CARIN Digital Insurance Card
2.0.0-ballot - STU 2 Ballot

CARIN Digital Insurance Card - Downloaded Version 2.0.0-ballot See the Directory of published versions

## Resource Profile: C4DICPatient - TTL Profile

Page standards status: Trial-use | Maturity Level: 2

TTL representation of the C4DIC-Patient resource profile.

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

    <http://hl7.org/fhir/StructureDefinition/C4DIC-Patient> a fhir:StructureDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:Resource.id [ fhir:value "C4DIC-Patient"] ;
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "extensions" ] ;
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition C4DIC-Patient</b></p><a name=\"C4DIC-Patient\"> </a><a name=\"hcC4DIC-Patient\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient\" title=\"Demographics and other administrative information about an individual with insurance coverage provided by a health plan.\">Patient</a><a name=\"Patient\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html\">USCorePatientProfile(6.1.0)</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Information about an individual who has health insurance coverage</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.meta\">meta</a><a name=\"Patient.meta\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Meta\">Meta</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Metadata about the resource</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.meta.lastUpdated\">lastUpdated</a><a name=\"Patient.meta.lastUpdated\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">When the resource version last changed</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.meta.profile\">Slices for profile</a><a name=\"Patient.meta.profile\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">1</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic; font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">canonical</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/structuredefinition.html\">StructureDefinition</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Profiles this resource claims to conform to</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:$this</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.meta.profile:supportedProfile\" title=\"Slice supportedProfile\">profile:supportedProfile</a><a name=\"Patient.meta.profile:supportedProfile\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/structuredefinition.html\">StructureDefinition</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Profiles this resource claims to conform to</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.name\">name</a><a name=\"Patient.name\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span>..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">(USCDI) A name associated with the patient</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.name.family\">family</a><a name=\"Patient.name.family\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">(USCDI) Family name (often called 'Surname')</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.gender\">gender</a><a name=\"Patient.gender\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">(USCDI) male | female | other | unknown</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-C4DIC-Patient-definitions.html#Patient.birthDate\">birthDate</a><a name=\"Patient.birthDate\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">(USCDI) The date of birth for the individual</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      ] ;
      fhir:DomainResource.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
         fhir:Extension.valueCode [ fhir:value "claims" ]
      ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
         fhir:Extension.valueInteger [
           fhir:value "2"^^xsd:integer ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
             fhir:Extension.valueCanonical [
               fhir:value "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card" ;
               fhir:link <http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card>
             ]
           ]
         ]
      ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
         fhir:Extension.valueCode [
           fhir:value "trial-use" ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
             fhir:Extension.valueCanonical [
               fhir:value "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card" ;
               fhir:link <http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card>
             ]
           ]
         ]
      ] ;
      fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient"] ;
      fhir:StructureDefinition.identifier [
         fhir:index 0 ;
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
         fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.9.42.12" ]
      ] ;
      fhir:StructureDefinition.version [ fhir:value "2.0.0-ballot"] ;
      fhir:StructureDefinition.name [ fhir:value "C4DICPatient"] ;
      fhir:StructureDefinition.title [ fhir:value "C4DIC Patient"] ;
      fhir:StructureDefinition.status [ fhir:value "active"] ;
      fhir:StructureDefinition.date [ fhir:value "2026-08-13T02:29:19+10:00"^^xsd:dateTime] ;
      fhir:StructureDefinition.publisher [ fhir:value "HL7 International / Payer/Provider Information Exchange Work Group"] ;
      fhir:StructureDefinition.contact [
         fhir:index 0 ;
         fhir:ContactDetail.name [ fhir:value "HL7 International / Payer/Provider Information Exchange Work Group" ] ;
         fhir:ContactDetail.telecom [
           fhir:index 0 ;
           fhir:ContactPoint.system [ fhir:value "url" ] ;
           fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/claims" ]
         ], [
           fhir:index 1 ;
           fhir:ContactPoint.system [ fhir:value "email" ] ;
           fhir:ContactPoint.value [ fhir:value "pie@lists.HL7.org" ]
         ]
      ] ;
      fhir:StructureDefinition.description [ fhir:value "The goal of this profile is to describe a data-minimized version of Patient used to convey information about the Member who has health insurance coverage. Information that would normally not appear on a health insurance card is not required. The use of this profile is only approved for conveying information related to a health insurance card as part of this IG."] ;
      fhir:StructureDefinition.jurisdiction [
         fhir:index 0 ;
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
           fhir:Coding.code [ fhir:value "US" ]
         ]
      ] ;
      fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
      fhir:StructureDefinition.mapping [
         fhir:index 0 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
      ], [
         fhir:index 1 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3/cda" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "CDA (R2)" ]
      ], [
         fhir:index 2 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ]
      ], [
         fhir:index 3 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ]
      ], [
         fhir:index 4 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "loinc" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://loinc.org" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "LOINC code for the element" ]
      ] ;
      fhir:StructureDefinition.kind [ fhir:value "resource"] ;
      fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
      fhir:StructureDefinition.type [ fhir:value "Patient"] ;
      fhir:StructureDefinition.baseDefinition [
         fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0" ;
         fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0>
      ] ;
      fhir:StructureDefinition.derivation [ fhir:value "constraint"] ;
      fhir:StructureDefinition.snapshot [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
           fhir:Extension.valueString [ fhir:value "6.1.0" ]
         ] ;
         fhir:StructureDefinition.snapshot.element [
           fhir:index 0 ;
           fhir:Element.id [ fhir:value "Patient" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient" ] ;
           fhir:ElementDefinition.short [ fhir:value "Information about an individual who has health insurance coverage" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Demographics and other administrative information about an individual with insurance coverage provided by a health plan." ] ;
           fhir:ElementDefinition.comment [ fhir:value "\\-" ] ;
           fhir:ElementDefinition.alias [
             fhir:value "SubjectOfCare Client Resident" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "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" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "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()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 4 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
               fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
             ], [
               fhir:index 1 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
               fhir:Extension.valueMarkdown [ fhir:value "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." ]
             ] ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient[classCode=PAT]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument.recordTarget.patientRole" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient" ]
           ]
         ], [
           fhir:index 1 ;
           fhir:Element.id [ fhir:value "Patient.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.id" ] ;
           fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "id" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 2 ;
           fhir:Element.id [ fhir:value "Patient.meta" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta" ] ;
           fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ] ;
           fhir:ElementDefinition.definition [ fhir:value "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." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Meta" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 3 ;
           fhir:Element.id [ fhir:value "Patient.meta.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 4 ;
           fhir:Element.id [ fhir:value "Patient.meta.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 5 ;
           fhir:Element.id [ fhir:value "Patient.meta.versionId" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.versionId" ] ;
           fhir:ElementDefinition.short [ fhir:value "Version specific identifier" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Meta.versionId" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "id" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 6 ;
           fhir:Element.id [ fhir:value "Patient.meta.lastUpdated" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.lastUpdated" ] ;
           fhir:ElementDefinition.short [ fhir:value "When the resource version last changed" ] ;
           fhir:ElementDefinition.definition [ fhir:value "When the resource last changed - e.g. when the version changed." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Defines the date the Resource was created or updated, whichever comes last.  Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Meta.lastUpdated" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "instant" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 7 ;
           fhir:Element.id [ fhir:value "Patient.meta.source" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.source" ] ;
           fhir:ElementDefinition.short [ fhir:value "Identifies where the resource comes from" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." ] ;
           fhir:ElementDefinition.comment [ fhir:value "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Meta.source" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 8 ;
           fhir:Element.id [ fhir:value "Patient.meta.profile" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.profile" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value" ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Profiles this resource claims to conform to" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "meta.profile is required as a matter of convenience of receiving systems. The meta.profile should be used by the Server to hint/assert/declare that this instance conforms to one (or more) stated profiles (with business versions). meta.profile does not capture any business logic, processing directives, or semantics (for example, inpatient or outpatient). Clients should not assume that the Server will exhaustively indicate all profiles with all versions that this instance conforms to. Clients can (and should) perform their own validation of conformance to the indicated profile(s) and to any other profiles of interest." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Meta.profile" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "canonical" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 9 ;
           fhir:Element.id [ fhir:value "Patient.meta.profile:supportedProfile" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.profile" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "supportedProfile" ] ;
           fhir:ElementDefinition.short [ fhir:value "Profiles this resource claims to conform to" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Meta.profile" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "canonical" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.patternCanonical [
             fhir:value "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient" ;
             fhir:link <http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient>
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 10 ;
           fhir:Element.id [ fhir:value "Patient.meta.security" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.security" ] ;
           fhir:ElementDefinition.short [ fhir:value "Security Labels applied to this resource" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Meta.security" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "SecurityLabels" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "Security Labels from the Healthcare Privacy and Security Classification System." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/security-labels|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/security-labels|4.0.1>
             ]
           ]
         ], [
           fhir:index 11 ;
           fhir:Element.id [ fhir:value "Patient.meta.tag" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.tag" ] ;
           fhir:ElementDefinition.short [ fhir:value "Tags applied to this resource" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Meta.tag" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "Tags" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/common-tags|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/common-tags|4.0.1>
             ]
           ]
         ], [
           fhir:index 12 ;
           fhir:Element.id [ fhir:value "Patient.implicitRules" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.implicitRules" ] ;
           fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "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" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 13 ;
           fhir:Element.id [ fhir:value "Patient.language" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.language" ] ;
           fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ] ;
               fhir:Extension.valueCanonical [
                 fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ;
                 fhir:link <http://hl7.org/fhir/ValueSet/all-languages>
               ]
             ], [
               fhir:index 1 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "Language" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "A human language." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/languages" ;
               fhir:link <http://hl7.org/fhir/ValueSet/languages>
             ]
           ]
         ], [
           fhir:index 14 ;
           fhir:Element.id [ fhir:value "Patient.text" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.text" ] ;
           fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ] ;
           fhir:ElementDefinition.definition [ fhir:value "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." ] ;
           fhir:ElementDefinition.comment [ fhir:value "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." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "narrative" ;
             fhir:index 0
           ], [
             fhir:value "html" ;
             fhir:index 1
           ], [
             fhir:value "xhtml" ;
             fhir:index 2
           ], [
             fhir:value "display" ;
             fhir:index 3
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]
           ]
         ], [
           fhir:index 15 ;
           fhir:Element.id [ fhir:value "Patient.contained" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contained" ] ;
           fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ] ;
           fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ;
           fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "inline resources" ;
             fhir:index 0
           ], [
             fhir:value "anonymous resources" ;
             fhir:index 1
           ], [
             fhir:value "contained resources" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Resource" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 16 ;
           fhir:Element.id [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 17 ;
           fhir:Element.id [ fhir:value "Patient.extension:race" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "race" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) US Core Race Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n   - American Indian or Alaska Native\n   - Asian\n   - Black or African American\n   - Native Hawaiian or Other Pacific Islander\n   - White." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-race>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.extension" ]
           ]
         ], [
           fhir:index 18 ;
           fhir:Element.id [ fhir:value "Patient.extension:ethnicity" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "ethnicity" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) US Core ethnicity Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.extension" ]
           ]
         ], [
           fhir:index 19 ;
           fhir:Element.id [ fhir:value "Patient.extension:tribalAffiliation" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "tribalAffiliation" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Tribal Affiliation Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A tribe or band with which a person associates whether or not they are an enrolled member." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 20 ;
