PackagesCanonicalsLogsProblems
    Packages
    nictiz.fhir.nl.stu3.geboortezorg@1.1.0
    http://nictiz.nl/fhir/StructureDefinition/bc-Child
{
  "description": "A Patient profile for the child Patient as defined by BabyConnect.",
  "_filename": "bc-Child.json",
  "package_name": "nictiz.fhir.nl.stu3.geboortezorg",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "3.0.2",
  "name": "bc-Child",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/Patient-v2.0.1(2015EN)",
    "name": "HCIM Patient-v2.0.1(2015EN)",
    "identity": "hcim-patient-v2.0.1-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/MaritalStatus-v1.2.1(2015EN)",
    "name": "HCIM MaritalStatus-v1.2.1(2015EN)",
    "identity": "hcim-maritalstatus-v1.2.1-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/ContactPerson-v1.2(2015EN)",
    "name": "HCIM ContactPerson-v1.2(2015EN)",
    "identity": "hcim-contactperson-v1.2-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/HealthcareProvider-v1.2(2015EN)",
    "name": "HCIM HealthcareProvider-v1.2(2015EN)",
    "identity": "hcim-healthcareprovider-v1.2-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/HealthProfessional-v1.2.1(2015EN)",
    "name": "HCIM HealthProfessional-v1.2.1(2015EN)",
    "identity": "hcim-healthprofessional-v1.2.1-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/Nationality-v2.0(2015EN)",
    "name": "HCIM Nationality-v2.0(2015EN)",
    "identity": "hcim-nationality-v2.0-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/Payer-v1.2(2015EN)",
    "name": "HCIM Payer-v1.2(2015EN)",
    "identity": "hcim-payer-v1.2-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/Patient-v3.0(2016EN)",
    "name": "HCIM Patient-v3.0(2016EN)",
    "identity": "hcim-patient-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/MaritalStatus-v3.0(2016EN)",
    "name": "HCIM MaritalStatus-v3.0(2016EN)",
    "identity": "hcim-maritalstatus-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/ContactPerson-v3.0(2016EN)",
    "name": "HCIM ContactPerson-v3.0(2016EN)",
    "identity": "hcim-contactperson-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/HealthcareProvider-v3.0(2016EN)",
    "name": "HCIM HealthcareProvider-v3.0(2016EN)",
    "identity": "hcim-healthcareprovider-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/HealthProfessional-v3.0(2016EN)",
    "name": "HCIM HealthProfessional-v3.0(2016EN)",
    "identity": "hcim-healthprofessional-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/Nationality-v3.0(2016EN)",
    "name": "HCIM Nationality-v3.0(2016EN)",
    "identity": "hcim-nationality-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/Payer-v3.0(2016EN)",
    "name": "HCIM Payer-v3.0(2016EN)",
    "identity": "hcim-payer-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/Patient-v3.1(2017EN)",
    "name": "HCIM Patient-v3.1(2017EN)",
    "identity": "hcim-patient-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/MaritalStatus-v3.0(2017EN)",
    "name": "HCIM MaritalStatus-v3.0(2017EN)",
    "identity": "hcim-maritalstatus-v3.0-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/ContactPerson-v3.1(2017EN)",
    "name": "HCIM ContactPerson-v3.1(2017EN)",
    "identity": "hcim-contactperson-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/HealthcareProvider-v3.1(2017EN)",
    "name": "HCIM HealthcareProvider-v3.1(2017EN)",
    "identity": "hcim-healthcareprovider-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/HealthProfessional-v3.1(2017EN)",
    "name": "HCIM HealthProfessional-v3.1(2017EN)",
    "identity": "hcim-healthprofessional-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/Nationality-v3.0(2017EN)",
    "name": "HCIM Nationality-v3.0(2017EN)",
    "identity": "hcim-nationality-v3.0-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/Payer-v3.1(2017EN)",
    "name": "HCIM Payer-v3.1(2017EN)",
    "identity": "hcim-payer-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/ContactInformation-v1.0(2017EN)",
    "name": "HCIM ContactInformation-v1.0(2017EN)",
    "comment": "ContactInformation has become an independent information model as of release 2017 of the HCIMs.",
    "identity": "hcim-contactinformation-v1.0-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/LanguageProficiency-v3.1(2017EN)",
    "name": "HCIM LanguageProficiency-v3.1(2017EN)",
    "identity": "hcim-languageproficiency-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/FreedomRestrictingMeasures-v3.1(2017EN)",
    "name": "HCIM FreedomRestrictingMeasures-v3.1(2017EN)",
    "comment": "Concerns only LegalStatus concept. This will become an independent information model as of release 2018 of the HCIMs.",
    "identity": "hcim-freedomrestrictingmeasures-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
    "name": "HCIM BasicElements-v1.0(2017EN)",
    "identity": "hcim-basicelements-v1.0-2017EN"
  }, {
    "uri": "https://decor.nictiz.nl/art-decor/decor-datasets--peri20-?id=2.16.840.1.113883.2.4.3.11.60.90.77.1.6&effectiveDate=2016-09-08T00%3A00%3A00&conceptId=2.16.840.1.113883.2.4.3.11.60.90.77.2.6.40050&conceptEffectiveDate=2016-09-08T00%3A00%3A00",
    "name": "Geboortezorg Perinatologie 2.3",
    "identity": "gebz-peri-v2.3"
  }, {
    "uri": "https://decor.nictiz.nl/art-decor/decor-datasets-\\-peri20-?id=2.16.840.1.113883.2.4.3.11.60.90.77.1.6&effectiveDate=2016-09-08T00%3A00%3A00&conceptId=2.16.840.1.113883.2.4.3.11.60.90.77.2.6.4&conceptEffectiveDate=2016-09-08T00%3A00%3A00",
    "name": "Geboortezorg 3.2",
    "identity": "gebz-peri-v3.2"
  } ],
  "abstract": false,
  "copyright": "CC0",
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "bc-Child",
  "package_version": "1.1.0",
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "xpath": "not(parent::f:contained and f:contained)",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-1",
        "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
        "xpath": "not(parent::f:contained and f:text)",
        "severity": "error",
        "expression": "contained.text.empty()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-3",
        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
        "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
