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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="spark664" />
  <meta>
    <versionId value="spark703" />
    <lastUpdated value="2015-10-02T14:12:01.25+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/hspc-patient" />
  <name value="HSPC-Patient" />
  <status value="draft" />
  <publisher value="HSPC" />
  <contact>
    <telecom>
      <system value="other" />
      <value value="http://healthcaresoa.org" />
    </telecom>
  </contact>
  <date value="2015-04-06" />
  <description value="The HSPC Patient profile.  The demographics and attributes for an individual receiving health care." />
  <mapping>
    <identity value="qdm" />
    <uri value="http://www.healthit.gov/quality-data-model" />
    <name value="Quality Data Model" />
  </mapping>
  <kind value="resource" />
  <constrainedType value="Patient" />
  <abstract value="false" />
  <base value="http://hl7.org/fhir/StructureDefinition/qicore-patient" />
  <snapshot>
    <element>
      <path value="Patient" />
      <name value="HSPC-Patient" />
      <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>
      <type>
        <code value="Patient" />
      </type>
      <mapping>
        <identity value="cda" />
        <map value="ClinicalDocument.recordTarget.patientRole" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Patient[classCode=PAT]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="administration" />
      </mapping>
      <mapping>
        <identity value="qdm" />
        <map value="Patient Characteristic" />
      </mapping>
    </element>
    <element>
      <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." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <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="Patient.meta" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Meta" />
      </type>
      <isSummary value="true" />
    </element>
    <element>
      <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." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.implicitRules" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
    </element>
    <element>
      <path value="Patient.language" />
      <short value="Language of the resource content" />
      <definition value="The base language in which the resource is written." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.language" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <binding>
        <strength value="required" />
        <description value="A human language" />
        <valueSetUri value="http://tools.ietf.org/html/bcp47" />
      </binding>
    </element>
    <element>
      <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 &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
      <alias value="narrative" />
      <alias value="html" />
      <alias value="xhtml" />
      <alias value="display" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.text" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Narrative" />
      </type>
      <condition value="dom-1" />
      <mapping>
        <identity value="rim" />
        <map value="Act.text?" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="inline resources" />
      <alias value="anonymous resources" />
      <alias value="contained resources" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.contained" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Resource" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <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 resource. 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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="race" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-race" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <description value="Race of the patient" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-race" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm" />
        <map value="Race" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="ethnicity" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-ethnicity" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <description value="Ethnicity of the patient" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-ethnicity" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm" />
        <map value="Ethnicity" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="religion" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/us-core-religion" />
      </type>
      <binding>
        <strength value="extensible" />
        <description value="Religious affiliation of the patient." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ReligiousAffiliation" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="birthPlace" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/birthPlace" />
      </type>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="disability" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-disability" />
      </type>
      <binding>
        <strength value="preferred" />
        <description value="The disabilities of the patient" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/qicore-patient-disability" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="importance" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-importance" />
      </type>
      <binding>
        <strength value="preferred" />
        <description value="Importance of the patient in order to inform record handling" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-PatientImportance" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="nationality" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-nationality" />
      </type>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Extension.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <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. 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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <name value="nationality.code" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-nationality#code" />
      </type>
      <binding>
        <strength value="required" />
        <description value="ISO 2 letter Country Codes" />
        <valueSetUri value="http://www.iso.org/iso/country_codes.htm" />
      </binding>
    </element>
    <element>
      <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="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-nationality#period" />
      </type>
    </element>
    <element>
      <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." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <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="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="integer" />
      </type>
      <type>
        <code value="decimal" />
      </type>
      <type>
        <code value="base64Binary" />
      </type>
      <type>
        <code value="instant" />
      </type>
      <type>
        <code value="string" />
      </type>
      <type>
        <code value="uri" />
      </type>
      <type>
        <code value="date" />
      </type>
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="time" />
      </type>
      <type>
        <code value="code" />
      </type>
      <type>
        <code value="oid" />
      </type>
      <type>
        <code value="id" />
      </type>
      <type>
        <code value="unsignedInt" />
      </type>
      <type>
        <code value="positiveInt" />
      </type>
      <type>
        <code value="markdown" />
      </type>
      <type>
        <code value="Annotation" />
      </type>
      <type>
        <code value="Attachment" />
      </type>
      <type>
        <code value="Identifier" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="Coding" />
      </type>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <type>
        <code value="Ratio" />
      </type>
      <type>
        <code value="SampledData" />
      </type>
      <type>
        <code value="Signature" />
      </type>
      <type>
        <code value="HumanName" />
      </type>
      <type>
        <code value="Address" />
      </type>
      <type>
        <code value="ContactPoint" />
      </type>
      <type>
        <code value="Timing" />
      </type>
      <type>
        <code value="Reference" />
      </type>
      <type>
        <code value="Meta" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="citizenship" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-citizenship" />
