Profile qicore-patient

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-patient"/>
  <url value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient"/>
  <name value="Profile qicore-patient"/>
  <status value="draft"/>
  <publisher
             value="Health Level Seven International (Clinical Quality Information - QICore)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <date value="2015-02-27"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <mapping>
    <identity value="qidam"/>
    <uri
         value="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378"/>
    <name value="Quality Improvement Domain Analysis Model"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="cda"/>
    <uri value="http://hl7.org/v3/cda"/>
    <name value="CDA (R2)"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <mapping>
    <identity value="loinc"/>
    <uri value="http://loinc.org"/>
    <name value="LOINC code for the element"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Patient"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Patient:patient-qicore">
      <path value="Patient"/>
      <name value="patient-qicore"/>
      <short
             value="Information about an individual or animal receiving health care services"/>
      <definition
                  value="Demographics and other administrative information about an individual or animal receiving care or other health-related services."/>
      <alias value="SubjectOfCare Client Resident"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
      </constraint>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Patient[classCode=PAT]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="ClinicalDocument.recordTarget.patientRole"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.individual"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Patient Characteristic"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.id">
      <path value="Patient.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments
                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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Patient:patient-qicore.meta">
      <path value="Patient.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Patient:patient-qicore.implicitRules">
      <path value="Patient.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  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."/>
      <comments
                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 as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Patient:patient-qicore.language">
      <path value="Patient.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments
                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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient:patient-qicore.text">
      <path value="Patient.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may 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."/>
      <comments
                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 in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contained">
      <path value="Patient.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  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."/>
      <comments
                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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension">
      <path value="Patient.extension"/>
      <slicing id="12">
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element id="Patient:patient-qicore.extension:race$us-core-race">
      <path value="Patient.extension"/>
      <name value="race"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-race"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="Race of the patient"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-race"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="Race"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:ethnicity$us-core-ethnicity">
      <path value="Patient.extension"/>
      <name value="ethnicity"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/us-core-ethnicity"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="Ethnicity of the patient"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-ethnicity"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="Ethnicity"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:religion$us-core-religion">
      <path value="Patient.extension"/>
      <name value="religion"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/us-core-religion"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Religious affiliation of the patient."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/v3-ReligiousAffiliation"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qidam"/>
        <map value="From DAF"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:birthplace$birthPlace">
      <path value="Patient.extension"/>
      <name value="birthPlace"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/birthPlace"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map value="From DAF"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:disability$patient-disability">
      <path value="Patient.extension"/>
      <name value="disability"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-disability"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The disabilities of the patient"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-patient-disability"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality">
      <path value="Patient.extension"/>
      <name value="nationality"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-nationality"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not QIDAM, but recognized as important for infectious disease decision support (e.g., flag patient from Liberia for ebola screening)"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.id">
      <path value="Patient.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension">
      <path value="Patient.extension.extension"/>
      <slicing id="44">
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:code">
      <path value="Patient.extension.extension"/>
      <name value="code"/>
      <short value="Nationality Code"/>
      <definition value="Code representing nationality of patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:code.id">
      <path value="Patient.extension.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:code.extension:extension">
      <path value="Patient.extension.extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:code.url">
      <path value="Patient.extension.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="code"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:code.valueCodeableConcept">
      <path value="Patient.extension.extension.valueCodeableConcept"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:period">
      <path value="Patient.extension.extension"/>
      <name value="period"/>
      <short value="Nationality Period"/>
      <definition value="Period when nationality was effective."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:period.id">
      <path value="Patient.extension.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:period.extension:extension">
      <path value="Patient.extension.extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:period.url">
      <path value="Patient.extension.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="period"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:period.valuePeriod">
      <path value="Patient.extension.extension.valuePeriod"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:nationalityperiod$patient-nationality#period">
      <path value="Patient.extension.extension"/>
      <name value="nationality.period"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-nationality#period"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map value="(see nationality)"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.url">
      <path value="Patient.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri
                value="http://hl7.org/fhir/StructureDefinition/patient-nationality"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.value[x]">
      <path value="Patient.extension.value[x]"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="code"/>
