No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
 <status value="draft" /> <experimental value="false" /> <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 who receives medical, psychological, paramedical or nursing care. In some care settings, the term client or participant is used instead of the term patient. Nationality is used as an indication of the country of citizenship. Marital status is a person’s formal position as defined by the Dutch civil code. There is a distinction between marriage and civil union. Linguistic proficiency is the ability to express oneself in a certain language and understand statements made in that language. This includes both oral and written communication." /> <purpose value="This Patient resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Patient v3.2 (2020)](https://zibs.nl/wiki/Patient-v3.2(2020EN)). It also includes [zib Nationality v3.0 (2020)](https://zibs.nl/wiki/Nationality-v3.0(2020EN)), [zib MaritalStatus v3.1 (2020)](https://zibs.nl/wiki/MaritalStatus-v3.1(2020EN)) and [zib LanguageProficiency v3.2 (2020)](https://zibs.nl/wiki/LanguageProficiency-v3.2(2020EN))." /> <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-patient-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/Patient-v3.2(2020EN)" /> <name value="zib Patient-v3.2(2020EN)" /> </mapping> <mapping> <identity value="zib-nationality-v3.0-2020EN" /> <uri value="https://zibs.nl/wiki/Nationality-v3.0(2020EN)" /> <name value="zib Nationality-v3.0(2020EN)" /> </mapping> <mapping> <identity value="zib-maritalstatus-v3.1-2020EN" /> <uri value="https://zibs.nl/wiki/MaritalStatus-v3.1(2020EN)" /> <name value="zib MaritalStatus-v3.1(2020EN)" /> </mapping> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/LanguageProficiency-v3.2(2020EN)" /> <name value="zib LanguageProficiency-v3.2(2020EN)" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <uri value="https://zibs.nl/wiki/ContactInformation-v1.2(2020EN)" /> <name value="zib ContactInformation-v1.2(2020EN)" /> </mapping> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <uri value="https://zibs.nl/wiki/ContactPerson-v3.4(2020EN)" /> <name value="zib ContactPerson-v3.4(2020EN)" /> </mapping> <mapping> <identity value="zib-payer-v3.1.1-2020EN" /> <uri value="https://zibs.nl/wiki/Payer-v3.1.1(2020EN)" /> <name value="zib Payer-v3.1.1(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Patient" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Patient" /> <derivation value="constraint" /> <snapshot> <element id="Patient"> <path value="Patient" /> <short value="Patient" /> <definition value="Demographics and other administrative information about an individual or animal receiving care or other health-related services." /> <alias value="SubjectOfCare Client Resident" /> <alias value="Patient" /> <min value="0" /> <max value="*" /> <base> <path value="Patient" /> <min value="0" /> <max value="*" /> </base> <constraint> <key value="dom-2" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" /> <expression value="contained.contained.empty()" /> <xpath value="not(parent::f:contained and f:contained)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-4" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" /> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-3" /> <severity value="error" /> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" /> <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" /> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." /> </extension> <key value="dom-6" /> <severity value="warning" /> <human value="A resource should have narrative for robust management" /> <expression value="text.`div`.exists()" /> <xpath value="exists(f:text/h:div)" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <constraint> <key value="dom-5" /> <severity value="error" /> <human value="If a resource is contained in another resource, it SHALL NOT have a security label" /> <expression value="contained.meta.security.empty()" /> <xpath value="not(exists(f:contained/*/f:meta/f:security))" /> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" /> </constraint> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="Patient[classCode=PAT]" /> </mapping> <mapping> <identity value="cda" /> <map value="ClinicalDocument.recordTarget.patientRole" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.1" /> <comment value="Patient" /> </mapping> </element> <element id="Patient.id"> <path value="Patient.id" /> <short value="Logical id of this artifact" /> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." /> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.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> <isSummary value="true" /> </element> <element id="Patient.meta"> <path value="Patient.meta" /> <short value="Metadata about the resource" /> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.meta" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Meta" /> </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() > 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="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.implicitRules"> <path value="Patient.implicitRules" /> <short value="A set of rules under which this content was created" /> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." /> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.implicitRules" /> <min value="0" /> <max value="1" /> </base> <type> <code value="uri" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.language"> <path value="Patient.language" /> <short value="Language of the resource content" /> <definition value="The base language in which the resource is written." /> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." /> <min value="0" /> <max value="1" /> <base> <path value="Resource.language" /> <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() > 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-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="preferred" /> <description value="A human language." /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.text"> <path value="Patient.text" /> <short value="Text summary of the resource, for human interpretation" /> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." /> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later." /> <alias value="narrative" /> <alias value="html" /> <alias value="xhtml" /> <alias value="display" /> <min value="0" /> <max value="1" /> <base> <path value="DomainResource.text" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Narrative" /> </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() > 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="rim" /> <map value="Act.text?" /> </mapping> </element> <element id="Patient.contained"> <path value="Patient.contained" /> <short value="Contained, inline Resources" /> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." /> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." /> <alias value="inline resources" /> <alias value="anonymous resources" /> <alias value="contained resources" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.contained" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Resource" /> </type> <mapping> <identity value="rim" /> <map value="Entity. Role, or Act" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.extension"> <path value="Patient.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 resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment 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="DomainResource.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() > 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="Patient.extension:nationality"> <path value="Patient.extension" /> <sliceName value="nationality" /> <short value="Nationality" /> <definition value="The nationality of the patient." /> <comment value="Due to the nature of the nationality core extension (which allows for a period to be placed next to the nationality and thus allows for different nationalities over time), the cardinality of the extension is left at `0..*` instead of the zib cardinality of `0..1`." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-nationality" /> </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() > 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="Patient.extension:nationality.id"> <path value="Patient.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="Patient.extension:nationality.extension"> <path value="Patient.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </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="Patient.extension:nationality.extension:code"> <path value="Patient.extension.extension" /> <sliceName value="code" /> <short value="Nationality Code" /> <definition value="Code representing nationality of patient." /> <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" /> </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() > 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="Patient.extension:nationality.extension:code.id"> <path value="Patient.extension.extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.extension:nationality.extension:code.extension"> <path value="Patient.extension.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="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() > 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="Patient.extension:nationality.extension:code.url"> <path value="Patient.extension.extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="code" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.extension:nationality.extension:code.value[x]"> <path value="Patient.extension.extension.value[x]" /> <short value="Nationality" /> <definition value="Indicates the country of citizenship." /> <alias value="Nationaliteit" /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="extensible" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20200901000000" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="zib-nationality-v3.0-2020EN" /> <map value="NL-CM:7.6.3" /> <comment value="Nationality" /> </mapping> </element> <element id="Patient.extension:nationality.extension:period"> <path value="Patient.extension.extension" /> <sliceName value="period" /> <short value="Nationality Period" /> <definition value="Period when nationality was effective." /> <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" /> </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() > 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="Patient.extension:nationality.extension:period.id"> <path value="Patient.extension.extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.extension:nationality.extension:period.extension"> <path value="Patient.extension.