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{
 "resourceType": "StructureDefinition",
 "id": "MHXPatientIn",
 "language": "de-DE",
 "text": {
 "status": "extensions",
 "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-DE\" lang=\"de-DE\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MHXPatientIn-definitions.html#Patient\">Patient</a><a name=\"Patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://simplifier.net/resolve?scope=de.medizininformatikinitiative.kerndatensatz.person@1.0.16&amp;canonical=https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient\">ProfilePatientPatientIn</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Information about an individual or animal receiving health care services</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> identifier:versichertenId_GKV<a name=\"Patient.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..0</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MHXPatientIn-definitions.html#Patient.identifier:pid\" title=\"Slice pid\">identifier:pid</a><a name=\"Patient.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@0.9.13&amp;canonical=http://fhir.de/StructureDefinition/identifier-pid\" title=\"Identifier\">IdentifierPid</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">An identifier intended for computation</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> identifier:versichertennummer_pkv<a name=\"Patient.identifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..0</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> name:geburtsname<a name=\"Patient.name\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..0</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> deceasedBoolean<a name=\"Patient.deceasedBoolean\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..0</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MHXPatientIn-definitions.html#Patient.deceasedDateTime\">deceasedDateTime</a><a name=\"Patient.deceasedDateTime\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">S</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Indicates if the individual is deceased or not</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MHXPatientIn-definitions.html#Patient.address:Strassenanschrift\" title=\"Slice Strassenanschrift\">address:Strassenanschrift</a><a name=\"Patient.address\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@0.9.13&amp;canonical=http://fhir.de/StructureDefinition/address-de-basis\" title=\"Address\">AddressDeBasis</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Eine Adresse gemäß postalischer Konventionen</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MHXPatientIn-definitions.html#Patient.address:Strassenanschrift.state\">state</a><a name=\"Patient.address.state\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">S</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Bundesland</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> address:Postfach<a name=\"Patient.address\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..0</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MHXPatientIn-definitions.html#Patient.generalPractitioner\">generalPractitioner</a><a name=\"Patient.generalPractitioner\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">S</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/organization.html\">Organization</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/practitioner.html\">Practitioner</a> | <a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/practitionerrole.html\">PractitionerRole</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient's nominated primary care provider</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"> <a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
 },
 "url": "http://mihubx.de/fhir/StructureDefinition/MHXPatientIn",
 "version": "0.1.0",
 "name": "MHXPatientIn",
 "title": "MiHUBx PatientIn",
 "status": "draft",
 "experimental": true,
 "date": "2023-01-31",
 "publisher": "MiHUBx",
 "contact": [
 {
 "name": "MiHUBx",
 "telecom": [
 {
 "system": "url",
 "value": "https://mihubx.de"
 },
 {
 "system": "email",
 "value": "mihubx@tu-dresden.de"
 }
 ]
 }
 ],
 "description": "Dieses Profil beschreibt eine Patient*in im MiHUBx-Projekt",
 "jurisdiction": [
 {
 "coding": [
 {
 "system": "urn:iso:std:iso:3166",
 "code": "DE",
 "display": "Germany"
 }
 ]
 }
 ],
 "fhirVersion": "4.0.1",
 "kind": "resource",
 "abstract": false,
 "type": "Patient",
 "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient",
 "derivation": "constraint",
 "snapshot": {
 "element": [
 {
 "id": "Patient",
 "path": "Patient",
 "short": "Information about an individual or animal receiving health care services",
 "definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
 "alias": [
 "SubjectOfCare Client Resident"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient",
 "min": 0,
 "max": "*"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "Entity. Role, or Act"
 },
 {
 "identity": "rim",
 "map": "Patient[classCode=PAT]"
 },
 {
 "identity": "cda",
 "map": "ClinicalDocument.recordTarget.patientRole"
 }
 ]
 },
 {
 "id": "Patient.id",
 "path": "Patient.id",
 "short": "Logical id of this artifact",
 "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
 "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Resource.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "id"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mustSupport": true,
 "isSummary": true
 },
 {
 "id": "Patient.meta",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta",
 "short": "Metadata about the resource",
 "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Resource.meta",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Meta"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.meta.id",
 "path": "Patient.meta.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.meta.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.meta.versionId",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta.versionId",
 "short": "Version specific identifier",
 "definition": "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.",
 "comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Meta.versionId",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "id"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.meta.lastUpdated",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta.lastUpdated",
 "short": "When the resource version last changed",
 "definition": "When the resource last changed - e.g. when the version changed.",
 "comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http.html#read) interaction.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Meta.lastUpdated",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "instant"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.meta.source",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta.source",
 "short": "Identifies where the resource comes from",
 "definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.",
 "comment": "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Meta.source",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.meta.profile",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta.profile",
 "short": "Profiles this resource claims to conform to",
 "definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).",
 "comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Meta.profile",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "canonical",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/StructureDefinition"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.meta.security",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta.security",
 "short": "Security Labels applied to this resource",
 "definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
 "comment": "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Meta.security",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Coding"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "SecurityLabels"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "Security Labels from the Healthcare Privacy and Security Classification System.",
 "valueSet": "http://hl7.org/fhir/ValueSet/security-labels"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
 },
 {
 "identity": "rim",
 "map": "CV"
 },
 {
 "identity": "orim",
 "map": "fhir:Coding rdfs:subClassOf dt:CDCoding"
 }
 ]
 },
 {
 "id": "Patient.meta.tag",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.meta.tag",
 "short": "Tags applied to this resource",
 "definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
 "comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Meta.tag",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Coding"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "Tags"
 }
 ],
 "strength": "example",
 "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".",
 "valueSet": "http://hl7.org/fhir/ValueSet/common-tags"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
 },
 {
 "identity": "rim",
 "map": "CV"
 },
 {
 "identity": "orim",
 "map": "fhir:Coding rdfs:subClassOf dt:CDCoding"
 }
 ]
 },
 {
 "id": "Patient.implicitRules",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.implicitRules",
 "short": "A set of rules under which this content was created",
 "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
 "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Resource.implicitRules",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.language",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.language",
 "short": "Language of the resource content",
 "definition": "The base language in which the resource is written.",
 "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Resource.language",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
 "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "Language"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "preferred",
 "description": "A human language.",
 "valueSet": "http://hl7.org/fhir/ValueSet/languages"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.text",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.text",
 "short": "Text summary of the resource, for human interpretation",
 "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
 "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
 "alias": [
 "narrative",
 "html",
 "xhtml",
 "display"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "DomainResource.text",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Narrative"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "Act.text?"
 }
 ]
 },
 {
 "id": "Patient.contained",
 "path": "Patient.contained",
 "short": "Contained, inline Resources",
 "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
 "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
 "alias": [
 "inline resources",
 "anonymous resources",
 "contained resources"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "DomainResource.contained",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Resource"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "Entity. Role, or Act"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "DomainResource.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.modifierExtension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.modifierExtension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Extensions that cannot be ignored",
 "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "DomainResource.modifierExtension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier",
 "slicing": {
 "discriminator": [
 {
 "type": "pattern",
 "path": "$this"
 }
 ],
 "rules": "open"
 },
 "short": "An identifier for this patient",
 "definition": "An identifier for this patient.",
 "requirements": "Patients are almost always assigned specific numerical identifiers.",
 "min": 1,
 "max": "*",
 "base": {
 "path": "Patient.identifier",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Identifier"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
 },
 {
 "identity": "rim",
 "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
 },
 {
 "identity": "servd",
 "map": "Identifier"
 },
 {
 "identity": "w5",
 "map": "FiveWs.identifier"
 },
 {
 "identity": "v2",
 "map": "PID-3"
 },
 {
 "identity": "rim",
 "map": "id"
 },
 {
 "identity": "cda",
 "map": ".id"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV",
 "path": "Patient.identifier",
 "sliceName": "versichertenId_GKV",
 "short": "An identifier intended for computation",
 "definition": "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
 "requirements": "Patients are almost always assigned specific numerical identifiers.",
 "min": 0,
 "max": "0",
 "base": {
 "path": "Patient.identifier",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Identifier",
 "profile": [
 "http://fhir.de/StructureDefinition/identifier-kvid-10"
 ]
 }
 ],
 "patternIdentifier": {
 "type": {
 "coding": [
 {
 "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
 "code": "GKV"
 }
 ]
 }
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
 },
 {
 "identity": "rim",
 "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
 },
 {
 "identity": "servd",
 "map": "Identifier"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.id",
 "path": "Patient.identifier.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.use",
 "short": "usual | official | temp | secondary | old (If known)",
 "definition": "The purpose of this identifier.",
 "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
 "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "fixedCode": "official",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierUse"
 }
 ],
 "strength": "required",
 "description": "Identifies the purpose for this identifier, if known .",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.type",
 "short": "Description of identifier",
 "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
 "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
 "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "patternCodeableConcept": {
 "coding": [
 {
 "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
 "code": "GKV"
 }
 ]
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierType"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "CX.5"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.system",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.system",
 "short": "The namespace for the identifier value",
 "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
 "comment": "Identifier.system is always case sensitive.",
 "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.system",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "fixedUri": "http://fhir.de/NamingSystem/gkv/kvid-10",
 "example": [
 {
 "label": "General",
 "valueUri": "http://www.acme.com/identifiers/patient"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.4 / EI-2-4"
 },
 {
 "identity": "rim",
 "map": "II.root or Role.id.root"
 },
 {
 "identity": "servd",
 "map": "./IdentifierType"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.value",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.value",
 "short": "The value that is unique",
 "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
 "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "123456"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "kvid-1",
 "severity": "warning",
 "human": "Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen",
 "expression": "matches('^[A-Z][0-9]{9}$')",