           fhir:Element.id [ fhir:value "Patient.extension:birthsex" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "birthsex" ] ;
           fhir:ElementDefinition.short [ fhir:value "Birth Sex Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The codes required are intended to present birth sex (i.e., the sex recorded on the patient's birth certificate) and not gender identity or reassigned sex." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "iso11179" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".patient.administrativeGenderCode" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.extension" ]
           ]
         ], [
           fhir:index 21 ;
           fhir:Element.id [ fhir:value "Patient.extension:sex" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "sex" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Sex Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The US Core Sex Extension is used to reflect the documentation of a person's sex. It aligns with the C-CDA Sex Observation (LOINC 46098-0)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 22 ;
           fhir:Element.id [ fhir:value "Patient.extension:genderIdentity" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "genderIdentity" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) The individual's gender identity" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else." ] ;
           fhir:ElementDefinition.comment [ fhir:value "This represents an individual's identity, ascertained by asking them what that identity is." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 23 ;
           fhir:Element.id [ fhir:value "Patient.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "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)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 24 ;
           fhir:Element.id [ fhir:value "Patient.identifier" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) An identifier for this patient" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An identifier for this patient." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Patients are almost always assigned specific numerical identifiers." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.identifier" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-3" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "id" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".id" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.identifier" ]
           ]
         ], [
           fhir:index 25 ;
           fhir:Element.id [ fhir:value "Patient.identifier.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 26 ;
           fhir:Element.id [ fhir:value "Patient.identifier.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 27 ;
           fhir:Element.id [ fhir:value "Patient.identifier.use" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.use" ] ;
           fhir:ElementDefinition.short [ fhir:value "usual | official | temp | secondary | old (If known)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The purpose of this identifier." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Identifier.use" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one." ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "IdentifierUse" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "Identifies the purpose for this identifier, if known ." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/identifier-use|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Role.code or implied by context" ]
           ]
         ], [
           fhir:index 28 ;
           fhir:Element.id [ fhir:value "Patient.identifier.type" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.type" ] ;
           fhir:ElementDefinition.short [ fhir:value "Description of identifier" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." ] ;
           fhir:ElementDefinition.comment [ fhir:value "This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Allows users to make use of identifiers when the identifier system is not known." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Identifier.type" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "IdentifierType" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/identifier-type" ;
               fhir:link <http://hl7.org/fhir/ValueSet/identifier-type>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "CX.5" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Role.code or implied by context" ]
           ]
         ], [
           fhir:index 29 ;
           fhir:Element.id [ fhir:value "Patient.identifier.system" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.system" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) The namespace for the identifier value" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Establishes the namespace for the value - that is, a URL that describes a set values that are unique." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Identifier.system is always case sensitive." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Identifier.system" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueUri [ fhir:value "http://www.acme.com/identifiers/patient" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "CX.4 / EI-2-4" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "II.root or Role.id.root" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./IdentifierType" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.identifier.system" ]
           ]
         ], [
           fhir:index 30 ;
           fhir:Element.id [ fhir:value "Patient.identifier.value" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.value" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) The value that is unique within the system." ] ;
           fhir:ElementDefinition.definition [ fhir:value "The portion of the identifier typically relevant to the user and which is unique within the context of the system." ] ;
           fhir:ElementDefinition.comment [ fhir:value "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](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." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Identifier.value" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueString [ fhir:value "123456" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "CX.1 / EI.1" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./Value" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.identifier.value" ]
           ]
         ], [
           fhir:index 31 ;
           fhir:Element.id [ fhir:value "Patient.identifier.period" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.period" ] ;
           fhir:ElementDefinition.short [ fhir:value "Time period when id is/was valid for use" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Time period during which identifier is/was valid for use." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Identifier.period" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "CX.7 + CX.8" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Role.effectiveTime or implied by context" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./StartDate and ./EndDate" ]
           ]
         ], [
           fhir:index 32 ;
           fhir:Element.id [ fhir:value "Patient.identifier.assigner" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.identifier.assigner" ] ;
           fhir:ElementDefinition.short [ fhir:value "Organization that issued id (may be just text)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Organization that issued/manages the identifier." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Identifier.assigner" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "CX.4 / (CX.4,CX.9,CX.10)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./IdentifierIssuingAuthority" ]
           ]
         ], [
           fhir:index 33 ;
           fhir:Element.id [ fhir:value "Patient.active" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.active" ] ;
           fhir:ElementDefinition.short [ fhir:value "Whether this patient's record is in active use" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Whether this patient record is in active use. \nMany systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death." ] ;
           fhir:ElementDefinition.comment [ fhir:value "If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Need to be able to mark a patient record as not to be used because it was created in error." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.active" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ] ;
           fhir:ElementDefinition.meaningWhenMissing [ fhir:value "This resource is generally assumed to be active if no value is provided for the active element" ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "statusCode" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 34 ;
           fhir:Element.id [ fhir:value "Patient.name" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) A name associated with the patient" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A name associated with the individual." ] ;
           fhir:ElementDefinition.comment [ fhir:value "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Need to be able to track the patient by multiple names. Examples are your official name and a partner name." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.name" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "us-core-6" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present." ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "(family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "(/f:extension/@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason' and not(/f:family or /f:given)) or (not(/f:extension/@url='http://hl7.org/fhir/StructureDefinition/data-absent-reason') and (/f:family or /f:given))" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-5, PID-9" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "name" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".patient.name" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.name" ]
