{
  "resourceType": "StructureDefinition",
  "id": "Patient",
  "meta": {
    "versionId": "34",
    "lastUpdated": "2022-08-04T03:35:44.125+00:00"
  },
  "url": "http://StructureDefinition.hl7fhir.cn/Patient",
  "name": "Patient",
  "title": "患者",
  "status": "draft",
  "date": "2020-12-07T02:46:23.4482715+00:00",
  "publisher": "hl7fhir.cn",
  "description": "接受医疗健康服务的个人或动物，医疗过程是以患者为中心的。对交叉索进行中国本地化约定",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "loinc",
      "uri": "http://loinc.org",
      "name": "LOINC code for the element"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Patient",
        "path": "Patient",
        "short": "接受医疗健康服务的个人或动物",
        "definition": "接受医疗健康服务个人的人口学信息或动物的管理信息。",
        "alias": [
          "SubjectOfCare Client Resident"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "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": "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": "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": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown": "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."
              }
            ],
            "key": "dom-6",
            "severity": "warning",
            "human": "A resource should have narrative for robust management",
            "expression": "text.`div`.exists()",
            "xpath": "exists(f:text/h:div)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-5",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression": "contained.meta.security.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "rim",
            "map": "Patient[classCode=PAT]"
          },
          {
            "identity": "cda",
            "map": "ClinicalDocument.recordTarget.patientRole"
          }
        ]
      },
      {
        "id": "Patient.id",
        "path": "Patient.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "id"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.meta",
        "path": "Patient.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.implicitRules",
        "path": "Patient.implicitRules",
        "short": "A set of rules under which this content was created",
        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.language",
        "path": "Patient.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            }
          ],
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.text",
        "path": "Patient.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "Patient.contained",
        "path": "Patient.contained",
        "short": "Contained, inline Resources",
        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.extension:Ethnicity",
        "path": "Patient.extension",
        "sliceName": "Ethnicity",
        "short": "民族类别",
        "definition": "中华56个民族",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ChineseEthnicity"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "民族类别代码表",
          "valueSet": "http://ValueSet.hl7fhir.cn/nationalities-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.extension:Nationality",
        "path": "Patient.extension",
        "sliceName": "Nationality",
        "short": "国籍",
        "definition": "世界各国和地区名称代码",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Nationality"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "世界各国和地区名称代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/countries-and-regions-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.extension:DegreeOfEducation",
        "path": "Patient.extension",
        "sliceName": "DegreeOfEducation",
        "short": "学历",
        "definition": "教育背景",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/degree-of-education"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "学历代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/education-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.extension:Occupations",
        "path": "Patient.extension",
        "sliceName": "Occupations",
        "short": "职业",
        "definition": "职业类别",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/occupations"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "职业代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/classification-code-of-occupations-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.extension:PoliticalAffiliation",
        "path": "Patient.extension",
        "sliceName": "PoliticalAffiliation",
        "short": "政治面貌",
        "definition": "政治面貌，如共产党、共青团",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/politic-affiliation"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.modifierExtension",
        "path": "Patient.modifierExtension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Extensions that cannot be ignored",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "short": "患者主索引以及交叉索引",
        "definition": "患者主索引：患者的唯一标识，患者交叉索引，可以通过各种不同的业务标识符交叉检索到此患者",
        "comment": "若通过业务标识符如一卡通号或住院号来表示，则system中应指定医院uri的值，否则跨院检索会有问题",
        "requirements": "患者总会被分配特定的业务标识符。此本地规则中预置了对身份证、医保卡、健康卡的支持。",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
          },
          {
            "identity": "rim",
            "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
          },
          {
            "identity": "servd",
            "map": "Identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": ".id"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument",
        "path": "Patient.identifier",
        "sliceName": "identityDocument",
        "label": "证件",
        "short": "身份证件及其号码",
        "definition": "用于绑定患者的中国法定有效证件。并不用于就诊的业务标识。",
        "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）",
        "requirements": "Patients are almost always assigned specific numerical identifiers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
          },
          {
            "identity": "rim",
            "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
          },
          {
            "identity": "servd",
            "map": "Identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": ".id"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.id",
        "path": "Patient.identifier.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.extension",
        "path": "Patient.identifier.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.use",
        "path": "Patient.identifier.use",
        "label": "用途",
        "short": "用途",
        "definition": "使用此标识符的目的，如：通用、正式、临时、备用、曾用等（usual | official | temp | secondary | old ）",
        "comment": "除非明确提指定为临时的，应用程序会默认一个标识符是永久的。",
        "requirements": "通过使用此元素，可以允许根据不同的使用场景选择的适当的标识符。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.use",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "如果此元素的值为\"临时的\"，意味着应用程序不应将临时id误认为永久id。",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierUse"
            }
          ],
          "strength": "required",
          "description": "Identifies the purpose for this identifier, if known .",
          "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.type",
        "path": "Patient.identifier.type",
        "label": "标识类别",
        "short": "标识符类别",
        "definition": "用于区别标识符类别的编码，可用来指定特定目的的标识符。",
        "comment": "此元素一般用于当标识符不能为system提供值时，使用编码来区分标识的含义。 但请注意，此元素在实践中可变性很大、不易控制。所以它仅用作标识符的通用类别，并且不能当作与Identifier.system绑定的1对1的编码来使用。 \r\n另一种常见的用法是对已知标识符(指定了Identifier.system的值)的进一步分类：一些标识符可能分为多个类别。",
        "requirements": "允许用户在不知道标识符的命名系统时（Identifier.system的值）使用标识符。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierType"
            }
          ],
          "strength": "extensible",
          "description": "待完善，目前暂用身份证件类别，CV02.01.101，整理自《WS 364-2011_卫生信息数据元值域代码》",
          "valueSet": "http://ValueSet.hl7fhir.cn/identity-document-type-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "CX.5"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.system",