      </type>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Extension.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <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. 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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <name value="citizenship.code" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-citizenship#code" />
      </type>
      <binding>
        <strength value="required" />
        <description value="ISO 2 letter Country Codes" />
        <valueSetUri value="http://www.iso.org/iso/country_codes.htm" />
      </binding>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <name value="citizenship.period" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-citizenship#period" />
      </type>
    </element>
    <element>
      <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." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <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="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="integer" />
      </type>
      <type>
        <code value="decimal" />
      </type>
      <type>
        <code value="base64Binary" />
      </type>
      <type>
        <code value="instant" />
      </type>
      <type>
        <code value="string" />
      </type>
      <type>
        <code value="uri" />
      </type>
      <type>
        <code value="date" />
      </type>
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="time" />
      </type>
      <type>
        <code value="code" />
      </type>
      <type>
        <code value="oid" />
      </type>
      <type>
        <code value="id" />
      </type>
      <type>
        <code value="unsignedInt" />
      </type>
      <type>
        <code value="positiveInt" />
      </type>
      <type>
        <code value="markdown" />
      </type>
      <type>
        <code value="Annotation" />
      </type>
      <type>
        <code value="Attachment" />
      </type>
      <type>
        <code value="Identifier" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="Coding" />
      </type>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <type>
        <code value="Ratio" />
      </type>
      <type>
        <code value="SampledData" />
      </type>
      <type>
        <code value="Signature" />
      </type>
      <type>
        <code value="HumanName" />
      </type>
      <type>
        <code value="Address" />
      </type>
      <type>
        <code value="ContactPoint" />
      </type>
      <type>
        <code value="Timing" />
      </type>
      <type>
        <code value="Reference" />
      </type>
      <type>
        <code value="Meta" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="cadavericDonor" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor" />
      </type>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="militaryService" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-patient-militaryService" />
      </type>
      <binding>
        <strength value="example" />
        <description value="The military service of the patient" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/qicore-patient-military-service" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="clinicalTrial" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial" />
      </type>
      <mapping>
        <identity value="qdm" />
        <map value="Clinical Trial Participant" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Extension.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <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. 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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <name value="clinicalTrial.NCT" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#NCT" />
      </type>
      <mapping>
        <identity value="qdm" />
        <map value="primary code" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <name value="clinicalTrial.period" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#period" />
      </type>
      <mapping>
        <identity value="qdm" />
        <map value="start and stop datetime" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension.extension" />
      <name value="clinicalTrial.reason" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Extension.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-clinicalTrial#reason" />
      </type>
      <binding>
        <strength value="preferred" />
        <description value="The code for the condition" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/daf-problem" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm" />
        <map value="reason" />
      </mapping>
    </element>
    <element>
      <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." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <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="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="integer" />
      </type>
      <type>
        <code value="decimal" />
      </type>
      <type>
        <code value="base64Binary" />
      </type>
      <type>
        <code value="instant" />
      </type>
      <type>
        <code value="string" />
      </type>
      <type>
        <code value="uri" />
      </type>
      <type>
        <code value="date" />
      </type>
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="time" />
      </type>
      <type>
        <code value="code" />
      </type>
      <type>
        <code value="oid" />
      </type>
      <type>
        <code value="id" />
      </type>
      <type>
        <code value="unsignedInt" />
      </type>
      <type>
        <code value="positiveInt" />
      </type>
      <type>
        <code value="markdown" />
      </type>
      <type>
        <code value="Annotation" />
      </type>
      <type>
        <code value="Attachment" />
      </type>
      <type>
        <code value="Identifier" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="Coding" />
      </type>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <type>
        <code value="Ratio" />
      </type>
      <type>
        <code value="SampledData" />
      </type>
      <type>
        <code value="Signature" />
      </type>
      <type>
        <code value="HumanName" />
      </type>
      <type>
        <code value="Address" />
      </type>
      <type>
        <code value="ContactPoint" />
      </type>
      <type>
        <code value="Timing" />
      </type>
      <type>
        <code value="Reference" />
      </type>
      <type>
        <code value="Meta" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element>
      <path value="Patient.extension" />
      <name value="birthTime" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-birthTime" />
      </type>
      <mustSupport value="true" />
      <mapping>
        <identity value="qdm" />
        <map value="Birth Date" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.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>
      <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="cda" />
        <map value=".id" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="id" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="id" />
      </mapping>
    </element>
    <element>
      <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." />
      <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="true" />
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="statusCode" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="status" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name" />
      <short value="A name associated with the patient" />
      <definition value="A name associated with the individual." />
      <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="cda" />
        <map value=".patient.name" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-5, PID-9" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="name" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.use" />
      <short value="usual | official | temp | nickname | anonymous | old | maiden" />
      <definition value="Identifies the purpose for this name." />
      <requirements value="Allows the appropriate name for a particular context of use to be selected from among a set of names." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.use" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <binding>
        <strength value="required" />