      </type>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="decimal"/>
      </type>
      <type>
        <code value="id"/>
      </type>
      <type>
        <code value="instant"/>
      </type>
      <type>
        <code value="integer"/>
      </type>
      <type>
        <code value="markdown"/>
      </type>
      <type>
        <code value="oid"/>
      </type>
      <type>
        <code value="positiveInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="time"/>
      </type>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="uri"/>
      </type>
      <type>
        <code value="Address"/>
      </type>
      <type>
        <code value="Age"/>
      </type>
      <type>
        <code value="Annotation"/>
      </type>
      <type>
        <code value="Attachment"/>
      </type>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="ContactPoint"/>
      </type>
      <type>
        <code value="Count"/>
      </type>
      <type>
        <code value="Distance"/>
      </type>
      <type>
        <code value="Duration"/>
      </type>
      <type>
        <code value="HumanName"/>
      </type>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <type>
        <code value="Quantity"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Ratio"/>
      </type>
      <type>
        <code value="Reference"/>
      </type>
      <type>
        <code value="SampledData"/>
      </type>
      <type>
        <code value="Signature"/>
      </type>
      <type>
        <code value="Timing"/>
      </type>
      <type>
        <code value="Meta"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:cadavericdonor$patient-cadavericDonor">
      <path value="Patient.extension"/>
      <name value="cadavericDonor"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <comments value="Do as standard extension on Patient?"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important for CDS; e.g. a CDS system could flag the provider to initiate organ transplantation procedures."/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:militaryservice$qicore-patient-militaryService">
      <path value="Patient.extension"/>
      <name value="militaryService"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient-militaryService"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="The military service of the patient"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-patient-military-service"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important, e.g., veterans may be at increased risk for conditions such as traumatic brain injury, agent orange exposure."/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial">
      <path value="Patient.extension"/>
      <name value="clinicalTrial"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Clinical Trial Participant"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.id">
      <path value="Patient.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension">
      <path value="Patient.extension.extension"/>
      <slicing id="72">
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:nct$patient-clinicalTrial#NCT">
      <path value="Patient.extension.extension"/>
      <name value="NCT"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#NCT"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:nct$patient-clinicalTrial#NCT.id">
      <path value="Patient.extension.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:nct$patient-clinicalTrial#NCT.extension:extension">
      <path value="Patient.extension.extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:nct$patient-clinicalTrial#NCT.url">
      <path value="Patient.extension.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="NCT"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:nct$patient-clinicalTrial#NCT.valueString">
      <path value="Patient.extension.extension.valueString"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:period$patient-clinicalTrial#period">
      <path value="Patient.extension.extension"/>
      <name value="period"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#period"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="start and stop datetime"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:period$patient-clinicalTrial#period.id">
      <path value="Patient.extension.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:period$patient-clinicalTrial#period.extension:extension">
      <path value="Patient.extension.extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:period$patient-clinicalTrial#period.url">
      <path value="Patient.extension.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="period"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:period$patient-clinicalTrial#period.valuePeriod">
      <path value="Patient.extension.extension.valuePeriod"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:reason$patient-clinicalTrial#reason">
      <path value="Patient.extension.extension"/>
      <name value="reason"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#reason"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The code for the condition"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-problem"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:reason$patient-clinicalTrial#reason.id">
      <path value="Patient.extension.extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:reason$patient-clinicalTrial#reason.extension:extension">
      <path value="Patient.extension.extension.extension"/>
      <name value="extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:reason$patient-clinicalTrial#reason.url">
      <path value="Patient.extension.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="reason"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:reason$patient-clinicalTrial#reason.valueCodeableConcept">
      <path value="Patient.extension.extension.valueCodeableConcept"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.url">
      <path value="Patient.extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri
                value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.value[x]">
      <path value="Patient.extension.value[x]"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="base64Binary"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="code"/>
      </type>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="decimal"/>
      </type>
      <type>
        <code value="id"/>
      </type>
      <type>
        <code value="instant"/>
      </type>
      <type>
        <code value="integer"/>
      </type>
      <type>
        <code value="markdown"/>
      </type>
      <type>
        <code value="oid"/>
      </type>
      <type>
        <code value="positiveInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="time"/>
      </type>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="uri"/>
      </type>
      <type>
        <code value="Address"/>
      </type>
      <type>
        <code value="Age"/>
      </type>
      <type>
        <code value="Annotation"/>
      </type>
      <type>
        <code value="Attachment"/>
      </type>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="ContactPoint"/>
      </type>
      <type>
        <code value="Count"/>
      </type>
      <type>
        <code value="Distance"/>
      </type>
      <type>
        <code value="Duration"/>
      </type>
      <type>
        <code value="HumanName"/>
      </type>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <type>
        <code value="Quantity"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <type>
        <code value="Ratio"/>
      </type>
      <type>
        <code value="Reference"/>
      </type>
      <type>
        <code value="SampledData"/>
      </type>
      <type>
        <code value="Signature"/>
      </type>
      <type>
        <code value="Timing"/>
      </type>
      <type>
        <code value="Meta"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:birthtime$patient-birthTime">
      <path value="Patient.extension"/>
      <name value="birthTime"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Birth Date"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.modifierExtension">