        "path": "Patient.identifier.system",
        "label": "命名系统",
        "short": "标识符的命名系统",
        "definition": "指定Identifier.value所属的命名空间域，此域是由一个URI表示的许多值的集合，在此集合中的每一个值（value）都是唯一的，绝不会重复。",
        "comment": "Identifier.system 的值是区分大小写的",
        "requirements": "由于有许多属于不同域的标识符集合，我们需要知道某个值（Identifier.value）意义具体是在哪个标识符集合中定义的，就必须由Identifier.system 来确定标识符集合的URI。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://NamingSystem.hl7fhir.cn/identity-document",
        "example": [
          {
            "label": "General",
            "valueUri": "http://www.acme.com/identifiers/patient"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX.4 / EI-2-4"
          },
          {
            "identity": "rim",
            "map": "II.root or Role.id.root"
          },
          {
            "identity": "servd",
            "map": "./IdentifierType"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.value",
        "path": "Patient.identifier.value",
        "label": "标识值",
        "short": "独一无二的值",
        "definition": "标识符中通常的具体值，在Identifier.system指定域中是唯一的。",
        "comment": "如果Identifier.value的值是完整的全球唯一URI（如：urn:oid: 和urn:uuid:），那么Identifier.system的值必须是”urn:ietf:rfc:3986“。Identifier.value的主要用途是对不同命名系统中的标识符进行映射。因此，为了方便对比，可能会对其值进行标准化处理（例如，删除不重要的空白、破折号等）。\r\n如果想显示可读强的文字说明，可以使用Identifier.extention.renderedValue扩展元素。\r\nIdentifier.value是严格区分大小写，除非指定的Identifier.system明确说明在其命名空间域内的值不区分大小写。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueString": "123456"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX.1 / EI.1"
          },
          {
            "identity": "rim",
            "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity": "servd",
            "map": "./Value"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.value.id",
        "path": "Patient.identifier.value.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.value.extension",
        "path": "Patient.identifier.value.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.value.extension:display",
        "path": "Patient.identifier.value.extension",
        "sliceName": "display",
        "short": "What should be displayed to human (if default is not appropriate)",
        "definition": "Identifier.value数据类型的值提供另一种显示方式，以便满足易读性、保密性等要求。例如，敏感标识符（如银行卡号）部分被星号遮盖。",
        "comment": "In some cases, this extension may be present and the value won't be present.  For example if the recipient only has permission to see a partially masked view of a value.  The rendering may be realm-specific.  (E.g. the use of ',' vs. '.' when rendering numbers.).",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/rendered-value"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.value.value",
        "path": "Patient.identifier.value.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for string",
        "definition": "Primitive value for string",
        "min": 0,
        "max": "1",
        "base": {
          "path": "string.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString": "[\\r\\n\\t\\u0020-\\uFFFF]*"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "maxLength": 1048576
      },
      {
        "id": "Patient.identifier:identityDocument.period",
        "path": "Patient.identifier.period",
        "label": "有效时段",
        "short": "时段范围",
        "definition": "由开始和结束时间以及可选时间定义的时间段范围。",
        "comment": "注意是时间段Period数据类型，而非持续时间Duration数据类型。结束时间应总是晚于开始时间。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "per-1",
            "severity": "error",
            "human": "If present, start SHALL have a lower value than end",
            "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source": "http://hl7.org/fhir/StructureDefinition/Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "DR"
          },
          {
            "identity": "rim",
            "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity": "v2",
            "map": "CX.7 + CX.8"
          },
          {
            "identity": "rim",
            "map": "Role.effectiveTime or implied by context"
          },
          {
            "identity": "servd",
            "map": "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.assigner",
        "path": "Patient.identifier.assigner",
        "label": "发布机构",
        "short": "发布机构",
        "definition": "管理或发布此标识符的机构",
        "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.assigner",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Organization"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "v2",
            "map": "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity": "rim",
            "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity": "servd",
            "map": "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier",
        "path": "Patient.identifier",
        "sliceName": "patientIdentifier",
        "label": "患者标识",
        "short": "患者业务标识",
        "definition": "患者的业务标识（如就诊卡号、电子健康卡号、医保卡号、身份证号等），用于通过某种介质明确的标识某个患者。常用作业务标识符，在不同业务域中的唯一标识ID。在很多场景下可作为交叉索引使用。",
        "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）",
        "requirements": "Patients are almost always assigned specific numerical identifiers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
          },
          {
            "identity": "rim",
            "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
          },
          {
            "identity": "servd",
            "map": "Identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": ".id"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.id",
        "path": "Patient.identifier.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.extension",
        "path": "Patient.identifier.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.use",
        "path": "Patient.identifier.use",
        "label": "用途",
        "short": "用途",
        "definition": "使用此标识符的目的，如：通用、正式、临时、备用、曾用等（usual | official | temp | secondary | old ）",
        "comment": "除非明确提指定为临时的，应用程序会默认一个标识符是永久的。",
        "requirements": "通过使用此元素，可以允许根据不同的使用场景选择的适当的标识符。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.use",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "如果此元素的值为\"临时的\"，意味着应用程序不应将临时id误认为永久id。",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierUse"
            }
          ],
          "strength": "required",
          "description": "Identifies the purpose for this identifier, if known .",
          "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.type",
        "path": "Patient.identifier.type",
        "label": "标识类别",
        "short": "标识符类别",
        "definition": "用于区别标识符类别的编码，可用来指定特定目的的标识符。",
        "comment": "此元素一般用于当标识符不能为system提供值时，使用编码来区分标识的含义。 但请注意，此元素在实践中可变性很大、不易控制。所以它仅用作标识符的通用类别，并且不能当作与Identifier.system绑定的1对1的编码来使用。 \r\n另一种常见的用法是对已知标识符(指定了Identifier.system的值)的进一步分类：一些标识符可能分为多个类别。",
        "requirements": "允许用户在不知道标识符的命名系统时（Identifier.system的值）使用标识符。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierType"
            }
          ],
          "strength": "extensible",
          "description": "患者标识类别，院内卡、健康卡、医保卡、病案号、身份证号等，可扩允",
          "valueSet": "http://ValueSet.hl7fhir.cn/patient-id-type"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "CX.5"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.system",
        "path": "Patient.identifier.system",
        "label": "命名系统",
        "short": "标识符的命名系统",
        "definition": "指定Identifier.value所属的命名空间域，此域是由一个URI表示的许多值的集合，在此集合中的每一个值（value）都是唯一的，绝不会重复。",
        "comment": "Identifier.system 的值是区分大小写的",
        "requirements": "由于有许多属于不同域的标识符集合，我们需要知道某个值（Identifier.value）意义具体是在哪个标识符集合中定义的，就必须由Identifier.system 来确定标识符集合的URI。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://NamingSystem.hl7fhir.cn/patient-identifier",
        "example": [
          {
            "label": "General",
