{
  "resourceType": "StructureDefinition",
  "id": "us-core-patient",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2017-02-01T20:43:15.039+00:00"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient</a></p><p><b>name</b>: US Core Patient Profile</p><p><b>status</b>: DRAFT</p><p><b>date</b>: 01/08/2016</p><p><b>publisher</b>: Health Level Seven International (FHIR-Infrastructure)</p><p><b>contact</b>: </p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient</a></p><p><b>name</b>: US Core Patient Profile</p><p><b>status</b>: DRAFT</p><p><b>publisher</b>: Health Level Seven International (FHIR-Infrastructure)</p><p><b>contact</b>: </p><p><b>date</b>: 01/08/2016</p><blockquote><p><b>mapping</b></p><p><b>identity</b>: rim</p><p><b>uri</b>: <a href=\"http://hl7.org/v3\">http://hl7.org/v3</a></p><p><b>name</b>: RIM Mapping</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: cda</p><p><b>uri</b>: <a href=\"http://hl7.org/v3/cda\">http://hl7.org/v3/cda</a></p><p><b>name</b>: CDA (R2)</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: w5</p><p><b>uri</b>: <a href=\"http://hl7.org/fhir/w5\">http://hl7.org/fhir/w5</a></p><p><b>name</b>: W5 Mapping</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: v2</p><p><b>uri</b>: <a href=\"http://hl7.org/v2\">http://hl7.org/v2</a></p><p><b>name</b>: HL7 v2 Mapping</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: loinc</p><p><b>uri</b>: <a href=\"http://loinc.org\">http://loinc.org</a></p><p><b>name</b>: LOINC code for the element</p></blockquote><p><b>kind</b>: RESOURCE</p><p><b>abstract</b>: false</p><p><b>type</b>: Patient</p><p><b>baseDefinition</b>: <a href=\"http://hl7.org/fhir/StructureDefinition/Patient\">http://hl7.org/fhir/StructureDefinition/Patient</a></p><p><b>derivation</b>: CONSTRAINT</p><h3>Snapshots</h3><table class=\"grid\"><tr><td>-</td><td><b>Element</b></td></tr><tr><td>*</td><td>todo-bundle</td></tr></table><h3>Differentials</h3><table class=\"grid\"><tr><td>-</td><td><b>Element</b></td></tr><tr><td>*</td><td>todo-bundle</td></tr></table></div>"
  },
  "url": "http://alextesting.org/fhir/us/core/StructureDefinition/us-core-patient",
  "name": "US Core Patient Profile",
  "status": "draft",
  "date": "2016-08-01",
  "publisher": "Health Level Seven International (FHIR-Infrastructure)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.healthit.gov"
        }
      ]
    }
  ],
  "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/w5",
      "name": "W5 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://alextesting.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Patient:uscorepatient",
        "path": "Patient",
        "sliceName": "USCorePatient",
        "short": "US Core Patient Profile",
        "definition": "The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.",
        "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": "DomainResource"
          },
          {
            "key": "dom-1",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
            "expression": "contained.text.empty()",
            "xpath": "not(parent::f:contained and f:text)",
            "source": "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": "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",
            "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
            "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
            "source": "DomainResource"
          }
        ],
        "mustSupport": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "rim",
            "map": "Patient[classCode=PAT]"
          },
          {
            "identity": "cda",
            "map": "ClinicalDocument.recordTarget.patientRole"
          },
          {
            "identity": "w5",
            "map": "administrative.individual"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "id"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Patient:uscorepatient.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 may 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"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Patient:uscorepatient.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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "isModifier": true,
        "isSummary": true
      },
      {
        "id": "Patient:uscorepatient.language",
        "path": "Patient.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueReference": {
                "reference": "http://hl7.org/fhir/ValueSet/all-languages"
              }
            }
          ],
          "strength": "extensible",
          "description": "A human language.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/languages"
          }
        }
      },
      {
        "id": "Patient:uscorepatient.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 may 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.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "dom-1"
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.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.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.extension",
        "path": "Patient.extension",
        "slicing": {
          "id": "3",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.extension:race",
        "path": "Patient.extension",
        "sliceName": "race",
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://alextesting.org/fhir/us/core/StructureDefinition/us-core-race"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "children().count() > id.count()",
            "xpath": "@value|f:*|h:div",
            "source": "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": "Extension"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.extension:ethnicity",
        "path": "Patient.extension",
        "sliceName": "ethnicity",
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://alextesting.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "children().count() > id.count()",
            "xpath": "@value|f:*|h:div",
            "source": "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": "Extension"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.extension:birthsex",
        "path": "Patient.extension",
        "sliceName": "birthsex",
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": "http://alextesting.org/fhir/us/core/StructureDefinition/us-core-birthsex"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "children().count() > id.count()",
            "xpath": "@value|f:*|h:div",
            "source": "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": "Extension"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.modifierExtension",
        "path": "Patient.modifierExtension",
        "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. Usually modifier elements provide negation or qualification. In order 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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier",
        "path": "Patient.identifier",
        "short": "An identifier for this patient",
        "definition": "An identifier for this patient.",
        "requirements": "Patients are almost always assigned specific numerical identifiers.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Patient.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": ".id"