      <path value="Patient.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  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. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.identifier">
      <path value="Patient.identifier"/>
      <short value="An identifier for this patient"/>
      <definition value="An identifier for this patient."/>
      <requirements
                    value="Patients are almost always assigned specific numerical identifiers."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.active">
      <path value="Patient.active"/>
      <short value="Whether this patient's record is in active use"/>
      <definition value="Whether this patient record is in active use."/>
      <comments
                value="Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient."/>
      <requirements
                    value="Need to be able to mark a patient record as not to be used because it was created in error."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.active"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.name">
      <path value="Patient.name"/>
      <short value="A name associated with the patient"/>
      <definition value="A name associated with the individual."/>
      <comments
                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."/>
      <requirements
                    value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-5, PID-9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="name"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".patient.name"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.telecom">
      <path value="Patient.telecom"/>
      <short value="A contact detail for the individual"/>
      <definition
                  value="A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted."/>
      <comments
                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 may 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)."/>
      <requirements
                    value="People have (primary) ways to contact them in some way such as phone, email."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-13, PID-14, PID-40"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="telecom"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".telecom"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.telecom.id">
      <path value="Patient.telecom.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.telecom.extension:telecompreferred$iso21090-preferred">
      <path value="Patient.telecom.extension"/>
      <name value="telecom.preferred"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but CDS could need this for notifications in population health contexts, for example."/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.telecom.system">
      <path value="Patient.telecom.system"/>
      <short value="phone | fax | email | pager | other"/>
      <definition
                  value="Telecommunications form for contact point - what communications system is required to make use of the contact."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ContactPoint.system"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <condition value="cpt-2"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Telecommunications form for contact point"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/contact-point-system"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XTN.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./scheme"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ContactPointType"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.telecom.value">
      <path value="Patient.telecom.value"/>
      <short value="The actual contact point details"/>
      <definition
                  value="The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address)."/>
      <comments
                value="Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value."/>
      <requirements
                    value="Need to support legacy numbers that are not in a tightly controlled format."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ContactPoint.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XTN.1 (or XTN.12)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./url"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Value"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.telecom.use">
      <path value="Patient.telecom.use"/>
      <short
             value="home | work | temp | old | mobile - purpose of this contact point"/>
      <definition value="Identifies the purpose for the contact point."/>
      <comments
                value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one. Applications can assume that a contact is current unless it explicitly says that it is temporary or old."/>
      <requirements
                    value="Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ContactPoint.use"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Use of contact point"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/contact-point-use"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XTN.2 - but often indicated by field"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./use)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./ContactPointPurpose"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.telecom.rank">
      <path value="Patient.telecom.rank"/>
      <short value="Specify preferred order of use (1 = highest)"/>
      <definition
                  value="Specifies a preferred order in which to use a set of contacts. Contacts are ranked with lower values coming before higher values."/>
      <comments
                value="Note that rank does not necessarily follow the order in which the contacts are represented in the instance."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ContactPoint.rank"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.telecom.period">
      <path value="Patient.telecom.period"/>
      <short value="Time period when the contact point was/is in use"/>
      <definition value="Time period when the contact point was/is in use."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ContactPoint.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./useablePeriod[type="IVL<TS>"]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StartDate and ./EndDate"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.gender">
      <path value="Patient.gender"/>
      <short value="male | female | other | unknown"/>
      <definition
                  value="Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes."/>
      <comments
                value="The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a "hard" error."/>
      <requirements
                    value="Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.gender"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <description
                     value="The gender of a person used for administrative purposes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PID-8"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".patient.administrativeGenderCode"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Sex"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.birthDate">
      <path value="Patient.birthDate"/>
      <short value="The date of birth for the individual"/>
      <definition value="The date of birth for the individual."/>
      <comments
                value="At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternaty/infant care systems)."/>
      <requirements
                    value="Age of the individual drives many clinical processes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.birthDate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".patient.birthTime"/>
      </mapping>
      <mapping>
        <identity value="loinc"/>
        <map value="21112-8"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Birth Date"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.deceased[x]">
      <path value="Patient.deceased[x]"/>
      <short value="Indicates if the individual is deceased or not"/>
      <definition value="Indicates if the individual is deceased or not."/>
      <comments
                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."/>
      <requirements