            "valueUri": "http://www.acme.com/identifiers/patient"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX.4 / EI-2-4"
          },
          {
            "identity": "rim",
            "map": "II.root or Role.id.root"
          },
          {
            "identity": "servd",
            "map": "./IdentifierType"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.value",
        "path": "Patient.identifier.value",
        "label": "标识值",
        "short": "独一无二的值",
        "definition": "标识符中通常的具体值，在Identifier.system指定域中是唯一的。",
        "comment": "如果Identifier.value的值是完整的全球唯一URI（如：urn:oid: 和urn:uuid:），那么Identifier.system的值必须是”urn:ietf:rfc:3986“。Identifier.value的主要用途是对不同命名系统中的标识符进行映射。因此，为了方便对比，可能会对其值进行标准化处理（例如，删除不重要的空白、破折号等）。\r\n如果想显示可读强的文字说明，可以使用Identifier.extention.renderedValue扩展元素。\r\nIdentifier.value是严格区分大小写，除非指定的Identifier.system明确说明在其命名空间域内的值不区分大小写。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueString": "123456"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX.1 / EI.1"
          },
          {
            "identity": "rim",
            "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity": "servd",
            "map": "./Value"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.value.id",
        "path": "Patient.identifier.value.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.value.extension",
        "path": "Patient.identifier.value.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.value.extension:display",
        "path": "Patient.identifier.value.extension",
        "sliceName": "display",
        "short": "What should be displayed to human (if default is not appropriate)",
        "definition": "Identifier.value数据类型的值提供另一种显示方式，以便满足易读性、保密性等要求。例如，敏感标识符（如银行卡号）部分被星号遮盖。",
        "comment": "In some cases, this extension may be present and the value won't be present.  For example if the recipient only has permission to see a partially masked view of a value.  The rendering may be realm-specific.  (E.g. the use of ',' vs. '.' when rendering numbers.).",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/rendered-value"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.value.value",
        "path": "Patient.identifier.value.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for string",
        "definition": "Primitive value for string",
        "min": 0,
        "max": "1",
        "base": {
          "path": "string.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString": "[\\r\\n\\t\\u0020-\\uFFFF]*"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "maxLength": 1048576
      },
      {
        "id": "Patient.identifier:patientIdentifier.period",
        "path": "Patient.identifier.period",
        "label": "有效时段",
        "short": "时段范围",
        "definition": "由开始和结束时间以及可选时间定义的时间段范围。",
        "comment": "注意是时间段Period数据类型，而非持续时间Duration数据类型。结束时间应总是晚于开始时间。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "per-1",
            "severity": "error",
            "human": "If present, start SHALL have a lower value than end",
            "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source": "http://hl7.org/fhir/StructureDefinition/Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "DR"
          },
          {
            "identity": "rim",
            "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity": "v2",
            "map": "CX.7 + CX.8"
          },
          {
            "identity": "rim",
            "map": "Role.effectiveTime or implied by context"
          },
          {
            "identity": "servd",
            "map": "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.assigner",
        "path": "Patient.identifier.assigner",
        "label": "发布机构",
        "short": "发布机构",
        "definition": "管理或发布此标识符的机构",
        "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.assigner",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Organization"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "v2",
            "map": "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity": "rim",
            "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity": "servd",
            "map": "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard",
        "path": "Patient.identifier",
        "sliceName": "healthcard",
        "short": "健康卡号",
        "definition": "标识符，描述患者的健康卡号",
        "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）",
        "requirements": "Patients are almost always assigned specific numerical identifiers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
          },
          {
            "identity": "rim",
            "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
          },
          {
            "identity": "servd",
            "map": "Identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": ".id"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.id",
        "path": "Patient.identifier.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.extension",
        "path": "Patient.identifier.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.use",
        "path": "Patient.identifier.use",
        "label": "用途",
        "short": "用途",
        "definition": "使用此标识符的目的，如：通用、正式、临时、备用、曾用等（usual | official | temp | secondary | old ）",
        "comment": "除非明确提指定为临时的，应用程序会默认一个标识符是永久的。",
        "requirements": "通过使用此元素，可以允许根据不同的使用场景选择的适当的标识符。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.use",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "如果此元素的值为\"临时的\"，意味着应用程序不应将临时id误认为永久id。",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierUse"
            }
          ],
          "strength": "required",
          "description": "Identifies the purpose for this identifier, if known .",
          "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.type",
        "path": "Patient.identifier.type",
        "label": "标识类别",
        "short": "健康卡号",
        "definition": "患者的健康卡号",
        "comment": "此元素一般用于当标识符不能为system提供值时，使用编码来区分标识的含义。 但请注意，此元素在实践中可变性很大、不易控制。所以它仅用作标识符的通用类别，并且不能当作与Identifier.system绑定的1对1的编码来使用。 \r\n另一种常见的用法是对已知标识符(指定了Identifier.system的值)的进一步分类：一些标识符可能分为多个类别。",
        "requirements": "允许用户在不知道标识符的命名系统时（Identifier.system的值）使用标识符。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "IdentifierType"
            }
          ],
          "strength": "extensible",
          "description": "健康卡号",
          "valueSet": "http://ValueSet.hl7fhir.cn/patient-id-type"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "CX.5"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.system",
        "path": "Patient.identifier.system",
        "label": "命名系统",
        "short": "标识符的命名系统",
        "definition": "指定Identifier.value所属的命名空间域，此域是由一个URI表示的许多值的集合，在此集合中的每一个值（value）都是唯一的，绝不会重复。",
        "comment": "Identifier.system 的值是区分大小写的",
        "requirements": "由于有许多属于不同域的标识符集合，我们需要知道某个值（Identifier.value）意义具体是在哪个标识符集合中定义的，就必须由Identifier.system 来确定标识符集合的URI。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://NamingSystem.hl7fhir.cn/health-card",
        "example": [
          {
            "label": "General",
            "valueUri": "http://www.acme.com/identifiers/patient"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX.4 / EI-2-4"
          },
          {
            "identity": "rim",
            "map": "II.root or Role.id.root"
          },
          {
            "identity": "servd",
            "map": "./IdentifierType"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.value",
        "path": "Patient.identifier.value",
        "label": "标识值",
        "short": "独一无二的值",
        "definition": "标识符中通常的具体值，在Identifier.system指定域中是唯一的。",
        "comment": "如果Identifier.value的值是完整的全球唯一URI（如：urn:oid: 和urn:uuid:），那么Identifier.system的值必须是”urn:ietf:rfc:3986“。Identifier.value的主要用途是对不同命名系统中的标识符进行映射。因此，为了方便对比，可能会对其值进行标准化处理（例如，删除不重要的空白、破折号等）。\r\n如果想显示可读强的文字说明，可以使用Identifier.extention.renderedValue扩展元素。\r\nIdentifier.value是严格区分大小写，除非指定的Identifier.system明确说明在其命名空间域内的值不区分大小写。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueString": "123456"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX.1 / EI.1"
