for identification.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.birthDate",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "date"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "STF-6"
          },
          {
            "identity" : "rim",
            "map" : "./birthTime"
          },
          {
            "identity" : "servd",
            "map" : "(not represented in ServD)"
          }
        ]
      },
      {
        "id" : "Practitioner.photo",
        "path" : "Practitioner.photo",
        "short" : "Image of the person",
        "definition" : "Image of the person.",
        "requirements" : "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.photo",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Attachment"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "./subjectOf/ObservationEvent[code=\"photo\"]/value"
          },
          {
            "identity" : "servd",
            "map" : "./ImageURI (only supports the URI reference)"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification",
        "path" : "Practitioner.qualification",
        "short" : "Certification, licenses, or training pertaining to the provision of care",
        "definition" : "The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner.  For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Practitioner.qualification",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CER?"
          },
          {
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].code"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.id",
        "path" : "Practitioner.qualification.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.extension",
        "path" : "Practitioner.qualification.extension",
        "slicing" : {
          "id" : "2",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.extension:practitioner-qualification-vhdir",
        "path" : "Practitioner.qualification.extension",
        "sliceName" : "practitioner-qualification-vhdir",
        "definition" : "Status, whereValid, and history of a practitioner's qualification",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.qualification.modifierExtension",
        "path" : "Practitioner.qualification.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier",
        "path" : "Practitioner.qualification.identifier",
        "short" : "An identifier for this qualification for the practitioner",
        "definition" : "An identifier that applies to this person's qualification in this role.",
        "requirements" : "Often, specific identities are assigned for the qualification.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Practitioner.qualification.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].id"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.id",
        "path" : "Practitioner.qualification.identifier.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.extension",
        "path" : "Practitioner.qualification.identifier.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.use",
        "path" : "Practitioner.qualification.identifier.use",
        "short" : "usual | official | temp | secondary | old (If known)",
        "definition" : "The purpose of this identifier.",
        "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
        "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.use",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierUse"
            }
          ],
          "strength" : "required",
          "description" : "Identifies the purpose for this identifier, if known .",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.0"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.type",
        "path" : "Practitioner.qualification.identifier.type",
        "short" : "Description of identifier",
        "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "comment" : "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" : "Allows users to make use of identifiers when the identifier system is not known.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.type",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.5"
          },
          {
            "identity" : "rim",
            "map" : "Role.code or implied by context"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.system",
        "path" : "Practitioner.qualification.identifier.system",
        "short" : "The namespace for the identifier value",
        "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
        "comment" : "Identifier.system is always case sensitive.",
        "requirements" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.system",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueUri" : "http://www.acme.com/identifiers/patient"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.4 / EI-2-4"
          },
          {
            "identity" : "rim",
            "map" : "II.root or Role.id.root"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierType"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.value",
        "path" : "Practitioner.qualification.identifier.value",
        "short" : "The value that is unique",
        "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "comment" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "example" : [
          {
            "label" : "General",
            "valueString" : "123456"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.1 / EI.1"
          },
          {
            "identity" : "rim",
            "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity" : "servd",
            "map" : "./Value"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.period",
        "path" : "Practitioner.qualification.identifier.period",
        "short" : "Time period when id is/was valid for use",
        "definition" : "Time period during which identifier is/was valid for use.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.7 + CX.8"
          },
          {
            "identity" : "rim",
            "map" : "Role.effectiveTime or implied by context"
          },
          {
            "identity" : "servd",
            "map" : "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.identifier.assigner",
        "path" : "Practitioner.qualification.identifier.assigner",
        "short" : "Organization that issued id (may be just text)",
        "definition" : "Organization that issued/manages the identifier.",
        "comment" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Identifier.assigner",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity" : "rim",
            "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity" : "servd",
            "map" : "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.code",
        "path" : "Practitioner.qualification.code",
        "short" : "Coded representation of the qualification",
        "definition" : "Coded representation of the qualification.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.qualification.code",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Qualification"
            }
          ],
          "strength" : "example",
          "description" : "Specific qualification the practitioner has to provide a service.",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v2-2.7-0360"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].code"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications.Value"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.period",
        "path" : "Practitioner.qualification.period",
        "short" : "Period during which the qualification is valid",
        "definition" : "Period during which the qualification is valid.",
        "requirements" : "Qualifications are often for a limited period of time, and can be revoked.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.qualification.period",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].effectiveTime"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications.StartDate and ./Qualifications.EndDate"
          }
        ]
      },
      {
        "id" : "Practitioner.qualification.issuer",
        "path" : "Practitioner.qualification.issuer",
        "short" : "Organization that regulates and issues the qualification",
        "definition" : "Organization that regulates and issues the qualification.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Practitioner.qualification.issuer",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].scoper"
          }
        ]
      },
      {
        "id" : "Practitioner.communication",
        "path" : "Practitioner.communication",
        "short" : "A language the practitioner can use in patient communication",
        "definition" : "A language the practitioner can use in patient communication.",
        "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
        "requirements" : "Knowing which language a practitioner speaks can help in facilitating communication with patients.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Practitioner.communication",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "PID-15, NK1-20, LAN-2"
          },
          {
            "identity" : "rim",
            "map" : "./languageCommunication"
          },
          {
            "identity" : "servd",
            "map" : "./Languages.LanguageSpokenCode"
          }
        ]
      },
      {
        "id" : "Practitioner.communication.id",
        "path" : "Practitioner.communication.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.communication.extension",
        "path" : "Practitioner.communication.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "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" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Practitioner.communication.extension:proficiency",
        "path" : "Practitioner.communication.extension",