        "severity": "error",
        "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
      } ],
      "path": "Patient",
      "min": 0,
      "definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
      "short": "Patient",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "Patient[classCode=PAT]",
        "identity": "rim"
      }, {
        "map": "ClinicalDocument.recordTarget.patientRole",
        "identity": "cda"
      }, {
        "map": "administrative.individual",
        "identity": "w5"
      }, {
        "map": "NL-CM:0.1.1",
        "comment": "Patient",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.1",
        "comment": "Patient",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.1",
        "comment": "Patient",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "NL-CM:1.1.2",
        "comment": "PayerPerson",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.2",
        "comment": "PayerPerson",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.2",
        "comment": "PayerPerson",
        "identity": "hcim-payer-v3.1-2017EN"
      }, {
        "map": "NL-CM:0.0.3",
        "comment": "PatientAsInformationSource::Patient",
        "identity": "hcim-basicelements-v1.0-2017EN"
      }, {
        "map": "NL-CM:0.0.8",
        "comment": "PatientAsAuthor::Patient",
        "identity": "hcim-basicelements-v1.0-2017EN"
      }, {
        "map": "NL-CM:0.0.12",
        "comment": "Patient",
        "identity": "hcim-basicelements-v1.0-2017EN"
      }, {
        "map": "peri32-dataelement-1404",
        "comment": "Kind (obstetrie)",
        "identity": "gebz-peri-v3.2"
      }, {
        "map": "peri32-dataelement-1754",
        "comment": "Demografische gegevens",
        "identity": "gebz-peri-v3.2"
      }, {
        "map": "peri32-dataelement-1378",
        "comment": "Patient",
        "identity": "gebz-peri-v3.2"
      }, {
        "map": "peri32-dataelement-1478",
        "comment": "Kind",
        "identity": "gebz-peri-v3.2"
      }, {
        "map": "peri32-dataelement-2747",
        "comment": "Kind",
        "identity": "gebz-peri-v3.2"
      } ],
      "alias": [ "SubjectOfCare Client Resident", "Patiƫnt" ],
      "max": "*",
      "id": "Patient",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Resource"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.id",
      "min": 0,
      "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "short": "Logical id of this artifact",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "id"
      } ],
      "max": "1",
      "id": "Patient.id",
      "condition": [ "ele-1" ],
      "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.id"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.meta",
      "min": 0,
      "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
      "short": "Metadata about the resource",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Meta"
      } ],
      "max": "1",
      "id": "Patient.meta",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.implicitRules",
      "min": 0,
      "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
      "isModifier": true,
      "short": "A set of rules under which this content was created",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Patient.implicitRules",
      "condition": [ "ele-1" ],
      "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.implicitRules"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.language",
      "min": 0,
      "definition": "The base language in which the resource is written.",
      "short": "Language of the resource content",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "extensible",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueReference": {
            "reference": "http://hl7.org/fhir/ValueSet/all-languages"
          }
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "A human language.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      "max": "1",
      "id": "Patient.language",
      "condition": [ "ele-1" ],
      "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.language"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.text",
      "min": 0,
      "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
      "short": "Text summary of the resource, for human interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "Act.text?",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "alias": [ "narrative", "html", "xhtml", "display" ],
      "max": "1",
      "id": "Patient.text",
      "condition": [ "ele-1", "dom-1" ],
      "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "DomainResource.text"
      }
    }, {
      "path": "Patient.contained",
      "min": 0,
      "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
      "short": "Contained, inline Resources",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Resource"
      } ],
      "alias": [ "inline resources", "anonymous resources", "contained resources" ],
      "max": "*",
      "id": "Patient.contained",
      "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.contained"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource. 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.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "Optional Extension Element - found in all resources.",
      "short": "References a patient's preferered pharmacy",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-preferred-pharmacy"
      } ],
      "sliceName": "preferredPharmacy",
      "alias": [ "extensions", "user content", "Verwijst naar de voorkeursapotheek van de patiƫnt" ],
      "max": "1",
      "id": "Patient.extension:preferredPharmacy",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "The nationality of the patient.",
      "short": "Nationality",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:7.6.3",
        "comment": "Nationality",
        "identity": "hcim-nationality-v2.0-2015EN"
      }, {
        "map": "NL-CM:7.6.3",
        "comment": "Nationality",
        "identity": "hcim-nationality-v3.0-2016EN"
      }, {
        "map": "NL-CM:7.6.3",
        "comment": "Nationality",
        "identity": "hcim-nationality-v3.0-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
