<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="us-core-patient" />
  <meta>
    <versionId value="1" />
    <lastUpdated value="2017-02-01T15:43:15.039-05:00" />
  </meta>
  <text>
    <status value="generated" />
    <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>
  </text>
  <url value="http://alextesting.org/fhir/us/core/StructureDefinition/us-core-patient" />
  <name value="US Core Patient Profile" />
  <status value="draft" />
  <date value="2016-08-01" />
  <publisher value="Health Level Seven International (FHIR-Infrastructure)" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.healthit.gov" />
    </telecom>
  </contact>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="cda" />
    <uri value="http://hl7.org/v3/cda" />
    <name value="CDA (R2)" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/w5" />
    <name value="W5 Mapping" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="loinc" />
    <uri value="http://loinc.org" />
    <name value="LOINC code for the element" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Patient" />
  <baseDefinition value="http://alextesting.org/fhir/StructureDefinition/Patient" />
  <derivation value="constraint" />
  <snapshot>
    <element id="Patient:uscorepatient">
      <path value="Patient" />
      <sliceName value="USCorePatient" />
      <short value="US Core Patient Profile" />
      <definition value="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 value="SubjectOfCare Client Resident" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient" />
        <min value="0" />
        <max value="*" />
      </base>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-1" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" />
        <expression value="contained.text.empty()" />
        <xpath value="not(parent::f:contained and f:text)" />
        <source value="DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" />
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" />
        <source value="DomainResource" />
      </constraint>
      <mustSupport value="false" />
      <isSummary value="false" />
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Patient[classCode=PAT]" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="ClinicalDocument.recordTarget.patientRole" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="administrative.individual" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.id">
      <path value="Patient.id" />
      <short value="Logical id of this artifact" />
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
      <isSummary value="true" />
    </element>
    <element id="Patient:uscorepatient.meta">
      <path value="Patient.meta" />
      <short value="Metadata about the resource" />
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.meta" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Meta" />
      </type>
      <isSummary value="true" />
    </element>
    <element id="Patient:uscorepatient.implicitRules">
      <path value="Patient.implicitRules" />
      <short value="A set of rules under which this content was created" />
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.implicitRules" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
    </element>
    <element id="Patient:uscorepatient.language">
      <path value="Patient.language" />
      <short value="Language of the resource content" />
      <definition value="The base language in which the resource is written." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.language" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages" />
          </valueReference>
        </extension>
        <strength value="extensible" />
        <description value="A human language." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient:uscorepatient.text">
      <path value="Patient.text" />
      <short value="Text summary of the resource, for human interpretation" />
      <definition value="A human-readable narrative that contains a summary of the resource, and 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 &quot;clinically safe&quot; 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 value="narrative" />
      <alias value="html" />
      <alias value="xhtml" />
      <alias value="display" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DomainResource.text" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Narrative" />
      </type>
      <condition value="dom-1" />
      <mapping>
        <identity value="rim" />
        <map value="Act.text?" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contained">
      <path value="Patient.contained" />
      <short value="Contained, inline Resources" />
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
      <alias value="inline resources" />
      <alias value="anonymous resources" />
      <alias value="contained resources" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.contained" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Resource" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.extension">
      <path value="Patient.extension" />
      <slicing id="3">
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
    </element>
    <element id="Patient:uscorepatient.extension:race">
      <path value="Patient.extension" />
      <sliceName value="race" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DomainResource.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://alextesting.org/fhir/us/core/StructureDefinition/us-core-race" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="children().count() &gt; id.count()" />
        <xpath value="@value|f:*|h:div" />
        <source value="Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="Extension" />
      </constraint>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.extension:ethnicity">
      <path value="Patient.extension" />
      <sliceName value="ethnicity" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DomainResource.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://alextesting.org/fhir/us/core/StructureDefinition/us-core-ethnicity" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="children().count() &gt; id.count()" />
        <xpath value="@value|f:*|h:div" />
        <source value="Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="Extension" />
      </constraint>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.extension:birthsex">
      <path value="Patient.extension" />
      <sliceName value="birthsex" />
      <short value="Extension" />
      <definition value="An Extension" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DomainResource.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
        <profile value="http://alextesting.org/fhir/us/core/StructureDefinition/us-core-birthsex" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="children().count() &gt; id.count()" />
        <xpath value="@value|f:*|h:div" />
        <source value="Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="Extension" />
      </constraint>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.modifierExtension">
      <path value="Patient.modifierExtension" />