                    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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.deceased[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-30  (bool) and PID-29 (datetime)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Expired"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address">
      <path value="Patient.address"/>
      <short value="Addresses for the individual"/>
      <definition value="Addresses for the individual."/>
      <comments
                value="Patient may have multiple addresses with different uses or applicable periods."/>
      <requirements
                    value="May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.address"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="addr"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".addr"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.id">
      <path value="Patient.address.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.address.extension:addresspreferred$iso21090-preferred">
      <path value="Patient.address.extension"/>
      <name value="address.preferred"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <comments value="Make general extension."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but CDS could need this for notifications in population health contexts, for example."/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.use">
      <path value="Patient.address.use"/>
      <short value="home | work | temp | old - purpose of this address"/>
      <definition value="The purpose of this address."/>
      <comments
                value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old."/>
      <requirements
                    value="Allows an appropriate address to be chosen from a list of many."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.use"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="home"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The use of an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/address-use"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./use)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./AddressPurpose"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.type">
      <path value="Patient.address.type"/>
      <short value="postal | physical | both"/>
      <definition
                  value="Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="both"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The type of an address (physical / postal)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/address-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./use)"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="address type parameter"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.text">
      <path value="Patient.address.text"/>
      <short value="Text representation of the address"/>
      <definition value="A full text representation of the address."/>
      <comments value="Can provide both a text representation and parts."/>
      <requirements value="A renderable, unencoded form."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="137 Nowhere Street, Erewhon 9132"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./formatted"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="address label parameter"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.line">
      <path value="Patient.address.line"/>
      <short value="Street name, number, direction & P.O. Box etc."/>
      <definition
                  value="This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information."/>
      <requirements value="home | work | temp | old - purpose of this address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Address.line"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="137 Nowhere Street"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map
             value="XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = AL]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="street"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StreetAddress (newline delimitted)"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.city">
      <path value="Patient.address.city"/>
      <short value="Name of city, town etc."/>
      <definition
                  value="The name of the city, town, village or other community or delivery center."/>
      <alias value="Municpality"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.city"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Erewhon"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = CTY]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="locality"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Jurisdiction"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.district">
      <path value="Patient.address.district"/>
      <short value="District name (aka county)"/>
      <definition value="The name of the administrative area (county)."/>
      <comments
                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."/>
      <alias value="County"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.district"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Madison"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = CNT | CPA]"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.state">
      <path value="Patient.address.state"/>
      <short value="Sub-unit of country (abbreviations ok)"/>
      <definition
                  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 (i.e. US 2 letter state codes)."/>
      <alias value="Province"/>
      <alias value="Territory"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.state"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The state or region designation in an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/usps-state"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = STA]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="region"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Region"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.postalCode">
      <path value="Patient.address.postalCode"/>
      <short value="Postal code for area"/>
      <definition
                  value="A postal code designating a region defined by the postal service."/>
      <alias value="Zip"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.postalCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="9132"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = ZIP]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./PostalIdentificationCode"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.country">
      <path value="Patient.address.country"/>
      <short value="Country (can be ISO 3166 3 letter code)"/>
      <definition
                  value="Country - a nation as commonly understood or generally accepted."/>
      <comments
                value="ISO 3166 3 letter codes can be used in place of a full country name."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.country"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = CNT]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="country"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Country"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.period">
      <path value="Patient.address.period"/>
      <short value="Time period when address was/is in use"/>
      <definition value="Time period when address was/is in use."/>
      <requirements value="Allows addresses to be placed in historical context."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <examplePeriod>
        <start value="2010-03-23"/>
        <end value="2010-07-01"/>
      </examplePeriod>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.12 / XAD.13 + XAD.14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./usablePeriod[type="IVL<TS>"]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StartDate and ./EndDate"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.maritalStatus">
      <path value="Patient.maritalStatus"/>
      <short value="Marital (civil) status of a patient"/>
      <definition
                  value="This field contains a patient's most recent marital (civil) status."/>
