<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="zib-NameInformation" />
  <text>
    <status value="empty" />
    <div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>
  </text>
  <url value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation" />
  <name value="ZibNameInformation" />
  <title value="zib NameInformation" />
  <status value="draft" />
  <publisher value="Nictiz" />
  <contact>
    <name value="Nictiz" />
    <telecom>
      <system value="url" />
      <value value="https://www.nictiz.nl" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="A person's official name information, including given names, last name and possibly the partner's last name." />
  <purpose value="This HumanName datatype represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) NameInformation v1.1 (2020)](https://zibs.nl/wiki/NameInformation-v1.1(2020EN)), except for the GivenName concept.&#xD;&#xA;&#xD;&#xA;For the entire zib, the complementary profile [zib-NameInformation.GivenName](http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation.GivenName) should be used. Both profiles can be added in a slice with the discriminator set to `value`/`use`." />
  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="zib-nameinformation-v1.1-2020EN" />
    <uri value="https://zibs.nl/wiki/NameInformation-v1.1(2020EN)" />
    <name value="zib NameInformation-v1.1(2020EN)" />
  </mapping>
  <kind value="complex-type" />
  <abstract value="true" />
  <type value="HumanName" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/HumanName" />
  <derivation value="constraint" />
  <snapshot>
    <element id="HumanName">
      <path value="HumanName" />
      <short value="NameInformation" />
      <definition value="This slice represents the person's official name information, including given names, last name and possibly the partner's last name." />
      <comment value="This `.name` element represents a Dutch name according to the [zib NameInformation v1.1 (2020)](https://zibs.nl/wiki/NameInformation-v1.1(2020EN)) (except for the GivenName concept).&#xD;&#xA;&#xD;&#xA;**Note 1**: The zib cannot be represented straightforward in FHIR. Especially note the guidance on `.given` on how to map the FirstNames and Initials concepts, and on `.prefix`/`.suffix` on how to map the Titles concept.&#xD;&#xA;&#xD;&#xA;**Note 2**: This element should only contain a person's _official_ names. The GivenName concept is represented in another `.name` element with `.name.use` = _usual_." />
      <alias value="Naamgegevens" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="zib-NameInformation-1" />
        <severity value="error" />
        <human value="If a prefix for a family name is specified, the family name is expected as well" />
        <expression value="family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()" />
        <source value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation" />
      </constraint>
      <constraint>
        <key value="zib-NameInformation-2" />
        <severity value="error" />
        <human value="If the prefix for a partner family name is specified, the partner family name is expected as well" />
        <expression value="family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()" />
        <source value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XPN" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="EN (actually, PN)" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="ProviderName" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.1" />
        <comment value="NameInformation" />
      </mapping>
    </element>
    <element id="HumanName.id">
      <path value="HumanName.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.extension">
      <path value="HumanName.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.extension:nameUsage">
      <path value="HumanName.extension" />
      <sliceName value="nameUsage" />
      <short value="Preferred display order of name parts" />
      <definition value="A code that represents the preferred display order of the components of this human name." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.extension:nameUsage.id">
      <path value="HumanName.extension.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.extension:nameUsage.extension">
      <path value="HumanName.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="0" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.extension:nameUsage.url">
      <path value="HumanName.extension.url" />
      <representation value="xmlAttr" />
      <short value="identifies the meaning of the extension" />
      <definition value="Source of the definition for the extension code - a logical name or a URL." />
      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.extension:nameUsage.value[x]">
      <path value="HumanName.extension.value[x]" />
      <short value="NameUsage" />
      <definition value="This concept indicates the last name or order of last names with which the person is to be addressed." />
      <alias value="Naamgebruik" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="HumanNameAssemblyOrder" />
        </extension>
        <strength value="required" />
        <description value="Use ConceptMap NaamgebruikCodelijst-to-HumanNameAssemblyOrder to translate terminology from the functional model to profile terminology in ValueSet HumanNameAssemblyOrder." />
        <valueSet value="http://hl7.org/fhir/ValueSet/name-assembly-order|4.0.1">
          <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap">
            <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder" />
          </extension>
        </valueSet>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.7" />
        <comment value="NameUsage" />
      </mapping>
    </element>
    <element id="HumanName.use">
      <path value="HumanName.use" />
      <short value="usual | official | temp | nickname | anonymous | old | maiden" />
      <definition value="Identifies the purpose for this name." />
      <comment value="Applications can assume that a name is current unless it explicitly says that it is temporary or old." />