          },
          {
            "identity": "rim",
            "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
          },
          {
            "identity": "servd",
            "map": "./Value"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.value.id",
        "path": "Patient.identifier.value.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.value.extension",
        "path": "Patient.identifier.value.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.value.extension:display",
        "path": "Patient.identifier.value.extension",
        "sliceName": "display",
        "short": "What should be displayed to human (if default is not appropriate)",
        "definition": "Identifier.value数据类型的值提供另一种显示方式，以便满足易读性、保密性等要求。例如，敏感标识符（如银行卡号）部分被星号遮盖。",
        "comment": "In some cases, this extension may be present and the value won't be present.  For example if the recipient only has permission to see a partially masked view of a value.  The rendering may be realm-specific.  (E.g. the use of ',' vs. '.' when rendering numbers.).",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/rendered-value"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.value.value",
        "path": "Patient.identifier.value.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for string",
        "definition": "Primitive value for string",
        "min": 0,
        "max": "1",
        "base": {
          "path": "string.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString": "[\\r\\n\\t\\u0020-\\uFFFF]*"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "maxLength": 1048576
      },
      {
        "id": "Patient.identifier:healthcard.period",
        "path": "Patient.identifier.period",
        "label": "有效时段",
        "short": "时段范围",
        "definition": "由开始和结束时间以及可选时间定义的时间段范围。",
        "comment": "注意是时间段Period数据类型，而非持续时间Duration数据类型。结束时间应总是晚于开始时间。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "per-1",
            "severity": "error",
            "human": "If present, start SHALL have a lower value than end",
            "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source": "http://hl7.org/fhir/StructureDefinition/Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "DR"
          },
          {
            "identity": "rim",
            "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity": "v2",
            "map": "CX.7 + CX.8"
          },
          {
            "identity": "rim",
            "map": "Role.effectiveTime or implied by context"
          },
          {
            "identity": "servd",
            "map": "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.assigner",
        "path": "Patient.identifier.assigner",
        "label": "发布机构",
        "short": "发布机构",
        "definition": "管理或发布此标识符的机构",
        "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.assigner",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Organization"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "v2",
            "map": "CX.4 / (CX.4,CX.9,CX.10)"
          },
          {
            "identity": "rim",
            "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"
          },
          {
            "identity": "servd",
            "map": "./IdentifierIssuingAuthority"
          }
        ]
      },
      {
        "id": "Patient.identifier:other-Identifier",
        "path": "Patient.identifier",
        "sliceName": "other-Identifier",
        "short": "其他业务标识符",
        "definition": "其它标识患者的业务ID",
        "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）",
        "requirements": "Patients are almost always assigned specific numerical identifiers.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
          },
          {
            "identity": "rim",
            "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"
          },
          {
            "identity": "servd",
            "map": "Identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": ".id"
          }
        ]
      },
      {
        "id": "Patient.active",
        "path": "Patient.active",
        "short": "是否为活动记录",
        "definition": "此患者记录是否可使用的活动记录。许多系统使用此属性将患者标记为非当前患者，例如根据组织的业务规则在一段时间内未就诊的患者。 它通常用于筛选有效患者记录，排除不活动的患者。 死亡的病人也可能被标记为不活动，但在死亡后的一段时间内病历可能还在使用，可以认为是活动的。",
        "comment": "如果某个患者记录A处于非活动状态并被链接到另一个处于活动状态的患者记录B，则后来对患者记录的更新应在B上进行。",
        "requirements": "需要能够将错误创建的记录标记为不使用（False)。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.active",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "meaningWhenMissing": "如果没有为active元素提供值，则默认假定此资源是活动的",
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "此元素值为fasle时，意味着此记录应被视为无效",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "rim",
            "map": "statusCode"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "short": "患者姓名",
        "definition": "符合中国人使用姓名的习惯，支持曾用名、别名，同时支持\"全名\"和\"姓+名\"的形式。",
        "comment": "患者可能在不同时期有多个不同用途的名字。对动物名字仍然是一个HumanName数据类型，因为它是由人类指定和使用的，并且具有相同的模式。",
        "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.name",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ChineseName"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "XPN"
          },
          {
            "identity": "rim",
            "map": "EN (actually, PN)"
          },
          {
            "identity": "servd",
            "map": "ProviderName"
          },
          {
            "identity": "v2",
            "map": "PID-5, PID-9"
          },
          {
            "identity": "rim",
            "map": "name"
          },
          {
            "identity": "cda",
            "map": ".patient.name"
          }
        ]
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "short": "联系方式",
        "definition": "联系方式的详细信息",
        "comment": "A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
        "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.telecom",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "ContactPoint",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ContactPoint"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "cpt-2",
            "severity": "error",
            "human": "A system is required if a value is provided.",
            "expression": "value.empty() or system.exists()",
            "xpath": "not(exists(f:value)) or exists(f:system)",
            "source": "http://hl7.org/fhir/StructureDefinition/ContactPoint"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "XTN"
          },
          {
            "identity": "rim",
            "map": "TEL"
          },
          {
            "identity": "servd",
            "map": "ContactPoint"
          },
          {
            "identity": "v2",
            "map": "PID-13, PID-14, PID-40"
          },
          {
            "identity": "rim",
            "map": "telecom"
          },
          {
            "identity": "cda",
            "map": ".telecom"
          }
        ]
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "short": "性别",
        "definition": "生理性别 GB/T 2261.1",
        "comment": "The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \"hard\" error.  See the Patient Gender and Sex section for additional information about communicating patient gender and sex.",
        "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.gender",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "AdministrativeGender"
            }
          ],
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "PID-8"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity": "cda",
            "map": ".patient.administrativeGenderCode"
          }
        ]
      },
      {
        "id": "Patient.gender.id",