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="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() > 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="Patient.extension:nationality.extension:period.url"> <path value="Patient.extension.extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="period" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.extension:nationality.extension:period.value[x]"> <path value="Patient.extension.extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <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() > 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> </element> <element id="Patient.extension:nationality.url"> <path value="Patient.extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <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/patient-nationality" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.extension:nationality.value[x]"> <path value="Patient.extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." /> <min value="0" /> <max value="0" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="base64Binary" /> </type> <type> <code value="boolean" /> </type> <type> <code value="canonical" /> </type> <type> <code value="code" /> </type> <type> <code value="date" /> </type> <type> <code value="dateTime" /> </type> <type> <code value="decimal" /> </type> <type> <code value="id" /> </type> <type> <code value="instant" /> </type> <type> <code value="integer" /> </type> <type> <code value="markdown" /> </type> <type> <code value="oid" /> </type> <type> <code value="positiveInt" /> </type> <type> <code value="string" /> </type> <type> <code value="time" /> </type> <type> <code value="unsignedInt" /> </type> <type> <code value="uri" /> </type> <type> <code value="url" /> </type> <type> <code value="uuid" /> </type> <type> <code value="Address" /> </type> <type> <code value="Age" /> </type> <type> <code value="Annotation" /> </type> <type> <code value="Attachment" /> </type> <type> <code value="CodeableConcept" /> </type> <type> <code value="Coding" /> </type> <type> <code value="ContactPoint" /> </type> <type> <code value="Count" /> </type> <type> <code value="Distance" /> </type> <type> <code value="Duration" /> </type> <type> <code value="HumanName" /> </type> <type> <code value="Identifier" /> </type> <type> <code value="Money" /> </type> <type> <code value="Period" /> </type> <type> <code value="Quantity" /> </type> <type> <code value="Range" /> </type> <type> <code value="Ratio" /> </type> <type> <code value="Reference" /> </type> <type> <code value="SampledData" /> </type> <type> <code value="Signature" /> </type> <type> <code value="Timing" /> </type> <type> <code value="ContactDetail" /> </type> <type> <code value="Contributor" /> </type> <type> <code value="DataRequirement" /> </type> <type> <code value="Expression" /> </type> <type> <code value="ParameterDefinition" /> </type> <type> <code value="RelatedArtifact" /> </type> <type> <code value="TriggerDefinition" /> </type> <type> <code value="UsageContext" /> </type> <type> <code value="Dosage" /> </type> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.modifierExtension"> <path value="Patient.modifierExtension" /> <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="Extensions that cannot be ignored" /> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <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." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="DomainResource.modifierExtension" /> <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() > 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="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="PatientIdentificationNumber" /> <definition value="The patient’s identification number. In transfer situations, use of the social security number (BSN) must comply with the Use of Social Security Numbers in Healthcare Act (Wbsn-z). In other situations, other number systems can be used, such as internal hospital patient numbers for example." /> <requirements value="Patients are almost always assigned specific numerical identifiers." /> <alias value="Identificatienummer" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </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() > 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="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3" /> </mapping> <mapping> <identity value="rim" /> <map value="id" /> </mapping> <mapping> <identity value="cda" /> <map value=".id" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.7" /> <comment value="PatientIdentificationNumber" /> </mapping> </element> <element id="Patient.identifier:bsn"> <path value="Patient.identifier" /> <sliceName value="bsn" /> <short value="An identifier for this patient" /> <definition value="An identifier for this patient." /> <requirements value="Patients are almost always assigned specific numerical identifiers." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.identifier" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Identifier" /> </type> <patternIdentifier> <system value="http://fhir.nl/fhir/NamingSystem/bsn" /> </patternIdentifier> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" /> </mapping> <mapping> <identity value="rim" /> <map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" /> </mapping> <mapping> <identity value="servd" /> <map value="Identifier" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.identifier" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3" /> </mapping> <mapping> <identity value="rim" /> <map value="id" /> </mapping> <mapping> <identity value="cda" /> <map value=".id" /> </mapping> </element> <element id="Patient.active"> <path value="Patient.active" /> <short value="Whether this patient's record is in active use" /> <definition value="Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death." /> <comment value="If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient." /> <requirements value="Need to be able to mark a patient record as not to be used because it was created in error." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.active" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <meaningWhenMissing value="This resource is generally assumed to be active if no value is provided for the active element" /> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="w5" /> <map value="FiveWs.status" /> </mapping> <mapping> <identity value="rim" /> <map value="statusCode" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.name"> <path value="Patient.name" /> <slicing> <discriminator> <type value="value" /> <path value="use" /> </discriminator> <rules value="open" /> </slicing> <short value="NameInformation / PayerName" /> <definition value="Patient's full name." /> <comment value="A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns." /> <requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name." /> <alias value="Naamgegevens" /> <alias value="BetalerNaam" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.name" /> <min value="0" /> <max value="*" /> </base> <type> <code value="HumanName" /> </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() > 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" /> </mapping> <mapping> <identity value="rim" /> <map value="EN (actually, PN)" /> </mapping> <mapping> <identity value="servd" /> <map value="ProviderName" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-5, PID-9" /> </mapping> <mapping> <identity value="rim" /> <map value="name" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.name" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.6" /> <comment value="NameInformation" /> </mapping> <mapping> <identity value="zib-payer-v3.1.1-2020EN" /> <map value="NL-CM:1.1.5" /> <comment value="PayerName" /> </mapping> </element> <element id="Patient.name:nameInformation"> <path value="Patient.name" /> <sliceName value="nameInformation" /> <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). **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. **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_." /> <requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name." /> <alias value="Naamgegevens" /> <min value="0" /> <max value="2" /> <base> <path value="Patient.name" /> <min value="0" /> <max value="*" /> </base> <type> <code value="HumanName" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation" /> </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() > 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> <isSummary value="true" /> <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="v2" /> <map value="PID-5, PID-9" /> </mapping> <mapping> <identity value="rim" /> <map value="name" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.name" /> </mapping> <mapping> <identity value="zib-nameinformation-v1.1-2020EN" /> <map value="NL-CM:20.4.1" /> <comment value="NameInformation" /> </mapping> </element> <element id="Patient.name:nameInformation-GivenName"> <path value="Patient.name" /> <sliceName value="nameInformation-GivenName" /> <short value="Name of a human - parts and usage" /> <definition value="This slice represents the name information normally used to address the person." /> <comment value="This `.name` element represents the Dutch given name ("roepnaam") according to the [zib NameInformation v1.1 (2020)](https://zibs.nl/wiki/NameInformation-v1.1(2020EN)). **Note 1**: This element should only contain a person's _unofficial_ name. The official names are represented in one or more other `.name` elements with `.name.use` = _official_. **Note 2**: The examples illustrate how the zib is mapped to FHIR." /> <requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.name" /> <min value="0" /> <max value="*" /> </base> <type> <code value="HumanName" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation.GivenName" /> </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() > 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" /> </mapping> <mapping> <identity value="rim" /> <map value="EN (actually, PN)" /> </mapping> <mapping> <identity value="servd" /> <map value="ProviderName" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-5, PID-9" /> </mapping> <mapping> <identity value="rim" /> <map value="name" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.name" /> </mapping> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <slicing> <discriminator> <type value="profile" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="ContactInformation" /> <definition value="Patient’s telephone number(s) or e-mail address(es)." /> <comment value="The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <alias value="Contactgegevens" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-13, PID-14, PID-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value=".telecom" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.5" /> <comment value="ContactInformation" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.1" /> <comment value="ContactInformation" /> </mapping> <mapping> <identity value="zib-payer-v3.1.1-2020EN" /> <map value="NL-CM:1.1.12" /> <comment value="ContactInformation" /> </mapping> </element> <element id="Patient.telecom:telephoneNumbers"> <path value="Patient.telecom" /> <sliceName value="telephoneNumbers" /> <short value="TelephoneNumbers" /> <definition value="Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc." /> <comment value="Implementation of the "TelephoneNumbers" concept of zib ContactInformation. Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts `ContactPoint.system` and `ContactPoint.use` respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on `ContactPoint.system` is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <alias value="Telefoonnummers" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelephoneNumbers" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-13, PID-14, PID-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value=".telecom" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.2" /> <comment value="TelephoneNumbers" /> </mapping> </element> <element id="Patient.telecom:emailAddresses"> <path value="Patient.telecom" /> <sliceName value="emailAddresses" /> <short value="EmailAddresses" /> <definition value="Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc." /> <comment value="Implementation of the "EmailAddresses" concept of zib ContactInformation." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <alias value="EmailAdressen" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-EmailAddresses" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-13, PID-14, PID-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value=".telecom" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.3" /> <comment value="EmailAddresses" /> </mapping> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <short value="Gender" /> <definition value="Patient’s administrative gender." /> <comment value="The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex." /> <requirements value="Needed for identification of the individual, in combination with (at least) name and birth date." /> <alias value="Geslacht" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.gender" /> <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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdministrativeGender" /> </extension> <strength value="required" /> <description value="Use ConceptMap GeslachtCodelijst-to-AdministrativeGender to translate terminology from the functional model to profile terminology in ValueSet AdministrativeGender." /> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/GeslachtCodelijst-to-AdministrativeGender" /> </extension> </valueSet> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-8" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.administrativeGenderCode" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.9" /> <comment value="Gender" /> </mapping> </element> <element id="Patient.gender.id"> <path value="Patient.gender.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="Patient.gender.extension"> <path value="Patient.gender.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() > 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="Patient.gender.extension:genderCodelist"> <path value="Patient.gender.extension" /> <sliceName value="genderCodelist" /> <short value="Optional Extensions Element" /> <definition value="Optional Extension Element - found in all resources." /> <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://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" /> </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() > 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="Patient.gender.extension:genderCodelist.id"> <path value="Patient.gender.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="Patient.gender.extension:genderCodelist.extension"> <path value="Patient.gender.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </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="Patient.gender.extension:genderCodelist.url"> <path value="Patient.gender.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://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.gender.extension:genderCodelist.value[x]"> <path value="Patient.gender.extension.value[x]" /> <short value="Gender" /> <definition value="Patient’s administrative gender." /> <alias value="Geslacht" /> <min value="0" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <strength value="required" /> <description value="GeslachtCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20200901000000" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.9" /> <comment value="Gender" /> </mapping> </element> <element id="Patient.gender.value"> <path value="Patient.gender.value" /> <representation value="xmlAttr" /> <short value="Primitive value for code" /> <definition value="Primitive value for code" /> <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="code" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="[^\s]+(\s[^\s]+)*" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <maxLength value="1048576" /> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <short value="DateOfBirth" /> <definition value="Patient’s date of birth. The date of birth is mandatory for a patient. A vague date (such as only the year) is permitted." /> <comment value="At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems)." /> <requirements value="Age of the individual drives many clinical processes." /> <alias value="Geboortedatum" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.birthDate" /> <min value="0" /> <max value="1" /> </base> <type> <code value="date" /> </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() > 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="PID-7" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.birthTime" /> </mapping> <mapping> <identity value="loinc" /> <map value="21112-8" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.10" /> <comment value="DateOfBirth" /> </mapping> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="Indicates if the individual is deceased or not" /> <definition value="Indicates if the individual is deceased or not." /> <comment value="If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive." /> <requirements value="The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.deceased[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <type> <code value="dateTime" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different." /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-30 (bool) and PID-29 (datetime)" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.deceased[x]:deceasedBoolean"> <path value="Patient.deceased[x]" /> <sliceName value="deceasedBoolean" /> <short value="DeathIndicator" /> <definition value="An indication stating whether the patient has died." /> <comment value="If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive." /> <requirements value="The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive." /> <alias value="OverlijdensIndicator" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.deceased[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different." /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-30 (bool) and PID-29 (datetime)" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.32" /> <comment value="DeathIndicator" /> </mapping> </element> <element id="Patient.deceased[x]:deceasedDateTime"> <path value="Patient.deceased[x]" /> <sliceName value="deceasedDateTime" /> <short value="DateOfDeath" /> <definition value="The date on which the patient died. A ‘vague’ date, such as only the year, is permitted." /> <comment value="The zib recognizes both the DeathIndicator (boolean) and DateOfDeath (datetime) concepts, whereas in FHIR only one of these concepts may be present. Therefore, if deceasedDateTime is present and has a value, its value can be mapped to DateOfDeath and DeathIndicator is assumed to be true." /> <requirements value="The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive." /> <alias value="DatumOverlijden" /> <alias value="OverlijdensIndicator" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.deceased[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different." /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-30 (bool) and PID-29 (datetime)" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.33" /> <comment value="DateOfDeath" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.32" /> <comment value="DeathIndicator" /> </mapping> </element> <element id="Patient.address"> <path value="Patient.address" /> <short value="AddressInformation" /> <definition value="Patient's address information." /> <comment value="This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the [zib AddressInformation v1.1 (2020)](https://zibs.nl/wiki/AddressInformation-v1.1(2020EN)). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. To have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements. **Separate address parts** The first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad. **Custom address types** The second addition is that the zib defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the zib concepts are mapped to the various FHIR elements (see the ConceptMaps <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse> and <http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType> as well). The code from the zib should also be included using the extension on `Address.extension:addressType`. | zib | .ext:addressType | .use | .type | |-----------------------------------|------------------|------|----------| | Postal Address/Postadres | PST | | postal | | Primary Home/Officieel adres | HP | home | both | | Visit Address/Woon-/verblijfadres | PHYS | home | physical | | Temporary Address/Tijdelijk adres | TMP | temp | | | Work Place/Werkadres | WP | work | | | Vacation Home/Vakantie adres | HV | temp | | If `Address.type` is _both_ then this is to be understood as a dual purpose address (postal and physical), unless a specific _postal_ type address is added. Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses. Note: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the zib ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension." /> <requirements value="May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification." /> <alias value="Adresgegevens" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.address" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Address" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation" /> </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() > 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="XAD" /> </mapping> <mapping> <identity value="rim" /> <map value="AD" /> </mapping> <mapping> <identity value="servd" /> <map value="Address" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-11" /> </mapping> <mapping> <identity value="rim" /> <map value="addr" /> </mapping> <mapping> <identity value="cda" /> <map value=".addr" /> </mapping> <mapping> <identity value="zib-addressinformation-v1.1-2020EN" /> <map value="NL-CM:20.5.1" /> <comment value="AddressInformation" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.4" /> <comment value="AddressInformation" /> </mapping> <mapping> <identity value="zib-payer-v3.1.1-2020EN" /> <map value="NL-CM:1.1.17" /> <comment value="AddressInformation" /> </mapping> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <short value="MaritalStatus" /> <definition value="A person’s marital status according to the terms and definition in the Dutch civil code." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <requirements value="Most, if not all systems capture it." /> <alias value="BurgerlijkeStaat" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.maritalStatus" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </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() > 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="MaritalStatus" /> </extension> <strength value="required" /> <description value="BurgerlijkeStaatCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20200901000000" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-16" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN]/maritalStatusCode" /> </mapping> <mapping> <identity value="cda" /> <map value=".patient.maritalStatusCode" /> </mapping> <mapping> <identity value="zib-maritalstatus-v3.1-2020EN" /> <map value="NL-CM:7.9.2" /> <comment value="MaritalStatus" /> </mapping> </element> <element id="Patient.multipleBirth[x]"> <path value="Patient.multipleBirth[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="Whether patient is part of a multiple birth" /> <definition value="Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer)." /> <comment value="Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated)." /> <requirements value="For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.multipleBirth[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <type> <code value="integer" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-24 (bool), PID-25 (integer)" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.multipleBirth[x]:multipleBirthBoolean"> <path value="Patient.multipleBirth[x]" /> <sliceName value="multipleBirthBoolean" /> <short value="MultipleBirthIndicator" /> <definition value="An indication stating whether the patient is of a multiple birth." /> <comment value="Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated)." /> <requirements value="For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs." /> <alias value="MeerlingIndicator" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.multipleBirth[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </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() > 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="v2" /> <map value="PID-24 (bool), PID-25 (integer)" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.31" /> <comment value="MultipleBirthIndicator" /> </mapping> </element> <element id="Patient.photo"> <path value="Patient.photo" /> <short value="Image of the patient" /> <definition value="Image of the patient." /> <comment value="Guidelines: * Use id photos, not clinical photos. * Limit dimensions to thumbnail. * Keep byte count low to ease resource updates." /> <requirements value="Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.photo" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Attachment" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="att-1" /> <severity value="error" /> <human value="If the Attachment has data, it SHALL have a contentType" /> <expression value="data.empty() or contentType.exists()" /> <xpath value="not(exists(f:data)) or exists(f:contentType)" /> <source value="http://hl7.org/fhir/StructureDefinition/Attachment" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="ED/RP" /> </mapping> <mapping> <identity value="rim" /> <map value="ED" /> </mapping> <mapping> <identity value="v2" /> <map value="OBX-5 - needs a profile" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"> <valueString value="Contact" /> </extension> <path value="Patient.contact" /> <short value="Contact" /> <definition value="A contact party (e.g. guardian, partner, friend) for the patient." /> <comment value="Whereas the zib ContactPerson includes all (non-healthcare professional) persons that are involved in the care for a patient, FHIR distinguishes two use cases for these persons: * The RelatedPerson resource is used to capture information about any person that is related to the patient, using the profile <http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson>. * Information about persons that should be _contacted_ regarding the care for the patient is captured using the `Patient.contact` resource. If a person is both a related person and a contact person, then some data duplication is inevitable. The zib-ContactPerson can be referenced using the extension in `contact:contactPerson`." /> <requirements value="Need to track people you can contact about the patient." /> <alias value="Contactpersoon" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="pat-1" /> <severity value="error" /> <human value="SHALL at least contain a contact's details or a reference to an organization" /> <expression value="name.exists() or telecom.exists() or address.exists() or organization.exists()" /> <xpath value="exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)" /> <source value="http://hl7.org/fhir/StructureDefinition/Patient" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.1" /> <comment value="Contact" /> </mapping> </element> <element id="Patient.contact.id"> <path value="Patient.contact.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="Patient.contact.extension"> <path value="Patient.contact.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() > 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="Patient.contact.extension:contactPerson"> <path value="Patient.contact.extension" /> <sliceName value="contactPerson" /> <short value="This contact may have further details in this RelatedPerson" /> <definition value="In some cases a Patient.contact will also be populated as a RelatedPerson resource. This linkage permits the linkage between the 2 resources to be able to accurately indicate a representation of the same individual, and updating details between could be appropriate." /> <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/patient-relatedPerson" /> </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() > 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="Patient.contact.extension:contactPerson.id"> <path value="Patient.contact.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="Patient.contact.extension:contactPerson.extension"> <path value="Patient.contact.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() > 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="Patient.contact.extension:contactPerson.url"> <path value="Patient.contact.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/patient-relatedPerson" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.contact.extension:contactPerson.value[x]"> <path value="Patient.contact.extension.value[x]" /> <short value="Contact" /> <definition value="Reference to a [zib-ContactPerson](http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson) instance containing the full details for the current contact." /> <alias value="Contactpersoon" /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson" /> </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() > 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-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.1" /> <comment value="Contact" /> </mapping> </element> <element id="Patient.contact.modifierExtension"> <path value="Patient.contact.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <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." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <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() > 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="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="The kind of relationship" /> <definition value="The nature of the relationship between the patient and the contact person." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <requirements value="Used to determine which contact person is the most relevant to approach, depending on circumstances." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.relationship" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </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() > 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="ContactRelationship" /> </extension> <strength value="extensible" /> <description value="The nature of the relationship between a patient and a contact person for that patient." /> <valueSet value="http://hl7.org/fhir/ValueSet/patient-contactrelationship" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-7, NK1-3" /> </mapping> <mapping> <identity value="rim" /> <map value="code" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.relationship:role"> <path value="Patient.contact.relationship" /> <sliceName value="role" /> <short value="Role" /> <definition value="Defines the role of the contact in relation to the patient." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <requirements value="Used to determine which contact person is the most relevant to approach, depending on circumstances." /> <alias value="Rol" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.relationship" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </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() > 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="ContactRelationship" /> </extension> <strength value="required" /> <description value="RolCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20200901000000" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-7, NK1-3" /> </mapping> <mapping> <identity value="rim" /> <map value="code" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.2" /> <comment value="Role" /> </mapping> </element> <element id="Patient.contact.relationship:relationship"> <path value="Patient.contact.relationship" /> <sliceName value="relationship" /> <short value="Relationship" /> <definition value="Defines the contact’s familial relationship to the patient." /> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." /> <requirements value="Used to determine which contact person is the most relevant to approach, depending on circumstances." /> <alias value="Relatie" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.relationship" /> <min value="0" /> <max value="*" /> </base> <type> <code value="CodeableConcept" /> </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() > 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="ContactRelationship" /> </extension> <strength value="required" /> <description value="RelatieCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20200901000000" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-7, NK1-3" /> </mapping> <mapping> <identity value="rim" /> <map value="code" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.3" /> <comment value="Relationship" /> </mapping> </element> <element id="Patient.contact.name"> <path value="Patient.contact.name" /> <short value="NameInformation" /> <definition value="Full name of the contact." /> <comment value="This element can and should not completely capture the NameInformation concept from zib ContactPerson; it should just be used for the information that is needed for contacting the person in relation to care of the patient. The full name information should instead be captured using an instance of [zib-ContactPerson](http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson), which can then be referenced from this resource. See the comment on `Patient.contact` for more information." /> <requirements value="Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person." /> <alias value="Naamgegevens" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.name" /> <min value="0" /> <max value="1" /> </base> <type> <code value="HumanName" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation" /> </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() > 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="v2" /> <map value="NK1-2" /> </mapping> <mapping> <identity value="rim" /> <map value="name" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-nameinformation-v1.1-2020EN" /> <map value="NL-CM:20.4.1" /> <comment value="NameInformation" /> </mapping> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.4" /> <comment value="NameInformation" /> </mapping> </element> <element id="Patient.contact.telecom"> <path value="Patient.contact.telecom" /> <slicing> <discriminator> <type value="profile" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="ContactInformation" /> <definition value="The contact’s telephone number and/or e-mail address." /> <comment value="The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <alias value="Contactgegevens" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-5, NK1-6, NK1-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.6" /> <comment value="ContactInformation" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.1" /> <comment value="ContactInformation" /> </mapping> </element> <element id="Patient.contact.telecom:telephoneNumbers"> <path value="Patient.contact.telecom" /> <sliceName value="telephoneNumbers" /> <short value="TelephoneNumbers" /> <definition value="Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc." /> <comment value="Implementation of the "TelephoneNumbers" concept of zib ContactInformation. Please note that, although the zib concepts TelecomType and NumberType are functionally equivalent to the FHIR concepts `ContactPoint.system` and `ContactPoint.use` respectively, a mismatch occurs on the concept of mobile phone numbers; the zib uses the first concept and FHIR the second. For this reason, the ValueSet on `ContactPoint.system` is too narrow and the zib code will need to be communicated using the ext-CodeSpecification extension." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <alias value="Telefoonnummers" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelephoneNumbers" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-5, NK1-6, NK1-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.2" /> <comment value="TelephoneNumbers" /> </mapping> </element> <element id="Patient.contact.telecom:emailAddresses"> <path value="Patient.contact.telecom" /> <sliceName value="emailAddresses" /> <short value="EmailAddresses" /> <definition value="Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc." /> <comment value="Implementation of the "EmailAddresses" concept of zib ContactInformation." /> <requirements value="People have (primary) ways to contact them in some way such as phone, email." /> <alias value="EmailAdressen" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.contact.telecom" /> <min value="0" /> <max value="*" /> </base> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-EmailAddresses" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="cpt-2" /> <severity value="error" /> <human value="A system is required if a value is provided." /> <expression value="value.empty() or system.exists()" /> <xpath value="not(exists(f:value)) or exists(f:system)" /> <source value="http://hl7.org/fhir/StructureDefinition/ContactPoint" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="XTN" /> </mapping> <mapping> <identity value="rim" /> <map value="TEL" /> </mapping> <mapping> <identity value="servd" /> <map value="ContactPoint" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-5, NK1-6, NK1-40" /> </mapping> <mapping> <identity value="rim" /> <map value="telecom" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.3" /> <comment value="EmailAddresses" /> </mapping> </element> <element id="Patient.contact.address"> <path value="Patient.contact.address" /> <short value="AddressInformation" /> <definition value="Contact’s address information." /> <comment value="This element can and should not completely capture the AddressInformation concept from zib ContactPerson; it should just be used for the information that is needed for contacting the person in relation to care of the patient. The full address information should instead be captured using an instance of [zib-ContactPerson](http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson), which can then be referenced from this resource. See the comment on `Patient.contact` for more information." /> <requirements value="Need to keep track where the contact person can be contacted per postal mail or visited." /> <alias value="Adresgegevens" /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.address" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Address" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation" /> </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() > 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="v2" /> <map value="XAD" /> </mapping> <mapping> <identity value="rim" /> <map value="AD" /> </mapping> <mapping> <identity value="servd" /> <map value="Address" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-4" /> </mapping> <mapping> <identity value="rim" /> <map value="addr" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> <mapping> <identity value="zib-addressinformation-v1.1-2020EN" /> <map value="NL-CM:20.5.1" /> <comment value="AddressInformation" /> </mapping> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.5" /> <comment value="AddressInformation" /> </mapping> </element> <element id="Patient.contact.gender"> <path value="Patient.contact.gender" /> <short value="male | female | other | unknown" /> <definition value="Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <requirements value="Needed to address the person correctly." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.gender" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="AdministrativeGender" /> </extension> <strength value="required" /> <description value="The gender of a person used for administrative purposes." /> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-15" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.organization"> <path value="Patient.contact.organization" /> <short value="Organization that is associated with the contact" /> <definition value="Organization on behalf of which the contact is acting or for which the contact is working." /> <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." /> <requirements value="For guardians or business related contacts, the organization is relevant." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.organization" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </type> <condition value="ele-1" /> <condition value="pat-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" /> </mapping> <mapping> <identity value="rim" /> <map value="scoper" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.contact.period"> <path value="Patient.contact.period" /> <short value="The period during which this contact person or organization is valid to be contacted relating to this patient" /> <definition value="The period during which this contact person or organization is valid to be contacted relating to this patient." /> <comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration)." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.contact.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() > 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 <= end)" /> <xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" /> <source value="http://hl7.org/fhir/StructureDefinition/Period" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="DR" /> </mapping> <mapping> <identity value="rim" /> <map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" /> </mapping> <mapping> <identity value="rim" /> <map value="effectiveTime" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <short value="LanguageProficiency" /> <definition value="A language which may be used to communicate with the patient about his or her health." /> <comment value="If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required." /> <requirements value="If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest." /> <alias value="Taalvaardigheid" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.communication" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </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() > 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="LanguageCommunication" /> </mapping> <mapping> <identity value="cda" /> <map value="patient.languageCommunication" /> </mapping> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.1" /> <comment value="LanguageProficiency" /> </mapping> </element> <element id="Patient.communication.id"> <path value="Patient.communication.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="Patient.communication.extension"> <path value="Patient.communication.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() > 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="Patient.communication.extension:languageControl"> <path value="Patient.communication.extension" /> <sliceName value="languageControl" /> <short value="LanguageControlListening / LanguageControlSpeaking / LanguageControlReading" /> <definition value="The ability to understand spoken text in the language in question. The ability to express oneself in spoken language. The ability to understand written text in he language in question." /> <comment value="The zib concepts LanguageControlListening, LanguageControlReading, LanguageControlSpeaking are captured using a core extension from the R4 FHIR specification. Each of these three concepts is encoded as a copy of the extension, typed using the code in the type slice according to the following mapping: * LanguageControlListening maps to code 'RSP' (Received spoken) * LanguageControlReading maps to code 'RWR' (Received written) * LanguageControlSpeaking maps to code 'ESP' (Expressed spoken)" /> <alias value="extensions" /> <alias value="user content" /> <alias value="TaalvaardigheidBegrijpen" /> <alias value="TaalvaardigheidSpreken" /> <alias value="TaalvaardigheidLezen" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-proficiency" /> </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() > 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="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.6" /> <comment value="LanguageControlListening" /> </mapping> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.7" /> <comment value="LanguageControlSpeaking" /> </mapping> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.8" /> <comment value="LanguageControlReading" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.id"> <path value="Patient.communication.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="Patient.communication.extension:languageControl.extension"> <path value="Patient.communication.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="2" /> <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() > 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="Patient.communication.extension:languageControl.extension:level"> <path value="Patient.communication.extension.extension" /> <sliceName value="level" /> <short value="The proficiency level of the communication" /> <definition value="How well the patient can communicate this communication (good, poor, etc.)." /> <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="1" /> <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() > 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="Patient.communication.extension:languageControl.extension:level.id"> <path value="Patient.communication.extension.extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.extension:level.extension"> <path value="Patient.communication.extension.