 "source": "http://fhir.de/StructureDefinition/identifier-kvid-10"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.1 / EI.1"
 },
 {
 "identity": "rim",
 "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
 },
 {
 "identity": "servd",
 "map": "./Value"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.period",
 "short": "Time period when id is/was valid for use",
 "definition": "Time period during which identifier is/was valid for use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "CX.7 + CX.8"
 },
 {
 "identity": "rim",
 "map": "Role.effectiveTime or implied by context"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner",
 "short": "Organization that issued id (may be just text)",
 "definition": "Organization that issued/manages the identifier.",
 "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.assigner",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "CX.4 / (CX.4,CX.9,CX.10)"
 },
 {
 "identity": "rim",
 "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
 },
 {
 "identity": "servd",
 "map": "./IdentifierIssuingAuthority"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.id",
 "path": "Patient.identifier.assigner.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.reference",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.reference",
 "short": "Literal reference, Relative, internal or absolute URL",
 "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
 "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.reference",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1",
 "ref-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.type",
 "short": "Type the reference refers to (e.g. \"Patient\")",
 "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
 "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "FHIRResourceTypeExt"
 }
 ],
 "strength": "extensible",
 "description": "Aa resource (or, for logical models, the URI of the logical model).",
 "valueSet": "http://hl7.org/fhir/ValueSet/resource-types"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier",
 "short": "An identifier intended for computation",
 "definition": "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
 "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Reference.identifier",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Identifier",
 "profile": [
 "http://fhir.de/StructureDefinition/identifier-iknr"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
 },
 {
 "identity": "rim",
 "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
 },
 {
 "identity": "servd",
 "map": "Identifier"
 },
 {
 "identity": "rim",
 "map": ".identifier"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.id",
 "path": "Patient.identifier.assigner.identifier.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.use",
 "short": "usual | official | temp | secondary | old (If known)",
 "definition": "The purpose of this identifier.",
 "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
 "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "fixedCode": "official",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierUse"
 }
 ],
 "strength": "required",
 "description": "Identifies the purpose for this identifier, if known .",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.type",
 "short": "Description of identifier",
 "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
 "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
 "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "patternCodeableConcept": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
 "code": "XX"
 }
 ]
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierType"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "CX.5"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.system",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.system",
 "short": "The namespace for the identifier value",
 "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
 "comment": "Identifier.system is always case sensitive.",
 "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.system",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "fixedUri": "http://fhir.de/NamingSystem/arge-ik/iknr",
 "example": [
 {
 "label": "General",
 "valueUri": "http://www.acme.com/identifiers/patient"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.4 / EI-2-4"
 },
 {
 "identity": "rim",
 "map": "II.root or Role.id.root"
 },
 {
 "identity": "servd",
 "map": "./IdentifierType"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.value",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.value",
 "short": "The value that is unique",
 "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
 "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "123456"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ik-1",
 "severity": "warning",
 "human": "Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein",
 "expression": "matches('[0-9]{8,9}')",
 "source": "http://fhir.de/StructureDefinition/identifier-iknr"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.1 / EI.1"
 },
 {
 "identity": "rim",
 "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
 },
 {
 "identity": "servd",
 "map": "./Value"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.period",
 "short": "Time period when id is/was valid for use",
 "definition": "Time period during which identifier is/was valid for use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "CX.7 + CX.8"
 },
 {
 "identity": "rim",
 "map": "Role.effectiveTime or implied by context"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.identifier.assigner",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.assigner",
 "short": "Organization that issued id (may be just text)",
 "definition": "Organization that issued/manages the identifier.",
 "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.assigner",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "CX.4 / (CX.4,CX.9,CX.10)"
 },
 {
 "identity": "rim",
 "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
 },
 {
 "identity": "servd",
 "map": "./IdentifierIssuingAuthority"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertenId_GKV.assigner.display",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
 "valueBoolean": true
 }
 ],
 "path": "Patient.identifier.assigner.display",
 "short": "Text alternative for the resource",
 "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
 "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.display",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid",
 "path": "Patient.identifier",
 "sliceName": "pid",
 "short": "An identifier intended for computation",
 "definition": "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
 "requirements": "Patients are almost always assigned specific numerical identifiers.",
 "min": 1,
 "max": "*",
 "base": {
 "path": "Patient.identifier",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Identifier",
 "profile": [
 "http://fhir.de/StructureDefinition/identifier-pid"
 ]
 }
 ],
 "patternIdentifier": {
 "type": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
 "code": "MR"
 }
 ]
 }
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
 },
 {
 "identity": "rim",
 "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
 },
 {
 "identity": "servd",
 "map": "Identifier"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.id",
 "path": "Patient.identifier.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.use",
 "short": "usual | official | temp | secondary | old (If known)",
 "definition": "The purpose of this identifier.",
 "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
 "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "fixedCode": "usual",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierUse"
 }
 ],
 "strength": "required",
 "description": "Identifies the purpose for this identifier, if known .",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.type",
 "short": "Description of identifier",
 "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
 "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
 "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "patternCodeableConcept": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
 "code": "MR"
 }
 ]
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierType"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "CX.5"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.system",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.system",
 "short": "The namespace for the identifier value",
 "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
 "comment": "Identifier.system is always case sensitive.",
 "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.system",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueUri": "http://www.acme.com/identifiers/patient"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.4 / EI-2-4"
 },
 {
 "identity": "rim",
 "map": "II.root or Role.id.root"
 },
 {
 "identity": "servd",
 "map": "./IdentifierType"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.value",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.value",
 "short": "The value that is unique",
 "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
 "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "123456"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.1 / EI.1"
 },
 {
 "identity": "rim",
 "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
 },
 {
 "identity": "servd",
 "map": "./Value"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.period",
 "short": "Time period when id is/was valid for use",
 "definition": "Time period during which identifier is/was valid for use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "CX.7 + CX.8"
 },
 {
 "identity": "rim",
 "map": "Role.effectiveTime or implied by context"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner",
 "short": "A reference from one resource to another",
 "definition": "A reference from one resource to another.",
 "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.assigner",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "profile": [
 "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
 ],
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 },
 {
 "key": "mii-reference-1",
 "severity": "error",
 "human": "Either reference.reference OR reference.identifier exists",
 "expression": "($this.reference.exists() or ($this.identifier.value.exists() and $this.identifier.system.exists())) xor $this.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()",
 "source": "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "CX.4 / (CX.4,CX.9,CX.10)"
 },
 {
 "identity": "rim",
 "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
 },
 {
 "identity": "servd",
 "map": "./IdentifierIssuingAuthority"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.id",
 "path": "Patient.identifier.assigner.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.reference",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.reference",
 "short": "Literal reference, Relative, internal or absolute URL",
 "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
 "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.reference",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1",
 "ref-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.type",
 "short": "Type the reference refers to (e.g. \"Patient\")",
 "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
 "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "FHIRResourceTypeExt"
 }
 ],
 "strength": "extensible",
 "description": "Aa resource (or, for logical models, the URI of the logical model).",
 "valueSet": "http://hl7.org/fhir/ValueSet/resource-types"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier",
 "short": "Logical reference, when literal reference is not known",
 "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
 "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.identifier",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Identifier"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
 },
 {
 "identity": "rim",
 "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
 },
 {
 "identity": "servd",
 "map": "Identifier"
 },
 {
 "identity": "rim",
 "map": ".identifier"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.id",
 "path": "Patient.identifier.assigner.identifier.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.use",
 "short": "usual | official | temp | secondary | old (If known)",
 "definition": "The purpose of this identifier.",
 "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
 "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierUse"
 }
 ],
 "strength": "required",
 "description": "Identifies the purpose for this identifier, if known .",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.type",
 "short": "Description of identifier",
 "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
 "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
 "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "patternCodeableConcept": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
 "code": "XX"
 }
 ]
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierType"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "CX.5"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.system",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.system",
 "short": "The namespace for the identifier value",
 "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
 "comment": "Identifier.system is always case sensitive.",
 "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.system",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueUri": "http://www.acme.com/identifiers/patient"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "mii-pat-1",
 "severity": "error",
 "human": "Entweder IKNR oder MII Core Location Identifier soll verwendet werden",
 "expression": "$this = 'http://fhir.de/NamingSystem/arge-ik/iknr' or $this = 'https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier'",
 "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.4 / EI-2-4"
 },
 {
 "identity": "rim",
 "map": "II.root or Role.id.root"
 },
 {
 "identity": "servd",
 "map": "./IdentifierType"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.value",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.value",
 "short": "The value that is unique",
 "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
 "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "123456"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.1 / EI.1"
 },
 {
 "identity": "rim",
 "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
 },
 {
 "identity": "servd",
 "map": "./Value"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.period",
 "short": "Time period when id is/was valid for use",
 "definition": "Time period during which identifier is/was valid for use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "CX.7 + CX.8"
 },
 {
 "identity": "rim",
 "map": "Role.effectiveTime or implied by context"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.identifier.assigner",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.assigner",
 "short": "Organization that issued id (may be just text)",
 "definition": "Organization that issued/manages the identifier.",
 "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.assigner",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "CX.4 / (CX.4,CX.9,CX.10)"
 },
 {
 "identity": "rim",
 "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
 },
 {