        "path": "Patient.gender.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.gender.extension",
        "path": "Patient.gender.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.gender.extension:genser",
        "path": "Patient.gender.extension",
        "sliceName": "genser",
        "short": "生理性别",
        "definition": "描述人的生理性别   遵循标准 GB/T 2261.1",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/sexual-distinction-of-human"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.gender.value",
        "path": "Patient.gender.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for code",
        "definition": "Primitive value for code",
        "min": 0,
        "max": "1",
        "base": {
          "path": "string.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "code"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString": "[^\\s]+(\\s[^\\s]+)*"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "maxLength": 1048576
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "short": "出生日期",
        "definition": "患者的出生年月日",
        "comment": "At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems).",
        "requirements": "Age of the individual drives many clinical processes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.birthDate",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "PID-7"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"
          },
          {
            "identity": "cda",
            "map": ".patient.birthTime"
          },
          {
            "identity": "loinc",
            "map": "21112-8"
          }
        ]
      },
      {
        "id": "Patient.deceased[x]",
        "path": "Patient.deceased[x]",
        "short": "是否死亡",
        "definition": "指示患者是否死亡，若已亡故，可指定亡故日期",
        "comment": "如果实例中没有值，则表示没有声明该个人是否已死亡。大多数系统都会默认为未死亡。",
        "requirements": "病人死亡的事实会影响临床程序。此外，在人际沟通和关系管理中，有必要知道这个人是否还活着。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.deceased[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "一旦患者被标记为已死亡，则适合对此患者执行的操作可能会显著不同。",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "PID-30  (bool) and PID-29 (datetime)"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "short": "地址",
        "definition": "使用中国行政区划表示的地址 （非GPS或经纬度地址）。",
        "comment": "注：此地址是用来描述行政管理目的地址或邮政编码，不是用来描述绝对地理坐标。",
        "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.address",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Address",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Address"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "XAD"
          },
          {
            "identity": "rim",
            "map": "AD"
          },
          {
            "identity": "servd",
            "map": "Address"
          },
          {
            "identity": "v2",
            "map": "PID-11"
          },
          {
            "identity": "rim",
            "map": "addr"
          },
          {
            "identity": "cda",
            "map": ".addr"
          }
        ]
      },
      {
        "id": "Patient.maritalStatus",
        "path": "Patient.maritalStatus",
        "short": "婚姻状况",
        "definition": "患者最近的婚姻（民事）状态。GB/T 2261.2",
        "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。",
        "requirements": "Most, if not all systems capture it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.maritalStatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MaritalStatus"
            }
          ],
          "strength": "required",
          "description": "GB/T 2261.2",
          "valueSet": "http://ValueSet.hl7fhir.cn/marital-status-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "PID-16"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN]/maritalStatusCode"
          },
          {
            "identity": "cda",
            "map": ".patient.maritalStatusCode"
          }
        ]
      },
      {
        "id": "Patient.multipleBirth[x]",
        "path": "Patient.multipleBirth[x]",
        "short": "多胞胎",
        "definition": "填写布尔值用于说明患者是否为多胞胎中的一员；填写整数值则表明患者在多胞胎中的实际出生顺序。",
        "comment": "填写整数值，表示的是患者在多胞胎中的实际出生顺序编号。例如，三胞胎中第2个出生者为valueInteger=2，第三个出生者为valueInteger=3。如果用布尔值填写，则3个患者的此元素都应该填写value boolean=true（未指明顺序）。",
        "requirements": "用于排除多胞胎的歧义，特别是在医护人员未能与患者见面的时，可使用此字段确定长幼顺序。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.multipleBirth[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "integer"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "PID-24 (bool), PID-25 (integer)"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.photo",
        "path": "Patient.photo",
        "short": "照片",
        "definition": "患者的照片",
        "comment": "指南:\n* 使用证件照而非临床照片.\n* 将尺寸限制为缩略图.\n* 尽量限制图像所占用的存储大小以便资源更新。",
        "requirements": "建议使用存储在身份证、居民健康卡或医保卡的照片",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.photo",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Attachment",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Attachment"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "att-1",
            "severity": "error",
            "human": "If the Attachment has data, it SHALL have a contentType",
            "expression": "data.empty() or contentType.exists()",
            "xpath": "not(exists(f:data)) or exists(f:contentType)",
            "source": "http://hl7.org/fhir/StructureDefinition/Attachment"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "ED/RP"
          },
          {
            "identity": "rim",
            "map": "ED"
          },
          {
            "identity": "v2",
            "map": "OBX-5 - needs a profile"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Contact"
          }
        ],
        "path": "Patient.contact",
        "short": "联系人",
        "definition": "可以联系到患者的其它人，如紧急联系人、配偶、亲属、朋友、担保人等",
        "comment": "包括各种联系人：家庭成员、业务联系人、监护人、照护人员。不适用于登记血统和家庭关系以外的使用有联系。",
        "requirements": "Need to track people you can contact about the patient.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.contact",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "pat-1",
            "severity": "error",
            "human": "SHALL at least contain a contact's details or a reference to an organization",
            "expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()",
            "xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)",
            "source": "http://hl7.org/fhir/StructureDefinition/Patient"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.id",
        "path": "Patient.contact.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.extension",
        "path": "Patient.contact.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.contact.modifierExtension",
        "path": "Patient.contact.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "short": "联系人关系",
        "definition": "患者与此联系人的关系",
        "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。",
        "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.contact.relationship",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ContactRelationship"
            }
          ],
          "strength": "extensible",
          "description": "联系人关系",
          "valueSet": "http://ValueSet.hl7fhir.cn/family-relationship-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "NK1-7, NK1-3"
          },
          {
            "identity": "rim",
            "map": "code"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "short": "联系人姓名",
        "definition": "联系人姓名",
        "comment": "患者可能在不同时期有多个不同用途的名字。对动物名字仍然是一个HumanName数据类型，因为它是由人类指定和使用的，并且具有相同的模式。",
        "requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.name",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ChineseName"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "XPN"
          },
          {
            "identity": "rim",
            "map": "EN (actually, PN)"