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="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() > 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="Patient.communication.extension:languageControl.extension:level.url"> <path value="Patient.communication.extension.extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="level" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.extension:level.value[x]"> <path value="Patient.communication.extension.extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." /> <comment value="The zib ValueSets TaalvaardigheidBegrijpenCodelijst, TaalvaardigheidSprekenCodelijst and TaalvaardigheidLezenCodelijst are equal to the default FHIR ValueSet." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Coding" /> </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() > 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="ProficiencyLevel" /> </extension> <strength value="required" /> <description value="The proficiency level for the communication." /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityProficiency" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.extension:type"> <path value="Patient.communication.extension.extension" /> <sliceName value="type" /> <short value="The proficiency type of the communication" /> <definition value="What type of communication for the proficiency (spoken, written, etc.)." /> <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="1" /> <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() > 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="Patient.communication.extension:languageControl.extension:type.id"> <path value="Patient.communication.extension.extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.extension:type.extension"> <path value="Patient.communication.extension.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="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() > 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="Patient.communication.extension:languageControl.extension:type.url"> <path value="Patient.communication.extension.extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="type" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.extension:type.value[x]"> <path value="Patient.communication.extension.extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Coding" /> </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() > 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="proficiencyType" /> </extension> <strength value="preferred" /> <description value="The proficiency type for the communication." /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-LanguageAbilityMode" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.url"> <path value="Patient.communication.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/patient-proficiency" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.value[x]"> <path value="Patient.communication.extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." /> <min value="0" /> <max value="0" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="base64Binary" /> </type> <type> <code value="boolean" /> </type> <type> <code value="canonical" /> </type> <type> <code value="code" /> </type> <type> <code value="date" /> </type> <type> <code value="dateTime" /> </type> <type> <code value="decimal" /> </type> <type> <code value="id" /> </type> <type> <code value="instant" /> </type> <type> <code value="integer" /> </type> <type> <code value="markdown" /> </type> <type> <code value="oid" /> </type> <type> <code value="positiveInt" /> </type> <type> <code value="string" /> </type> <type> <code value="time" /> </type> <type> <code value="unsignedInt" /> </type> <type> <code value="uri" /> </type> <type> <code value="url" /> </type> <type> <code value="uuid" /> </type> <type> <code value="Address" /> </type> <type> <code value="Age" /> </type> <type> <code value="Annotation" /> </type> <type> <code value="Attachment" /> </type> <type> <code value="CodeableConcept" /> </type> <type> <code value="Coding" /> </type> <type> <code value="ContactPoint" /> </type> <type> <code value="Count" /> </type> <type> <code value="Distance" /> </type> <type> <code value="Duration" /> </type> <type> <code value="HumanName" /> </type> <type> <code value="Identifier" /> </type> <type> <code value="Money" /> </type> <type> <code value="Period" /> </type> <type> <code value="Quantity" /> </type> <type> <code value="Range" /> </type> <type> <code value="Ratio" /> </type> <type> <code value="Reference" /> </type> <type> <code value="SampledData" /> </type> <type> <code value="Signature" /> </type> <type> <code value="Timing" /> </type> <type> <code value="ContactDetail" /> </type> <type> <code value="Contributor" /> </type> <type> <code value="DataRequirement" /> </type> <type> <code value="Expression" /> </type> <type> <code value="ParameterDefinition" /> </type> <type> <code value="RelatedArtifact" /> </type> <type> <code value="TriggerDefinition" /> </type> <type> <code value="UsageContext" /> </type> <type> <code value="Dosage" /> </type> <type> <code value="Meta" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.extension:communicationDetails"> <path value="Patient.communication.extension" /> <sliceName value="communicationDetails" /> <short value="Optional Extensions Element" /> <definition value="Optional Extension Element - found in all resources." /> <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" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-LanguageProficiency.CommunicationDetails" /> </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() > 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="Patient.communication.extension:comment"> <path value="Patient.communication.extension" /> <sliceName value="comment" /> <short value="Optional Extensions Element" /> <definition value="Optional Extension Element - found in all resources." /> <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://nictiz.nl/fhir/StructureDefinition/ext-Comment" /> </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() > 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="Patient.communication.extension:comment.id"> <path value="Patient.communication.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="Patient.communication.extension:comment.extension"> <path value="Patient.communication.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </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="Patient.communication.extension:comment.url"> <path value="Patient.communication.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://nictiz.nl/fhir/StructureDefinition/ext-Comment" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.extension:comment.value[x]"> <path value="Patient.communication.extension.value[x]" /> <short value="Comment" /> <definition value="A comment on the linguistic proficiency. When using sign language, this field can be used to clarify, for example, which sign language is used. This can be informative, as there is not always a one-to-one relationship between the spoken language and sign language." /> <alias value="Toelichting" /> <min value="0" /> <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() > 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-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.5" /> <comment value="Comment" /> </mapping> </element> <element id="Patient.communication.modifierExtension"> <path value="Patient.communication.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <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." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <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() > 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="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <short value="CommunicationLanguage" /> <definition value="The language of communication." /> <comment value="The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type." /> <requirements value="Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect." /> <alias value="CommunicatieTaal" /> <min value="1" /> <max value="1" /> <base> <path value="Patient.communication.language" /> <min value="1" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </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() > 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-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language" /> </extension> <strength value="required" /> <description value="CommunicatieTaalCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.12.2--20200901000000" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="CE/CNE/CWE" /> </mapping> <mapping> <identity value="rim" /> <map value="CD" /> </mapping> <mapping> <identity value="orim" /> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-15, LAN-2" /> </mapping> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" /> </mapping> <mapping> <identity value="cda" /> <map value=".languageCode" /> </mapping> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.3" /> <comment value="CommunicationLanguage" /> </mapping> </element> <element id="Patient.communication.preferred"> <path value="Patient.communication.preferred" /> <short value="Language preference indicator" /> <definition value="Indicates whether or not the patient prefers this language (over other languages he masters up a certain level)." /> <comment value="This language is specifically identified for communicating healthcare information." /> <requirements value="People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.communication.preferred" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-15" /> </mapping> <mapping> <identity value="rim" /> <map value="preferenceInd" /> </mapping> <mapping> <identity value="cda" /> <map value=".preferenceInd" /> </mapping> </element> <element id="Patient.generalPractitioner"> <path value="Patient.generalPractitioner" /> <short value="Patient's nominated primary care provider" /> <definition value="Patient's nominated care provider." /> <comment value="This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type." /> <alias value="careProvider" /> <min value="0" /> <max value="*" /> <base> <path value="Patient.generalPractitioner" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="PD1-4" /> </mapping> <mapping> <identity value="rim" /> <map value="subjectOf.CareEvent.performer.AssignedEntity" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.managingOrganization"> <path value="Patient.managingOrganization" /> <short value="Organization that is the custodian of the patient record" /> <definition value="Organization that is the custodian of the patient record." /> <comment value="There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association)." /> <requirements value="Need to know who recognizes this patient record, manages and updates it." /> <min value="0" /> <max value="1" /> <base> <path value="Patient.managingOrganization" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="rim" /> <map value="scoper" /> </mapping> <mapping> <identity value="cda" /> <map value=".providerOrganization" /> </mapping> </element> <element id="Patient.link"> <path value="Patient.link" /> <short value="Link to another patient resource that concerns the same actual person" /> <definition value="Link to another patient resource that concerns the same actual patient." /> <comment value="There is no assumption that linked patient records have mutual links." /> <requirements value="There are multiple use cases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers." /> <min value="0" /> <max value="*" /> <base> <path value="Patient.link" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="true" /> <isModifierReason value="This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="outboundLink" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.link.id"> <path value="Patient.link.