      <requirements value="Most, if not all systems capture it."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.maritalStatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The domestic partnership status of a person."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/marital-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PID-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="player[classCode=PSN]/maritalStatusCode"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".patient.maritalStatusCode"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.multipleBirth[x]">
      <path value="Patient.multipleBirth[x]"/>
      <short value="Whether patient is part of a multiple birth"/>
      <definition
                  value="Indicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer)."/>
      <comments
                value="Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in tripplets would be valueInteger=2 and the third born would have valueInteger=3 If a bool value was provided for this tripplets examle, then all 3 patient records would have valueBool=true (the ordering is not indicated)."/>
      <requirements
                    value="For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.multipleBirth[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="integer"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-24 (bool), PID-25 (integer)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.photo">
      <path value="Patient.photo"/>
      <short value="Image of the patient"/>
      <definition value="Image of the patient."/>
      <requirements
                    value="Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.photo"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Attachment"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-5 - needs a profile"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Contact"/>
      </extension>
      <path value="Patient.contact"/>
      <short
             value="A contact party (e.g. guardian, partner, friend) for the patient"/>
      <definition
                  value="A contact party (e.g. guardian, partner, friend) for the patient."/>
      <comments
                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."/>
      <requirements
                    value="Need to track people you can contact about the patient."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.contact"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="pat-1"/>
        <severity value="error"/>
        <human
               value="SHALL at least contain a contact's details or a reference to an organization"/>
        <expression
                    value="name.exists() or telecom.exists() or address.exists() or organization.exists()"/>
        <xpath
               value="exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)"/>
      </constraint>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.id">
      <path value="Patient.contact.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.extension">
      <path value="Patient.contact.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.modifierExtension">
      <path value="Patient.contact.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.relationship">
      <path value="Patient.contact.relationship"/>
      <short value="The kind of relationship"/>
      <definition
                  value="The nature of the relationship between the patient and the contact person."/>
      <requirements
                    value="Used to determine which contact person is the most relevant to approach, depending on circumstances."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.contact.relationship"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description
                     value="The nature of the relationship between a patient and a contact person for that patient."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0131"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="NK1-7, NK1-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.name">
      <path value="Patient.contact.name"/>
      <short value="A name associated with the contact person"/>
      <definition value="A name associated with the contact person."/>
      <requirements
                    value="Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.contact.name"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="NK1-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="name"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.telecom">
      <path value="Patient.contact.telecom"/>
      <short value="A contact detail for the person"/>
      <definition
                  value="A contact detail for the person, e.g. a telephone number or an email address."/>
      <comments
                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."/>
      <requirements
                    value="People have (primary) ways to contact them in some way such as phone, email."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.contact.telecom"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="NK1-5, NK1-6, NK1-40"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="telecom"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address">
      <path value="Patient.contact.address"/>
      <short value="Address for the contact person"/>
      <definition value="Address for the contact person."/>
      <requirements
                    value="Need to keep track where the contact person can be contacted per postal mail or visited."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.contact.address"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="NK1-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="addr"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.id">
      <path value="Patient.contact.address.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.extension">
      <path value="Patient.contact.address.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.use">
      <path value="Patient.contact.address.use"/>
      <short value="home | work | temp | old - purpose of this address"/>
      <definition value="The purpose of this address."/>
      <comments
                value="This is labeled as "Is Modifier" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old."/>
      <requirements
                    value="Allows an appropriate address to be chosen from a list of many."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.use"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="home"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The use of an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/address-use"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./use)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./AddressPurpose"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.type">
      <path value="Patient.contact.address.type"/>
      <short value="postal | physical | both"/>
      <definition
                  value="Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <exampleCode value="both"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="The type of an address (physical / postal)"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/address-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.18"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="unique(./use)"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="address type parameter"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.text">
      <path value="Patient.contact.address.text"/>
      <short value="Text representation of the address"/>
      <definition value="A full text representation of the address."/>
      <comments value="Can provide both a text representation and parts."/>
      <requirements value="A renderable, unencoded form."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="137 Nowhere Street, Erewhon 9132"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./formatted"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="address label parameter"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.line">
      <path value="Patient.contact.address.line"/>
      <short value="Street name, number, direction & P.O. Box etc."/>
      <definition
                  value="This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information."/>
      <requirements value="home | work | temp | old - purpose of this address."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Address.line"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="137 Nowhere Street"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map