 "identity": "servd",
 "map": "./IdentifierIssuingAuthority"
 }
 ]
 },
 {
 "id": "Patient.identifier:pid.assigner.display",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
 "valueBoolean": true
 }
 ],
 "path": "Patient.identifier.assigner.display",
 "short": "Text alternative for the resource",
 "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
 "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.display",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv",
 "path": "Patient.identifier",
 "sliceName": "versichertennummer_pkv",
 "short": "An identifier intended for computation",
 "definition": "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
 "requirements": "Patients are almost always assigned specific numerical identifiers.",
 "min": 0,
 "max": "0",
 "base": {
 "path": "Patient.identifier",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Identifier",
 "profile": [
 "http://fhir.de/StructureDefinition/identifier-pkv"
 ]
 }
 ],
 "patternIdentifier": {
 "type": {
 "coding": [
 {
 "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
 "code": "PKV"
 }
 ]
 }
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
 },
 {
 "identity": "rim",
 "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
 },
 {
 "identity": "servd",
 "map": "Identifier"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.id",
 "path": "Patient.identifier.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.use",
 "short": "usual | official | temp | secondary | old (If known)",
 "definition": "The purpose of this identifier.",
 "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
 "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "fixedCode": "secondary",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierUse"
 }
 ],
 "strength": "required",
 "description": "Identifies the purpose for this identifier, if known .",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.type",
 "short": "Description of identifier",
 "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
 "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
 "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "patternCodeableConcept": {
 "coding": [
 {
 "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
 "code": "PKV"
 }
 ]
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierType"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "CX.5"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.system",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.system",
 "short": "The namespace for the identifier value",
 "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
 "comment": "Identifier.system is always case sensitive.",
 "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.system",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueUri": "http://www.acme.com/identifiers/patient"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.4 / EI-2-4"
 },
 {
 "identity": "rim",
 "map": "II.root or Role.id.root"
 },
 {
 "identity": "servd",
 "map": "./IdentifierType"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.value",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.value",
 "short": "The value that is unique",
 "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
 "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "123456"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.1 / EI.1"
 },
 {
 "identity": "rim",
 "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
 },
 {
 "identity": "servd",
 "map": "./Value"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.period",
 "short": "Time period when id is/was valid for use",
 "definition": "Time period during which identifier is/was valid for use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "CX.7 + CX.8"
 },
 {
 "identity": "rim",
 "map": "Role.effectiveTime or implied by context"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner",
 "short": "Organization that issued id (may be just text)",
 "definition": "Organization that issued/manages the identifier.",
 "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.assigner",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "CX.4 / (CX.4,CX.9,CX.10)"
 },
 {
 "identity": "rim",
 "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
 },
 {
 "identity": "servd",
 "map": "./IdentifierIssuingAuthority"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.id",
 "path": "Patient.identifier.assigner.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.reference",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.reference",
 "short": "Literal reference, Relative, internal or absolute URL",
 "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
 "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.reference",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1",
 "ref-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.type",
 "short": "Type the reference refers to (e.g. \"Patient\")",
 "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
 "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "FHIRResourceTypeExt"
 }
 ],
 "strength": "extensible",
 "description": "Aa resource (or, for logical models, the URI of the logical model).",
 "valueSet": "http://hl7.org/fhir/ValueSet/resource-types"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier",
 "short": "An identifier intended for computation",
 "definition": "An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.",
 "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Reference.identifier",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Identifier",
 "profile": [
 "http://fhir.de/StructureDefinition/identifier-iknr"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
 },
 {
 "identity": "rim",
 "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
 },
 {
 "identity": "servd",
 "map": "Identifier"
 },
 {
 "identity": "rim",
 "map": ".identifier"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.id",
 "path": "Patient.identifier.assigner.identifier.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.use",
 "short": "usual | official | temp | secondary | old (If known)",
 "definition": "The purpose of this identifier.",
 "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
 "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "fixedCode": "official",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierUse"
 }
 ],
 "strength": "required",
 "description": "Identifies the purpose for this identifier, if known .",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.type",
 "short": "Description of identifier",
 "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
 "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
 "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "patternCodeableConcept": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
 "code": "XX"
 }
 ]
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "IdentifierType"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
 "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "CX.5"
 },
 {
 "identity": "rim",
 "map": "Role.code or implied by context"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.system",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.system",
 "short": "The namespace for the identifier value",
 "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
 "comment": "Identifier.system is always case sensitive.",
 "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.system",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "uri"
 }
 ],
 "fixedUri": "http://fhir.de/NamingSystem/arge-ik/iknr",
 "example": [
 {
 "label": "General",
 "valueUri": "http://www.acme.com/identifiers/patient"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.4 / EI-2-4"
 },
 {
 "identity": "rim",
 "map": "II.root or Role.id.root"
 },
 {
 "identity": "servd",
 "map": "./IdentifierType"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.value",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.value",
 "short": "The value that is unique",
 "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
 "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Identifier.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "123456"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ik-1",
 "severity": "warning",
 "human": "Eine IK muss 8- (ohne Prüfziffer) oder 9-stellig (mit Prüfziffer) sein",
 "expression": "matches('[0-9]{8,9}')",
 "source": "http://fhir.de/StructureDefinition/identifier-iknr"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CX.1 / EI.1"
 },
 {
 "identity": "rim",
 "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
 },
 {
 "identity": "servd",
 "map": "./Value"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.period",
 "short": "Time period when id is/was valid for use",
 "definition": "Time period during which identifier is/was valid for use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "CX.7 + CX.8"
 },
 {
 "identity": "rim",
 "map": "Role.effectiveTime or implied by context"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.identifier.assigner",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.identifier.assigner.identifier.assigner",
 "short": "Organization that issued id (may be just text)",
 "definition": "Organization that issued/manages the identifier.",
 "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Identifier.assigner",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "CX.4 / (CX.4,CX.9,CX.10)"
 },
 {
 "identity": "rim",
 "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
 },
 {
 "identity": "servd",
 "map": "./IdentifierIssuingAuthority"
 }
 ]
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv.assigner.display",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
 "valueBoolean": true
 }
 ],
 "path": "Patient.identifier.assigner.display",
 "short": "Text alternative for the resource",
 "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
 "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Reference.display",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.active",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.active",
 "short": "Whether this patient's record is in active use",
 "definition": "Whether this patient record is in active use. \nMany systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.",
 "comment": "If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
 "requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.active",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "boolean"
 }
 ],
 "meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "w5",
 "map": "FiveWs.status"
 },
 {
 "identity": "rim",
 "map": "statusCode"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.name",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name",
 "slicing": {
 "discriminator": [
 {
 "type": "pattern",
 "path": "$this"
 }
 ],
 "rules": "open"
 },
 "short": "A name associated with the patient",
 "definition": "A name associated with the individual.",
 "comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
 "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
 "min": 1,
 "max": "*",
 "base": {
 "path": "Patient.name",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "HumanName"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN"
 },
 {
 "identity": "rim",
 "map": "EN (actually, PN)"
 },
 {
 "identity": "servd",
 "map": "ProviderName"
 },
 {
 "identity": "v2",
 "map": "PID-5, PID-9"
 },
 {
 "identity": "rim",
 "map": "name"
 },
 {
 "identity": "cda",
 "map": ".patient.name"
 }
 ]
 },
 {
 "id": "Patient.name:name",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name",
 "sliceName": "name",
 "short": "Personenname",
 "definition": "Personenname mit in Deutschland üblichen Erweiterungen",
 "comment": "Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.",
 "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Patient.name",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "HumanName",
 "profile": [
 "http://fhir.de/StructureDefinition/humanname-de-basis"
 ]
 }
 ],
 "patternHumanName": {
 "use": "official"
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "hum-1",
 "severity": "error",
 "human": "Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden",
 "expression": "family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 },
 {
 "key": "hum-2",
 "severity": "error",
 "human": "Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden",
 "expression": "family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 },
 {
 "key": "hum-3",
 "severity": "error",
 "human": "Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden",
 "expression": "family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 },
 {
 "key": "hum-4",
 "severity": "error",
 "human": "Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden",
 "expression": "prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN"
 },
 {
 "identity": "rim",
 "map": "EN (actually, PN)"
 },
 {
 "identity": "servd",
 "map": "ProviderName"
 },
 {
 "identity": "v2",
 "map": "PID-5, PID-9"
 },
 {
 "identity": "rim",
 "map": "name"
 },
 {
 "identity": "cda",
 "map": ".patient.name"
 }
 ]
 },
 {
 "id": "Patient.name:name.id",
 "path": "Patient.name.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.name:name.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.name:name.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.use",
 "short": "usual | official | temp | nickname | anonymous | old | maiden",
 "definition": "Identifies the purpose for this name.",
 "comment": "Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
 "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "HumanName.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "NameUse"
 }
 ],
 "strength": "required",
 "description": "The use of a human name.",
 "valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.7, but often indicated by which field contains the name"
 },
 {
 "identity": "rim",
 "map": "unique(./use)"
 },
 {
 "identity": "servd",
 "map": "./NamePurpose"
 },
 {
 "identity": "BDT",
 "map": "1211 (in BDT als Freitext!)"
 }
 ]
 },
 {
 "id": "Patient.name:name.text",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.text",
 "short": "Text representation of the full name",
 "definition": "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.",
 "comment": "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.",
 "requirements": "A renderable, unencoded form.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "HumanName.text",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "implied by XPN.11"
 },
 {
 "identity": "rim",
 "map": "./formatted"
 }
 ]
 },
 {
 "id": "Patient.name:name.family",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family",
 "short": "Familienname",
 "definition": "Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.",
 "comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
 "alias": [
 "surname"
 ],
 "min": 1,
 "max": "1",
 "base": {
 "path": "HumanName.family",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.1/FN.1"
 },
 {
 "identity": "rim",
 "map": "./part[partType = FAM]"
 },
 {
 "identity": "servd",
 "map": "./FamilyName"
 },
 {
 "identity": "BDT",
 "map": "3120 + 3100 + 3101"
 },
 {
 "identity": "KVDT",
 "map": "3120 + 3100 + 3101"
 }
 ]
 },
 {
 "id": "Patient.name:name.family.id",
 "path": "Patient.name.family.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.name:name.family.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.name:name.family.extension:namenszusatz",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "sliceName": "namenszusatz",