          },
          {
            "identity": "w5",
            "map": "id"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier.id",
        "path": "Patient.identifier.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier.extension",
        "path": "Patient.identifier.extension",
        "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. In order 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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier.use",
        "path": "Patient.identifier.use",
        "short": "usual | official | temp | secondary (If known)",
        "definition": "The purpose of this identifier.",
        "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.use",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "description": "Identifies the purpose for this identifier, if known .",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/identifier-use"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier.type",
        "path": "Patient.identifier.type",
        "short": "Description of identifier",
        "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "extensible",
          "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/identifier-type"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.5"
          },
          {
            "identity": "rim",
            "map": "Role.code or implied by context"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier.system",
        "path": "Patient.identifier.system",
        "short": "The namespace for the identifier",
        "definition": "Establishes the namespace in which set of possible id values is unique.",
        "requirements": "There are many sequences of identifiers.  To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Identifier.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.4 / EI-2-4"
          },
          {
            "identity": "rim",
            "map": "II.root or Role.id.root"
          },
          {
            "identity": "servd",
            "map": "./IdentifierType"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier.value",
        "path": "Patient.identifier.value",
        "short": "The value that is unique within the system.",
        "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Identifier.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "example": [
          {
            "label": "General",
            "valueString": "123456"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "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:uscorepatient.identifier.period",
        "path": "Patient.identifier.period",
        "short": "Time period when id is/was valid for use",
        "definition": "Time period during which identifier is/was valid for use.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CX.7 + CX.8"
          },
          {
            "identity": "rim",
            "map": "Role.effectiveTime or implied by context"
          },
          {
            "identity": "servd",
            "map": "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.identifier.assigner",
        "path": "Patient.identifier.assigner",
        "short": "Organization that issued id (may be just text)",
        "definition": "Organization that issued/manages the identifier.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Identifier.assigner",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "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:uscorepatient.active",
        "path": "Patient.active",
        "short": "Whether this patient's record is in active use",
        "definition": "Whether this patient record is in active use.",
        "requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.active",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": true,
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "statusCode"
          },
          {
            "identity": "cda",
            "map": "n/a"
          },
          {
            "identity": "w5",
            "map": "status"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name",
        "path": "Patient.name",
        "short": "A name associated with the patient",
        "definition": "A name associated with the individual.",
        "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Patient.name",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "HumanName"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-5, PID-9"
          },
          {
            "identity": "rim",
            "map": "name"
          },
          {
            "identity": "cda",
            "map": ".patient.name"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.id",
        "path": "Patient.name.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.extension",
        "path": "Patient.name.extension",
        "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. In order 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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.use",
        "path": "Patient.name.use",
        "short": "usual | official | temp | nickname | anonymous | old | maiden",
        "definition": "Identifies the purpose for this name.",
        "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HumanName.use",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "description": "The use of a human name",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/name-use"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "XPN.7, but often indicated by which field contains the name"
          },
          {
            "identity": "rim",
            "map": "unique(./use)"
          },
          {
            "identity": "servd",
            "map": "./NamePurpose"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.text",
        "path": "Patient.name.text",
        "short": "Text representation of the full name",
        "definition": "A full text representation of the name.",
        "requirements": "A renderable, unencoded form.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HumanName.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "implied by XPN.11"
          },
          {
            "identity": "rim",
            "map": "./formatted"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.family",
        "path": "Patient.name.family",
        "short": "Family name (often called 'Surname')",
        "definition": "The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.",
        "alias": [
          "surname"
        ],
        "min": 1,
        "max": "1",
        "base": {
          "path": "HumanName.family",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "XPN.1/FN.1"
          },
          {
            "identity": "rim",
            "map": "./part[partType = FAM]"
          },
          {
            "identity": "servd",
            "map": "./FamilyName"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.given",
        "path": "Patient.name.given",
        "short": "Given names (not always 'first'). Includes middle names",
        "definition": "Given name.",
        "alias": [
          "first name",
          "middle name"
        ],
        "min": 1,
        "max": "*",
        "base": {