      <requirements value="Allows the appropriate name for a particular context of use to be selected from among a set of names." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="HumanName.use" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <patternCode value="official" />
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old name etc.for a current/permanent one" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="NameUse" />
        </extension>
        <strength value="required" />
        <description value="The use of a human name." />
        <valueSet value="http://hl7.org/fhir/ValueSet/name-use|4.0.1" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XPN.7, but often indicated by which field contains the name" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="unique(./use)" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./NamePurpose" />
      </mapping>
    </element>
    <element id="HumanName.text">
      <path value="HumanName.text" />
      <short value="Text representation of the full name" />
      <definition value="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 value="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 value="A renderable, unencoded form." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.text" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="implied by XPN.11" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./formatted" />
      </mapping>
    </element>
    <element id="HumanName.family">
      <path value="HumanName.family" />
      <short value="Family name (often called 'Surname')" />
      <definition value="The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father." />
      <comment value="Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures)." />
      <alias value="surname" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.family" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XPN.1/FN.1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = FAM]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./FamilyName" />
      </mapping>
    </element>
    <element id="HumanName.family.id">
      <path value="HumanName.family.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.family.extension">
      <path value="HumanName.family.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:prefix">
      <path value="HumanName.family.extension" />
      <sliceName value="prefix" />
      <short value="Voorvoegsel derived from person's own surname" />
      <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse." />
      <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="FN.2" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="ENXP where Qualifiers = (VV, R)" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:prefix.id">
      <path value="HumanName.family.extension.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:prefix.extension">
      <path value="HumanName.family.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="0" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:prefix.url">
      <path value="HumanName.family.extension.url" />
      <representation value="xmlAttr" />
      <short value="identifies the meaning of the extension" />
      <definition value="Source of the definition for the extension code - a logical name or a URL." />
      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:prefix.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="Prefix" />
      <definition value="Prefix to the person’s own last name." />
      <alias value="Voorvoegsels" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.11" />
        <comment value="Prefix" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:lastName">
      <path value="HumanName.family.extension" />
      <sliceName value="lastName" />
      <short value="Portion derived from person's own surname" />
      <definition value="The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse." />
      <comment value="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 &quot;maiden name&quot;." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-own-name" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="FN.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="ENXP where Qualifiers = (BR)" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:lastName.id">
      <path value="HumanName.family.extension.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:lastName.extension">
      <path value="HumanName.family.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="0" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:lastName.url">
      <path value="HumanName.family.extension.url" />
      <representation value="xmlAttr" />
      <short value="identifies the meaning of the extension" />
      <definition value="Source of the definition for the extension code - a logical name or a URL." />
      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-own-name" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:lastName.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="LastName" />
      <definition value="The person’s official last name" />
      <alias value="Achternaam" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.10" />
        <comment value="LastName" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerPrefix">
      <path value="HumanName.family.extension" />
      <sliceName value="partnerPrefix" />
      <short value="Voorvoegsel derived from person's partner's surname" />
      <definition value="The prefix portion (e.g. voorvoegsel) of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own." />
      <comment value="An example of a voorvoegsel is the &quot;van&quot; in &quot;Ludwig van Beethoven&quot;. Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="FN.4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="ENXP where Qualifiers = (VV, SP)" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerPrefix.id">
      <path value="HumanName.family.extension.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerPrefix.extension">
      <path value="HumanName.family.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="0" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerPrefix.url">