             value="XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = AL]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="street"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StreetAddress (newline delimitted)"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.city">
      <path value="Patient.contact.address.city"/>
      <short value="Name of city, town etc."/>
      <definition
                  value="The name of the city, town, village or other community or delivery center."/>
      <alias value="Municpality"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.city"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Erewhon"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = CTY]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="locality"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Jurisdiction"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.district">
      <path value="Patient.contact.address.district"/>
      <short value="District name (aka county)"/>
      <definition value="The name of the administrative area (county)."/>
      <comments
                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."/>
      <alias value="County"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.district"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="Madison"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.9"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = CNT | CPA]"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.state">
      <path value="Patient.contact.address.state"/>
      <short value="Sub-unit of country (abbreviations ok)"/>
      <definition
                  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 (i.e. US 2 letter state codes)."/>
      <alias value="Province"/>
      <alias value="Territory"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.state"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The state or region designation in an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/usps-state"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = STA]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="region"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Region"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.postalCode">
      <path value="Patient.contact.address.postalCode"/>
      <short value="Postal code for area"/>
      <definition
                  value="A postal code designating a region defined by the postal service."/>
      <alias value="Zip"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.postalCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <exampleString value="9132"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = ZIP]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./PostalIdentificationCode"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.country">
      <path value="Patient.contact.address.country"/>
      <short value="Country (can be ISO 3166 3 letter code)"/>
      <definition
                  value="Country - a nation as commonly understood or generally accepted."/>
      <comments
                value="ISO 3166 3 letter codes can be used in place of a full country name."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.country"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="AD.part[parttype = CNT]"/>
      </mapping>
      <mapping>
        <identity value="vcard"/>
        <map value="country"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./Country"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.address.period">
      <path value="Patient.contact.address.period"/>
      <short value="Time period when address was/is in use"/>
      <definition value="Time period when address was/is in use."/>
      <requirements value="Allows addresses to be placed in historical context."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Address.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <examplePeriod>
        <start value="2010-03-23"/>
        <end value="2010-07-01"/>
      </examplePeriod>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="XAD.12 / XAD.13 + XAD.14"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./usablePeriod[type="IVL<TS>"]"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="./StartDate and ./EndDate"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.gender">
      <path value="Patient.contact.gender"/>
      <short value="male | female | other | unknown"/>
      <definition
                  value="Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes."/>
      <requirements value="Needed to address the person correctly."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.contact.gender"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description
                     value="The gender of a person used for administrative purposes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administrative-gender"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="NK1-15"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.organization">
      <path value="Patient.contact.organization"/>
      <short value="A grouping of people or organizations with a common purpose"/>
      <definition
                  value="A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.contact.organization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <condition value="pat-1"/>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="(also see master files messages)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Organization(classCode=ORG, determinerCode=INST)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Provider Characteristic" or "facility location" (of "Diagnostic Study, Performed", "Encounter, Order", or "Encounter, Recommended")"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.contact.period">
      <path value="Patient.contact.period"/>
      <short
             value="The period during which this contact person or organization is valid to be contacted relating to this patient"/>
      <definition
                  value="The period during which this contact person or organization is valid to be contacted relating to this patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.contact.period"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.animal">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Animal"/>
      </extension>
      <path value="Patient.animal"/>
      <short value="This patient is known to be an animal (non-human)"/>
      <definition value="This patient is known to be an animal."/>
      <comments
                value="The animal element is labeled "Is Modifier" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records.   The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal)."/>
      <requirements
                    value="Many clinical systems are extended to care for animal patients as well as human."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Patient.animal"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="player[classCode=ANM]"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.animal.id">
      <path value="Patient.animal.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.animal.extension">
      <path value="Patient.animal.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.animal.modifierExtension">
      <path value="Patient.animal.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.animal.species">
      <path value="Patient.animal.species"/>
      <short value="E.g. Dog, Cow"/>
      <definition
                  value="Identifies the high level taxonomic categorization of the kind of animal."/>
      <comments
                value="If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification.  It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word "Hereford" does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for "Hereford Cattle Breed" does.)."/>
      <requirements value="Need to know what kind of animal."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.animal.species"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The species of an animal."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/animal-species"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PID-35"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.animal.breed">