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="Patient.link.extension"> <path value="Patient.link.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() > 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="Patient.link.modifierExtension"> <path value="Patient.link.modifierExtension" /> <short value="Extensions that cannot be ignored even if unrecognized" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." /> <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." /> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." /> <alias value="extensions" /> <alias value="user content" /> <alias value="modifiers" /> <min value="0" /> <max value="*" /> <base> <path value="BackboneElement.modifierExtension" /> <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() > 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="true" /> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" /> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Patient.link.other"> <path value="Patient.link.other" /> <short value="The other patient or related person resource that the link refers to" /> <definition value="The other patient resource that the link refers to." /> <comment value="Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual." /> <min value="1" /> <max value="1" /> <base> <path value="Patient.link.other" /> <min value="1" /> <max value="1" /> </base> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ref-1" /> <severity value="error" /> <human value="SHALL have a contained resource if a local reference is provided" /> <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" /> <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Reference" /> </constraint> <isSummary value="true" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" /> </mapping> <mapping> <identity value="v2" /> <map value="PID-3, MRG-1" /> </mapping> <mapping> <identity value="rim" /> <map value="id" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> <element id="Patient.link.type"> <path value="Patient.link.type" /> <short value="replaced-by | replaces | refer | seealso" /> <definition value="The type of link between this patient resource and another patient resource." /> <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" /> <min value="1" /> <max value="1" /> <base> <path value="Patient.link.type" /> <min value="1" /> <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() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isSummary value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="LinkType" /> </extension> <strength value="required" /> <description value="The type of link between this patient resource and another patient resource." /> <valueSet value="http://hl7.org/fhir/ValueSet/link-type|4.0.1" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="typeCode" /> </mapping> <mapping> <identity value="cda" /> <map value="n/a" /> </mapping> </element> </snapshot> <differential> <element id="Patient"> <path value="Patient" /> <short value="Patient" /> <alias value="Patient" /> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.1" /> <comment value="Patient" /> </mapping> </element> <element id="Patient.extension:nationality"> <path value="Patient.extension" /> <sliceName value="nationality" /> <comment value="Due to the nature of the nationality core extension (which allows for a period to be placed next to the nationality and thus allows for different nationalities over time), the cardinality of the extension is left at `0..*` instead of the zib cardinality of `0..1`." /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-nationality" /> </type> </element> <element id="Patient.extension:nationality.extension:code"> <path value="Patient.extension.extension" /> <sliceName value="code" /> </element> <element id="Patient.extension:nationality.extension:code.value[x]"> <path value="Patient.extension.extension.value[x]" /> <short value="Nationality" /> <definition value="Indicates the country of citizenship." /> <alias value="Nationaliteit" /> <binding> <strength value="extensible" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20200901000000" /> </binding> <mapping> <identity value="zib-nationality-v3.0-2020EN" /> <map value="NL-CM:7.6.3" /> <comment value="Nationality" /> </mapping> </element> <element id="Patient.identifier"> <path value="Patient.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="PatientIdentificationNumber" /> <definition value="The patient’s identification number. In transfer situations, use of the social security number (BSN) must comply with the Use of Social Security Numbers in Healthcare Act (Wbsn-z). In other situations, other number systems can be used, such as internal hospital patient numbers for example." /> <alias value="Identificatienummer" /> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.7" /> <comment value="PatientIdentificationNumber" /> </mapping> </element> <element id="Patient.identifier:bsn"> <path value="Patient.identifier" /> <sliceName value="bsn" /> <patternIdentifier> <system value="http://fhir.nl/fhir/NamingSystem/bsn" /> </patternIdentifier> </element> <element id="Patient.name"> <path value="Patient.name" /> <slicing> <discriminator> <type value="value" /> <path value="use" /> </discriminator> <rules value="open" /> </slicing> <short value="NameInformation / PayerName" /> <definition value="Patient's full name." /> <alias value="Naamgegevens" /> <alias value="BetalerNaam" /> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.6" /> <comment value="NameInformation" /> </mapping> <mapping> <identity value="zib-payer-v3.1.1-2020EN" /> <map value="NL-CM:1.1.5" /> <comment value="PayerName" /> </mapping> </element> <element id="Patient.name:nameInformation"> <path value="Patient.name" /> <sliceName value="nameInformation" /> <max value="2" /> <type> <code value="HumanName" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation" /> </type> </element> <element id="Patient.name:nameInformation-GivenName"> <path value="Patient.name" /> <sliceName value="nameInformation-GivenName" /> <type> <code value="HumanName" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation.GivenName" /> </type> </element> <element id="Patient.telecom"> <path value="Patient.telecom" /> <slicing> <discriminator> <type value="profile" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="ContactInformation" /> <definition value="Patient’s telephone number(s) or e-mail address(es)." /> <comment value="The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers." /> <alias value="Contactgegevens" /> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.5" /> <comment value="ContactInformation" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.1" /> <comment value="ContactInformation" /> </mapping> <mapping> <identity value="zib-payer-v3.1.1-2020EN" /> <map value="NL-CM:1.1.12" /> <comment value="ContactInformation" /> </mapping> </element> <element id="Patient.telecom:telephoneNumbers"> <path value="Patient.telecom" /> <sliceName value="telephoneNumbers" /> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelephoneNumbers" /> </type> </element> <element id="Patient.telecom:emailAddresses"> <path value="Patient.telecom" /> <sliceName value="emailAddresses" /> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-EmailAddresses" /> </type> </element> <element id="Patient.gender"> <path value="Patient.gender" /> <short value="Gender" /> <definition value="Patient’s administrative gender." /> <alias value="Geslacht" /> <binding> <strength value="required" /> <description value="Use ConceptMap GeslachtCodelijst-to-AdministrativeGender to translate terminology from the functional model to profile terminology in ValueSet AdministrativeGender." /> <valueSet value="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1"> <extension url="http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap"> <valueCanonical value="http://nictiz.nl/fhir/ConceptMap/GeslachtCodelijst-to-AdministrativeGender" /> </extension> </valueSet> </binding> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.9" /> <comment value="Gender" /> </mapping> </element> <element id="Patient.gender.extension:genderCodelist"> <path value="Patient.gender.extension" /> <sliceName value="genderCodelist" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" /> </type> </element> <element id="Patient.gender.extension:genderCodelist.value[x]"> <path value="Patient.gender.extension.value[x]" /> <short value="Gender" /> <definition value="Patient’s administrative gender." /> <alias value="Geslacht" /> <binding> <strength value="required" /> <description value="GeslachtCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20200901000000" /> </binding> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.9" /> <comment value="Gender" /> </mapping> </element> <element id="Patient.birthDate"> <path value="Patient.birthDate" /> <short value="DateOfBirth" /> <definition value="Patient’s date of birth. The date of birth is mandatory for a patient. A vague date (such as only the year) is permitted." /> <alias value="Geboortedatum" /> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.10" /> <comment value="DateOfBirth" /> </mapping> </element> <element id="Patient.deceased[x]"> <path value="Patient.deceased[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Patient.deceased[x]:deceasedBoolean"> <path value="Patient.deceased[x]" /> <sliceName value="deceasedBoolean" /> <short value="DeathIndicator" /> <definition value="An indication stating whether the patient has died." /> <alias value="OverlijdensIndicator" /> <type> <code value="boolean" /> </type> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.32" /> <comment value="DeathIndicator" /> </mapping> </element> <element id="Patient.deceased[x]:deceasedDateTime"> <path value="Patient.deceased[x]" /> <sliceName value="deceasedDateTime" /> <short value="DateOfDeath" /> <definition value="The date on which the patient died. A ‘vague’ date, such as only the year, is permitted." /> <comment value="The zib recognizes both the DeathIndicator (boolean) and DateOfDeath (datetime) concepts, whereas in FHIR only one of these concepts may be present. Therefore, if deceasedDateTime is present and has a value, its value can be mapped to DateOfDeath and DeathIndicator is assumed to be true." /> <alias value="DatumOverlijden" /> <alias value="OverlijdensIndicator" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.33" /> <comment value="DateOfDeath" /> </mapping> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.32" /> <comment value="DeathIndicator" /> </mapping> </element> <element id="Patient.address"> <path value="Patient.address" /> <definition value="Patient's address information." /> <type> <code value="Address" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation" /> </type> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.4" /> <comment value="AddressInformation" /> </mapping> <mapping> <identity value="zib-payer-v3.1.1-2020EN" /> <map value="NL-CM:1.1.17" /> <comment value="AddressInformation" /> </mapping> </element> <element id="Patient.maritalStatus"> <path value="Patient.maritalStatus" /> <short value="MaritalStatus" /> <definition value="A person’s marital