           ]
         ], [
           fhir:index 35 ;
           fhir:Element.id [ fhir:value "Patient.name.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 36 ;
           fhir:Element.id [ fhir:value "Patient.name.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 37 ;
           fhir:Element.id [ fhir:value "Patient.name.use" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.use" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) usual | official | temp | nickname | anonymous | old | maiden" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Identifies the purpose for this name." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Applications can assume that a name is current unless it explicitly says that it is temporary or old." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Allows the appropriate name for a particular context of use to be selected from among a set of names." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "HumanName.use" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "NameUse" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The use of a human name." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/name-use|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/name-use|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XPN.7, but often indicated by which field contains the name" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./use)" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./NamePurpose" ]
           ]
         ], [
           fhir:index 38 ;
           fhir:Element.id [ fhir:value "Patient.name.text" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.text" ] ;
           fhir:ElementDefinition.short [ fhir:value "Text representation of the full name" ] ;
           fhir:ElementDefinition.definition [ fhir:value "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." ] ;
           fhir:ElementDefinition.comment [ fhir:value "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." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "A renderable, unencoded form." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "HumanName.text" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "implied by XPN.11" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./formatted" ]
           ]
         ], [
           fhir:index 39 ;
           fhir:Element.id [ fhir:value "Patient.name.family" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.family" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Family name (often called 'Surname')" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Where an individual has only one name, payers SHALL provide the information as family name to ensure consistency." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "surname" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "HumanName.family" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "us-core-6" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XPN.1/FN.1" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./part[partType = FAM]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./FamilyName" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.name.family" ]
           ]
         ], [
           fhir:index 40 ;
           fhir:Element.id [ fhir:value "Patient.name.given" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.given" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Given names (not always 'first'). Includes middle names" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Given name." ] ;
           fhir:ElementDefinition.comment [ fhir:value "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." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "first name" ;
             fhir:index 0
           ], [
             fhir:value "middle name" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "HumanName.given" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.orderMeaning [ fhir:value "Given Names appear in the correct order for presenting the name" ] ;
           fhir:ElementDefinition.condition [
             fhir:value "us-core-6" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XPN.2 + XPN.3" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./part[partType = GIV]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./GivenNames" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.name.given" ]
           ]
         ], [
           fhir:index 41 ;
           fhir:Element.id [ fhir:value "Patient.name.prefix" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.prefix" ] ;
           fhir:ElementDefinition.short [ fhir:value "Parts that come before the name" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "HumanName.prefix" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.orderMeaning [ fhir:value "Prefixes appear in the correct order for presenting the name" ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XPN.5" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./part[partType = PFX]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./TitleCode" ]
           ]
         ], [
           fhir:index 42 ;
           fhir:Element.id [ fhir:value "Patient.name.suffix" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.suffix" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Parts that come after the name" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "HumanName.suffix" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.orderMeaning [ fhir:value "Suffixes appear in the correct order for presenting the name" ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XPN/4" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./part[partType = SFX]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 43 ;
           fhir:Element.id [ fhir:value "Patient.name.period" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.period" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Time period when name was/is in use" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates the period of time when this name was valid for the named person." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Allows names to be placed in historical context." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "HumanName.period" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XPN.13 + XPN.14" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./usablePeriod[type=\"IVL<TS>\"]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./StartDate and ./EndDate" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 44 ;
           fhir:Element.id [ fhir:value "Patient.telecom" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) A contact detail for the individual" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted." ] ;
           fhir:ElementDefinition.comment [ fhir:value "A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone)." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "People have (primary) ways to contact them in some way such as phone, email." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.telecom" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-13, PID-14, PID-40" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "telecom" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".telecom" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 45 ;
           fhir:Element.id [ fhir:value "Patient.telecom.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 46 ;
           fhir:Element.id [ fhir:value "Patient.telecom.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 47 ;
           fhir:Element.id [ fhir:value "Patient.telecom.system" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom.system" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) phone | fax | email | pager | url | sms | other" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Telecommunications form for contact point - what communications system is required to make use of the contact." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "ContactPoint.system" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "cpt-2" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "Telecommunications form for contact point." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/contact-point-system" ;
               fhir:link <http://hl7.org/fhir/ValueSet/contact-point-system>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XTN.3" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./scheme" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./ContactPointType" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 48 ;
           fhir:Element.id [ fhir:value "Patient.telecom.value" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom.value" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) The actual contact point details" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Need to support legacy numbers that are not in a tightly controlled format." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "ContactPoint.value" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XTN.1 (or XTN.12)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./url" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./Value" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 49 ;