          },
          {
            "identity": "servd",
            "map": "ProviderName"
          },
          {
            "identity": "v2",
            "map": "NK1-2"
          },
          {
            "identity": "rim",
            "map": "name"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.telecom",
        "path": "Patient.contact.telecom",
        "short": "联系人电话号码",
        "definition": "联系人电话号码，包括手机或座机.",
        "comment": "Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.",
        "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.contact.telecom",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "ContactPoint",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Telephone"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "cpt-2",
            "severity": "error",
            "human": "A system is required if a value is provided.",
            "expression": "value.empty() or system.exists()",
            "xpath": "not(exists(f:value)) or exists(f:system)",
            "source": "http://hl7.org/fhir/StructureDefinition/ContactPoint"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "XTN"
          },
          {
            "identity": "rim",
            "map": "TEL"
          },
          {
            "identity": "servd",
            "map": "ContactPoint"
          },
          {
            "identity": "v2",
            "map": "NK1-5, NK1-6, NK1-40"
          },
          {
            "identity": "rim",
            "map": "telecom"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.address",
        "path": "Patient.contact.address",
        "short": "地址",
        "definition": "使用中国行政区划表示的地址  （非GPS或经纬度地址）。",
        "comment": "注：此地址是用来描述行政管理目的地址或邮政编码，不是用来描述绝对地理坐标。",
        "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.address",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Address",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Address"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "XAD"
          },
          {
            "identity": "rim",
            "map": "AD"
          },
          {
            "identity": "servd",
            "map": "Address"
          },
          {
            "identity": "v2",
            "map": "NK1-4"
          },
          {
            "identity": "rim",
            "map": "addr"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.gender",
        "path": "Patient.contact.gender",
        "short": "性 别",
        "definition": "生理 性别 GB/T 2261.1",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "requirements": "Needed to address the person correctly.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.gender",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "AdministrativeGender"
            }
          ],
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "NK1-15"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.gender.id",
        "path": "Patient.contact.gender.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.gender.extension",
        "path": "Patient.contact.gender.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.contact.gender.extension:contactgenser",
        "path": "Patient.contact.gender.extension",
        "sliceName": "contactgenser",
        "short": "生理 性别",
        "definition": "描述人的生理性别   遵循标准 GB/T 2261.1",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/sexual-distinction-of-human"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.contact.gender.value",
        "path": "Patient.contact.gender.value",
        "representation": [
          "xmlAttr"
        ],
        "short": "Primitive value for code",
        "definition": "Primitive value for code",
        "min": 0,
        "max": "1",
        "base": {
          "path": "string.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "code"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString": "[^\\s]+(\\s[^\\s]+)*"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "maxLength": 1048576
      },
      {
        "id": "Patient.contact.organization",
        "path": "Patient.contact.organization",
        "short": "与联系人相关的组织",
        "definition": "联系人所代表的组织或联系人工作的组织。",
        "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。",
        "requirements": "For guardians or business related contacts, the organization is relevant.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.organization",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Organization"
            ]
          }
        ],
        "condition": [
          "ele-1",
          "pat-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "v2",
            "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
          },
          {
            "identity": "rim",
            "map": "scoper"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.contact.period",
        "path": "Patient.contact.period",
        "short": "时段范围",
        "definition": "由开始和结束时间以及可选时间定义的时间段范围。",
        "comment": "注意是时间段Period数据类型，而非持续时间Duration数据类型。结束时间应总是晚于开始时间。",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "per-1",
            "severity": "error",
            "human": "If present, start SHALL have a lower value than end",
            "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
            "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
            "source": "http://hl7.org/fhir/StructureDefinition/Period"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "DR"
          },
          {
            "identity": "rim",
            "map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
          },
          {
            "identity": "rim",
            "map": "effectiveTime"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.communication",
        "path": "Patient.communication",
        "short": "A language which may be used to communicate with the patient about his or her health",
        "definition": "A language which may be used to communicate with the patient about his or her health.",
        "comment": "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
        "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Patient.communication",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "LanguageCommunication"
          },
          {
            "identity": "cda",
            "map": "patient.languageCommunication"
          }
        ]
      },
      {
        "id": "Patient.communication.id",
        "path": "Patient.communication.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.communication.extension",
        "path": "Patient.communication.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.communication.modifierExtension",
        "path": "Patient.communication.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.communication.language",
        "path": "Patient.communication.language",
        "short": "The language which can be used to communicate with the patient about his or her health",
        "definition": "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
        "comment": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
        "requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.communication.language",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            }
          ],
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          },
          {
            "identity": "v2",
            "map": "PID-15, LAN-2"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
          },
          {
            "identity": "cda",
            "map": ".languageCode"
          }
        ]
      },
      {
        "id": "Patient.communication.preferred",
        "path": "Patient.communication.preferred",
        "short": "Language preference indicator",
        "definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