      <short value="Extensions that cannot be ignored" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. 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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="DomainResource.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <isModifier value="true" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier">
      <path value="Patient.identifier" />
      <short value="An identifier for this patient" />
      <definition value="An identifier for this patient." />
      <requirements value="Patients are almost always assigned specific numerical identifiers." />
      <min value="1" />
      <max value="*" />
      <base>
        <path value="Patient.identifier" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Identifier" />
      </type>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="v2" />
        <map value="PID-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="id" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".id" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="id" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.id">
      <path value="Patient.identifier.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.extension">
      <path value="Patient.identifier.extension" />
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.use">
      <path value="Patient.identifier.use" />
      <short value="usual | official | temp | secondary (If known)" />
      <definition value="The purpose of this identifier." />
      <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Identifier.use" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <binding>
        <strength value="required" />
        <description value="Identifies the purpose for this identifier, if known ." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/identifier-use" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Role.code or implied by context" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.type">
      <path value="Patient.identifier.type" />
      <short value="Description of identifier" />
      <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
      <requirements value="Allows users to make use of identifiers when the identifier system is not known." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Identifier.type" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="extensible" />
        <description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/identifier-type" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="CX.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Role.code or implied by context" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.system">
      <path value="Patient.identifier.system" />
      <short value="The namespace for the identifier" />
      <definition value="Establishes the namespace in which set of possible id values is unique." />
      <requirements value="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 value="1" />
      <max value="1" />
      <base>
        <path value="Identifier.system" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="uri" />
      </type>
      <example>
        <label value="General" />
        <valueUri value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri" />
      </example>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="v2" />
        <map value="CX.4 / EI-2-4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="II.root or Role.id.root" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./IdentifierType" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.value">
      <path value="Patient.identifier.value" />
      <short value="The value that is unique within the system." />
      <definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Identifier.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <example>
        <label value="General" />
        <valueString value="123456" />
      </example>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="v2" />
        <map value="CX.1 / EI.1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./Value" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.period">
      <path value="Patient.identifier.period" />
      <short value="Time period when id is/was valid for use" />
      <definition value="Time period during which identifier is/was valid for use." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Identifier.period" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="CX.7 + CX.8" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Role.effectiveTime or implied by context" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.identifier.assigner">
      <path value="Patient.identifier.assigner" />
      <short value="Organization that issued id (may be just text)" />
      <definition value="Organization that issued/manages the identifier." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Identifier.assigner" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="CX.4 / (CX.4,CX.9,CX.10)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./IdentifierIssuingAuthority" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.active">
      <path value="Patient.active" />
      <short value="Whether this patient's record is in active use" />
      <definition value="Whether this patient record is in active use." />
      <requirements value="Need to be able to mark a patient record as not to be used because it was created in error." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.active" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <defaultValueBoolean value="true" />
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="statusCode" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="status" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name">
      <path value="Patient.name" />
      <short value="A name associated with the patient" />
      <definition value="A name associated with the individual." />
      <requirements value="Need to be able to track the patient by multiple names. Examples are your official name and a partner name." />
      <min value="1" />
      <max value="*" />
      <base>
        <path value="Patient.name" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="HumanName" />
      </type>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="v2" />
        <map value="PID-5, PID-9" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="name" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".patient.name" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.id">
      <path value="Patient.name.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.extension">
      <path value="Patient.name.extension" />
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.use">
      <path value="Patient.name.use" />
      <short value="usual | official | temp | nickname | anonymous | old | maiden" />
      <definition value="Identifies the purpose for this name." />
      <requirements value="Allows the appropriate name for a particular context of use to be selected from among a set of names." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.use" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <binding>