 "short": "Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, \"eGK\")",
 "definition": "Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, \"eGK\") definiert.\r\nBeispiele: Gräfin, Prinz oder Fürst",
 "comment": "Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile \"Namenszusatz\" und \"Vorsatzwort\" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt.\r\nDas Vorsatzwort kann durch die Core-Extension http://build.fhir.org/extension-humanname-own-name.html abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://fhir.de/StructureDefinition/humanname-namenszusatz"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "KVDT",
 "map": "3100"
 },
 {
 "identity": "BDT",
 "map": "3100"
 }
 ]
 },
 {
 "id": "Patient.name:name.family.extension:nachname",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "sliceName": "nachname",
 "short": "Nachname ohne Vor- und Zusätze",
 "definition": "Nachname ohne Vor- und Zusätze.\r\nDient z.B. der alphabetischen Einordnung des Namens.",
 "comment": "If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's \"maiden name\".",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/humanname-own-name"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "v2",
 "map": "FN.3"
 },
 {
 "identity": "rim",
 "map": "ENXP where Qualifiers = (BR)"
 },
 {
 "identity": "KVDT",
 "map": "3101"
 },
 {
 "identity": "BDT",
 "map": "3101"
 }
 ]
 },
 {
 "id": "Patient.name:name.family.extension:vorsatzwort",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "sliceName": "vorsatzwort",
 "short": "Vorsatzwort",
 "definition": "Vorsatzwort wie z.B.: von, van, zu\r\nVgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, \"eGK\")",
 "comment": "An example of a voorvoegsel is the \"van\" in \"Ludwig van Beethoven\". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "v2",
 "map": "FN.2"
 },
 {
 "identity": "rim",
 "map": "ENXP where Qualifiers = (VV, R)"
 },
 {
 "identity": "BDT",
 "map": "3120"
 },
 {
 "identity": "KVDT",
 "map": "3120"
 }
 ]
 },
 {
 "id": "Patient.name:name.family.value",
 "path": "Patient.name.family.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.name:name.given",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.given",
 "short": "Vorname",
 "definition": "Vorname der Person",
 "comment": "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called \"first name\" since given names do not always come first.",
 "alias": [
 "first name",
 "middle name"
 ],
 "min": 1,
 "max": "*",
 "base": {
 "path": "HumanName.given",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "Given Names appear in the correct order for presenting the name",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.2 + XPN.3"
 },
 {
 "identity": "rim",
 "map": "./part[partType = GIV]"
 },
 {
 "identity": "servd",
 "map": "./GivenNames"
 },
 {
 "identity": "KVDT",
 "map": "3102"
 },
 {
 "identity": "BDT",
 "map": "3102"
 }
 ]
 },
 {
 "id": "Patient.name:name.prefix",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.prefix",
 "short": "Namensteile vor dem Vornamen",
 "definition": "Namensteile vor dem Vornamen, z.B. akademischer Titel.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "min": 0,
 "max": "*",
 "base": {
 "path": "HumanName.prefix",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "Prefixes appear in the correct order for presenting the name",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.5"
 },
 {
 "identity": "rim",
 "map": "./part[partType = PFX]"
 },
 {
 "identity": "servd",
 "map": "./TitleCode"
 },
 {
 "identity": "KVDT",
 "map": "3104"
 },
 {
 "identity": "BDT",
 "map": "3104"
 }
 ]
 },
 {
 "id": "Patient.name:name.prefix.id",
 "path": "Patient.name.prefix.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.name:name.prefix.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.prefix.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.name:name.prefix.extension:prefix-qualifier",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.prefix.extension",
 "sliceName": "prefix-qualifier",
 "short": "LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV",
 "definition": "Spezialisierung der Art des Präfixes, z.B. \"AC\" für Akademische Titel",
 "comment": "Used to indicate additional information about the name part and how it should be used.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": false,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ENXP.qualifier"
 }
 ]
 },
 {
 "id": "Patient.name:name.prefix.value",
 "path": "Patient.name.prefix.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.name:name.suffix",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.suffix",
 "short": "Namensteile nach dem Nachnamen",
 "definition": "Namensteile nach dem Nachnamen",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "min": 0,
 "max": "*",
 "base": {
 "path": "HumanName.suffix",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "Suffixes appear in the correct order for presenting the name",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN/4"
 },
 {
 "identity": "rim",
 "map": "./part[partType = SFX]"
 }
 ]
 },
 {
 "id": "Patient.name:name.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.period",
 "short": "Time period when name was/is in use",
 "definition": "Indicates the period of time when this name was valid for the named person.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "requirements": "Allows names to be placed in historical context.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "HumanName.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "XPN.13 + XPN.14"
 },
 {
 "identity": "rim",
 "map": "./usablePeriod[type=\"IVL<TS>\"]"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname",
 "path": "Patient.name",
 "sliceName": "geburtsname",
 "short": "Personenname",
 "definition": "Personenname mit in Deutschland üblichen Erweiterungen",
 "comment": "Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.",
 "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
 "min": 0,
 "max": "0",
 "base": {
 "path": "Patient.name",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "HumanName",
 "profile": [
 "http://fhir.de/StructureDefinition/humanname-de-basis"
 ]
 }
 ],
 "patternHumanName": {
 "use": "maiden"
 },
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "hum-1",
 "severity": "error",
 "human": "Wenn die Extension 'namenszusatz' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden",
 "expression": "family.extension('http://fhir.de/StructureDefinition/humanname-namenszusatz').empty() or family.hasValue()",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 },
 {
 "key": "hum-2",
 "severity": "error",
 "human": "Wenn die Extension 'nachname' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden",
 "expression": "family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty() or family.hasValue()",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 },
 {
 "key": "hum-3",
 "severity": "error",
 "human": "Wenn die Extension 'vorsatzwort' verwendet wird, dann muss der vollständige Name im Attribut 'family' angegeben werden",
 "expression": "family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty() or family.hasValue()",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 },
 {
 "key": "hum-4",
 "severity": "error",
 "human": "Wenn die Extension 'prefix-qualifier' verwendet wird, dann muss ein Namenspräfix im Attribut 'prefix' angegeben werden",
 "expression": "prefix.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/humanname-de-basis"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN"
 },
 {
 "identity": "rim",
 "map": "EN (actually, PN)"
 },
 {
 "identity": "servd",
 "map": "ProviderName"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.id",
 "path": "Patient.name.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.use",
 "short": "usual | official | temp | nickname | anonymous | old | maiden",
 "definition": "Identifies the purpose for this name.",
 "comment": "Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
 "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "HumanName.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "NameUse"
 }
 ],
 "strength": "required",
 "description": "The use of a human name.",
 "valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.7, but often indicated by which field contains the name"
 },
 {
 "identity": "rim",
 "map": "unique(./use)"
 },
 {
 "identity": "servd",
 "map": "./NamePurpose"
 },
 {
 "identity": "BDT",
 "map": "1211 (in BDT als Freitext!)"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.text",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.text",
 "short": "Text representation of the full name",
 "definition": "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.",
 "comment": "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.",
 "requirements": "A renderable, unencoded form.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "HumanName.text",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "implied by XPN.11"
 },
 {
 "identity": "rim",
 "map": "./formatted"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.family",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family",
 "short": "Familienname",
 "definition": "Der vollständige Familienname, einschließlich aller Vorsatz- und Zusatzwörter, mit Leerzeichen getrennt.",
 "comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
 "alias": [
 "surname"
 ],
 "min": 1,
 "max": "1",
 "base": {
 "path": "HumanName.family",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.1/FN.1"
 },
 {
 "identity": "rim",
 "map": "./part[partType = FAM]"
 },
 {
 "identity": "servd",
 "map": "./FamilyName"
 },
 {
 "identity": "BDT",
 "map": "3120 + 3100 + 3101"
 },
 {
 "identity": "KVDT",
 "map": "3120 + 3100 + 3101"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.family.id",
 "path": "Patient.name.family.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.family.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.family.extension:namenszusatz",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "sliceName": "namenszusatz",
 "short": "Namenszusatz gemäß VSDM (Versichertenstammdatenmanagement, \"eGK\")",
 "definition": "Namenszusatz als Bestandteil das Nachnamens, wie in VSDM (Versichertenstammdatenmanagement, \"eGK\") definiert.\r\nBeispiele: Gräfin, Prinz oder Fürst",
 "comment": "Die Extension wurde erstellt aufgrund der Anforderung, die auf der eGK vorhandenen Patientenstammdaten in FHIR abbilden zu können. Auf der eGK werden die Namensbestandteile \"Namenszusatz\" und \"Vorsatzwort\" getrennt vom Nachnamen gespeichert. Anhand der Liste der zulässigen Namenszusätze ist deutlich erkennbar, dass es sich hierbei sinngemäß um Adelstitel handelt.\r\nDas Vorsatzwort kann durch die Core-Extension http://build.fhir.org/extension-humanname-own-name.html abgebildet werden, für den Namenszusatz ergibt sich jedoch die Notwendikeit einer nationalen Extension, da in andern Ländern Adelstitel entweder gar nicht oder als reguläres Namenspräfix erfasst werden.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://fhir.de/StructureDefinition/humanname-namenszusatz"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "KVDT",
 "map": "3100"
 },
 {
 "identity": "BDT",
 "map": "3100"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.family.extension:nachname",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "sliceName": "nachname",
 "short": "Nachname ohne Vor- und Zusätze",
 "definition": "Nachname ohne Vor- und Zusätze.\r\nDient z.B. der alphabetischen Einordnung des Namens.",
 "comment": "If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's \"maiden name\".",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/humanname-own-name"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "v2",
 "map": "FN.3"
 },
 {
 "identity": "rim",
 "map": "ENXP where Qualifiers = (BR)"
 },
 {
 "identity": "KVDT",
 "map": "3101"
 },
 {
 "identity": "BDT",
 "map": "3101"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.family.extension:vorsatzwort",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.family.extension",
 "sliceName": "vorsatzwort",
 "short": "Vorsatzwort",
 "definition": "Vorsatzwort wie z.B.: von, van, zu\r\nVgl. auch VSDM-Spezifikation der Gematik (Versichertenstammdatenmanagement, \"eGK\")",
 "comment": "An example of a voorvoegsel is the \"van\" in \"Ludwig van Beethoven\". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "v2",
 "map": "FN.2"
 },
 {
 "identity": "rim",
 "map": "ENXP where Qualifiers = (VV, R)"
 },
 {
 "identity": "BDT",
 "map": "3120"
 },
 {
 "identity": "KVDT",
 "map": "3120"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.family.value",
 "path": "Patient.name.family.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.name:geburtsname.given",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.given",
 "short": "Vorname",
 "definition": "Vorname der Person",
 "comment": "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called \"first name\" since given names do not always come first.",
 "alias": [
 "first name",
 "middle name"
 ],
 "min": 0,
 "max": "0",
 "base": {
 "path": "HumanName.given",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "Given Names appear in the correct order for presenting the name",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.2 + XPN.3"
 },
 {
 "identity": "rim",
 "map": "./part[partType = GIV]"
 },
 {
 "identity": "servd",
 "map": "./GivenNames"
 },
 {
 "identity": "KVDT",
 "map": "3102"
 },
 {
 "identity": "BDT",
 "map": "3102"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.prefix",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.prefix",
 "short": "Namensteile vor dem Vornamen",
 "definition": "Namensteile vor dem Vornamen, z.B. akademischer Titel.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "min": 0,
 "max": "0",
 "base": {
 "path": "HumanName.prefix",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "Prefixes appear in the correct order for presenting the name",
 "condition": [
 "ele-1"
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN.5"
 },
 {
 "identity": "rim",
 "map": "./part[partType = PFX]"
 },
 {
 "identity": "servd",
 "map": "./TitleCode"
 },
 {
 "identity": "KVDT",
 "map": "3104"
 },
 {
 "identity": "BDT",
 "map": "3104"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.prefix.id",
 "path": "Patient.name.prefix.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.prefix.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.prefix.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.prefix.extension:prefix-qualifier",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.prefix.extension",
 "sliceName": "prefix-qualifier",
 "short": "LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV",
 "definition": "Spezialisierung der Art des Präfixes, z.B. \"AC\" für Akademische Titel",
 "comment": "Used to indicate additional information about the name part and how it should be used.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": false,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ENXP.qualifier"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.prefix.value",
 "path": "Patient.name.prefix.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.name:geburtsname.suffix",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.suffix",
 "short": "Namensteile nach dem Nachnamen",
 "definition": "Namensteile nach dem Nachnamen",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "min": 0,