      <path value="Patient.animal.breed"/>
      <short value="E.g. Poodle, Angus"/>
      <definition
                  value="Identifies the detailed categorization of the kind of animal."/>
      <comments
                value="Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type."/>
      <requirements
                    value="May need to know the specific kind within the species."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.animal.breed"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The breed of an animal."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/animal-breeds"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PID-37"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.animal.genderStatus">
      <path value="Patient.animal.genderStatus"/>
      <short value="E.g. Neutered, Intact"/>
      <definition
                  value="Indicates the current state of the animal's reproductive organs."/>
      <requirements
                    value="Gender status can affect housing and animal behavior."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.animal.genderStatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The state of the animal's reproductive organs."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/animal-genderstatus"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="genderStatusCode"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.communication">
      <path value="Patient.communication"/>
      <short
             value="A list of Languages which may be used to communicate with the patient about his or her health"/>
      <definition
                  value="Languages which may be used to communicate with the patient about his or her health."/>
      <comments
                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."/>
      <requirements
                    value="If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.communication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="LanguageCommunication"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="patient.languageCommunication"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.communication.id">
      <path value="Patient.communication.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.communication.extension">
      <path value="Patient.communication.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.communication.modifierExtension">
      <path value="Patient.communication.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.communication.language">
      <path value="Patient.communication.language"/>
      <short
             value="The language which can be used to communicate with the patient about his or her health"/>
      <definition
                  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."/>
      <comments
                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."/>
      <requirements
                    value="Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.communication.language"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PID-15, LAN-2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".languageCode"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.communication.preferred">
      <path value="Patient.communication.preferred"/>
      <short value="Language preference indicator"/>
      <definition
                  value="Indicates whether or not the patient prefers this language (over other languages he masters up a certain level)."/>
      <comments
                value="This language is specifically identified for communicating healthcare information."/>
      <requirements
                    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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.communication.preferred"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PID-15"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="preferenceInd"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value=".preferenceInd"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.generalPractitioner">
      <path value="Patient.generalPractitioner"/>
      <short value="Patient's nominated primary care provider"/>
      <definition value="Patient's nominated care provider."/>
      <comments
                value="This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity 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."/>
      <alias value="careProvider"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.generalPractitioner"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-practitioner"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PD1-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="subjectOf.CareEvent.performer.AssignedEntity"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.managingOrganization">
      <path value="Patient.managingOrganization"/>
      <short value="A grouping of people or organizations with a common purpose"/>
      <definition
                  value="A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.managingOrganization"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="(also see master files messages)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Organization(classCode=ORG, determinerCode=INST)"/>
      </mapping>
      <mapping>
        <identity value="servd"/>
        <map value="Organization"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Provider Characteristic" or "facility location" (of "Diagnostic Study, Performed", "Encounter, Order", or "Encounter, Recommended")"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.link">
      <path value="Patient.link"/>
      <short
             value="Link to another patient resource that concerns the same actual person"/>
      <definition
                  value="Link to another patient resource that concerns the same actual patient."/>
      <comments
                value="There is no assumption that linked patient records have mutual links."/>
      <requirements
                    value="There are multiple usecases:   * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.link"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="outboundLink"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.link.id">
      <path value="Patient.link.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.link.extension">
      <path value="Patient.link.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.link.modifierExtension">
      <path value="Patient.link.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.link.other">
      <path value="Patient.link.other"/>
      <short
             value="The other patient or related person resource that the link refers to"/>
      <definition value="The other patient resource that the link refers to."/>
      <comments
                value="Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.link.other"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3, MRG-1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.link.type">
      <path value="Patient.link.type"/>
      <short value="replace | refer | seealso - type of link"/>
      <definition
                  value="The type of link between this patient resource and another patient resource."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Patient.link.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description
                     value="The type of link between this patient resource and another patient resource."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/link-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="typeCode"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <map value="n/a"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Patient:patient-qicore">
      <path value="Patient"/>
      <name value="patient-qicore"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Patient Characteristic"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:race$us-core-race">
      <path value="Patient.extension"/>
      <name value="race"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-race"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="Race of the patient"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-race"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="Race"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:ethnicity$us-core-ethnicity">