        <description value="The manner by which an individual uses a name" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-PersonNameUse" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="XPN.7, but often indicated by which field contains the name" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="unique(./use)" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./NamePurpose" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.text" />
      <short value="Text representation of the full name" />
      <definition value="A full text representation of the name." />
      <requirements value="A renderable, unencoded form." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.text" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="implied by XPN.11" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./formatted" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.family" />
      <short value="Family name (often called 'Surname')" />
      <definition value="The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father." />
      <alias value="surname" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.family" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="XPN.1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = FAM]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./FamilyName" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.given" />
      <short value="Given names (not always 'first'). Includes middle names" />
      <definition value="Given name." />
      <alias value="first name" />
      <alias value="middle name" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.given" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="XPN.2 + XPN.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = GIV]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./GivenNames" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.prefix" />
      <short value="Parts that come before the name" />
      <definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.prefix" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="XPN.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = PFX]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./TitleCode" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.suffix" />
      <short value="Parts that come after the name" />
      <definition value="Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.suffix" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="XPN/4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = SFX]" />
      </mapping>
    </element>
    <element>
      <path value="Patient.name.period" />
      <short value="Time period when name was/is in use" />
      <definition value="Indicates the period of time when this name was valid for the named person." />
      <requirements value="Allows names to be placed in historical context." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.period" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="XPN.13 + XPN.14" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./usablePeriod[type=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element>
      <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." />
      <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>
      <isSummary value="true" />
      <mapping>
        <identity value="cda" />
        <map value=".telecom" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-13, PID-14, PID-40" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="telecom" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="ContactPoint.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.telecom.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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="ContactPoint.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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="A set of codes that describe the telecom system" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-telecomSystem" />
        </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>
      <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)." />
      <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>
      <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." />
      <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="A set of codes that describe the type of usage for a telecom value." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-telecomType" />
        </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>
      <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." />
      <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>
      <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=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="ContactPoint.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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="ContactPoint.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred" />
      </type>
    </element>
    <element>
      <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>
      <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)." />
      <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>
      <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." />
      <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>
      <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." />
      <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>
      <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=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element>
      <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." />
      <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="true" />
      <binding>
        <strength value="required" />
        <description value="The gender of a person used for administrative purposes" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0001" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda" />
        <map value=".patient.administrativeGenderCode" />
      </mapping>
      <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="qdm" />
        <map value="Sex" />
      </mapping>
    </element>
    <element>
      <path value="Patient.birthDate" />
      <short value="The date of birth for the individual" />
      <definition value="The date of birth for the individual." />
      <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="true" />
      <mapping>
        <identity value="loinc" />
        <map value="21112-8" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".patient.birthTime" />
      </mapping>
      <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="qdm" />
        <map value="Birth Date" />
      </mapping>
    </element>
    <element>
      <path value="Patient.birthDate.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)" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="date.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
    </element>
    <element>
      <path value="Patient.birthDate.extension" />
      <name value="birthDate.verification" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="date.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-verification" />
      </type>
      <binding>
        <strength value="example" />
        <description value="Verification method used to validate data field" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-VerificationMethod" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.birthDate.value" />
      <representation value="xmlAttr" />
      <short value="Primitive value for date" />
      <definition value="The actual value" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="date.value" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element>
      <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." />
      <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="true" />
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <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="qdm" />
        <map value="Expired" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address" />
      <short value="Addresses for the individual" />
      <definition value="Addresses for the individual." />
      <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="true" />
      <mapping>
        <identity value="cda" />
        <map value=".addr" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-11" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="addr" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Address.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address.extension" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <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. 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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Address.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address.extension" />