          "path": "HumanName.given",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "XPN.2 + XPN.3"
          },
          {
            "identity": "rim",
            "map": "./part[partType = GIV]"
          },
          {
            "identity": "servd",
            "map": "./GivenNames"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.prefix",
        "path": "Patient.name.prefix",
        "short": "Parts that come before the name",
        "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "HumanName.prefix",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "XPN.5"
          },
          {
            "identity": "rim",
            "map": "./part[partType = PFX]"
          },
          {
            "identity": "servd",
            "map": "./TitleCode"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.suffix",
        "path": "Patient.name.suffix",
        "short": "Parts that come after the name",
        "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "HumanName.suffix",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "XPN/4"
          },
          {
            "identity": "rim",
            "map": "./part[partType = SFX]"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.name.period",
        "path": "Patient.name.period",
        "short": "Time period when name was/is in use",
        "definition": "Indicates the period of time when this name was valid for the named person.",
        "requirements": "Allows names to be placed in historical context.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HumanName.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "XPN.13 + XPN.14"
          },
          {
            "identity": "rim",
            "map": "./usablePeriod[type=\"IVL<TS>\"]"
          },
          {
            "identity": "servd",
            "map": "./StartDate and ./EndDate"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.telecom",
        "path": "Patient.telecom",
        "short": "A contact detail for the individual",
        "definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
        "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"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-13, PID-14, PID-40"
          },
          {
            "identity": "rim",
            "map": "telecom"
          },
          {
            "identity": "cda",
            "map": ".telecom"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.gender",
        "path": "Patient.gender",
        "short": "male | female | other | unknown",
        "definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
        "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.gender",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-8"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity": "cda",
            "map": ".patient.administrativeGenderCode"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.birthDate",
        "path": "Patient.birthDate",
        "short": "The date of birth for the individual",
        "definition": "The date of birth for the individual.",
        "requirements": "Age of the individual drives many clinical processes.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.birthDate",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "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:uscorepatient.deceased[x]",
        "path": "Patient.deceased[x]",
        "short": "Indicates if the individual is deceased or not",
        "definition": "Indicates if the individual is deceased or not.",
        "requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.deceased[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "dateTime"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "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:uscorepatient.address",
        "path": "Patient.address",
        "short": "Addresses for the individual",
        "definition": "Addresses for the individual.",
        "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"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-11"
          },
          {
            "identity": "rim",
            "map": "addr"
          },
          {
            "identity": "cda",
            "map": ".addr"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.maritalStatus",
        "path": "Patient.maritalStatus",
        "short": "Marital (civil) status of a patient",
        "definition": "This field contains a patient's most recent marital (civil) status.",
        "requirements": "Most, if not all systems capture it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.maritalStatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "The domestic partnership status of a person.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/marital-status"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-16"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN]/maritalStatusCode"
          },
          {
            "identity": "cda",
            "map": ".patient.maritalStatusCode"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.multipleBirth[x]",
        "path": "Patient.multipleBirth[x]",
        "short": "Whether patient is part of a multiple birth",
        "definition": "Indicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer).",
        "requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.multipleBirth[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "integer"
          }
        ],
        "mapping": [
          {
            "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:uscorepatient.photo",
        "path": "Patient.photo",
        "short": "Image of the patient",
        "definition": "Image of the patient.",
        "requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.photo",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Attachment"
          }
        ],
        "mapping": [
          {
            "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:uscorepatient.contact",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Contact"
          }
        ],
        "path": "Patient.contact",
        "short": "A contact party (e.g. guardian, partner, friend) for the patient",
        "definition": "A contact party (e.g. guardian, partner, friend) for the patient.",
        "requirements": "Need to track people you can contact about the patient.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.contact",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "children().count() > id.count()",
            "xpath": "@value|f:*|h:div",
            "source": "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)"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.id",
        "path": "Patient.contact.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.extension",
        "path": "Patient.contact.extension",
        "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. In order 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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.modifierExtension",
        "path": "Patient.contact.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.relationship",
        "path": "Patient.contact.relationship",
        "short": "The kind of relationship",
        "definition": "The nature of the relationship between the patient and the contact person.",