        <strength value="required" />
        <description value="The use of a human name" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/name-use" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="XPN.7, but often indicated by which field contains the name" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="unique(./use)" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./NamePurpose" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.text">
      <path value="Patient.name.text" />
      <short value="Text representation of the full name" />
      <definition value="A full text representation of the name." />
      <requirements value="A renderable, unencoded form." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.text" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="implied by XPN.11" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./formatted" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.family">
      <path value="Patient.name.family" />
      <short value="Family name (often called 'Surname')" />
      <definition value="The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father." />
      <alias value="surname" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="HumanName.family" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="v2" />
        <map value="XPN.1/FN.1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = FAM]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./FamilyName" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.given">
      <path value="Patient.name.given" />
      <short value="Given names (not always 'first'). Includes middle names" />
      <definition value="Given name." />
      <alias value="first name" />
      <alias value="middle name" />
      <min value="1" />
      <max value="*" />
      <base>
        <path value="HumanName.given" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="v2" />
        <map value="XPN.2 + XPN.3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = GIV]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./GivenNames" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.prefix">
      <path value="Patient.name.prefix" />
      <short value="Parts that come before the name" />
      <definition value="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 value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.prefix" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="XPN.5" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = PFX]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./TitleCode" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.suffix">
      <path value="Patient.name.suffix" />
      <short value="Parts that come after the name" />
      <definition value="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 value="0" />
      <max value="*" />
      <base>
        <path value="HumanName.suffix" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="XPN/4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./part[partType = SFX]" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.name.period">
      <path value="Patient.name.period" />
      <short value="Time period when name was/is in use" />
      <definition value="Indicates the period of time when this name was valid for the named person." />
      <requirements value="Allows names to be placed in historical context." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="HumanName.period" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="XPN.13 + XPN.14" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="./usablePeriod[type=&quot;IVL&lt;TS&gt;&quot;]" />
      </mapping>
      <mapping>
        <identity value="servd" />
        <map value="./StartDate and ./EndDate" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.telecom">
      <path value="Patient.telecom" />
      <short value="A contact detail for the individual" />
      <definition value="A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted." />
      <requirements value="People have (primary) ways to contact them in some way such as phone, email." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.telecom" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="ContactPoint" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PID-13, PID-14, PID-40" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="telecom" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".telecom" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.gender">
      <path value="Patient.gender" />
      <short value="male | female | other | unknown" />
      <definition value="Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes." />
      <requirements value="Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Patient.gender" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <mustSupport value="true" />
      <isSummary value="false" />
      <binding>
        <strength value="required" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administrative-gender" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PID-8" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".patient.administrativeGenderCode" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.birthDate">
      <path value="Patient.birthDate" />
      <short value="The date of birth for the individual" />
      <definition value="The date of birth for the individual." />
      <requirements value="Age of the individual drives many clinical processes." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.birthDate" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="date" />
      </type>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="v2" />
        <map value="PID-7" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".patient.birthTime" />
      </mapping>
      <mapping>
        <identity value="loinc" />
        <map value="21112-8" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.deceased[x]">
      <path value="Patient.deceased[x]" />
      <short value="Indicates if the individual is deceased or not" />
      <definition value="Indicates if the individual is deceased or not." />
      <requirements value="The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.deceased[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="dateTime" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PID-30  (bool) and PID-29 (datetime)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.address">
      <path value="Patient.address" />
      <short value="Addresses for the individual" />
      <definition value="Addresses for the individual." />
      <requirements value="May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.address" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Address" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PID-11" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="addr" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".addr" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.maritalStatus">
      <path value="Patient.maritalStatus" />
      <short value="Marital (civil) status of a patient" />
      <definition value="This field contains a patient's most recent marital (civil) status." />