      <path value="HumanName.family.extension.url" />
      <representation value="xmlAttr" />
      <short value="identifies the meaning of the extension" />
      <definition value="Source of the definition for the extension code - a logical name or a URL." />
      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerPrefix.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="PartnerPrefix" />
      <definition value="Prefix to the partner’s last name." />
      <alias value="VoorvoegselsPartner" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.9" />
        <comment value="PartnerPrefix" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerLastName">
      <path value="HumanName.family.extension" />
      <sliceName value="partnerLastName" />
      <short value="Portion derived from person's partner's surname" />
      <definition value="The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name." />
      <comment value="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 &quot;maiden name&quot;." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="FN.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="ENXP where Qualifiers = (SP)" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerLastName.id">
      <path value="HumanName.family.extension.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerLastName.extension">
      <path value="HumanName.family.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="0" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerLastName.url">
      <path value="HumanName.family.extension.url" />
      <representation value="xmlAttr" />
      <short value="identifies the meaning of the extension" />
      <definition value="Source of the definition for the extension code - a logical name or a URL." />
      <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.url" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <fixedUri value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerLastName.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="PartnerLastName" />
      <definition value="Partner’s official last name." />
      <alias value="AchternaamPartner" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Extension.value[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.8" />
        <comment value="PartnerLastName" />
      </mapping>
    </element>
    <element id="HumanName.family.value">
      <path value="HumanName.family.value" />
      <representation value="xmlAttr" />
      <short value="Primitive value for string" />
      <definition value="Primitive value for string" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="string.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/regex">
          <valueString value="[ \r\n\t\S]+" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <maxLength value="1048576" />
    </element>
    <element id="HumanName.given">
      <path value="HumanName.given" />
      <short value="FirstName / Initial" />
      <definition value="One of a person’s official first names or the initial if the full name is not known." />
      <comment value="This element represents the FirstNames and Initials concepts of zib NameInformation, but the FHIR implementation deviates from the zib model. The zib defines these concepts as a list of official first names (as a single string) and a list of initials (as a single string), both optional. They both represent the official name(s) of a person and thus represent the same concept. In FHIR however, each first name is either a complete name or an initial, but not both. In addition, each name may be defined separately.&#xD;&#xA;&#xD;&#xA;Therefore, the zib concepts are implemented here in the following way:&#xD;&#xA;&#xD;&#xA;* Systems SHOULD use a `.given` element for each official first name that they know of (either as a full name or an initial), in order of appearance (as specified by FHIR).&#xD;&#xA;* Each of these elements:&#xD;&#xA;  * SHOULD be populated with the complete name if it is known, or with the initial if no more information is available.&#xD;&#xA;  * SHALL be augmented with `extension:givenOrInitial` with code _BR_ when it represents a full name or code _IN_ when it represents an initial.&#xD;&#xA;&#xD;&#xA;Initials should thus not be communicated for each complete first name that is known, in contrast to what is specified by the zib. Receiving systems can recreate initials from the full names if needed.&#xD;&#xA;&#xD;&#xA;If a system _does_ however only have a list of official first names and a separate list of official initials, without knowing the relationship between these two, only the full names SHOULD be communicated, while an additional `.name` instance MAY be used to communicate the initials. It is expected that the second instance just contains the initials and no other information from the zib. Receiving systems MAY ignore the second instance.&#xD;&#xA;&#xD;&#xA;**Note 1:** The GivenName concept should not be included here but in a separate `.name` instance where `.use` = _usual_.&#xD;&#xA;&#xD;&#xA;**Note 2**: As specified by FHIR, multiple official first names MAY be combined in a single `.given` element (separated by spaces), as long as the `.given` elements can be concatenated to form the full first name representation, and the 'extension:givenOrInitial` is used to mark the element as containing either full names or the initials. This pattern is strongly discouraged as it is hard to determine if the value pertains multiple names or a single combined name containing spaces." />
      <alias value="first name" />
      <alias value="middle name" />
      <alias value="Voornaam" />
      <alias value="Initiaal" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.given" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <orderMeaning value="Given Names appear in the correct order for presenting the name" />
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XPN.2 + XPN.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = GIV]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./GivenNames" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.4" />
