{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2019-11-14T20:10:48.367+00:00"
  },
  "url": "http://fhirr4.kids-first.io/fhir/StructureDefinition/us-core-ethnicity",
  "version": "3.0.0",
  "name": "USCoreEthnicityExtension",
  "title": "US Core Ethnicity Extension",
  "status": "active",
  "date": "2019-05-21T04:00:00+00:00",
  "publisher": "HL7 US Realm Steering Committee",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.healthit.gov"
        }
      ]
    }
  ],
  "description": "Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "purpose": "Complies with 2015 Edition Common Clinical Data Set for patient race.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Patient"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {},
  "differential": {
    "element": [
      {
        "id": "Extension:ethnicity",
        "path": "Extension",
        "short": "US Core ethnicity Extension",
        "definition": "Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.",
        "min": 0,
        "max": "1",
        "isModifier": false
      },
      {
        "id": "Extension:ethnicity.extension:ombcategory",
        "path": "Extension.extension",
        "sliceName": "ombCategory",
        "short": "Hispanic or Latino|Not Hispanic or Latino",
        "definition": "The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "mapping": [
          {
            "identity": "iso11179",
            "map": "/ClinicalDocument/recordTarget/patientRole/patient/ethnicGroupCode"
          }
        ]
      },
      {
        "id": "Extension:ethnicity.extension:ombcategory.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "ombCategory"
      },
      {
        "id": "Extension:ethnicity.extension:ombcategory.valueCoding",
        "path": "Extension.extension.valueCoding",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The 2 ethnicity category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).",
          "valueSet": "http://fhirr4.kids-first.io/fhir/ValueSet/omb-ethnicity-category"
        }
      },
      {
        "id": "Extension:ethnicity.extension:detailed",
        "path": "Extension.extension",
        "sliceName": "detailed",
        "short": "Extended ethnicity codes",
        "definition": "The 41 CDC ethnicity codes that are grouped under one of the 2 OMB ethnicity category codes.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": false,
        "mapping": [
          {
            "identity": "iso11179",
            "map": "/ClinicalDocument/recordTarget/patientRole/patient/sdtc:ethnicGroupCode"
          }
        ]
      },
      {
        "id": "Extension:ethnicity.extension:detailed.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "detailed"
      },
      {
        "id": "Extension:ethnicity.extension:detailed.valueCoding",
        "path": "Extension.extension.valueCoding",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The 41 [CDC ethnicity codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 2 OMB ethnicity category codes.",
          "valueSet": "http://fhirr4.kids-first.io/fhir/ValueSet/detailed-ethnicity"
        }
      },
      {
        "id": "Extension:ethnicity.extension:text",
        "path": "Extension.extension",
        "sliceName": "text",
        "short": "ethnicity Text",
        "definition": "Plain text representation of the ethnicity concept(s).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Extension:ethnicity.extension:text.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "text"
      },
      {
        "id": "Extension:ethnicity.extension:text.valueString",
        "path": "Extension.extension.valueString",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension:ethnicity.url",
        "path": "Extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "http://fhirr4.kids-first.io/fhir/StructureDefinition/us-core-ethnicity"
      }
    ]
  }
}