           fhir:Element.id [ fhir:value "Patient.telecom.use" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom.use" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) home | work | temp | old | mobile - purpose of this contact point" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Identifies the purpose for the contact point." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Applications can assume that a contact is current unless it explicitly says that it is temporary or old." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "ContactPoint.use" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/contact-point-use" ;
               fhir:link <http://hl7.org/fhir/ValueSet/contact-point-use>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XTN.2 - but often indicated by field" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./use)" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./ContactPointPurpose" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 50 ;
           fhir:Element.id [ fhir:value "Patient.telecom.rank" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom.rank" ] ;
           fhir:ElementDefinition.short [ fhir:value "Specify preferred order of use (1 = highest)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "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." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Note that rank does not necessarily follow the order in which the contacts are represented in the instance." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "ContactPoint.rank" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 51 ;
           fhir:Element.id [ fhir:value "Patient.telecom.period" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.telecom.period" ] ;
           fhir:ElementDefinition.short [ fhir:value "Time period when the contact point was/is in use" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Time period when the contact point was/is in use." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "ContactPoint.period" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./usablePeriod[type=\"IVL<TS>\"]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./StartDate and ./EndDate" ]
           ]
         ], [
           fhir:index 52 ;
           fhir:Element.id [ fhir:value "Patient.gender" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.gender" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) male | female | other | unknown" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes." ] ;
           fhir:ElementDefinition.comment [ fhir:value "MAY be excluded. Gender is not a data element typically found on physical insurance cards. Furthermore, self-identified gender may change over time. Including this element could create a situation where the gender element in the provided resource does not match that in another form of identification or does not match the member's self-identified gender." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Needed for identification of the individual, in combination with (at least) name and birth date." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.gender" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/administrative-gender" ;
               fhir:link <http://hl7.org/fhir/ValueSet/administrative-gender>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-8" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".patient.administrativeGenderCode" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.gender" ]
           ]
         ], [
           fhir:index 53 ;
           fhir:Element.id [ fhir:value "Patient.birthDate" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.birthDate" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) The date of birth for the individual" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The date of birth for the individual." ] ;
           fhir:ElementDefinition.comment [ fhir:value "MAY be excluded. This data element is printed on some physical insurance cards, but not all." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Age of the individual drives many clinical processes." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.birthDate" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "date" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-7" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".patient.birthTime" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "loinc" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "21112-8" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.birthDate" ]
           ]
         ], [
           fhir:index 54 ;
           fhir:Element.id [ fhir:value "Patient.deceased[x]" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.deceased[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Indicates if the individual is deceased or not" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates if the individual is deceased or not." ] ;
           fhir:ElementDefinition.comment [ fhir:value "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.deceased[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different." ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-30  (bool) and PID-29 (datetime)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 55 ;
           fhir:Element.id [ fhir:value "Patient.address" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) An address for the individual" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An address for the individual." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Patient may have multiple addresses with different uses or applicable periods." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.address" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Address" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-11" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "addr" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".addr" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.birthDate" ]
           ]
         ], [
           fhir:index 56 ;
           fhir:Element.id [ fhir:value "Patient.address.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 57 ;
           fhir:Element.id [ fhir:value "Patient.address.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 58 ;
           fhir:Element.id [ fhir:value "Patient.address.use" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.use" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) home | work | temp | old | billing - purpose of this address" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The purpose of this address." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Applications can assume that an address is current unless it explicitly says that it is temporary or old." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Allows an appropriate address to be chosen from a list of many." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.use" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueCode [ fhir:value "home" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "AddressUse" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The use of an address." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/address-use|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/address-use|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.7" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./use)" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./AddressPurpose" ]
           ]
         ], [
           fhir:index 59 ;
           fhir:Element.id [ fhir:value "Patient.address.type" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.type" ] ;
           fhir:ElementDefinition.short [ fhir:value "postal | physical | both" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both." ] ;
           fhir:ElementDefinition.comment [ fhir:value "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](http://hl7.org/fhir/R4/location.html#) resource)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.type" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueCode [ fhir:value "both" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "AddressType" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The type of an address (physical / postal)." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/address-type|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/address-type|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.18" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./use)" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "vcard" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "address type parameter" ]
           ]
         ], [
           fhir:index 60 ;
           fhir:Element.id [ fhir:value "Patient.address.text" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.text" ] ;
           fhir:ElementDefinition.short [ fhir:value "Text representation of the address" ] ;
           fhir:ElementDefinition.definition [ fhir:value "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." ] ;
           fhir:ElementDefinition.comment [ fhir:value "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." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "A renderable, unencoded form." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.text" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueString [ fhir:value "137 Nowhere Street, Erewhon 9132" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./formatted" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "vcard" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "address label parameter" ]