      <requirements value="Most, if not all systems capture it." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.maritalStatus" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <description value="The domestic partnership status of a person." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/marital-status" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PID-16" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN]/maritalStatusCode" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".patient.maritalStatusCode" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.multipleBirth[x]">
      <path value="Patient.multipleBirth[x]" />
      <short value="Whether patient is part of a multiple birth" />
      <definition value="Indicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer)." />
      <requirements value="For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.multipleBirth[x]" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="integer" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="PID-24 (bool), PID-25 (integer)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.photo">
      <path value="Patient.photo" />
      <short value="Image of the patient" />
      <definition value="Image of the patient." />
      <requirements value="Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.photo" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Attachment" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="OBX-5 - needs a profile" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Contact" />
      </extension>
      <path value="Patient.contact" />
      <short value="A contact party (e.g. guardian, partner, friend) for the patient" />
      <definition value="A contact party (e.g. guardian, partner, friend) for the patient." />
      <requirements value="Need to track people you can contact about the patient." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.contact" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="children().count() &gt; id.count()" />
        <xpath value="@value|f:*|h:div" />
        <source value="Element" />
      </constraint>
      <constraint>
        <key value="pat-1" />
        <severity value="error" />
        <human value="SHALL at least contain a contact's details or a reference to an organization" />
        <expression value="name.exists() or telecom.exists() or address.exists() or organization.exists()" />
        <xpath value="exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.id">
      <path value="Patient.contact.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.extension">
      <path value="Patient.contact.extension" />
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.modifierExtension">
      <path value="Patient.contact.modifierExtension" />
      <short value="Extensions that cannot be ignored" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the 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 value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.relationship">
      <path value="Patient.contact.relationship" />
      <short value="The kind of relationship" />
      <definition value="The nature of the relationship between the patient and the contact person." />
      <requirements value="Used to determine which contact person is the most relevant to approach, depending on circumstances." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.contact.relationship" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <description value="The nature of the relationship between a patient and a contact person for that patient." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v2-0131" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="NK1-7, NK1-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="code" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.name">
      <path value="Patient.contact.name" />
      <short value="A name associated with the contact person" />
      <definition value="A name associated with the contact person." />
      <requirements value="Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.contact.name" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="HumanName" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="NK1-2" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="name" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.telecom">
      <path value="Patient.contact.telecom" />
      <short value="A contact detail for the person" />
      <definition value="A contact detail for the person, e.g. a telephone number or an email address." />
      <requirements value="People have (primary) ways to contact them in some way such as phone, email." />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.contact.telecom" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="ContactPoint" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="NK1-5, NK1-6, NK1-40" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="telecom" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.address">
      <path value="Patient.contact.address" />
      <short value="Address for the contact person" />
      <definition value="Address for the contact person." />
      <requirements value="Need to keep track where the contact person can be contacted per postal mail or visited." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.contact.address" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Address" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="NK1-4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="addr" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.gender">
      <path value="Patient.contact.gender" />
      <short value="male | female | other | unknown" />
      <definition value="Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes." />
      <requirements value="Needed to address the person correctly." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.contact.gender" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <binding>
        <strength value="required" />
        <description value="The gender of a person used for administrative purposes." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administrative-gender" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="NK1-15" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.organization">
      <path value="Patient.contact.organization" />
      <short value="Organization that is associated with the contact" />
      <definition value="Organization on behalf of which the contact is acting or for which the contact is working." />
      <requirements value="For guardians or business related contacts, the organization is relevant." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.contact.organization" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <condition value="pat-1" />
      <mapping>
        <identity value="v2" />
        <map value="NK1-13, NK1-30, NK1-31, NK1-32, NK1-41" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="scoper" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.contact.period">
      <path value="Patient.contact.period" />
      <short value="The period during which this contact person or organization is valid to be contacted relating to this patient" />