      <path value="Patient.extension"/>
      <name value="ethnicity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/us-core-ethnicity"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="Ethnicity of the patient"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-ethnicity"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="Ethnicity"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:religion$us-core-religion">
      <path value="Patient.extension"/>
      <name value="religion"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/us-core-religion"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Religious affiliation of the patient."/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/ValueSet/v3-ReligiousAffiliation"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qidam"/>
        <map value="From DAF"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:birthplace$birthPlace">
      <path value="Patient.extension"/>
      <name value="birthPlace"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/birthPlace"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map value="From DAF"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:disability$patient-disability">
      <path value="Patient.extension"/>
      <name value="disability"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-disability"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The disabilities of the patient"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-patient-disability"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality">
      <path value="Patient.extension"/>
      <name value="nationality"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-nationality"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not QIDAM, but recognized as important for infectious disease decision support (e.g., flag patient from Liberia for ebola screening)"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:nationality$patient-nationality.extension:nationalityperiod$patient-nationality#period">
      <path value="Patient.extension.extension"/>
      <name value="nationality.period"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-nationality#period"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map value="(see nationality)"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:cadavericdonor$patient-cadavericDonor">
      <path value="Patient.extension"/>
      <name value="cadavericDonor"/>
      <comments value="Do as standard extension on Patient?"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important for CDS; e.g. a CDS system could flag the provider to initiate organ transplantation procedures."/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:militaryservice$qicore-patient-militaryService">
      <path value="Patient.extension"/>
      <name value="militaryService"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient-militaryService"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="The military service of the patient"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-patient-military-service"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but recognized as important, e.g., veterans may be at increased risk for conditions such as traumatic brain injury, agent orange exposure."/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial">
      <path value="Patient.extension"/>
      <name value="clinicalTrial"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Clinical Trial Participant"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:nct$patient-clinicalTrial#NCT">
      <path value="Patient.extension.extension"/>
      <name value="NCT"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#NCT"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:period$patient-clinicalTrial#period">
      <path value="Patient.extension.extension"/>
      <name value="period"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#period"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="start and stop datetime"/>
      </mapping>
    </element>
    <element
             id="Patient:patient-qicore.extension:clinicaltrial$patient-clinicalTrial.extension:reason$patient-clinicalTrial#reason">
      <path value="Patient.extension.extension"/>
      <name value="reason"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#reason"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The code for the condition"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-problem"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.extension:birthtime$patient-birthTime">
      <path value="Patient.extension"/>
      <name value="birthTime"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/patient-birthTime"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Birth Date"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.active">
      <path value="Patient.active"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.telecom">
      <path value="Patient.telecom"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Patient:patient-qicore.telecom.extension:telecompreferred$iso21090-preferred">
      <path value="Patient.telecom.extension"/>
      <name value="telecom.preferred"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but CDS could need this for notifications in population health contexts, for example."/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.gender">
      <path value="Patient.gender"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Sex"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.birthDate">
      <path value="Patient.birthDate"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Birth Date"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.deceased[x]">
      <path value="Patient.deceased[x]"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="Expired"/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address">
      <path value="Patient.address"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="Patient:patient-qicore.address.extension:addresspreferred$iso21090-preferred">
      <path value="Patient.address.extension"/>
      <name value="address.preferred"/>
      <comments value="Make general extension."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qidam"/>
        <map
             value="Not in QIDAM, but CDS could need this for notifications in population health contexts, for example."/>
      </mapping>
    </element>
    <element id="Patient:patient-qicore.address.state">
      <path value="Patient.address.state"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The state or region designation in an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/usps-state"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient:patient-qicore.contact">
      <path value="Patient.contact"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.contact.address">
      <path value="Patient.contact.address"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.contact.address.state">
      <path value="Patient.contact.address.state"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <description value="The state or region designation in an address"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/usps-state"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient:patient-qicore.contact.organization">
      <path value="Patient.contact.organization"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.animal">
      <path value="Patient.animal"/>
      <min value="0"/>
      <max value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.communication">
      <path value="Patient.communication"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.generalPractitioner">
      <path value="Patient.generalPractitioner"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-practitioner"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.managingOrganization">
      <path value="Patient.managingOrganization"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-organization"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.link">
      <path value="Patient.link"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Patient:patient-qicore.link.other">
      <path value="Patient.link.other"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>