status according to the terms and definition in the Dutch civil code." /> <alias value="BurgerlijkeStaat" /> <binding> <strength value="required" /> <description value="BurgerlijkeStaatCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20200901000000" /> </binding> <mapping> <identity value="zib-maritalstatus-v3.1-2020EN" /> <map value="NL-CM:7.9.2" /> <comment value="MaritalStatus" /> </mapping> </element> <element id="Patient.multipleBirth[x]"> <path value="Patient.multipleBirth[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Patient.multipleBirth[x]:multipleBirthBoolean"> <path value="Patient.multipleBirth[x]" /> <sliceName value="multipleBirthBoolean" /> <short value="MultipleBirthIndicator" /> <definition value="An indication stating whether the patient is of a multiple birth." /> <alias value="MeerlingIndicator" /> <type> <code value="boolean" /> </type> <mapping> <identity value="zib-patient-v3.2-2020EN" /> <map value="NL-CM:0.1.31" /> <comment value="MultipleBirthIndicator" /> </mapping> </element> <element id="Patient.contact"> <path value="Patient.contact" /> <short value="Contact" /> <comment value="Whereas the zib ContactPerson includes all (non-healthcare professional) persons that are involved in the care for a patient, FHIR distinguishes two use cases for these persons: * The RelatedPerson resource is used to capture information about any person that is related to the patient, using the profile <http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson>. * Information about persons that should be _contacted_ regarding the care for the patient is captured using the `Patient.contact` resource. If a person is both a related person and a contact person, then some data duplication is inevitable. The zib-ContactPerson can be referenced using the extension in `contact:contactPerson`." /> <alias value="Contactpersoon" /> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.1" /> <comment value="Contact" /> </mapping> </element> <element id="Patient.contact.extension:contactPerson"> <path value="Patient.contact.extension" /> <sliceName value="contactPerson" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-relatedPerson" /> </type> </element> <element id="Patient.contact.extension:contactPerson.value[x]"> <path value="Patient.contact.extension.value[x]" /> <short value="Contact" /> <definition value="Reference to a [zib-ContactPerson](http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson) instance containing the full details for the current contact." /> <alias value="Contactpersoon" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson" /> </type> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.1" /> <comment value="Contact" /> </mapping> </element> <element id="Patient.contact.relationship"> <path value="Patient.contact.relationship" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Patient.contact.relationship:role"> <path value="Patient.contact.relationship" /> <sliceName value="role" /> <short value="Role" /> <definition value="Defines the role of the contact in relation to the patient." /> <alias value="Rol" /> <binding> <strength value="required" /> <description value="RolCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20200901000000" /> </binding> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.2" /> <comment value="Role" /> </mapping> </element> <element id="Patient.contact.relationship:relationship"> <path value="Patient.contact.relationship" /> <sliceName value="relationship" /> <short value="Relationship" /> <definition value="Defines the contact’s familial relationship to the patient." /> <alias value="Relatie" /> <binding> <strength value="required" /> <description value="RelatieCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20200901000000" /> </binding> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.3" /> <comment value="Relationship" /> </mapping> </element> <element id="Patient.contact.name"> <path value="Patient.contact.name" /> <definition value="Full name of the contact." /> <comment value="This element can and should not completely capture the NameInformation concept from zib ContactPerson; it should just be used for the information that is needed for contacting the person in relation to care of the patient. The full name information should instead be captured using an instance of [zib-ContactPerson](http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson), which can then be referenced from this resource. See the comment on `Patient.contact` for more information." /> <type> <code value="HumanName" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-NameInformation" /> </type> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.4" /> <comment value="NameInformation" /> </mapping> </element> <element id="Patient.contact.telecom"> <path value="Patient.contact.telecom" /> <slicing> <discriminator> <type value="profile" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <short value="ContactInformation" /> <definition value="The contact’s telephone number and/or e-mail address." /> <comment value="The cardinality mismatch between the zib (`0..1`) and FHIR (`0..*`) is explained by the containers TelephoneNumbers (`0..*`) and EmailAddresses (`0..*`) inside the ContactInformation model. The FHIR datatype ContactPoint does not have these containers." /> <alias value="Contactgegevens" /> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.6" /> <comment value="ContactInformation" /> </mapping> <mapping> <identity value="zib-contactinformation-v1.2-2020EN" /> <map value="NL-CM:20.6.1" /> <comment value="ContactInformation" /> </mapping> </element> <element id="Patient.contact.telecom:telephoneNumbers"> <path value="Patient.contact.telecom" /> <sliceName value="telephoneNumbers" /> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelephoneNumbers" /> </type> </element> <element id="Patient.contact.telecom:emailAddresses"> <path value="Patient.contact.telecom" /> <sliceName value="emailAddresses" /> <type> <code value="ContactPoint" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-EmailAddresses" /> </type> </element> <element id="Patient.contact.address"> <path value="Patient.contact.address" /> <definition value="Contact’s address information." /> <comment value="This element can and should not completely capture the AddressInformation concept from zib ContactPerson; it should just be used for the information that is needed for contacting the person in relation to care of the patient. The full address information should instead be captured using an instance of [zib-ContactPerson](http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson), which can then be referenced from this resource. See the comment on `Patient.contact` for more information." /> <type> <code value="Address" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation" /> </type> <mapping> <identity value="zib-contactperson-v3.4-2020EN" /> <map value="NL-CM:3.1.5" /> <comment value="AddressInformation" /> </mapping> </element> <element id="Patient.communication"> <path value="Patient.communication" /> <short value="LanguageProficiency" /> <alias value="Taalvaardigheid" /> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.1" /> <comment value="LanguageProficiency" /> </mapping> </element> <element id="Patient.communication.extension:languageControl"> <path value="Patient.communication.extension" /> <sliceName value="languageControl" /> <short value="LanguageControlListening / LanguageControlSpeaking / LanguageControlReading" /> <definition value="The ability to understand spoken text in the language in question. The ability to express oneself in spoken language. The ability to understand written text in he language in question." /> <comment value="The zib concepts LanguageControlListening, LanguageControlReading, LanguageControlSpeaking are captured using a core extension from the R4 FHIR specification. Each of these three concepts is encoded as a copy of the extension, typed using the code in the type slice according to the following mapping: * LanguageControlListening maps to code 'RSP' (Received spoken) * LanguageControlReading maps to code 'RWR' (Received written) * LanguageControlSpeaking maps to code 'ESP' (Expressed spoken)" /> <alias value="TaalvaardigheidBegrijpen" /> <alias value="TaalvaardigheidSpreken" /> <alias value="TaalvaardigheidLezen" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/patient-proficiency" /> </type> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.6" /> <comment value="LanguageControlListening" /> </mapping> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.7" /> <comment value="LanguageControlSpeaking" /> </mapping> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.8" /> <comment value="LanguageControlReading" /> </mapping> </element> <element id="Patient.communication.extension:languageControl.extension"> <path value="Patient.communication.extension.extension" /> <min value="2" /> </element> <element id="Patient.communication.extension:languageControl.extension:level"> <path value="Patient.communication.extension.extension" /> <sliceName value="level" /> <min value="1" /> </element> <element id="Patient.communication.extension:languageControl.extension:level.value[x]"> <path value="Patient.communication.extension.extension.value[x]" /> <comment value="The zib ValueSets TaalvaardigheidBegrijpenCodelijst, TaalvaardigheidSprekenCodelijst and TaalvaardigheidLezenCodelijst are equal to the default FHIR ValueSet." /> <binding> <strength value="required" /> </binding> </element> <element id="Patient.communication.extension:languageControl.extension:type"> <path value="Patient.communication.extension.extension" /> <sliceName value="type" /> <min value="1" /> <max value="1" /> </element> <element id="Patient.communication.extension:communicationDetails"> <path value="Patient.communication.extension" /> <sliceName value="communicationDetails" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-LanguageProficiency.CommunicationDetails" /> </type> </element> <element id="Patient.communication.extension:comment"> <path value="Patient.communication.extension" /> <sliceName value="comment" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/ext-Comment" /> </type> </element> <element id="Patient.communication.extension:comment.value[x]"> <path value="Patient.communication.extension.value[x]" /> <short value="Comment" /> <definition value="A comment on the linguistic proficiency. When using sign language, this field can be used to clarify, for example, which sign language is used. This can be informative, as there is not always a one-to-one relationship between the spoken language and sign language." /> <alias value="Toelichting" /> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.5" /> <comment value="Comment" /> </mapping> </element> <element id="Patient.communication.language"> <path value="Patient.communication.language" /> <short value="CommunicationLanguage" /> <definition value="The language of communication." /> <alias value="CommunicatieTaal" /> <binding> <strength value="required" /> <description value="CommunicatieTaalCodelijst" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.12.2--20200901000000" /> </binding> <mapping> <identity value="zib-languageproficiency-v3.2-2020EN" /> <map value="NL-CM:7.12.3" /> <comment value="CommunicationLanguage" /> </mapping> </element> </differential> </StructureDefinition>