        <comment value="FirstNames" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.5" />
        <comment value="Initials" />
      </mapping>
    </element>
    <element id="HumanName.given.id">
      <path value="HumanName.given.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="HumanName.given.extension">
      <path value="HumanName.given.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="1" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="HumanName.given.extension:givenOrInitial">
      <path value="HumanName.given.extension" />
      <sliceName value="givenOrInitial" />
      <short value="LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV" />
      <definition value="A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type." />
      <comment value="Used to indicate additional information about the name part and how it should be used." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="1" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="false" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="ENXP.qualifier" />
      </mapping>
    </element>
    <element id="HumanName.given.value">
      <path value="HumanName.given.value" />
      <representation value="xmlAttr" />
      <short value="Primitive value for string" />
      <definition value="Primitive value for string" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="string.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/regex">
          <valueString value="[ \r\n\t\S]+" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <maxLength value="1048576" />
    </element>
    <element id="HumanName.prefix">
      <path value="HumanName.prefix" />
      <short value="Titles" />
      <definition value="Noble and scientific titles. These can assist in formulating oral and formal addresing titles." />
      <comment value="The zib concept 'titles' is mapped to elements `HumanName.prefix` and `HumanName.suffix`. Semantically this mapping is not complete: the zib uses a single concept that contains all the required information about noble and scientific titles, while FHIR captures the same information in a structured way.&#xD;&#xA;&#xD;&#xA;**Export:**&#xD;&#xA;&#xD;&#xA;Systems are expected to transform as much as possible to the FHIR datamodel and thereby to be as explicit as possible. Note that in order to mark the type of a prefix, you can use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include the use of the qualifier _HON_ to indicate honorific prefixes and _AC_ for academic prefixes.&#xD;&#xA;&#xD;&#xA;If it is not possible to breakup the zib concept titles to positioned prefixes and suffixes, the prefix element is used to store all information.&#xD;&#xA;&#xD;&#xA;**Import:**&#xD;&#xA;&#xD;&#xA;Systems need to expect and be resilient for a broader range of information stored in the prefix element than stated by it's definition." />
      <alias value="Titels" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.prefix" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <orderMeaning value="Prefixes appear in the correct order for presenting the name" />
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XPN.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = PFX]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./TitleCode" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.12" />
        <comment value="Titles" />
      </mapping>
    </element>
    <element id="HumanName.suffix">
      <path value="HumanName.suffix" />
      <short value="Titles" />
      <definition value="Noble and scientific titles. These can assist in formulating oral and formal addresing titles." />
      <comment value="The zib concept 'titles' is mapped to elements `HumanName.prefix` and `HumanName.suffix`. Semantically this mapping is not complete: the zib uses a single concept that contains all the required information about noble and scientific titles, while FHIR captures the same information in a structured way.&#xD;&#xA;&#xD;&#xA;**Export:**&#xD;&#xA;&#xD;&#xA;Systems are expected to transform as much as possible to the FHIR datamodel and thereby to be as explicit as possible. Note that in order to mark the type of a prefix, you can use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include the use of the qualifier _HON_ to indicate honorific prefixes and _AC_ for academic prefixes.&#xD;&#xA;&#xD;&#xA;If it is not possible to breakup the zib concept titles to positioned prefixes and suffixes, the prefix element is used to store all information.&#xD;&#xA;&#xD;&#xA;**Import:**&#xD;&#xA;&#xD;&#xA;Systems need to expect and be resilient for a broader range of information stored in the prefix element than stated by it's definition." />
      <alias value="Titels" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.suffix" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <orderMeaning value="Suffixes appear in the correct order for presenting the name" />
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XPN/4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = SFX]" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.12" />
        <comment value="Titles" />
      </mapping>
    </element>
    <element id="HumanName.period">
      <path value="HumanName.period" />
      <short value="Time period when name was/is in use" />
      <definition value="Indicates the period of time when this name was valid for the named person." />
      <comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. &quot;the patient was an inpatient of the hospital for this time range&quot;) or one value from the range applies (e.g. &quot;give to the patient between these two times&quot;).&#xA;&#xA;Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration)." />
      <requirements value="Allows names to be placed in historical context." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.period" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="per-1" />
        <severity value="error" />
        <human value="If present, start SHALL have a lower value than end" />
        <expression value="start.hasValue().not() or end.hasValue().not() or (start &lt;= end)" />