        "comment": "This language is specifically identified for communicating healthcare information.",
        "requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.communication.preferred",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "PID-15"
          },
          {
            "identity": "rim",
            "map": "preferenceInd"
          },
          {
            "identity": "cda",
            "map": ".preferenceInd"
          }
        ]
      },
      {
        "id": "Patient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "short": "Patient's nominated primary care provider",
        "definition": "患者提名的初诊提供者",
        "comment": "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.",
        "alias": [
          "careProvider"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Patient.generalPractitioner",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "v2",
            "map": "PD1-4"
          },
          {
            "identity": "rim",
            "map": "subjectOf.CareEvent.performer.AssignedEntity"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.managingOrganization",
        "path": "Patient.managingOrganization",
        "short": "管理机构",
        "definition": "保管此患者病历的组织机构",
        "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。",
        "requirements": "Need to know who recognizes this patient record, manages and updates it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.managingOrganization",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Organization"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "rim",
            "map": "scoper"
          },
          {
            "identity": "cda",
            "map": ".providerOrganization"
          }
        ]
      },
      {
        "id": "Patient.link",
        "path": "Patient.link",
        "short": "关联人",
        "definition": "链接到与此患者相关的另一个患者资源或相关人员",
        "comment": "链接的患者记录不一定是相互链接的。",
        "requirements": "两个用途：\r\n1、链接没有及时发现的重复患者记录\r\n2、链接分布式服务器上的相关患者信息。",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.link",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "当link.type值为“replaced-by”时，说明主患者资源应该使用引用的患者而不是此患者记录。",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "outboundLink"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.link.id",
        "path": "Patient.link.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.link.extension",
        "path": "Patient.link.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.link.modifierExtension",
        "path": "Patient.link.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient.link.other",
        "path": "Patient.link.other",
        "short": "关联记录",
        "definition": "链接所指向的其他相关患者资源",
        "comment": "仅用于关联疑似同一患者的记录。去掉了对相关人资源(RelatedPerson)的链接",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.link.other",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Patient"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          },
          {
            "identity": "v2",
            "map": "PID-3, MRG-1"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient.link.type",
        "path": "Patient.link.type",
        "short": "关系类别",
        "definition": "此患者与另一患者资源之间的关系，包括被替代、替代、引用、参见（replaced-by | replaces | refer | seealso）",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.link.type",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "LinkType"
            }
          ],
          "strength": "required",
          "description": "此患者与另一患者资源之间关系",
          "valueSet": "http://hl7.org/fhir/ValueSet/link-type|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "typeCode"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Patient",
        "path": "Patient",
        "short": "接受医疗健康服务的个人或动物",
        "definition": "接受医疗健康服务个人的人口学信息或动物的管理信息。"
      },
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Patient.extension:Ethnicity",
        "path": "Patient.extension",
        "sliceName": "Ethnicity",
        "short": "民族类别",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ChineseEthnicity"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "民族类别代码表",
          "valueSet": "http://ValueSet.hl7fhir.cn/nationalities-vs"
        }
      },
      {
        "id": "Patient.extension:Nationality",
        "path": "Patient.extension",
        "sliceName": "Nationality",
        "definition": "世界各国和地区名称代码",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Nationality"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "世界各国和地区名称代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/countries-and-regions-vs"
        }
      },
      {
        "id": "Patient.extension:DegreeOfEducation",
        "path": "Patient.extension",
        "sliceName": "DegreeOfEducation",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/degree-of-education"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "学历代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/education-vs"
        }
      },
      {
        "id": "Patient.extension:Occupations",
        "path": "Patient.extension",
        "sliceName": "Occupations",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/occupations"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "职业代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/classification-code-of-occupations-vs"
        }
      },
      {
        "id": "Patient.extension:PoliticalAffiliation",
        "path": "Patient.extension",
        "sliceName": "PoliticalAffiliation",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/politic-affiliation"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "short": "患者主索引以及交叉索引",
        "definition": "患者主索引：患者的唯一标识，患者交叉索引，可以通过各种不同的业务标识符交叉检索到此患者",
        "comment": "若通过业务标识符如一卡通号或住院号来表示，则system中应指定医院uri的值，否则跨院检索会有问题",
        "requirements": "患者总会被分配特定的业务标识符。此本地规则中预置了对身份证、医保卡、健康卡的支持。",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument",
        "path": "Patient.identifier",
        "sliceName": "identityDocument",
        "label": "证件",
        "short": "身份证件及其号码",
        "definition": "用于绑定患者的中国法定有效证件。并不用于就诊的业务标识。",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier:identityDocument.system",
        "path": "Patient.identifier.system",
        "fixedUri": "http://NamingSystem.hl7fhir.cn/identity-document"
      },
      {
        "id": "Patient.identifier:patientIdentifier",
        "path": "Patient.identifier",
        "sliceName": "patientIdentifier",
        "label": "患者标识",
        "short": "患者业务标识",
        "definition": "患者的业务标识（如就诊卡号、电子健康卡号、医保卡号、身份证号等），用于通过某种介质明确的标识某个患者。常用作业务标识符，在不同业务域中的唯一标识ID。在很多场景下可作为交叉索引使用。",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier:patientIdentifier.type",
        "path": "Patient.identifier.type",
        "binding": {
          "strength": "extensible",
          "description": "患者标识类别，院内卡、健康卡、医保卡、病案号、身份证号等，可扩允",
          "valueSet": "http://ValueSet.hl7fhir.cn/patient-id-type"
        }
      },
      {
        "id": "Patient.identifier:patientIdentifier.system",
        "path": "Patient.identifier.system",
        "fixedUri": "http://NamingSystem.hl7fhir.cn/patient-identifier"
      },
      {
        "id": "Patient.identifier:healthcard",
        "path": "Patient.identifier",
        "sliceName": "healthcard",
        "short": "健康卡号",
        "definition": "标识符，描述患者的健康卡号",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "Patient.identifier:healthcard.type",
        "path": "Patient.identifier.type",
        "short": "健康卡号",
        "definition": "患者的健康卡号",
        "binding": {
          "strength": "extensible",
          "description": "健康卡号",
          "valueSet": "http://ValueSet.hl7fhir.cn/patient-id-type"
        }
      },
      {
        "id": "Patient.identifier:healthcard.system",
        "path": "Patient.identifier.system",
        "fixedUri": "http://NamingSystem.hl7fhir.cn/health-card"
      },
      {