           ]
         ], [
           fhir:index 61 ;
           fhir:Element.id [ fhir:value "Patient.address.line" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.line" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Street name, number, direction & P.O. Box etc." ] ;
           fhir:ElementDefinition.definition [ fhir:value "This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.line" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.orderMeaning [ fhir:value "The order in which lines should appear in an address label" ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueString [ fhir:value "137 Nowhere Street" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "AD.part[parttype = AL]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "vcard" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "street" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./StreetAddress (newline delimitted)" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 62 ;
           fhir:Element.id [ fhir:value "Patient.address.city" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.city" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Name of city, town etc." ] ;
           fhir:ElementDefinition.definition [ fhir:value "The name of the city, town, suburb, village or other community or delivery center." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "Municpality" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.city" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueString [ fhir:value "Erewhon" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.3" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "AD.part[parttype = CTY]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "vcard" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "locality" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./Jurisdiction" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 63 ;
           fhir:Element.id [ fhir:value "Patient.address.district" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.district" ] ;
           fhir:ElementDefinition.short [ fhir:value "District name (aka county)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The name of the administrative area (county)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "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." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "County" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.district" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueString [ fhir:value "Madison" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.9" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "AD.part[parttype = CNT | CPA]" ]
           ]
         ], [
           fhir:index 64 ;
           fhir:Element.id [ fhir:value "Patient.address.state" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.state" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Sub-unit of country (abbreviations ok)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "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)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "Province" ;
             fhir:index 0
           ], [
             fhir:value "Territory" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.state" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "Two Letter USPS alphabetic codes." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state" ;
               fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.4" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "AD.part[parttype = STA]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "vcard" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "region" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./Region" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 65 ;
           fhir:Element.id [ fhir:value "Patient.address.postalCode" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.postalCode" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) US Zip Codes" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A postal code designating a region defined by the postal service." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "Zip" ;
             fhir:index 0
           ], [
             fhir:value "Zip Code" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.postalCode" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valueString [ fhir:value "9132" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.5" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "AD.part[parttype = ZIP]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "vcard" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "code" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./PostalIdentificationCode" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 66 ;
           fhir:Element.id [ fhir:value "Patient.address.country" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.country" ] ;
           fhir:ElementDefinition.short [ fhir:value "Country (e.g. can be ISO 3166 2 or 3 letter code)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Country - a nation as commonly understood or generally accepted." ] ;
           fhir:ElementDefinition.comment [ fhir:value "ISO 3166 3 letter codes can be used in place of a human readable country name." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.country" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.6" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "AD.part[parttype = CNT]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "vcard" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "country" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./Country" ]
           ]
         ], [
           fhir:index 67 ;
           fhir:Element.id [ fhir:value "Patient.address.period" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.address.period" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) Time period when address was/is in use" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Time period when address was/is in use." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Allows addresses to be placed in historical context." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Address.period" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]
           ] ;
           fhir:ElementDefinition.example [
             fhir:index 0 ;
             fhir:ElementDefinition.example.label [ fhir:value "General" ] ;
             fhir:ElementDefinition.example.valuePeriod [
               fhir:Period.start [ fhir:value "2010-03-23"^^xsd:date ] ;
               fhir:Period.end [ fhir:value "2010-07-01"^^xsd:date ]
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "XAD.12 / XAD.13 + XAD.14" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./usablePeriod[type=\"IVL<TS>\"]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "servd" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "./StartDate and ./EndDate" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NA" ]
           ]
         ], [
           fhir:index 68 ;
           fhir:Element.id [ fhir:value "Patient.maritalStatus" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.maritalStatus" ] ;
           fhir:ElementDefinition.short [ fhir:value "Marital (civil) status of a patient" ] ;
           fhir:ElementDefinition.definition [ fhir:value "This field contains a patient's most recent marital (civil) status." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Most, if not all systems capture it." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.maritalStatus" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "MaritalStatus" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The domestic partnership status of a person." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/marital-status" ;
               fhir:link <http://hl7.org/fhir/ValueSet/marital-status>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-16" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN]/maritalStatusCode" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".patient.maritalStatusCode" ]
           ]
         ], [
           fhir:index 69 ;
           fhir:Element.id [ fhir:value "Patient.multipleBirth[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.multipleBirth[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Whether patient is part of a multiple birth" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated)." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.multipleBirth[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "integer" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-24 (bool), PID-25 (integer)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 70 ;
           fhir:Element.id [ fhir:value "Patient.photo" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.photo" ] ;
           fhir:ElementDefinition.short [ fhir:value "Image of the patient" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Image of the patient." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.photo" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 - needs a profile" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 71 ;
           fhir:Element.id [ fhir:value "Patient.contact" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact" ] ;