        "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"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "The nature of the relationship between a patient and a contact person for that patient.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/v2-0131"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "NK1-7, NK1-3"
          },
          {
            "identity": "rim",
            "map": "code"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.name",
        "path": "Patient.contact.name",
        "short": "A name associated with the contact person",
        "definition": "A name associated with the contact person.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "NK1-2"
          },
          {
            "identity": "rim",
            "map": "name"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.telecom",
        "path": "Patient.contact.telecom",
        "short": "A contact detail for the person",
        "definition": "A contact detail for the person, e.g. a telephone number or an email address.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "NK1-5, NK1-6, NK1-40"
          },
          {
            "identity": "rim",
            "map": "telecom"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.address",
        "path": "Patient.contact.address",
        "short": "Address for the contact person",
        "definition": "Address for the contact person.",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "NK1-4"
          },
          {
            "identity": "rim",
            "map": "addr"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.gender",
        "path": "Patient.contact.gender",
        "short": "male | female | other | unknown",
        "definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
        "requirements": "Needed to address the person correctly.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.gender",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The gender of a person used for administrative purposes.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "NK1-15"
          },
          {
            "identity": "rim",
            "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.organization",
        "path": "Patient.contact.organization",
        "short": "Organization that is associated with the contact",
        "definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
        "requirements": "For guardians or business related contacts, the organization is relevant.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.organization",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "condition": [
          "pat-1"
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
          },
          {
            "identity": "rim",
            "map": "scoper"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.contact.period",
        "path": "Patient.contact.period",
        "short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
        "definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.contact.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "effectiveTime"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.animal",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Animal"
          }
        ],
        "path": "Patient.animal",
        "short": "This patient is known to be an animal (non-human)",
        "definition": "This patient is known to be an animal.",
        "requirements": "Many clinical systems are extended to care for animal patients as well as human.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Patient.animal",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "children().count() > id.count()",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "mustSupport": false,
        "isModifier": true,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "player[classCode=ANM]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.animal.id",
        "path": "Patient.animal.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.animal.extension",
        "path": "Patient.animal.extension",
        "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. In order 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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.animal.modifierExtension",
        "path": "Patient.animal.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.animal.species",
        "path": "Patient.animal.species",
        "short": "E.g. Dog, Cow",
        "definition": "Identifies the high level taxonomic categorization of the kind of animal.",
        "requirements": "Need to know what kind of animal.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.animal.species",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "The species of an animal.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/animal-species"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-35"
          },
          {
            "identity": "rim",
            "map": "code"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.animal.breed",
        "path": "Patient.animal.breed",
        "short": "E.g. Poodle, Angus",
        "definition": "Identifies the detailed categorization of the kind of animal.",
        "requirements": "May need to know the specific kind within the species.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.animal.breed",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "The breed of an animal.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/animal-breeds"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-37"
          },
          {
            "identity": "rim",
            "map": "playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.animal.genderStatus",
        "path": "Patient.animal.genderStatus",
        "short": "E.g. Neutered, Intact",
        "definition": "Indicates the current state of the animal's reproductive organs.",
        "requirements": "Gender status can affect housing and animal behavior.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.animal.genderStatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "The state of the animal's reproductive organs.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/animal-genderstatus"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "genderStatusCode"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.communication",
        "path": "Patient.communication",
        "short": "A list of Languages which may be used to communicate with the patient about his or her health",
        "definition": "Languages which may be used to communicate with the patient about his or her health.",
        "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.communication",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "children().count() > id.count()",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "LanguageCommunication"
          },
          {
            "identity": "cda",
            "map": "patient.languageCommunication"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.communication.id",
        "path": "Patient.communication.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.communication.extension",
        "path": "Patient.communication.extension",