        "id": "Patient.identifier:other-Identifier",
        "path": "Patient.identifier",
        "sliceName": "other-Identifier",
        "short": "其他业务标识符",
        "definition": "其它标识患者的业务ID",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "Patient.active",
        "path": "Patient.active",
        "short": "是否为活动记录",
        "definition": "此患者记录是否可使用的活动记录。许多系统使用此属性将患者标记为非当前患者，例如根据组织的业务规则在一段时间内未就诊的患者。 它通常用于筛选有效患者记录，排除不活动的患者。 死亡的病人也可能被标记为不活动，但在死亡后的一段时间内病历可能还在使用，可以认为是活动的。",
        "comment": "如果某个患者记录A处于非活动状态并被链接到另一个处于活动状态的患者记录B，则后来对患者记录的更新应在B上进行。",
        "requirements": "需要能够将错误创建的记录标记为不使用（False)。",
        "meaningWhenMissing": "如果没有为active元素提供值，则默认假定此资源是活动的",
        "isModifierReason": "此元素值为fasle时，意味着此记录应被视为无效"
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "short": "患者姓名",
        "definition": "符合中国人使用姓名的习惯，支持曾用名、别名，同时支持\"全名\"和\"姓+名\"的形式。",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ChineseName"
            ]
          }
        ]
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "definition": "联系方式的详细信息",
        "type": [
          {
            "code": "ContactPoint",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ContactPoint"
            ]
          }
        ]
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "short": "性别",
        "definition": "生理性别 GB/T 2261.1",
        "binding": {
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        }
      },
      {
        "id": "Patient.gender.extension",
        "path": "Patient.gender.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Patient.gender.extension:genser",
        "path": "Patient.gender.extension",
        "sliceName": "genser",
        "definition": "描述人的生理性别   遵循标准 GB/T 2261.1",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/sexual-distinction-of-human"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        }
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "short": "出生日期",
        "definition": "患者的出生年月日"
      },
      {
        "id": "Patient.deceased[x]",
        "path": "Patient.deceased[x]",
        "short": "是否死亡",
        "definition": "指示患者是否死亡，若已亡故，可指定亡故日期",
        "comment": "如果实例中没有值，则表示没有声明该个人是否已死亡。大多数系统都会默认为未死亡。",
        "requirements": "病人死亡的事实会影响临床程序。此外，在人际沟通和关系管理中，有必要知道这个人是否还活着。",
        "isModifierReason": "一旦患者被标记为已死亡，则适合对此患者执行的操作可能会显著不同。"
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "definition": "使用中国行政区划表示的地址 （非GPS或经纬度地址）。",
        "type": [
          {
            "code": "Address",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Address"
            ]
          }
        ]
      },
      {
        "id": "Patient.maritalStatus",
        "path": "Patient.maritalStatus",
        "short": "婚姻状况",
        "definition": "患者最近的婚姻（民事）状态。GB/T 2261.2",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "GB/T 2261.2",
          "valueSet": "http://ValueSet.hl7fhir.cn/marital-status-vs"
        }
      },
      {
        "id": "Patient.multipleBirth[x]",
        "path": "Patient.multipleBirth[x]",
        "short": "多胞胎",
        "definition": "填写布尔值用于说明患者是否为多胞胎中的一员；填写整数值则表明患者在多胞胎中的实际出生顺序。",
        "comment": "填写整数值，表示的是患者在多胞胎中的实际出生顺序编号。例如，三胞胎中第2个出生者为valueInteger=2，第三个出生者为valueInteger=3。如果用布尔值填写，则3个患者的此元素都应该填写value boolean=true（未指明顺序）。",
        "requirements": "用于排除多胞胎的歧义，特别是在医护人员未能与患者见面的时，可使用此字段确定长幼顺序。"
      },
      {
        "id": "Patient.photo",
        "path": "Patient.photo",
        "short": "照片",
        "definition": "患者的照片",
        "comment": "指南:\n* 使用证件照而非临床照片.\n* 将尺寸限制为缩略图.\n* 尽量限制图像所占用的存储大小以便资源更新。",
        "requirements": "建议使用存储在身份证、居民健康卡或医保卡的照片",
        "type": [
          {
            "code": "Attachment",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Attachment"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact",
        "path": "Patient.contact",
        "short": "联系人",
        "definition": "可以联系到患者的其它人，如紧急联系人、配偶、亲属、朋友、担保人等",
        "comment": "包括各种联系人：家庭成员、业务联系人、监护人、照护人员。不适用于登记血统和家庭关系以外的使用有联系。"
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "short": "联系人关系",
        "definition": "患者与此联系人的关系",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "联系人关系",
          "valueSet": "http://ValueSet.hl7fhir.cn/family-relationship-vs"
        }
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "short": "联系人姓名",
        "definition": "联系人姓名",
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/ChineseName"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.telecom",
        "path": "Patient.contact.telecom",
        "short": "联系人电话号码",
        "definition": "联系人电话号码，包括手机或座机.",
        "type": [
          {
            "code": "ContactPoint",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Telephone"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.address",
        "path": "Patient.contact.address",
        "definition": "使用中国行政区划表示的地址  （非GPS或经纬度地址）。",
        "type": [
          {
            "code": "Address",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Address"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.gender",
        "path": "Patient.contact.gender",
        "short": "性 别",
        "definition": "生理 性别 GB/T 2261.1",
        "binding": {
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        }
      },
      {
        "id": "Patient.contact.gender.extension",
        "path": "Patient.contact.gender.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Patient.contact.gender.extension:contactgenser",
        "path": "Patient.contact.gender.extension",
        "sliceName": "contactgenser",
        "short": "生理 性别",
        "definition": "描述人的生理性别   遵循标准 GB/T 2261.1",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/sexual-distinction-of-human"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "GB/T 2261.1",
          "valueSet": "http://ValueSet.hl7fhir.cn/physiological-gender-vs"
        }
      },
      {
        "id": "Patient.contact.organization",
        "path": "Patient.contact.organization",
        "short": "与联系人相关的组织",
        "definition": "联系人所代表的组织或联系人工作的组织。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Organization"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.period",
        "path": "Patient.contact.period",
        "type": [
          {
            "code": "Period",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Period"
            ]
          }
        ]
      },
      {
        "id": "Patient.communication",
        "path": "Patient.communication",
        "max": "0"
      },
      {
        "id": "Patient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "definition": "患者提名的初诊提供者",
        "max": "0"
      },
      {
        "id": "Patient.managingOrganization",
        "path": "Patient.managingOrganization",
        "short": "管理机构",
        "definition": "保管此患者病历的组织机构",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Organization"
            ]
          }
        ]
      },
      {
        "id": "Patient.link",
        "path": "Patient.link",
        "short": "关联人",
        "definition": "链接到与此患者相关的另一个患者资源或相关人员",
        "comment": "链接的患者记录不一定是相互链接的。",
        "requirements": "两个用途：\r\n1、链接没有及时发现的重复患者记录\r\n2、链接分布式服务器上的相关患者信息。",
        "isModifierReason": "当link.type值为“replaced-by”时，说明主患者资源应该使用引用的患者而不是此患者记录。"
      },
      {
        "id": "Patient.link.other",
        "path": "Patient.link.other",
        "short": "关联记录",
        "definition": "链接所指向的其他相关患者资源",
        "comment": "仅用于关联疑似同一患者的记录。去掉了对相关人资源(RelatedPerson)的链接",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Patient"
            ]
          }
        ]
      },
      {
        "id": "Patient.link.type",
        "path": "Patient.link.type",
        "short": "关系类别",
        "definition": "此患者与另一患者资源之间的关系，包括被替代、替代、引用、参见（replaced-by | replaces | refer | seealso）",
        "binding": {
          "strength": "required",
          "description": "此患者与另一患者资源之间关系"
        }
      }
    ]
  }
}