        <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) &lt;= xs:dateTime(f:end/@value))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Period" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="DR" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="IVL&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;] or URG&lt;TS&gt;[lowClosed=&quot;true&quot; and highClosed=&quot;true&quot;]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="XPN.13 + XPN.14" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./usablePeriod[type=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="HumanName">
      <path value="HumanName" />
      <short value="NameInformation" />
      <definition value="This slice represents the person's official name information, including given names, last name and possibly the partner's last name." />
      <comment value="This `.name` element represents a Dutch name according to the [zib NameInformation v1.1 (2020)](https://zibs.nl/wiki/NameInformation-v1.1(2020EN)) (except for the GivenName concept).&#xD;&#xA;&#xD;&#xA;**Note 1**: The zib cannot be represented straightforward in FHIR. Especially note the guidance on `.given` on how to map the FirstNames and Initials concepts, and on `.prefix`/`.suffix` on how to map the Titles concept.&#xD;&#xA;&#xD;&#xA;**Note 2**: This element should only contain a person's _official_ names. The GivenName concept is represented in another `.name` element with `.name.use` = _usual_." />
      <alias value="Naamgegevens" />
      <constraint>
        <key value="zib-NameInformation-1" />
        <severity value="error" />
        <human value="If a prefix for a family name is specified, the family name is expected as well" />
        <expression value="family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()" />
      </constraint>
      <constraint>
        <key value="zib-NameInformation-2" />
        <severity value="error" />
        <human value="If the prefix for a partner family name is specified, the partner family name is expected as well" />
        <expression value="family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()" />
      </constraint>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.1" />
        <comment value="NameInformation" />
      </mapping>
    </element>
    <element id="HumanName.extension:nameUsage">
      <path value="HumanName.extension" />
      <sliceName value="nameUsage" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-assembly-order" />
      </type>
    </element>
    <element id="HumanName.extension:nameUsage.value[x]">
      <path value="HumanName.extension.value[x]" />
      <short value="NameUsage" />
      <definition value="This concept indicates the last name or order of last names with which the person is to be addressed." />
      <alias value="Naamgebruik" />
      <binding>
        <strength value="required" />
        <description value="Use ConceptMap NaamgebruikCodelijst-to-HumanNameAssemblyOrder to translate terminology from the functional model to profile terminology in ValueSet HumanNameAssemblyOrder." />
        <valueSet value="http://hl7.org/fhir/ValueSet/name-assembly-order|4.0.1">
          <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap">
            <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder" />
          </extension>
        </valueSet>
      </binding>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.7" />
        <comment value="NameUsage" />
      </mapping>
    </element>
    <element id="HumanName.use">
      <path value="HumanName.use" />
      <min value="1" />
      <patternCode value="official" />
    </element>
    <element id="HumanName.family.extension:prefix">
      <path value="HumanName.family.extension" />
      <sliceName value="prefix" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix" />
      </type>
    </element>
    <element id="HumanName.family.extension:prefix.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="Prefix" />
      <definition value="Prefix to the person’s own last name." />
      <alias value="Voorvoegsels" />
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.11" />
        <comment value="Prefix" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:lastName">
      <path value="HumanName.family.extension" />
      <sliceName value="lastName" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-own-name" />
      </type>
    </element>
    <element id="HumanName.family.extension:lastName.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="LastName" />
      <definition value="The person’s official last name" />
      <alias value="Achternaam" />
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.10" />
        <comment value="LastName" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerPrefix">
      <path value="HumanName.family.extension" />
      <sliceName value="partnerPrefix" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix" />
      </type>
    </element>
    <element id="HumanName.family.extension:partnerPrefix.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="PartnerPrefix" />
      <definition value="Prefix to the partner’s last name." />
      <alias value="VoorvoegselsPartner" />
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.9" />
        <comment value="PartnerPrefix" />
      </mapping>
    </element>
    <element id="HumanName.family.extension:partnerLastName">
      <path value="HumanName.family.extension" />
      <sliceName value="partnerLastName" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/humanname-partner-name" />
      </type>
    </element>
    <element id="HumanName.family.extension:partnerLastName.value[x]">
      <path value="HumanName.family.extension.value[x]" />
      <short value="PartnerLastName" />
      <definition value="Partner’s official last name." />
      <alias value="AchternaamPartner" />
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.8" />
        <comment value="PartnerLastName" />
      </mapping>
    </element>
    <element id="HumanName.given">
      <path value="HumanName.given" />
      <short value="FirstName / Initial" />
      <definition value="One of a person’s official first names or the initial if the full name is not known." />