      <definition value="The period during which this contact person or organization is valid to be contacted relating to this patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.contact.period" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Period" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="effectiveTime" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.animal">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Animal" />
      </extension>
      <path value="Patient.animal" />
      <short value="This patient is known to be an animal (non-human)" />
      <definition value="This patient is known to be an animal." />
      <requirements value="Many clinical systems are extended to care for animal patients as well as human." />
      <min value="0" />
      <max value="0" />
      <base>
        <path value="Patient.animal" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="children().count() &gt; id.count()" />
        <xpath value="@value|f:*|h:div" />
        <source value="Element" />
      </constraint>
      <mustSupport value="false" />
      <isModifier value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=ANM]" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.animal.id">
      <path value="Patient.animal.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.animal.extension">
      <path value="Patient.animal.extension" />
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.animal.modifierExtension">
      <path value="Patient.animal.modifierExtension" />
      <short value="Extensions that cannot be ignored" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the 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 value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.animal.species">
      <path value="Patient.animal.species" />
      <short value="E.g. Dog, Cow" />
      <definition value="Identifies the high level taxonomic categorization of the kind of animal." />
      <requirements value="Need to know what kind of animal." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Patient.animal.species" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="The species of an animal." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/animal-species" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PID-35" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="code" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.animal.breed">
      <path value="Patient.animal.breed" />
      <short value="E.g. Poodle, Angus" />
      <definition value="Identifies the detailed categorization of the kind of animal." />
      <requirements value="May need to know the specific kind within the species." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.animal.breed" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="The breed of an animal." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/animal-breeds" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PID-37" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.animal.genderStatus">
      <path value="Patient.animal.genderStatus" />
      <short value="E.g. Neutered, Intact" />
      <definition value="Indicates the current state of the animal's reproductive organs." />
      <requirements value="Gender status can affect housing and animal behavior." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.animal.genderStatus" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="The state of the animal's reproductive organs." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/animal-genderstatus" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="N/A" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="genderStatusCode" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.communication">
      <path value="Patient.communication" />
      <short value="A list of Languages which may be used to communicate with the patient about his or her health" />
      <definition value="Languages which may be used to communicate with the patient about his or her health." />
      <requirements value="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 value="0" />
      <max value="*" />
      <base>
        <path value="Patient.communication" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="children().count() &gt; id.count()" />
        <xpath value="@value|f:*|h:div" />
        <source value="Element" />
      </constraint>
      <mustSupport value="true" />
      <isSummary value="false" />
      <mapping>
        <identity value="rim" />
        <map value="LanguageCommunication" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="patient.languageCommunication" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.communication.id">
      <path value="Patient.communication.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.communication.extension">
      <path value="Patient.communication.extension" />
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.communication.modifierExtension">
      <path value="Patient.communication.modifierExtension" />
      <short value="Extensions that cannot be ignored" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the 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 value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.communication.language">
      <path value="Patient.communication.language" />
      <short value="The language which can be used to communicate with the patient about his or her health" />
      <definition value="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. &quot;en&quot; for English, or &quot;en-US&quot; for American English versus &quot;en-EN&quot; for England English." />
      <requirements value="Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Patient.communication.language" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <isSummary value="false" />
      <binding>
        <strength value="extensible" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PID-15, LAN-2" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".languageCode" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.communication.preferred">
      <path value="Patient.communication.preferred" />
      <short value="Language preference indicator" />
      <definition value="Indicates whether or not the patient prefers this language (over other languages he masters up a certain level)." />
      <requirements value="People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.communication.preferred" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="boolean" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="PID-15" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="preferenceInd" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".preferenceInd" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.generalPractitioner">
      <path value="Patient.generalPractitioner" />
      <short value="Patient's nominated primary care provider" />
      <definition value="Patient's nominated care provider." />
