<status value="active"/> <experimental value="false"/> <date value="2026-03-17T21:02:03.8104715+00:00"/> <publisher value="FHIR Infrastructure"/> <contact> <name value="FHIR Infrastructure"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/fiwg"/> </telecom> </contact> <description value="STU3: `Patient.animal` (new:BackboneElement)"/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <purpose value="This extension is part of the cross-version definitions generated to enable use of the element `Patient.animal` as defined in FHIR STU3 in FHIR R4. The source element is defined as: `Patient.animal` 0..1 `BackboneElement` Following are the generation technical comments: Element `Patient.animal` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <fhirVersion value="4.0.1"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="complex-type"/> <abstract value="false"/> <context> <type value="element"/> <expression value="Patient"/> </context> <type value="Extension"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="Extension"> <path value="Extension"/> <short value="STU3: This patient is known to be an animal (non-human) (new)"/> <definition value="STU3: `Patient.animal` (new:BackboneElement)"/> <comment value="Element `Patient.animal` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <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="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="true"/> <isModifierReason value="This extension is a modifier because the source element `Patient.animal` is flagged as a modifier element."/> </element> <element id="Extension.id"> <path value="Extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <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="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension"> <path value="Extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="1"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:species"> <path value="Extension.extension"/> <sliceName value="species"/> <short value="STU3: E.g. Dog, Cow (new)"/> <definition value="STU3: `Patient.animal.species` (new:CodeableConcept)"/> <comment value="Element `Patient.animal.species` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.species` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.species` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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. Element `Patient.animal.species` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.species` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.species` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:species.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <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="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:species.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <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. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:species.url"> <path value="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."/> <comment 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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="species"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:species.value[x]"> <path value="Extension.extension.value[x]"/> <short value="E.g. Dog, Cow"/> <definition value="Identifies the high level taxonomic categorization of the kind of animal."/> <comment 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.)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:breed"> <path value="Extension.extension"/> <sliceName value="breed"/> <short value="STU3: E.g. Poodle, Angus (new)"/> <definition value="STU3: `Patient.animal.breed` (new:CodeableConcept)"/> <comment value="Element `Patient.animal.breed` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.breed` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.breed` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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. Element `Patient.animal.breed` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.breed` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.breed` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:breed.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <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="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:breed.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <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. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:breed.url"> <path value="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."/> <comment 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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="breed"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:breed.value[x]"> <path value="Extension.extension.value[x]"/> <short value="E.g. Poodle, Angus"/> <definition value="Identifies the detailed categorization of the kind of animal."/> <comment 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."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:genderStatus"> <path value="Extension.extension"/> <sliceName value="genderStatus"/> <short value="STU3: E.g. Neutered, Intact (new)"/> <definition value="STU3: `Patient.animal.genderStatus` (new:CodeableConcept)"/> <comment value="Element `Patient.animal.genderStatus` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.genderStatus` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.genderStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <requirements value="Gender status can affect housing and animal behavior. Element `Patient.animal.genderStatus` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.genderStatus` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.genderStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Extension.extension:genderStatus.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <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="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:genderStatus.extension"> <path value="Extension.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <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. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment 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> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </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")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension:genderStatus.url"> <path value="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."/> <comment 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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="genderStatus"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.extension:genderStatus.value[x]"> <path value="Extension.extension.value[x]"/> <short value="E.g. Neutered, Intact"/> <definition value="Indicates the current state of the animal's reproductive organs."