      <name value="address.primaryInd" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Address.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/hspc-patient-PrimaryIndicator" />
      </type>
    </element>
    <element>
      <path value="Patient.address.extension" />
      <name value="addressType" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Address.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/hspc-patient-AddressType" />
      </type>
    </element>
    <element>
      <path value="Patient.address.use" />
      <short value="home | work | temp | old - purpose of this address" />
      <definition value="The purpose of this address." />
      <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="A set of codes that describe the manner in which an addressed is used." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-addressUse" />
        </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>
      <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="vcard" />
        <map value="address type parameter" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.18" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="unique(./use)" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address.text" />
      <short value="Text representation of the address" />
      <definition value="A full text representation of the address." />
      <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="vcard" />
        <map value="address label parameter" />
      </mapping>
      <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>
    </element>
    <element>
      <path value="Patient.address.line" />
      <short value="Street name, number, direction &amp; 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="vcard" />
        <map value="street" />
      </mapping>
      <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="servd" />
        <map value="./StreetAddress (newline delimitted)" />
      </mapping>
    </element>
    <element>
      <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="Muncipality" />
      <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="vcard" />
        <map value="locality" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = CTY]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Jurisdiction" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address.district" />
      <short value="District name (aka county)" />
      <definition value="The name of the administrative area (county)." />
      <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>
      <path value="Patient.address.state" />
      <short value="Sub-unit of country (abreviations 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>
      <isSummary value="true" />
      <mapping>
        <identity value="vcard" />
        <map value="region" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = STA]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Region" />
      </mapping>
    </element>
    <element>
      <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="vcard" />
        <map value="code" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = ZIP]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./PostalIdentificationCode" />
      </mapping>
    </element>
    <element>
      <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." />
      <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="vcard" />
        <map value="country" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.6" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = CNT]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Country" />
      </mapping>
    </element>
    <element>
      <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=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Address.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address.extension" />
      <name value="address.preferred" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Address.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred" />
      </type>
    </element>
    <element>
      <path value="Patient.address.use" />
      <short value="home | work | temp | old - purpose of this address" />
      <definition value="The purpose of this address." />
      <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>
      <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="vcard" />
        <map value="address type parameter" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.18" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="unique(./use)" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address.text" />
      <short value="Text representation of the address" />
      <definition value="A full text representation of the address." />
      <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="vcard" />
        <map value="address label parameter" />
      </mapping>
      <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>
    </element>
    <element>
      <path value="Patient.address.line" />
      <short value="Street name, number, direction &amp; 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="vcard" />
        <map value="street" />
      </mapping>
      <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="servd" />
        <map value="./StreetAddress (newline delimitted)" />
      </mapping>
    </element>
    <element>
      <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="Muncipality" />
      <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="vcard" />
        <map value="locality" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = CTY]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Jurisdiction" />
      </mapping>
    </element>
    <element>
      <path value="Patient.address.district" />
      <short value="District name (aka county)" />
      <definition value="The name of the administrative area (county)." />
      <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>
      <path value="Patient.address.state" />
      <short value="Sub-unit of country (abreviations 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>
      <isSummary value="true" />
      <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="vcard" />
        <map value="region" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = STA]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Region" />
      </mapping>
    </element>
    <element>
      <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="vcard" />
        <map value="code" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = ZIP]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./PostalIdentificationCode" />
      </mapping>
    </element>
    <element>
      <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." />
      <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" />
      <binding>
        <strength value="required" />
        <description value="ISO 2 letter Country Codes" />
        <valueSetUri value="http://www.iso.org/iso/country_codes.htm" />
      </binding>
      <mapping>
        <identity value="vcard" />
        <map value="country" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.6" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = CNT]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Country" />
      </mapping>
    </element>
    <element>
      <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=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element>
      <path value="Patient.maritalStatus" />
      <name value="AdministrativeMaritalStatus" />
      <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="preferred" />
        <description value="Marital status of the patient" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-maritalStatus" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda" />
        <map value=".patient.maritalStatusCode" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-16" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN]/maritalStatusCode" />
      </mapping>
    </element>
    <element>
      <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 or indicates the actual birth order." />
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <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>
    </element>
    <element>