 "max": "*",
 "base": {
 "path": "HumanName.suffix",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "Suffixes appear in the correct order for presenting the name",
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN/4"
 },
 {
 "identity": "rim",
 "map": "./part[partType = SFX]"
 }
 ]
 },
 {
 "id": "Patient.name:geburtsname.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.name.period",
 "short": "Time period when name was/is in use",
 "definition": "Indicates the period of time when this name was valid for the named person.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "requirements": "Allows names to be placed in historical context.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "HumanName.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "XPN.13 + XPN.14"
 },
 {
 "identity": "rim",
 "map": "./usablePeriod[type=\"IVL<TS>\"]"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.telecom",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.telecom",
 "short": "A contact detail for the individual",
 "definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
 "comment": "A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
 "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.telecom",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "ContactPoint"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "cpt-2",
 "severity": "error",
 "human": "A system is required if a value is provided.",
 "expression": "value.empty() or system.exists()",
 "xpath": "not(exists(f:value)) or exists(f:system)",
 "source": "http://hl7.org/fhir/StructureDefinition/Patient"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XTN"
 },
 {
 "identity": "rim",
 "map": "TEL"
 },
 {
 "identity": "servd",
 "map": "ContactPoint"
 },
 {
 "identity": "v2",
 "map": "PID-13, PID-14, PID-40"
 },
 {
 "identity": "rim",
 "map": "telecom"
 },
 {
 "identity": "cda",
 "map": ".telecom"
 }
 ]
 },
 {
 "id": "Patient.gender",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.gender",
 "short": "male | female | other | unknown",
 "definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
 "comment": "The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \"hard\" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.",
 "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Patient.gender",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "AdministrativeGender"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "required",
 "description": "The gender of a person used for administrative purposes.",
 "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "PID-8"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
 },
 {
 "identity": "cda",
 "map": ".patient.administrativeGenderCode"
 }
 ]
 },
 {
 "id": "Patient.gender.id",
 "path": "Patient.gender.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.gender.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.gender.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.gender.extension:other-amtlich",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.gender.extension",
 "sliceName": "other-amtlich",
 "short": "Optional Extensions Element",
 "definition": "Optional Extension Element - found in all resources.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://fhir.de/StructureDefinition/gender-amtlich-de"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.gender.value",
 "path": "Patient.gender.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for code",
 "definition": "Primitive value for code",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "code"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[^\\s]+(\\s[^\\s]+)*"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.birthDate",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.birthDate",
 "short": "The date of birth for the individual",
 "definition": "The date of birth for the individual.",
 "comment": "At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems).",
 "requirements": "Age of the individual drives many clinical processes.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Patient.birthDate",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "date"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "PID-7"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"
 },
 {
 "identity": "cda",
 "map": ".patient.birthTime"
 },
 {
 "identity": "loinc",
 "map": "21112-8"
 }
 ]
 },
 {
 "id": "Patient.birthDate.id",
 "path": "Patient.birthDate.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.birthDate.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.birthDate.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.birthDate.extension:data-absent-reason",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.birthDate.extension",
 "sliceName": "data-absent-reason",
 "short": "unknown | asked | temp | notasked | masked | unsupported | astext | error",
 "definition": "Provides a reason why the expected value or elements in the element that is extended are missing.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ANY.nullFlavor"
 }
 ]
 },
 {
 "id": "Patient.birthDate.value",
 "path": "Patient.birthDate.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for date",
 "definition": "Primitive value for date",
 "min": 0,
 "max": "1",
 "base": {
 "path": "date.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "date"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1]))?)?"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.Date"
 }
 ]
 },
 {
 "id": "Patient.deceased[x]",
 "path": "Patient.deceased[x]",
 "slicing": {
 "discriminator": [
 {
 "type": "type",
 "path": "$this"
 }
 ],
 "ordered": false,
 "rules": "closed"
 },
 "short": "Indicates if the individual is deceased or not",
 "definition": "Indicates if the individual is deceased or not.",
 "comment": "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
 "requirements": "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": 0,
 "max": "1",
 "base": {
 "path": "Patient.deceased[x]",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "boolean"
 },
 {
 "code": "dateTime"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": true,
 "isModifierReason": "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "PID-30 (bool) and PID-29 (datetime)"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.deceased[x]:deceasedBoolean",
 "path": "Patient.deceased[x]",
 "sliceName": "deceasedBoolean",
 "short": "Indicates if the individual is deceased or not",
 "definition": "Indicates if the individual is deceased or not.",
 "comment": "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
 "requirements": "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": 0,
 "max": "0",
 "base": {
 "path": "Patient.deceased[x]",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "boolean"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": true,
 "isModifierReason": "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "PID-30 (bool) and PID-29 (datetime)"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.deceased[x]:deceasedDateTime",
 "path": "Patient.deceased[x]",
 "sliceName": "deceasedDateTime",
 "short": "Indicates if the individual is deceased or not",
 "definition": "Indicates if the individual is deceased or not.",
 "comment": "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
 "requirements": "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": 0,
 "max": "1",
 "base": {
 "path": "Patient.deceased[x]",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "dateTime"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": true,
 "isModifierReason": "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "PID-30 (bool) and PID-29 (datetime)"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address",
 "slicing": {
 "discriminator": [
 {
 "type": "pattern",
 "path": "$this"
 }
 ],
 "rules": "open"
 },
 "short": "An address for the individual",
 "definition": "An address for the individual.",
 "comment": "Patient may have multiple addresses with different uses or applicable periods.",
 "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
 "min": 1,
 "max": "*",
 "base": {
 "path": "Patient.address",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Address"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD"
 },
 {
 "identity": "rim",
 "map": "AD"
 },
 {
 "identity": "servd",
 "map": "Address"
 },
 {
 "identity": "v2",
 "map": "PID-11"
 },
 {
 "identity": "rim",
 "map": "addr"
 },
 {
 "identity": "cda",
 "map": ".addr"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift",
 "path": "Patient.address",
 "sliceName": "Strassenanschrift",
 "short": "Eine Adresse gemäß postalischer Konventionen",
 "definition": "Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.\r\n\r\nDie verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.\r\n\r\nInsbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.",
 "comment": "Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
 "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Patient.address",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Address",
 "profile": [
 "http://fhir.de/StructureDefinition/address-de-basis"
 ]
 }
 ],
 "patternAddress": {
 "type": "both"
 },
 "example": [
 {
 "label": "Beispiel für einfache Adresse",
 "valueAddress": {
 "use": "home",
 "type": "postal",
 "line": [
 "Musterweg 42"
 ],
 "city": "Musterhausen",
 "postalCode": "99999"
 }
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "add-1",
 "severity": "error",
 "human": "Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-2",
 "severity": "error",
 "human": "Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-3",
 "severity": "error",
 "human": "Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-4",
 "severity": "warning",
 "human": "Eine Postfach-Adresse darf nicht vom Type \"physical\" oder \"both\" sein.",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-5",
 "severity": "error",
 "human": "Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-6",
 "severity": "warning",
 "human": "Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-7",
 "severity": "warning",
 "human": "Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein.",
 "expression": "extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').valueString=$this).exists()",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD"
 },
 {
 "identity": "rim",
 "map": "AD"
 },
 {
 "identity": "servd",
 "map": "Address"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.id",
 "path": "Patient.address.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.extension:Stadtteil",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.extension",
 "sliceName": "Stadtteil",
 "short": "Stadt- oder Ortsteil",
 "definition": "A subsection of a municipality.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=PRE]"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.use",
 "short": "home | work | temp | old | billing - purpose of this address",
 "definition": "The purpose of this address.",
 "comment": "Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
 "requirements": "Allows an appropriate address to be chosen from a list of many.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Address.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueCode": "home"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "AddressUse"
 }
 ],
 "strength": "required",
 "description": "The use of an address.",
 "valueSet": "http://hl7.org/fhir/ValueSet/address-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.7"
 },
 {
 "identity": "rim",
 "map": "unique(./use)"
 },
 {
 "identity": "servd",
 "map": "./AddressPurpose"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.type",
 "short": "postal | physical | both",
 "definition": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
 "comment": "The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueCode": "both"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "AddressType"
 }
 ],
 "strength": "required",
 "description": "The type of an address (physical / postal).",
 "valueSet": "http://hl7.org/fhir/ValueSet/address-type|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.18"
 },
 {
 "identity": "rim",
 "map": "unique(./use)"
 },
 {
 "identity": "vcard",
 "map": "address type parameter"
 },
 {
 "identity": "BDT",
 "map": "1202 (1=physical, 2=postal)"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.text",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.text",
 "short": "Text representation of the address",
 "definition": "Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.",
 "comment": "Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.",
 "requirements": "A renderable, unencoded form.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Address.text",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "137 Nowhere Street, Erewhon 9132"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"
 },
 {
 "identity": "rim",
 "map": "./formatted"
 },
 {
 "identity": "vcard",
 "map": "address label parameter"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line",
 "short": "Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung",
 "definition": "Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden.\r\nBei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "min": 1,
 "max": "3",
 "base": {
 "path": "Address.line",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "The order in which lines should appear in an address label",
 "example": [
 {
 "label": "General",
 "valueString": "137 Nowhere Street"
 },
 {
 "label": "Beipiel für Adresszeile mit Extensions für Straße und Hausnummer",
 "valueString": "Musterweg 42",
 "_valueString": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
 "valueString": "Musterweg 42"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
 "valueString": "42"
 }
 ]
 }
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = AL]"
 },
 {
 "identity": "vcard",
 "map": "street"
 },
 {
 "identity": "servd",
 "map": "./StreetAddress (newline delimitted)"
 },
 {
 "identity": "KVDT",
 "map": "3107 + 3109 + 3115 oder 3123"
 },
 {
 "identity": "BDT",
 "map": "3107 + 3109 + 3115 oder 3123"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line.id",
 "path": "Patient.address.line.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line.extension:Strasse",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Strasse",
 "short": "Strassenname (ohne Hausnummer)",
 "definition": "Strassenname (ohne Hausnummer)\r\nBei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=STR]"
 },
 {
 "identity": "KVDT",
 "map": "3107"
 },
 {
 "identity": "BDT",
 "map": "3107"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line.extension:Hausnummer",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Hausnummer",
 "short": "Hausnummer",
 "definition": "Hausnummer, sowie Zusätze (Appartmentnummer, Etage...)\r\nBei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=BNR]"
 },
 {
 "identity": "KVDT",
 "map": "3109"
 },
 {
 "identity": "BDT",
 "map": "3109"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line.extension:Adresszusatz",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Adresszusatz",
 "short": "Adresszusatz",
 "definition": "Zusätzliche Informationen, wie z.B. \"3. Etage\", \"Appartment C\"\r\nBei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=ADL]"
 },
 {
 "identity": "KVDT",
 "map": "3115"
 },
 {
 "identity": "BDT",