        "sliceName" : "proficiency",
        "definition" : "Proficiency indicates a practitioner’s level of spoken proficiency with the language(s) specified in practitioner.communication",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.communication.coding",
        "path" : "Practitioner.communication.coding",
        "short" : "Code defined by a terminology system",
        "definition" : "A reference to a code defined by a terminology system.",
        "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CodeableConcept.coding",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id" : "Practitioner.communication.text",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Practitioner.communication.text",
        "short" : "Plain text representation of the concept",
        "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
        "comment" : "Very often the text is the same as a displayName of one of the codings.",
        "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CodeableConcept.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity" : "rim",
            "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Practitioner",
        "path" : "Practitioner",
        "short" : "plannet-Practitioner",
        "definition" : "Practitioner is a person who is directly or indirectly involved in the provisioning of healthcare.",
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.extension",
        "path" : "Practitioner.extension",
        "slicing" : {
          "id" : "1",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "Practitioner.extension:accessibility",
        "path" : "Practitioner.extension",
        "sliceName" : "accessibility",
        "definition" : "Accessibilty indicates accessibility options offered by the practitioner (e.g. cultural competence)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/accessibility"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.identifier",
        "path" : "Practitioner.identifier"
      },
      {
        "id" : "Practitioner.identifier.use",
        "path" : "Practitioner.identifier.use",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.identifier.type",
        "path" : "Practitioner.identifier.type",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.identifier.period",
        "path" : "Practitioner.identifier.period",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.identifier.assigner",
        "path" : "Practitioner.identifier.assigner",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.active",
        "path" : "Practitioner.active",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.name",
        "path" : "Practitioner.name"
      },
      {
        "id" : "Practitioner.name.use",
        "path" : "Practitioner.name.use",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.name.text",
        "path" : "Practitioner.name.text",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.name.given",
        "path" : "Practitioner.name.given",
        "min" : 1,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.name.prefix",
        "path" : "Practitioner.name.prefix",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.name.suffix",
        "path" : "Practitioner.name.suffix",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.name.period",
        "path" : "Practitioner.name.period",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.telecom",
        "path" : "Practitioner.telecom",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.telecom.extension:tavailabletime",
        "path" : "Practitioner.telecom.extension",
        "sliceName" : "tavailabletime",
        "definition" : "AvailableTime indicates when an organization is available for contact",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.telecom.extension:tviaintermediary",
        "path" : "Practitioner.telecom.extension",
        "sliceName" : "tviaintermediary",
        "definition" : "A reference to an alternative point of contact (plannet-PractitionerRole, plannet-Organization, plannet-OrganizationAffiliation, or plannet-Location) for this organization",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-CViaIntermediary-extension"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.telecom.system",
        "path" : "Practitioner.telecom.system",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.telecom.value",
        "path" : "Practitioner.telecom.value",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.telecom.use",
        "path" : "Practitioner.telecom.use",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.telecom.rank",
        "path" : "Practitioner.telecom.rank",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.telecom.period",
        "path" : "Practitioner.telecom.period",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address",
        "path" : "Practitioner.address",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.extension:geolocation",
        "path" : "Practitioner.address.extension",
        "sliceName" : "geolocation",
        "definition" : "GeoLocation indicates the absolute geographic location of an organization’s address",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/StructureDefinition/geolocation"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.address.use",
        "path" : "Practitioner.address.use",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.type",
        "path" : "Practitioner.address.type",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.text",
        "path" : "Practitioner.address.text",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.line",
        "path" : "Practitioner.address.line",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.city",
        "path" : "Practitioner.address.city",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.state",
        "path" : "Practitioner.address.state",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.postalCode",
        "path" : "Practitioner.address.postalCode",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.country",
        "path" : "Practitioner.address.country",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.address.period",
        "path" : "Practitioner.address.period",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.gender",
        "path" : "Practitioner.gender",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.birthDate",
        "path" : "Practitioner.birthDate",
        "mustSupport" : true
      },
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        "id" : "Practitioner.photo",
        "path" : "Practitioner.photo",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification",
        "path" : "Practitioner.qualification",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.extension",
        "path" : "Practitioner.qualification.extension",
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          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
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          "ordered" : false,
          "rules" : "open"
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        "id" : "Practitioner.qualification.extension:practitioner-qualification-vhdir",
        "path" : "Practitioner.qualification.extension",
        "sliceName" : "practitioner-qualification-vhdir",
        "definition" : "Status, whereValid, and history of a practitioner's qualification",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/practitioner-qualification"
            ]
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "Practitioner.qualification.identifier",
        "path" : "Practitioner.qualification.identifier"
      },
      {
        "id" : "Practitioner.qualification.identifier.use",
        "path" : "Practitioner.qualification.identifier.use",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.identifier.type",
        "path" : "Practitioner.qualification.identifier.type",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.identifier.system",
        "path" : "Practitioner.qualification.identifier.system",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.identifier.value",
        "path" : "Practitioner.qualification.identifier.value",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.identifier.period",
        "path" : "Practitioner.qualification.identifier.period",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.identifier.assigner",
        "path" : "Practitioner.qualification.identifier.assigner",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.code",
        "path" : "Practitioner.qualification.code",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.period",
        "path" : "Practitioner.qualification.period",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.qualification.issuer",
        "path" : "Practitioner.qualification.issuer",
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        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization"
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          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.communication",
        "path" : "Practitioner.communication",
        "mustSupport" : true
      },
      {
        "id" : "Practitioner.communication.extension:proficiency",
        "path" : "Practitioner.communication.extension",
        "sliceName" : "proficiency",
        "definition" : "Proficiency indicates a practitioner’s level of spoken proficiency with the language(s) specified in practitioner.communication",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension",
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              "http://hl7.org/fhir/uv/vhdir/StructureDefinition/communication-proficiency"
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          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : false
      }
    ]
  }
}