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="example"/> <description value="The state of the animal's reproductive organs."/> <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.url"> <path value="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."/> <comment 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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.animal"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <short value="Value of extension"/> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a 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="canonical"/> </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="url"/> </type> <type> <code value="uuid"/> </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="ContactDetail"/> </type> <type> <code value="Contributor"/> </type> <type> <code value="DataRequirement"/> </type> <type> <code value="Expression"/> </type> <type> <code value="ParameterDefinition"/> </type> <type> <code value="RelatedArtifact"/> </type> <type> <code value="TriggerDefinition"/> </type> <type> <code value="UsageContext"/> </type> <type> <code value="Dosage"/> </type> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Extension"> <path value="Extension"/> <short value="STU3: This patient is known to be an animal (non-human) (new)"/> <definition value="STU3: `Patient.animal` (new:BackboneElement)"/> <comment value="Element `Patient.animal` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <isModifier value="true"/> <isModifierReason value="This extension is a modifier because the source element `Patient.animal` is flagged as a modifier element."/> </element> <element id="Extension.extension"> <path value="Extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="1"/> <max value="*"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:species"> <path value="Extension.extension"/> <sliceName value="species"/> <short value="STU3: E.g. Dog, Cow (new)"/> <definition value="STU3: `Patient.animal.species` (new:CodeableConcept)"/> <comment value="Element `Patient.animal.species` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.species` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.species` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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. Element `Patient.animal.species` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.species` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.species` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:species.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="species"/> </element> <element id="Extension.extension:species.value[x]"> <path value="Extension.extension.value[x]"/> <short value="E.g. Dog, Cow"/> <definition value="Identifies the high level taxonomic categorization of the kind of animal."/> <comment 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.)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Extension.extension:breed"> <path value="Extension.extension"/> <sliceName value="breed"/> <short value="STU3: E.g. Poodle, Angus (new)"/> <definition value="STU3: `Patient.animal.breed` (new:CodeableConcept)"/> <comment value="Element `Patient.animal.breed` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.breed` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.breed` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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. Element `Patient.animal.breed` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.breed` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.breed` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:breed.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="breed"/> </element> <element id="Extension.extension:breed.value[x]"> <path value="Extension.extension.value[x]"/> <short value="E.g. Poodle, Angus"/> <definition value="Identifies the detailed categorization of the kind of animal."/> <comment 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."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Extension.extension:genderStatus"> <path value="Extension.extension"/> <sliceName value="genderStatus"/> <short value="STU3: E.g. Neutered, Intact (new)"/> <definition value="STU3: `Patient.animal.genderStatus` (new:CodeableConcept)"/> <comment value="Element `Patient.animal.genderStatus` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.genderStatus` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.genderStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <requirements value="Gender status can affect housing and animal behavior. Element `Patient.animal.genderStatus` is part of an existing definition because parent element `Patient.animal` requires a cross-version extension. Element `Patient.animal.genderStatus` has a context of Patient based on following the parent source element upwards and mapping to `Patient`. Element `Patient.animal.genderStatus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="*"/> </base> </element> <element id="Extension.extension:genderStatus.url"> <path value="Extension.extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="genderStatus"/> </element> <element id="Extension.extension:genderStatus.value[x]"> <path value="Extension.extension.value[x]"/> <short value="E.g. Neutered, Intact"/> <definition value="Indicates the current state of the animal's reproductive organs."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <strength value="example"/> <description value="The state of the animal's reproductive organs."/> <valueSet value="http://hl7.org/fhir/ValueSet/animal-genderstatus|4.0.1"/> </binding> </element> <element id="Extension.url"> <path value="Extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.animal"/> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition ext-R3-Patient.animal

Name	Flags	Card.	Type	Description & Constraints
Extension	?!	0..1	Extension(4.0.1)	STU3: This patient is known to be an animal (non-human) (new) This is a modifier extension
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:species		1..1	Extension	STU3: E.g. Dog, Cow (new)
url		1..1	uri	"species"
value[x]		1..1	CodeableConcept	E.g. Dog, Cow
extension:breed		0..1	Extension	STU3: E.g. Poodle, Angus (new)
url		1..1	uri	"breed"
value[x]		0..1	CodeableConcept	E.g. Poodle, Angus
extension:genderStatus		0..1	Extension	STU3: E.g. Neutered, Intact (new)
url		1..1	uri	"genderStatus"
value[x]		0..1	CodeableConcept	E.g. Neutered, Intact Binding: GenderStatus (example): The state of the animal's reproductive organs.
url		1..1	uri	"http://hl7.org/fhir/3.0/StructureDefinition/extension-Patient.animal"
value[x]		0..0		Value of extension
Documentation for this format