 "map": "3115"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line.extension:Postfach",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Postfach",
 "short": "Postfach",
 "definition": "Postfach-Adresse.\r\nBei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.\r\nEine Postfach-Adresse darf nicht in Verbindung mit Address.type \"physical\" oder \"both\" verwendet werden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "0",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=POB]"
 },
 {
 "identity": "KVDT",
 "map": "3123"
 },
 {
 "identity": "BDT",
 "map": "3123"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.line.value",
 "path": "Patient.address.line.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.address:Strassenanschrift.city",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.city",
 "short": "Name of city, town etc.",
 "definition": "The name of the city, town, suburb, village or other community or delivery center.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "alias": [
 "Municpality"
 ],
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.city",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "Erewhon"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.3"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = CTY]"
 },
 {
 "identity": "vcard",
 "map": "locality"
 },
 {
 "identity": "servd",
 "map": "./Jurisdiction"
 },
 {
 "identity": "BDT",
 "map": "3113 oder 3122 (Postfach)"
 },
 {
 "identity": "KVDT",
 "map": "3113 oder 3122 (Postfach)"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.city.id",
 "path": "Patient.address.city.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.city.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.city.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.city.extension:gemeindeschluessel",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.city.extension",
 "sliceName": "gemeindeschluessel",
 "short": "Optional Extensions Element",
 "definition": "Optional Extension Element - found in all resources.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://fhir.de/StructureDefinition/destatis/ags"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.city.value",
 "path": "Patient.address.city.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.address:Strassenanschrift.district",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.district",
 "short": "District name (aka county)",
 "definition": "The name of the administrative area (county).",
 "comment": "District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.",
 "alias": [
 "County"
 ],
 "min": 0,
 "max": "0",
 "base": {
 "path": "Address.district",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "Madison"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.9"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = CNT | CPA]"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.state",
 "path": "Patient.address.state",
 "short": "Bundesland",
 "definition": "Name (oder Kürzel) des Bundeslandes.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "alias": [
 "Province",
 "Territory"
 ],
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.state",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "strength": "preferred",
 "valueSet": "http://fhir.de/ValueSet/iso/bundeslaender"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.4"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = STA]"
 },
 {
 "identity": "vcard",
 "map": "region"
 },
 {
 "identity": "servd",
 "map": "./Region"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.postalCode",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.postalCode",
 "short": "Postleitzahl",
 "definition": "Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "alias": [
 "Zip"
 ],
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.postalCode",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "9132"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.5"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = ZIP]"
 },
 {
 "identity": "vcard",
 "map": "code"
 },
 {
 "identity": "servd",
 "map": "./PostalIdentificationCode"
 },
 {
 "identity": "BDT",
 "map": "3112 oder 3121 (Postfach)"
 },
 {
 "identity": "KVDT",
 "map": "3112 oder 3121 (Postfach)"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.country",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.country",
 "short": "Staat",
 "definition": "Staat (vorzugsweise als 2-Stelliger ISO-Ländercode).\r\nEs obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben",
 "comment": "ISO 3166 3 letter codes can be used in place of a human readable country name.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.country",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "pat-cnt-2or3-char",
 "severity": "warning",
 "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
 "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
 "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "strength": "preferred",
 "valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.6"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = CNT]"
 },
 {
 "identity": "vcard",
 "map": "country"
 },
 {
 "identity": "servd",
 "map": "./Country"
 },
 {
 "identity": "BDT",
 "map": "3114 oder 3124 (Postfach), abweichendes CodeSystem"
 },
 {
 "identity": "KVDT",
 "map": "3114 oder 3124 (Postfach), abweichendes CodeSystem"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period",
 "short": "Time period when address was/is in use",
 "definition": "Time period when address was/is in use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "requirements": "Allows addresses to be placed in historical context.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Address.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "example": [
 {
 "label": "General",
 "valuePeriod": {
 "start": "2010-03-23",
 "end": "2010-07-01"
 }
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "XAD.12 / XAD.13 + XAD.14"
 },
 {
 "identity": "rim",
 "map": "./usablePeriod[type=\"IVL<TS>\"]"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.period.id",
 "path": "Patient.address.period.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.period.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.period.start",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period.start",
 "short": "Starting time with inclusive boundary",
 "definition": "The start of the period. The boundary is inclusive.",
 "comment": "If the low element is missing, the meaning is that the low boundary is not known.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Period.start",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "dateTime"
 }
 ],
 "condition": [
 "ele-1",
 "per-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR.1"
 },
 {
 "identity": "rim",
 "map": "./low"
 },
 {
 "identity": "BDT",
 "map": "8226"
 }
 ]
 },
 {
 "id": "Patient.address:Strassenanschrift.period.end",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period.end",
 "short": "End time with inclusive boundary, if not ongoing",
 "definition": "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.",
 "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Period.end",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "dateTime"
 }
 ],
 "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
 "condition": [
 "ele-1",
 "per-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR.2"
 },
 {
 "identity": "rim",
 "map": "./high"
 },
 {
 "identity": "BDT",
 "map": "8227"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach",
 "path": "Patient.address",
 "sliceName": "Postfach",
 "short": "Eine Adresse gemäß postalischer Konventionen",
 "definition": "Eine Adresse gemäß postalischer Konventionen (im Gegensatz zu bspw. GPS-Koordinaten). Die Adresse kann sowohl zur Zustellung von Postsendungen oder zum Aufsuchen von Orten, die keine gültige Postadresse haben, verwendet werden.\r\n\r\nDie verwendeten Extensions in diesem Profil bilden die Struktur der Adresse ab, wie sie im VSDM-Format der elektronischen Versichertenkarte verwendet wird.\r\n\r\nInsbesondere bei ausländischen Adresse oder Adressen, die nicht durch Einlesen einer elektronischen Versichertenkarte erfasst wurden, sind abweichende Strukturen möglich. Die Verwendung der Extensions ist nicht verpflichtend.",
 "comment": "Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
 "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
 "min": 0,
 "max": "0",
 "base": {
 "path": "Patient.address",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Address",
 "profile": [
 "http://fhir.de/StructureDefinition/address-de-basis"
 ]
 }
 ],
 "patternAddress": {
 "type": "postal"
 },
 "example": [
 {
 "label": "Beispiel für einfache Adresse",
 "valueAddress": {
 "use": "home",
 "type": "postal",
 "line": [
 "Musterweg 42"
 ],
 "city": "Musterhausen",
 "postalCode": "99999"
 }
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "add-1",
 "severity": "error",
 "human": "Wenn die Extension 'Hausnummer' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-2",
 "severity": "error",
 "human": "Wenn die Extension 'Strasse' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-3",
 "severity": "error",
 "human": "Wenn die Extension 'Postfach' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-4",
 "severity": "warning",
 "human": "Eine Postfach-Adresse darf nicht vom Type \"physical\" oder \"both\" sein.",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or $this.hasValue()) or type='postal' or type.empty()",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-5",
 "severity": "error",
 "human": "Wenn die Extension 'Adresszusatz' verwendet wird, muss auch Address.line gefüllt werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty() or $this.hasValue())",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-6",
 "severity": "warning",
 "human": "Wenn die Extension 'Postfach' verwendet wird, dürfen die Extensions 'Strasse' und 'Hausnummer' nicht verwendet werden",
 "expression": "line.all($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox').empty() or ($this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty() and $this.extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty()))",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 },
 {
 "key": "add-7",
 "severity": "warning",
 "human": "Wenn die Extension 'Precinct' (Stadtteil) verwendet wird, dann muss diese Information auch als separates line-item abgebildet sein.",
 "expression": "extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').empty() or line.where(extension('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct').valueString=$this).exists()",
 "source": "http://fhir.de/StructureDefinition/address-de-basis"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD"
 },
 {
 "identity": "rim",
 "map": "AD"
 },
 {
 "identity": "servd",
 "map": "Address"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.id",
 "path": "Patient.address.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.extension:Stadtteil",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.extension",
 "sliceName": "Stadtteil",
 "short": "Stadt- oder Ortsteil",
 "definition": "A subsection of a municipality.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-precinct"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=PRE]"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.use",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.use",
 "short": "home | work | temp | old | billing - purpose of this address",
 "definition": "The purpose of this address.",
 "comment": "Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
 "requirements": "Allows an appropriate address to be chosen from a list of many.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Address.use",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueCode": "home"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one",
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "AddressUse"
 }
 ],
 "strength": "required",
 "description": "The use of an address.",
 "valueSet": "http://hl7.org/fhir/ValueSet/address-use|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.7"
 },
 {
 "identity": "rim",
 "map": "unique(./use)"
 },
 {
 "identity": "servd",
 "map": "./AddressPurpose"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.type",
 "short": "postal | physical | both",
 "definition": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
 "comment": "The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.type",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueCode": "both"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "AddressType"
 }
 ],
 "strength": "required",
 "description": "The type of an address (physical / postal).",
 "valueSet": "http://hl7.org/fhir/ValueSet/address-type|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.18"
 },
 {
 "identity": "rim",
 "map": "unique(./use)"
 },
 {
 "identity": "vcard",
 "map": "address type parameter"
 },
 {
 "identity": "BDT",
 "map": "1202 (1=physical, 2=postal)"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.text",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.text",
 "short": "Text representation of the address",
 "definition": "Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.",
 "comment": "Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.",
 "requirements": "A renderable, unencoded form.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Address.text",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "137 Nowhere Street, Erewhon 9132"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6"
 },
 {
 "identity": "rim",
 "map": "./formatted"
 },
 {
 "identity": "vcard",
 "map": "address label parameter"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line",
 "short": "Straßenname mit Hausnummer oder Postfach sowie weitere Angaben zur Zustellung",
 "definition": "Diese Komponente kann Straßennamen, Hausnummer, Appartmentnummer, Postfach, c/o sowie weitere Zustellungshinweise enthalten. Die Informationen können in mehrere line-Komponenten aufgeteilt werden.\r\nBei Verwendung der Extensions, um Straße, Hausnnummer und Postleitzahl strukturiert zu übermitteln, müssen diese Informationen stets vollständig auch in der line-Komponente, die sie erweitern, enthalten sein, um es Systemen, die diese Extensions nicht verwenden zu ermöglichen, auf diese Informationen zugreifen zu können.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "min": 1,
 "max": "3",
 "base": {
 "path": "Address.line",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "orderMeaning": "The order in which lines should appear in an address label",
 "example": [
 {
 "label": "General",
 "valueString": "137 Nowhere Street"
 },
 {
 "label": "Beipiel für Adresszeile mit Extensions für Straße und Hausnummer",
 "valueString": "Musterweg 42",
 "_valueString": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
 "valueString": "Musterweg 42"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
 "valueString": "42"
 }
 ]
 }
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = AL]"
 },
 {
 "identity": "vcard",
 "map": "street"
 },
 {
 "identity": "servd",
 "map": "./StreetAddress (newline delimitted)"
 },
 {
 "identity": "KVDT",
 "map": "3107 + 3109 + 3115 oder 3123"
 },
 {
 "identity": "BDT",
 "map": "3107 + 3109 + 3115 oder 3123"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line.id",
 "path": "Patient.address.line.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line.extension:Strasse",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Strasse",