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <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>
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Contact" />
      </extension>
      <path value="Patient.contact" />
      <name value="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." />
      <requirements value="Need to track people you can contact about the patient." />
      <min value="0" />
      <max value="1" />
      <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" />
        <xpath value="f:name or f:telecom or f:address or f:organization" />
      </constraint>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.contact.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.contact.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.contact.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>
      <path value="Patient.contact.relationship" />
      <name value="emergencyContact" />
      <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="1" />
      <base>
        <path value="Patient.contact.relationship" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <fixedCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/v2/AddressUse" />
          <code value="EC" />
          <display value="Emergency Contact" />
        </coding>
      </fixedCodeableConcept>
      <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/patient-contact-relationship" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NK1-7, NK1-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="code" />
      </mapping>
    </element>
    <element>
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NK1-2" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="name" />
      </mapping>
    </element>
    <element>
      <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." />
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NK1-5, NK1-6, NK1-40" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="telecom" />
      </mapping>
    </element>
    <element>
      <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>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NK1-4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="addr" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Address.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Address.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.contact.address.use" />
      <short value="home | work | temp | old - purpose of this address" />
      <definition value="The purpose of this address." />
      <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>
      <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="vcard" />
        <map value="address type parameter" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.18" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="unique(./use)" />
      </mapping>
    </element>
    <element>
      <path value="Patient.contact.address.text" />
      <short value="Text representation of the address" />
      <definition value="A full text representation of the address." />
      <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="vcard" />
        <map value="address label parameter" />
      </mapping>
      <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>
    </element>
    <element>
      <path value="Patient.contact.address.line" />
      <short value="Street name, number, direction &amp; 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="vcard" />
        <map value="street" />
      </mapping>
      <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="servd" />
        <map value="./StreetAddress (newline delimitted)" />
      </mapping>
    </element>
    <element>
      <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="Muncipality" />
      <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="vcard" />
        <map value="locality" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = CTY]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Jurisdiction" />
      </mapping>
    </element>
    <element>
      <path value="Patient.contact.address.district" />
      <short value="District name (aka county)" />
      <definition value="The name of the administrative area (county)." />
      <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>
      <path value="Patient.contact.address.state" />
      <short value="Sub-unit of country (abreviations 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>
      <isSummary value="true" />
      <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="vcard" />
        <map value="region" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = STA]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Region" />
      </mapping>
    </element>
    <element>
      <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="vcard" />
        <map value="code" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = ZIP]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./PostalIdentificationCode" />
      </mapping>
    </element>
    <element>
      <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." />
      <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" />
      <binding>
        <strength value="required" />
        <description value="ISO 2 letter Country Codes" />
        <valueSetUri value="http://www.iso.org/iso/country_codes.htm" />
      </binding>
      <mapping>
        <identity value="vcard" />
        <map value="country" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XAD.6" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="AD.part[parttype = CNT]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Country" />
      </mapping>
    </element>
    <element>
      <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=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element>
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NK1-15" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" />
      </mapping>
    </element>
    <element>
      <path value="Patient.contact.organization" />
      <short value="Organization that is associated with the contact" />
      <definition value="Organization on behalf of which the contact is acting or for which the contact is working." />
      <requirements value="For guardians or business related contacts, the organization is relevant." />
      <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/StructureDefinition/qicore-organization" />
      </type>
      <condition value="pat-1" />
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="scoper" />
      </mapping>
    </element>
    <element>
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="effectiveTime" />
      </mapping>
    </element>
    <element>
      <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." />
      <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>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=ANM]" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.animal.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.animal.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.animal.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>
      <path value="Patient.animal.species" />
      <short value="E.g. Dog, Cow" />
      <definition value="Identifies the high level taxonomic categorization of the kind of animal." />
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-35" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="code" />
      </mapping>
    </element>
    <element>
      <path value="Patient.animal.breed" />
      <short value="E.g. Poodle, Angus" />
      <definition value="Identifies the detailed categorization of the kind of animal." />
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <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>
    </element>
    <element>
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="genderStatusCode" />
      </mapping>
    </element>
    <element>
      <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." />
      <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" />
      <mapping>
        <identity value="cda" />
        <map value="patient.languageCommunication" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="LanguageCommunication" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.communication.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.communication.extension" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <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. 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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.communication.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <path value="Patient.communication.extension" />