      <alias value="careProvider" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Patient.generalPractitioner" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="PD1-4" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="subjectOf.CareEvent.performer.AssignedEntity" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.managingOrganization">
      <path value="Patient.managingOrganization" />
      <short value="Organization that is the custodian of the patient record" />
      <definition value="Organization that is the custodian of the patient record." />
      <requirements value="Need to know who recognizes this patient record, manages and updates it." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Patient.managingOrganization" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="scoper" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value=".providerOrganization" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.link">
      <path value="Patient.link" />
      <short value="Link to another patient resource that concerns the same actual person" />
      <definition value="Link to another patient resource that concerns the same actual patient." />
      <requirements value="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 value="0" />
      <max value="*" />
      <base>
        <path value="Patient.link" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="children().count() &gt; id.count()" />
        <xpath value="@value|f:*|h:div" />
        <source value="Element" />
      </constraint>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="outboundLink" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.link.id">
      <path value="Patient.link.id" />
      <representation value="xmlAttr" />
      <short value="xml:id (or equivalent in JSON)" />
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.link.extension">
      <path value="Patient.link.extension" />
      <short value="Additional Content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.link.modifierExtension">
      <path value="Patient.link.modifierExtension" />
      <short value="Extensions that cannot be ignored" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the 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 value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.link.other">
      <path value="Patient.link.other" />
      <short value="The other patient or related person resource that the link refers to" />
      <definition value="The other patient resource that the link refers to." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Patient.link.other" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PID-3, MRG-1" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="id" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="Patient:uscorepatient.link.type">
      <path value="Patient.link.type" />
      <short value="replace | refer | seealso - type of link" />
      <definition value="The type of link between this patient resource and another patient resource." />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="Patient.link.type" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <binding>
        <strength value="required" />
        <description value="The type of link between this patient resource and another patient resource." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/link-type" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="typeCode" />
      </mapping>
      <mapping>
        <identity value="cda" />
        <map value="n/a" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Patient:uscorepatient">
      <path value="Patient" />
      <sliceName value="USCorePatient" />
      <short value="US Core Patient Profile" />
      <definition value="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 value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.extension:race">
      <path value="Patient.extension" />
      <sliceName value="race" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://alextesting.org/fhir/us/core/StructureDefinition/us-core-race" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.extension:ethnicity">
      <path value="Patient.extension" />
      <sliceName value="ethnicity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://alextesting.org/fhir/us/core/StructureDefinition/us-core-ethnicity" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.extension:birthsex">
      <path value="Patient.extension" />
      <sliceName value="birthsex" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://alextesting.org/fhir/us/core/StructureDefinition/us-core-birthsex" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
      <binding>
        <strength value="required" />
        <description value="Code for sex assigned at birth" />
        <valueSetReference>
          <reference value="http://alextesting.org/fhir/us/core/ValueSet/us-core-birthsex" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient:uscorepatient.identifier">
      <path value="Patient.identifier" />
      <min value="1" />
      <max value="*" />
      <type>
        <code value="Identifier" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.identifier.system">
      <path value="Patient.identifier.system" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="uri" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.identifier.value">
      <path value="Patient.identifier.value" />
      <short value="The value that is unique within the system." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.name">
      <path value="Patient.name" />
      <min value="1" />
      <max value="*" />
      <type>
        <code value="HumanName" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.name.family">
      <path value="Patient.name.family" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.name.given">
      <path value="Patient.name.given" />
      <min value="1" />
      <max value="*" />
      <type>
        <code value="string" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.gender">
      <path value="Patient.gender" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
      <binding>
        <strength value="required" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administrative-gender" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Patient:uscorepatient.birthDate">
      <path value="Patient.birthDate" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="date" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.animal">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Animal" />
      </extension>
      <path value="Patient.animal" />
      <min value="0" />
      <max value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.communication">
      <path value="Patient.communication" />
      <min value="0" />
      <max value="*" />
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
    </element>
    <element id="Patient:uscorepatient.communication.language">
      <path value="Patient.communication.language" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <isSummary value="false" />
      <binding>
        <strength value="extensible" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages" />
        </valueSetReference>
      </binding>
    </element>
  </differential>
</StructureDefinition>