 "short": "Strassenname (ohne Hausnummer)",
 "definition": "Strassenname (ohne Hausnummer)\r\nBei Angabe einer Strasse in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "0",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=STR]"
 },
 {
 "identity": "KVDT",
 "map": "3107"
 },
 {
 "identity": "BDT",
 "map": "3107"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line.extension:Hausnummer",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Hausnummer",
 "short": "Hausnummer",
 "definition": "Hausnummer, sowie Zusätze (Appartmentnummer, Etage...)\r\nBei Angabe einer Hausnummer in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "0",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=BNR]"
 },
 {
 "identity": "KVDT",
 "map": "3109"
 },
 {
 "identity": "BDT",
 "map": "3109"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line.extension:Adresszusatz",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Adresszusatz",
 "short": "Adresszusatz",
 "definition": "Zusätzliche Informationen, wie z.B. \"3. Etage\", \"Appartment C\"\r\nBei Angabe einer Zusatzinformation in dieser Extension muss diese auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "0",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=ADL]"
 },
 {
 "identity": "KVDT",
 "map": "3115"
 },
 {
 "identity": "BDT",
 "map": "3115"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line.extension:Postfach",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.line.extension",
 "sliceName": "Postfach",
 "short": "Postfach",
 "definition": "Postfach-Adresse.\r\nBei Angabe eines Postfaches in dieser Extension muss das Postfach auch in Address.line angegeben werden um die Interoperabilität mit Systemen zu gewährleisten, die diese Extension nicht verwenden.\r\nEine Postfach-Adresse darf nicht in Verbindung mit Address.type \"physical\" oder \"both\" verwendet werden.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 },
 {
 "identity": "rim",
 "map": "ADXP[partType=POB]"
 },
 {
 "identity": "KVDT",
 "map": "3123"
 },
 {
 "identity": "BDT",
 "map": "3123"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.line.value",
 "path": "Patient.address.line.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.address:Postfach.city",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.city",
 "short": "Name of city, town etc.",
 "definition": "The name of the city, town, suburb, village or other community or delivery center.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "alias": [
 "Municpality"
 ],
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.city",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "Erewhon"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.3"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = CTY]"
 },
 {
 "identity": "vcard",
 "map": "locality"
 },
 {
 "identity": "servd",
 "map": "./Jurisdiction"
 },
 {
 "identity": "BDT",
 "map": "3113 oder 3122 (Postfach)"
 },
 {
 "identity": "KVDT",
 "map": "3113 oder 3122 (Postfach)"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.city.id",
 "path": "Patient.address.city.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.city.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.city.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.city.extension:gemeindeschluessel",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.city.extension",
 "sliceName": "gemeindeschluessel",
 "short": "Optional Extensions Element",
 "definition": "Optional Extension Element - found in all resources.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension",
 "profile": [
 "http://fhir.de/StructureDefinition/destatis/ags"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.city.value",
 "path": "Patient.address.city.value",
 "representation": [
 "xmlAttr"
 ],
 "short": "Primitive value for string",
 "definition": "Primitive value for string",
 "min": 0,
 "max": "1",
 "base": {
 "path": "string.value",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/regex",
 "valueString": "[ \\r\\n\\t\\S]+"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "maxLength": 1048576
 },
 {
 "id": "Patient.address:Postfach.district",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.district",
 "short": "District name (aka county)",
 "definition": "The name of the administrative area (county).",
 "comment": "District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.",
 "alias": [
 "County"
 ],
 "min": 0,
 "max": "0",
 "base": {
 "path": "Address.district",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "Madison"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.9"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = CNT | CPA]"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.state",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.state",
 "short": "Bundesland",
 "definition": "Name (oder Kürzel) des Bundeslandes.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "alias": [
 "Province",
 "Territory"
 ],
 "min": 0,
 "max": "1",
 "base": {
 "path": "Address.state",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "binding": {
 "strength": "preferred",
 "valueSet": "http://fhir.de/ValueSet/iso/bundeslaender"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.4"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = STA]"
 },
 {
 "identity": "vcard",
 "map": "region"
 },
 {
 "identity": "servd",
 "map": "./Region"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.postalCode",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.postalCode",
 "short": "Postleitzahl",
 "definition": "Postleitzahl gemäß der im jeweiligen Land gültigen Konventionen",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "alias": [
 "Zip"
 ],
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.postalCode",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "example": [
 {
 "label": "General",
 "valueString": "9132"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.5"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = ZIP]"
 },
 {
 "identity": "vcard",
 "map": "code"
 },
 {
 "identity": "servd",
 "map": "./PostalIdentificationCode"
 },
 {
 "identity": "BDT",
 "map": "3112 oder 3121 (Postfach)"
 },
 {
 "identity": "KVDT",
 "map": "3112 oder 3121 (Postfach)"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.country",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.country",
 "short": "Staat",
 "definition": "Staat (vorzugsweise als 2-Stelliger ISO-Ländercode).\r\nEs obliegt abgeleiteten Profilen, hier die Verwendung der ISO-Ländercodes verbindlich vorzuschreiben",
 "comment": "ISO 3166 3 letter codes can be used in place of a human readable country name.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Address.country",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "string"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "pat-cnt-2or3-char",
 "severity": "warning",
 "human": "The content of the country element (if present) SHALL be selected EITHER from ValueSet ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2 OR MAY be selected from ISO Country Alpha-3 Value Set http://hl7.org/fhir/ValueSet/iso3166-1-3, IF the country is not specified in value Set ISO Country Alpha-2 http://hl7.org/fhir/ValueSet/iso3166-1-2.",
 "expression": "country.empty() or (country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-2') or country.memberOf('http://hl7.org/fhir/ValueSet/iso3166-1-3'))",
 "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "strength": "preferred",
 "valueSet": "http://hl7.org/fhir/ValueSet/iso3166-1-2"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD.6"
 },
 {
 "identity": "rim",
 "map": "AD.part[parttype = CNT]"
 },
 {
 "identity": "vcard",
 "map": "country"
 },
 {
 "identity": "servd",
 "map": "./Country"
 },
 {
 "identity": "BDT",
 "map": "3114 oder 3124 (Postfach), abweichendes CodeSystem"
 },
 {
 "identity": "KVDT",
 "map": "3114 oder 3124 (Postfach), abweichendes CodeSystem"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period",
 "short": "Time period when address was/is in use",
 "definition": "Time period when address was/is in use.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "requirements": "Allows addresses to be placed in historical context.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Address.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "example": [
 {
 "label": "General",
 "valuePeriod": {
 "start": "2010-03-23",
 "end": "2010-07-01"
 }
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "v2",
 "map": "XAD.12 / XAD.13 + XAD.14"
 },
 {
 "identity": "rim",
 "map": "./usablePeriod[type=\"IVL<TS>\"]"
 },
 {
 "identity": "servd",
 "map": "./StartDate and ./EndDate"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.period.id",
 "path": "Patient.address.period.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.period.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.period.start",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period.start",
 "short": "Starting time with inclusive boundary",
 "definition": "The start of the period. The boundary is inclusive.",
 "comment": "If the low element is missing, the meaning is that the low boundary is not known.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Period.start",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "dateTime"
 }
 ],
 "condition": [
 "ele-1",
 "per-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR.1"
 },
 {
 "identity": "rim",
 "map": "./low"
 },
 {
 "identity": "BDT",
 "map": "8226"
 }
 ]
 },
 {
 "id": "Patient.address:Postfach.period.end",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.address.period.end",
 "short": "End time with inclusive boundary, if not ongoing",
 "definition": "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.",
 "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Period.end",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "dateTime"
 }
 ],
 "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
 "condition": [
 "ele-1",
 "per-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR.2"
 },
 {
 "identity": "rim",
 "map": "./high"
 },
 {
 "identity": "BDT",
 "map": "8227"
 }
 ]
 },
 {
 "id": "Patient.maritalStatus",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.maritalStatus",
 "short": "Marital (civil) status of a patient",
 "definition": "This field contains a patient's most recent marital (civil) status.",
 "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
 "requirements": "Most, if not all systems capture it.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.maritalStatus",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "MaritalStatus"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "extensible",
 "description": "The domestic partnership status of a person.",
 "valueSet": "http://hl7.org/fhir/ValueSet/marital-status"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "PID-16"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN]/maritalStatusCode"
 },
 {
 "identity": "cda",
 "map": ".patient.maritalStatusCode"
 }
 ]
 },
 {
 "id": "Patient.multipleBirth[x]",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.multipleBirth[x]",
 "short": "Whether patient is part of a multiple birth",
 "definition": "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).",
 "comment": "Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).",
 "requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.multipleBirth[x]",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "boolean"
 },
 {
 "code": "integer"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "PID-24 (bool), PID-25 (integer)"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.photo",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.photo",
 "short": "Image of the patient",
 "definition": "Image of the patient.",
 "comment": "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.",
 "requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.photo",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Attachment"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "att-1",
 "severity": "error",
 "human": "If the Attachment has data, it SHALL have a contentType",
 "expression": "data.empty() or contentType.exists()",
 "xpath": "not(exists(f:data)) or exists(f:contentType)",
 "source": "http://hl7.org/fhir/StructureDefinition/Patient"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "ED/RP"
 },
 {
 "identity": "rim",
 "map": "ED"
 },
 {
 "identity": "v2",
 "map": "OBX-5 - needs a profile"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
 "valueString": "Contact"
 }
 ],
 "path": "Patient.contact",
 "short": "A contact party (e.g. guardian, partner, friend) for the patient",
 "definition": "A contact party (e.g. guardian, partner, friend) for the patient.",
 "comment": "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
 "requirements": "Need to track people you can contact about the patient.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.contact",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "BackboneElement"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "pat-1",
 "severity": "error",
 "human": "SHALL at least contain a contact's details or a reference to an organization",
 "expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()",
 "xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)",
 "source": "http://hl7.org/fhir/StructureDefinition/Patient"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.id",
 "path": "Patient.contact.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.contact.modifierExtension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.modifierExtension",
 "short": "Extensions that cannot be ignored even if unrecognized",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
 "alias": [
 "extensions",
 "user content",
 "modifiers"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "BackboneElement.modifierExtension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.contact.relationship",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.relationship",
 "short": "The kind of relationship",
 "definition": "The nature of the relationship between the patient and the contact person.",
 "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
 "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.contact.relationship",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "ContactRelationship"
 }
 ],
 "strength": "extensible",
 "description": "The nature of the relationship between a patient and a contact person for that patient.",
 "valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "NK1-7, NK1-3"
 },
 {
 "identity": "rim",
 "map": "code"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.name",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.name",
 "short": "A name associated with the contact person",
 "definition": "A name associated with the contact person.",
 "comment": "Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.",
 "requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.contact.name",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "HumanName"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XPN"
 },
 {
 "identity": "rim",
 "map": "EN (actually, PN)"
 },
 {
 "identity": "servd",
 "map": "ProviderName"
 },
 {
 "identity": "v2",
 "map": "NK1-2"
 },
 {
 "identity": "rim",
 "map": "name"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.telecom",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.telecom",