           fhir:ElementDefinition.short [ fhir:value "A contact party (e.g. guardian, partner, friend) for the patient" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A contact party (e.g. guardian, partner, friend) for the patient." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Need to track people you can contact about the patient." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "pat-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "SHALL at least contain a contact's details or a reference to an organization" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "name.exists() or telecom.exists() or address.exists() or organization.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 72 ;
           fhir:Element.id [ fhir:value "Patient.contact.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 73 ;
           fhir:Element.id [ fhir:value "Patient.contact.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 74 ;
           fhir:Element.id [ fhir:value "Patient.contact.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element 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)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "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)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 75 ;
           fhir:Element.id [ fhir:value "Patient.contact.relationship" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.relationship" ] ;
           fhir:ElementDefinition.short [ fhir:value "The kind of relationship" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The nature of the relationship between the patient and the contact person." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Used to determine which contact person is the most relevant to approach, depending on circumstances." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact.relationship" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ContactRelationship" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The nature of the relationship between a patient and a contact person for that patient." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/patient-contactrelationship" ;
               fhir:link <http://hl7.org/fhir/ValueSet/patient-contactrelationship>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NK1-7, NK1-3" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "code" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 76 ;
           fhir:Element.id [ fhir:value "Patient.contact.name" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.name" ] ;
           fhir:ElementDefinition.short [ fhir:value "A name associated with the contact person" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A name associated with the contact person." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact.name" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NK1-2" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "name" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 77 ;
           fhir:Element.id [ fhir:value "Patient.contact.telecom" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.telecom" ] ;
           fhir:ElementDefinition.short [ fhir:value "A contact detail for the person" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A contact detail for the person, e.g. a telephone number or an email address." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "People have (primary) ways to contact them in some way such as phone, email." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact.telecom" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NK1-5, NK1-6, NK1-40" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "telecom" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 78 ;
           fhir:Element.id [ fhir:value "Patient.contact.address" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.address" ] ;
           fhir:ElementDefinition.short [ fhir:value "Address for the contact person" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Address for the contact person." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Need to keep track where the contact person can be contacted per postal mail or visited." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact.address" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Address" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NK1-4" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "addr" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 79 ;
           fhir:Element.id [ fhir:value "Patient.contact.gender" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.gender" ] ;
           fhir:ElementDefinition.short [ fhir:value "male | female | other | unknown" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Needed to address the person correctly." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact.gender" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "AdministrativeGender" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The gender of a person used for administrative purposes." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NK1-15" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 80 ;
           fhir:Element.id [ fhir:value "Patient.contact.organization" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.organization" ] ;
           fhir:ElementDefinition.short [ fhir:value "Organization that is associated with the contact" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Organization on behalf of which the contact is acting or for which the contact is working." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "For guardians or business related contacts, the organization is relevant." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact.organization" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "pat-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "scoper" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 81 ;
           fhir:Element.id [ fhir:value "Patient.contact.period" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.contact.period" ] ;
           fhir:ElementDefinition.short [ fhir:value "The period during which this contact person or organization is valid to be contacted relating to this patient" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The period during which this contact person or organization is valid to be contacted relating to this patient." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.contact.period" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "effectiveTime" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 82 ;
           fhir:Element.id [ fhir:value "Patient.communication" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.communication" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) A language which may be used to communicate with the patient about his or her health" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A language which may be used to communicate with the patient about his or her health." ] ;
           fhir:ElementDefinition.comment [ fhir:value "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.communication" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "LanguageCommunication" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "patient.languageCommunication" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.communication" ]
           ]
         ], [
           fhir:index 83 ;
           fhir:Element.id [ fhir:value "Patient.communication.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.communication.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 84 ;
           fhir:Element.id [ fhir:value "Patient.communication.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.communication.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 85 ;
           fhir:Element.id [ fhir:value "Patient.communication.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.communication.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element 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)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "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)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 86 ;
           fhir:Element.id [ fhir:value "Patient.communication.language" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement" ] ;
             fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.communication.language" ] ;
           fhir:ElementDefinition.short [ fhir:value "(USCDI) The language which can be used to communicate with the patient about his or her health" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.communication.language" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/us/core/ValueSet/simple-language" ;
               fhir:link <http://hl7.org/fhir/us/core/ValueSet/simple-language>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-15, LAN-2" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".languageCode" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Patient.communication.language" ]
           ]
         ], [
           fhir:index 87 ;
           fhir:Element.id [ fhir:value "Patient.communication.preferred" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.communication.preferred" ] ;
           fhir:ElementDefinition.short [ fhir:value "Language preference indicator" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "This language is specifically identified for communicating healthcare information." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.communication.preferred" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-15" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "preferenceInd" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".preferenceInd" ]