      <comment value="This element represents the FirstNames and Initials concepts of zib NameInformation, but the FHIR implementation deviates from the zib model. The zib defines these concepts as a list of official first names (as a single string) and a list of initials (as a single string), both optional. They both represent the official name(s) of a person and thus represent the same concept. In FHIR however, each first name is either a complete name or an initial, but not both. In addition, each name may be defined separately.&#xD;&#xA;&#xD;&#xA;Therefore, the zib concepts are implemented here in the following way:&#xD;&#xA;&#xD;&#xA;* Systems SHOULD use a `.given` element for each official first name that they know of (either as a full name or an initial), in order of appearance (as specified by FHIR).&#xD;&#xA;* Each of these elements:&#xD;&#xA;  * SHOULD be populated with the complete name if it is known, or with the initial if no more information is available.&#xD;&#xA;  * SHALL be augmented with `extension:givenOrInitial` with code _BR_ when it represents a full name or code _IN_ when it represents an initial.&#xD;&#xA;&#xD;&#xA;Initials should thus not be communicated for each complete first name that is known, in contrast to what is specified by the zib. Receiving systems can recreate initials from the full names if needed.&#xD;&#xA;&#xD;&#xA;If a system _does_ however only have a list of official first names and a separate list of official initials, without knowing the relationship between these two, only the full names SHOULD be communicated, while an additional `.name` instance MAY be used to communicate the initials. It is expected that the second instance just contains the initials and no other information from the zib. Receiving systems MAY ignore the second instance.&#xD;&#xA;&#xD;&#xA;**Note 1:** The GivenName concept should not be included here but in a separate `.name` instance where `.use` = _usual_.&#xD;&#xA;&#xD;&#xA;**Note 2**: As specified by FHIR, multiple official first names MAY be combined in a single `.given` element (separated by spaces), as long as the `.given` elements can be concatenated to form the full first name representation, and the 'extension:givenOrInitial` is used to mark the element as containing either full names or the initials. This pattern is strongly discouraged as it is hard to determine if the value pertains multiple names or a single combined name containing spaces." />
      <alias value="Voornaam" />
      <alias value="Initiaal" />
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.4" />
        <comment value="FirstNames" />
      </mapping>
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.5" />
        <comment value="Initials" />
      </mapping>
    </element>
    <element id="HumanName.given.extension">
      <path value="HumanName.given.extension" />
      <min value="1" />
    </element>
    <element id="HumanName.given.extension:givenOrInitial">
      <path value="HumanName.given.extension" />
      <sliceName value="givenOrInitial" />
      <min value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier" />
      </type>
    </element>
    <element id="HumanName.prefix">
      <path value="HumanName.prefix" />
      <short value="Titles" />
      <definition value="Noble and scientific titles. These can assist in formulating oral and formal addresing titles." />
      <comment value="The zib concept 'titles' is mapped to elements `HumanName.prefix` and `HumanName.suffix`. Semantically this mapping is not complete: the zib uses a single concept that contains all the required information about noble and scientific titles, while FHIR captures the same information in a structured way.&#xD;&#xA;&#xD;&#xA;**Export:**&#xD;&#xA;&#xD;&#xA;Systems are expected to transform as much as possible to the FHIR datamodel and thereby to be as explicit as possible. Note that in order to mark the type of a prefix, you can use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include the use of the qualifier _HON_ to indicate honorific prefixes and _AC_ for academic prefixes.&#xD;&#xA;&#xD;&#xA;If it is not possible to breakup the zib concept titles to positioned prefixes and suffixes, the prefix element is used to store all information.&#xD;&#xA;&#xD;&#xA;**Import:**&#xD;&#xA;&#xD;&#xA;Systems need to expect and be resilient for a broader range of information stored in the prefix element than stated by it's definition." />
      <alias value="Titels" />
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.12" />
        <comment value="Titles" />
      </mapping>
    </element>
    <element id="HumanName.suffix">
      <path value="HumanName.suffix" />
      <short value="Titles" />
      <definition value="Noble and scientific titles. These can assist in formulating oral and formal addresing titles." />
      <comment value="The zib concept 'titles' is mapped to elements `HumanName.prefix` and `HumanName.suffix`. Semantically this mapping is not complete: the zib uses a single concept that contains all the required information about noble and scientific titles, while FHIR captures the same information in a structured way.&#xD;&#xA;&#xD;&#xA;**Export:**&#xD;&#xA;&#xD;&#xA;Systems are expected to transform as much as possible to the FHIR datamodel and thereby to be as explicit as possible. Note that in order to mark the type of a prefix, you can use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include the use of the qualifier _HON_ to indicate honorific prefixes and _AC_ for academic prefixes.&#xD;&#xA;&#xD;&#xA;If it is not possible to breakup the zib concept titles to positioned prefixes and suffixes, the prefix element is used to store all information.&#xD;&#xA;&#xD;&#xA;**Import:**&#xD;&#xA;&#xD;&#xA;Systems need to expect and be resilient for a broader range of information stored in the prefix element than stated by it's definition." />
      <alias value="Titels" />
      <mapping>
        <identity value="zib-nameinformation-v1.1-2020EN" />
        <map value="NL-CM:20.4.12" />
        <comment value="Titles" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>