 "short": "A contact detail for the person",
 "definition": "A contact detail for the person, e.g. a telephone number or an email address.",
 "comment": "Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.",
 "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.contact.telecom",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "ContactPoint"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "cpt-2",
 "severity": "error",
 "human": "A system is required if a value is provided.",
 "expression": "value.empty() or system.exists()",
 "xpath": "not(exists(f:value)) or exists(f:system)",
 "source": "http://hl7.org/fhir/StructureDefinition/Patient"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XTN"
 },
 {
 "identity": "rim",
 "map": "TEL"
 },
 {
 "identity": "servd",
 "map": "ContactPoint"
 },
 {
 "identity": "v2",
 "map": "NK1-5, NK1-6, NK1-40"
 },
 {
 "identity": "rim",
 "map": "telecom"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.address",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.address",
 "short": "Address for the contact person",
 "definition": "Address for the contact person.",
 "comment": "Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).",
 "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.contact.address",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Address"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "XAD"
 },
 {
 "identity": "rim",
 "map": "AD"
 },
 {
 "identity": "servd",
 "map": "Address"
 },
 {
 "identity": "v2",
 "map": "NK1-4"
 },
 {
 "identity": "rim",
 "map": "addr"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.gender",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.gender",
 "short": "male | female | other | unknown",
 "definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "requirements": "Needed to address the person correctly.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.contact.gender",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "AdministrativeGender"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "required",
 "description": "The gender of a person used for administrative purposes.",
 "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "NK1-15"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.organization",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.organization",
 "short": "Organization that is associated with the contact",
 "definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
 "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
 "requirements": "For guardians or business related contacts, the organization is relevant.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.contact.organization",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1",
 "pat-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
 },
 {
 "identity": "rim",
 "map": "scoper"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.contact.period",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.contact.period",
 "short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
 "definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.",
 "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.contact.period",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Period"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "per-1",
 "severity": "error",
 "human": "If present, start SHALL have a lower value than end",
 "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
 "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "DR"
 },
 {
 "identity": "rim",
 "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
 },
 {
 "identity": "rim",
 "map": "effectiveTime"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.communication",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.communication",
 "short": "A language which may be used to communicate with the patient about his or her health",
 "definition": "A language which may be used to communicate with the patient about his or her health.",
 "comment": "If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
 "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.communication",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "BackboneElement"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "LanguageCommunication"
 },
 {
 "identity": "cda",
 "map": "patient.languageCommunication"
 }
 ]
 },
 {
 "id": "Patient.communication.id",
 "path": "Patient.communication.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.communication.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.communication.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.communication.modifierExtension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.communication.modifierExtension",
 "short": "Extensions that cannot be ignored even if unrecognized",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
 "alias": [
 "extensions",
 "user content",
 "modifiers"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "BackboneElement.modifierExtension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.communication.language",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.communication.language",
 "short": "The language which can be used to communicate with the patient about his or her health",
 "definition": "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
 "comment": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
 "requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Patient.communication.language",
 "min": 1,
 "max": "1"
 },
 "type": [
 {
 "code": "CodeableConcept"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
 "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "Language"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
 "valueBoolean": true
 }
 ],
 "strength": "preferred",
 "description": "A human language.",
 "valueSet": "http://hl7.org/fhir/ValueSet/languages"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "CE/CNE/CWE"
 },
 {
 "identity": "rim",
 "map": "CD"
 },
 {
 "identity": "orim",
 "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
 },
 {
 "identity": "v2",
 "map": "PID-15, LAN-2"
 },
 {
 "identity": "rim",
 "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
 },
 {
 "identity": "cda",
 "map": ".languageCode"
 }
 ]
 },
 {
 "id": "Patient.communication.preferred",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.communication.preferred",
 "short": "Language preference indicator",
 "definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
 "comment": "This language is specifically identified for communicating healthcare information.",
 "requirements": "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": 0,
 "max": "1",
 "base": {
 "path": "Patient.communication.preferred",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "boolean"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "v2",
 "map": "PID-15"
 },
 {
 "identity": "rim",
 "map": "preferenceInd"
 },
 {
 "identity": "cda",
 "map": ".preferenceInd"
 }
 ]
 },
 {
 "id": "Patient.generalPractitioner",
 "path": "Patient.generalPractitioner",
 "short": "Patient's nominated primary care provider",
 "definition": "Patient's nominated care provider.",
 "comment": "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.",
 "alias": [
 "careProvider"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.generalPractitioner",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization",
 "http://hl7.org/fhir/StructureDefinition/Practitioner",
 "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "mustSupport": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "PD1-4"
 },
 {
 "identity": "rim",
 "map": "subjectOf.CareEvent.performer.AssignedEntity"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.managingOrganization",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.managingOrganization",
 "short": "Organization that is the custodian of the patient record",
 "definition": "Organization that is the custodian of the patient record.",
 "comment": "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).",
 "requirements": "Need to know who recognizes this patient record, manages and updates it.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Patient.managingOrganization",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "code": "Reference",
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Organization"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 }
 ],
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "rim",
 "map": "scoper"
 },
 {
 "identity": "cda",
 "map": ".providerOrganization"
 }
 ]
 },
 {
 "id": "Patient.link",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.link",
 "short": "Link to another patient resource that concerns the same actual person",
 "definition": "Link to another patient resource that concerns the same actual patient.",
 "comment": "There is no assumption that linked patient records have mutual links.",
 "requirements": "There are multiple use cases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.",
 "min": 0,
 "max": "*",
 "base": {
 "path": "Patient.link",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "BackboneElement"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isModifier": true,
 "isModifierReason": "This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "outboundLink"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.link.id",
 "path": "Patient.link.id",
 "representation": [
 "xmlAttr"
 ],
 "short": "Unique id for inter-element referencing",
 "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
 "min": 0,
 "max": "1",
 "base": {
 "path": "Element.id",
 "min": 0,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
 "valueUrl": "string"
 }
 ],
 "code": "http://hl7.org/fhirpath/System.String"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.link.extension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.link.extension",
 "slicing": {
 "discriminator": [
 {
 "type": "value",
 "path": "url"
 }
 ],
 "description": "Extensions are always sliced by (at least) url",
 "rules": "open"
 },
 "short": "Additional content defined by implementations",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "alias": [
 "extensions",
 "user content"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "Element.extension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.link.modifierExtension",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.link.modifierExtension",
 "short": "Extensions that cannot be ignored even if unrecognized",
 "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
 "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
 "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
 "alias": [
 "extensions",
 "user content",
 "modifiers"
 ],
 "min": 0,
 "max": "*",
 "base": {
 "path": "BackboneElement.modifierExtension",
 "min": 0,
 "max": "*"
 },
 "type": [
 {
 "code": "Extension"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ext-1",
 "severity": "error",
 "human": "Must have either extensions or value[x], not both",
 "expression": "extension.exists() != value.exists()",
 "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "isModifier": true,
 "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "N/A"
 }
 ]
 },
 {
 "id": "Patient.link.other",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.link.other",
 "short": "A reference from one resource to another",
 "definition": "A reference from one resource to another.",
 "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Patient.link.other",
 "min": 1,
 "max": "1"
 },
 "type": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
 "valueBoolean": false
 }
 ],
 "code": "Reference",
 "profile": [
 "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
 ],
 "targetProfile": [
 "http://hl7.org/fhir/StructureDefinition/Patient",
 "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
 ]
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 },
 {
 "key": "ref-1",
 "severity": "error",
 "human": "SHALL have a contained resource if a local reference is provided",
 "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
 "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
 "source": "http://hl7.org/fhir/StructureDefinition/ResearchSubject"
 },
 {
 "key": "mii-reference-1",
 "severity": "error",
 "human": "Either reference.reference OR reference.identifier exists",
 "expression": "($this.reference.exists() or ($this.identifier.value.exists() and $this.identifier.system.exists())) xor $this.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()",
 "source": "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
 },
 {
 "identity": "v2",
 "map": "PID-3, MRG-1"
 },
 {
 "identity": "rim",
 "map": "id"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 },
 {
 "id": "Patient.link.type",
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
 "valueCode": "normative"
 },
 {
 "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
 "valueCode": "4.0.0"
 }
 ],
 "path": "Patient.link.type",
 "short": "replaced-by | replaces | refer | seealso",
 "definition": "The type of link between this patient resource and another patient resource.",
 "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
 "min": 1,
 "max": "1",
 "base": {
 "path": "Patient.link.type",
 "min": 1,
 "max": "1"
 },
 "type": [
 {
 "code": "code"
 }
 ],
 "condition": [
 "ele-1"
 ],
 "constraint": [
 {
 "key": "ele-1",
 "severity": "error",
 "human": "All FHIR elements must have a @value or children",
 "expression": "hasValue() or (children().count() > id.count())",
 "xpath": "@value|f:*|h:div",
 "source": "http://hl7.org/fhir/StructureDefinition/Element"
 }
 ],
 "mustSupport": true,
 "isSummary": true,
 "binding": {
 "extension": [
 {
 "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
 "valueString": "LinkType"
 }
 ],
 "strength": "required",
 "description": "The type of link between this patient resource and another patient resource.",
 "valueSet": "http://hl7.org/fhir/ValueSet/link-type|4.0.1"
 },
 "mapping": [
 {
 "identity": "rim",
 "map": "n/a"
 },
 {
 "identity": "rim",
 "map": "typeCode"
 },
 {
 "identity": "cda",
 "map": "n/a"
 }
 ]
 }
 ]
 },
 "differential": {
 "element": [
 {
 "id": "Patient",
 "path": "Patient"
 },
 {
 "id": "Patient.identifier:versichertenId_GKV",
 "path": "Patient.identifier",
 "sliceName": "versichertenId_GKV",
 "max": "0"
 },
 {
 "id": "Patient.identifier:pid",
 "path": "Patient.identifier",
 "sliceName": "pid",
 "min": 1
 },
 {
 "id": "Patient.identifier:versichertennummer_pkv",
 "path": "Patient.identifier",
 "sliceName": "versichertennummer_pkv",
 "max": "0"
 },
 {
 "id": "Patient.name:geburtsname",
 "path": "Patient.name",
 "sliceName": "geburtsname",
 "max": "0"
 },
 {
 "id": "Patient.deceasedBoolean",
 "path": "Patient.deceasedBoolean",
 "min": 0,
 "max": "0",
 "type": [
 {
 "code": "boolean"
 }
 ]
 },
 {
 "id": "Patient.deceasedDateTime",
 "path": "Patient.deceasedDateTime",
 "min": 0,
 "max": "1",
 "type": [
 {
 "code": "dateTime"
 }
 ],
 "mustSupport": true
 },
 {
 "id": "Patient.address:Strassenanschrift",
 "path": "Patient.address",
 "sliceName": "Strassenanschrift",
 "min": 1,
 "max": "1"
 },
 {
 "id": "Patient.address:Strassenanschrift.state",
 "path": "Patient.address.state",
 "min": 1,
 "mustSupport": true
 },
 {
 "id": "Patient.address:Postfach",
 "path": "Patient.address",
 "sliceName": "Postfach",
 "max": "0"
 },
 {
 "id": "Patient.generalPractitioner",
 "path": "Patient.generalPractitioner",
 "mustSupport": true
 }
 ]
 }
}

name : MHXPatientIn

{

}