      <name value="communication.mode" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.communication.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/hspc-patient-communicationMode" />
      </type>
    </element>
    <element>
      <path value="Patient.communication.extension" />
      <name value="preferenceInd" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.communication.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred" />
      </type>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.communication.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>
      <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. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English." />
      <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>
        <strength value="required" />
        <description value="A human language" />
        <valueSetUri value="http://tools.ietf.org/html/bcp47" />
      </binding>
      <mapping>
        <identity value="cda" />
        <map value=".languageCode" />
      </mapping>
      <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>
    </element>
    <element>
      <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)." />
      <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="cda" />
        <map value=".preferenceInd" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-15" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="preferenceInd" />
      </mapping>
    </element>
    <element>
      <path value="Patient.careProvider" />
      <short value="Patient's nominated primary care provider" />
      <definition value="Patient's nominated care provider." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.careProvider" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-organization" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/qicore-practitioner" />
      </type>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PD1-4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="subjectOf.CareEvent.performer.AssignedEntity" />
      </mapping>
    </element>
    <element>
      <path value="Patient.managingOrganization" />
      <short value="Organization that is the custodian of the patient record" />
      <definition value="Organization that is the custodian of the patient record." />
      <requirements value="Need to know who recognizes this patient record, manages and updates it." />
      <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/StructureDefinition/qicore-organization" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="cda" />
        <map value=".providerOrganization" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="scoper" />
      </mapping>
    </element>
    <element>
      <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." />
      <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>
      <isModifier value="true" />
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="outboundLink" />
      </mapping>
    </element>
    <element>
      <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)." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.link.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.link.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element>
      <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." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.link.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>
      <path value="Patient.link.other" />
      <short value="The other patient resource that the link refers to" />
      <definition value="The other patient resource that the link refers to." />
      <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/StructureDefinition/qicore-patient" />
      </type>
      <isModifier value="true" />
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-3, MRG-1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="id" />
      </mapping>
    </element>
    <element>
      <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" />
      <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="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="typeCode" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Patient" />
      <name value="HSPC-Patient" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Patient" />
      </type>
      <mapping>
        <identity value="qdm" />
        <map value="Patient Characteristic" />
      </mapping>
    </element>
    <element>
      <path value="Patient.militaryService" />
      <name value="militaryService" />
      <binding>
        <strength value="preferred" />
        <description value="The state of an individual's service in the military" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-veteranMilitaryStatus" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.name" />
    </element>
    <element>
      <path value="Patient.name.use" />
      <binding>
        <strength value="required" />
        <description value="The manner by which an individual uses a name" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-PersonNameUse" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.telecom" />
    </element>
    <element>
      <path value="Patient.telecom.system" />
      <binding>
        <strength value="required" />
        <description value="A set of codes that describe the telecom system" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-telecomSystem" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.telecom.use" />
      <binding>
        <strength value="required" />
        <description value="A set of codes that describe the type of usage for a telecom value." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-telecomType" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.gender" />
      <binding>
        <strength value="required" />
        <description value="The gender of a person used for administrative purposes" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0001" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.address" />
    </element>
    <element>
      <path value="Patient.address.extension" />
      <name value="address.primaryInd" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/hspc-patient-PrimaryIndicator" />
      </type>
    </element>
    <element>
      <path value="Patient.address.extension" />
      <name value="addressType" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/hspc-patient-AddressType" />
      </type>
    </element>
    <element>
      <path value="Patient.address.use" />
      <binding>
        <strength value="required" />
        <description value="A set of codes that describe the manner in which an addressed is used." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-addressUse" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.maritalStatus" />
      <name value="AdministrativeMaritalStatus" />
      <binding>
        <strength value="preferred" />
        <description value="Marital status of the patient" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/hspc-patient-maritalStatus" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="Patient.contact" />
      <name value="Contact" />
      <slicing>
        <discriminator value="patient.contact.relationship" />
        <ordered value="true" />
        <rules value="openAtEnd" />
      </slicing>
      <min value="0" />
      <max value="1" />
    </element>
    <element>
      <path value="Patient.contact.relationship" />
      <name value="emergencyContact" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <fixedCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/v2/AddressUse" />
          <code value="EC" />
          <display value="Emergency Contact" />
        </coding>
      </fixedCodeableConcept>
    </element>
    <element>
      <path value="Patient.communication" />
    </element>
    <element>
      <path value="Patient.communication.extension" />
      <name value="communication.mode" />
      <slicing>
        <discriminator value="url" />
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/hspc-patient-communicationMode" />
      </type>
    </element>
    <element>
      <path value="Patient.communication.extension" />
      <name value="preferenceInd" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-preferred" />
      </type>
    </element>
  </differential>
</StructureDefinition>

name : HSPC-Patient

{

}

<name value="HSPC-Patient" />