        "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. In order 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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.communication.modifierExtension",
        "path": "Patient.communication.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.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.",
        "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"
          }
        ],
        "mustSupport": true,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        "mapping": [
          {
            "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:uscorepatient.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).",
        "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"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-15"
          },
          {
            "identity": "rim",
            "map": "preferenceInd"
          },
          {
            "identity": "cda",
            "map": ".preferenceInd"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "short": "Patient's nominated primary care provider",
        "definition": "Patient's nominated care provider.",
        "alias": [
          "careProvider"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.generalPractitioner",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "PD1-4"
          },
          {
            "identity": "rim",
            "map": "subjectOf.CareEvent.performer.AssignedEntity"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.managingOrganization",
        "path": "Patient.managingOrganization",
        "short": "Organization that is the custodian of the patient record",
        "definition": "Organization that is the custodian of the patient record.",
        "requirements": "Need to know who recognizes this patient record, manages and updates it.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Patient.managingOrganization",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "scoper"
          },
          {
            "identity": "cda",
            "map": ".providerOrganization"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.link",
        "path": "Patient.link",
        "short": "Link to another patient resource that concerns the same actual person",
        "definition": "Link to another patient resource that concerns the same actual patient.",
        "requirements": "There are multiple usecases:   * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Patient.link",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "children().count() > id.count()",
            "xpath": "@value|f:*|h:div",
            "source": "Element"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "outboundLink"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.link.id",
        "path": "Patient.link.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "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": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.link.extension",
        "path": "Patient.link.extension",
        "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. In order 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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.link.modifierExtension",
        "path": "Patient.link.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.link.other",
        "path": "Patient.link.other",
        "short": "The other patient or related person resource that the link refers to",
        "definition": "The other patient resource that the link refers to.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.link.other",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-3, MRG-1"
          },
          {
            "identity": "rim",
            "map": "id"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Patient:uscorepatient.link.type",
        "path": "Patient.link.type",
        "short": "replace | refer | seealso - type of link",
        "definition": "The type of link between this patient resource and another patient resource.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Patient.link.type",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "description": "The type of link between this patient resource and another patient resource.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/link-type"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "typeCode"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Patient:uscorepatient",
        "path": "Patient",
        "sliceName": "USCorePatient",
        "short": "US Core Patient Profile",
        "definition": "The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.",
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.extension:race",
        "path": "Patient.extension",
        "sliceName": "race",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://alextesting.org/fhir/us/core/StructureDefinition/us-core-race"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.extension:ethnicity",
        "path": "Patient.extension",
        "sliceName": "ethnicity",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://alextesting.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.extension:birthsex",
        "path": "Patient.extension",
        "sliceName": "birthsex",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://alextesting.org/fhir/us/core/StructureDefinition/us-core-birthsex"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "description": "Code for sex assigned at birth",
          "valueSetReference": {
            "reference": "http://alextesting.org/fhir/us/core/ValueSet/us-core-birthsex"
          }
        }
      },
      {
        "id": "Patient:uscorepatient.identifier",
        "path": "Patient.identifier",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.identifier.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.identifier.value",
        "path": "Patient.identifier.value",
        "short": "The value that is unique within the system.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.name",
        "path": "Patient.name",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "HumanName"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.name.family",
        "path": "Patient.name.family",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.name.given",
        "path": "Patient.name.given",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.gender",
        "path": "Patient.gender",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
          }
        }
      },
      {
        "id": "Patient:uscorepatient.birthDate",
        "path": "Patient.birthDate",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "date"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.animal",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Animal"
          }
        ],
        "path": "Patient.animal",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.communication",
        "path": "Patient.communication",
        "min": 0,
        "max": "*",
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Patient:uscorepatient.communication.language",
        "path": "Patient.communication.language",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/languages"
          }
        }
      }
    ]
  }
}