           ]
         ], [
           fhir:index 88 ;
           fhir:Element.id [ fhir:value "Patient.generalPractitioner" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.generalPractitioner" ] ;
           fhir:ElementDefinition.short [ fhir:value "Patient's nominated primary care provider" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Patient's nominated care provider." ] ;
           fhir:ElementDefinition.comment [ fhir:value "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "careProvider" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.generalPractitioner" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner" ;
               fhir:index 1 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ;
               fhir:index 2 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PD1-4" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "subjectOf.CareEvent.performer.AssignedEntity" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 89 ;
           fhir:Element.id [ fhir:value "Patient.managingOrganization" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.managingOrganization" ] ;
           fhir:ElementDefinition.short [ fhir:value "Organization that is the custodian of the patient record" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Organization that is the custodian of the patient record." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association)." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Need to know who recognizes this patient record, manages and updates it." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.managingOrganization" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "scoper" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".providerOrganization" ]
           ]
         ], [
           fhir:index 90 ;
           fhir:Element.id [ fhir:value "Patient.link" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.link" ] ;
           fhir:ElementDefinition.short [ fhir:value "Link to another patient resource that concerns the same actual person" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Link to another patient resource that concerns the same actual patient." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There is no assumption that linked patient records have mutual links." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "There are multiple use cases:   \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.link" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "outboundLink" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 91 ;
           fhir:Element.id [ fhir:value "Patient.link.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.link.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 92 ;
           fhir:Element.id [ fhir:value "Patient.link.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.link.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 93 ;
           fhir:Element.id [ fhir:value "Patient.link.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.link.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element 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)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "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)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 94 ;
           fhir:Element.id [ fhir:value "Patient.link.other" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.link.other" ] ;
           fhir:ElementDefinition.short [ fhir:value "The other patient or related person resource that the link refers to" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The other patient resource that the link refers to." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.link.other" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy" ] ;
               fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ;
               fhir:index 1 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-3, MRG-1" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "id" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 95 ;
           fhir:Element.id [ fhir:value "Patient.link.type" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.link.type" ] ;
           fhir:ElementDefinition.short [ fhir:value "replaced-by | replaces | refer | seealso" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The type of link between this patient resource and another patient resource." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Patient.link.type" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "LinkType" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The type of link between this patient resource and another patient resource." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/link-type|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/link-type|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "typeCode" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ]
      ] ;
      fhir:StructureDefinition.differential [
         fhir:StructureDefinition.differential.element [
           fhir:index 0 ;
           fhir:Element.id [ fhir:value "Patient" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient" ] ;
           fhir:ElementDefinition.short [ fhir:value "Information about an individual who has health insurance coverage" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Demographics and other administrative information about an individual with insurance coverage provided by a health plan." ]
         ], [
           fhir:index 1 ;
           fhir:Element.id [ fhir:value "Patient.meta" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 2 ;
           fhir:Element.id [ fhir:value "Patient.meta.lastUpdated" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.lastUpdated" ] ;
           fhir:ElementDefinition.comment [ fhir:value "Defines the date the Resource was created or updated, whichever comes last.  Payers SHALL provide the last time the data was updated or the date of creation in the payer’s system of record, whichever comes last." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 3 ;
           fhir:Element.id [ fhir:value "Patient.meta.profile" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.profile" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "pattern" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on value" ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.comment [ fhir:value "meta.profile is required as a matter of convenience of receiving systems. The meta.profile should be used by the Server to hint/assert/declare that this instance conforms to one (or more) stated profiles (with business versions). meta.profile does not capture any business logic, processing directives, or semantics (for example, inpatient or outpatient). Clients should not assume that the Server will exhaustively indicate all profiles with all versions that this instance conforms to. Clients can (and should) perform their own validation of conformance to the indicated profile(s) and to any other profiles of interest." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]
         ], [
           fhir:index 4 ;
           fhir:Element.id [ fhir:value "Patient.meta.profile:supportedProfile" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.meta.profile" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "supportedProfile" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.patternCanonical [
             fhir:value "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient" ;
             fhir:link <http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Patient>
           ]
         ], [
           fhir:index 5 ;
           fhir:Element.id [ fhir:value "Patient.name" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name" ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ]
         ], [
           fhir:index 6 ;
           fhir:Element.id [ fhir:value "Patient.name.family" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.name.family" ] ;
           fhir:ElementDefinition.comment [ fhir:value "Where an individual has only one name, payers SHALL provide the information as family name to ensure consistency." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]
         ], [
           fhir:index 7 ;
           fhir:Element.id [ fhir:value "Patient.gender" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.gender" ] ;
           fhir:ElementDefinition.comment [ fhir:value "MAY be excluded. Gender is not a data element typically found on physical insurance cards. Furthermore, self-identified gender may change over time. Including this element could create a situation where the gender element in the provided resource does not match that in another form of identification or does not match the member's self-identified gender." ]
         ], [
           fhir:index 8 ;
           fhir:Element.id [ fhir:value "Patient.birthDate" ] ;
           fhir:ElementDefinition.path [ fhir:value "Patient.birthDate" ] ;
           fhir:ElementDefinition.comment [ fhir:value "MAY be excluded. This data element is printed on some physical insurance cards, but not all." ]
         ]
      ] .

    # - ontology header ------------------------------------------------------------

    <http://hl7.org/fhir/StructureDefinition/C4DIC-Patient.ttl> a owl:Ontology ;
      owl:imports fhir:fhir.ttl ;
      owl:versionIRI <http://build.fhir.org/StructureDefinition/C4DIC-Patient.ttl> .