      } ],
      "sliceName": "nationality",
      "alias": [ "extensions", "user content", "Nationaliteit" ],
      "max": "*",
      "id": "Patient.extension:nationality",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:nationality.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.extension:nationality.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension",
      "min": 0,
      "definition": "Code representing nationality of patient.",
      "short": "Nationality Code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "sliceName": "code",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.extension:nationality.extension:code",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:nationality.extension:code.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.extension:nationality.extension:code.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:nationality.extension:code.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.extension.valueCodeableConcept",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "Indicates the country of citizenship.",
        "valueSetReference": {
          "display": "NationaliteitCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.6.3--20171231000000"
        }
      },
      "max": "1",
      "id": "Patient.extension:nationality.extension:code.value[x]:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension",
      "min": 0,
      "definition": "Period when nationality was effective.",
      "short": "Nationality Period",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "sliceName": "period",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.extension:nationality.extension:period",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:nationality.extension:period.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.extension:nationality.extension:period.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "period",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:nationality.extension:period.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.extension.valuePeriod",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "valuePeriod",
      "max": "1",
      "id": "Patient.extension:nationality.extension:period.value[x]:valuePeriod",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-nationality",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:nationality.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.value[x]",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "base64Binary"
      }, {
        "code": "boolean"
      }, {
        "code": "code"
      }, {
        "code": "date"
      }, {
        "code": "dateTime"
      }, {
        "code": "decimal"
      }, {
        "code": "id"
      }, {
        "code": "instant"
      }, {
        "code": "integer"
      }, {
        "code": "markdown"
      }, {
        "code": "oid"
      }, {
        "code": "positiveInt"
      }, {
        "code": "string"
      }, {
        "code": "time"
      }, {
        "code": "unsignedInt"
      }, {
        "code": "uri"
      }, {
        "code": "Address"
      }, {
        "code": "Age"
      }, {
        "code": "Annotation"
      }, {
        "code": "Attachment"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Coding"
      }, {
        "code": "ContactPoint"
      }, {
        "code": "Count"
      }, {
        "code": "Distance"
      }, {
        "code": "Duration"
      }, {
        "code": "HumanName"
      }, {
        "code": "Identifier"
      }, {
        "code": "Money"
      }, {
        "code": "Period"
      }, {
        "code": "Quantity"
      }, {
        "code": "Range"
      }, {
        "code": "Ratio"
      }, {
        "code": "Reference"
      }, {
        "code": "SampledData"
      }, {
        "code": "Signature"
      }, {
        "code": "Timing"
      }, {
        "code": "Meta"
      } ],
      "max": "0",
      "id": "Patient.extension:nationality.value[x]",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.",
      "short": "legalStatus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:14.3.2",
        "comment": "LegalStatus",
        "identity": "hcim-freedomrestrictingmeasures-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus"
      } ],
      "sliceName": "legalStatus",
      "alias": [ "extensions", "user content" ],
      "max": "2",
      "id": "Patient.extension:legalStatus",
      "condition": [ "ele-1" ],
      "comment": "The concept LegalStatus of the HCIM FreedomRestrictingMeasures plays an importand role in the context of mental healthcare (GGZ). This concept will become an independent HCIM with the next release of HCIM (2018 release).  \r\n\r\nThe LegalStatus concept and associated valueset will be split in two: legalstatus and guardianship. These concept are currently captured in one valueset. It is possible to have a legalstatus AND a representative. Therefore, we allow this extension to have a cardinality of 0..2.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:legalStatus.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.extension:legalStatus.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:legalStatus.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept",
      "min": 1,
      "definition": "The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.",
      "short": "LegalStatus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "LegalStatusCodelist",
        "valueSetReference": {
          "display": "JuridischeStatusCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000"
        }
      },
      "alias": [ "JuridischeStatus" ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "code": [ {
        "code": "303186005",
        "system": "http://snomed.info/sct",
        "display": "Legal status of patient (observable entity)"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.valueCodeableConcept.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding",
      "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min": 1,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "max": "*",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding.system",
      "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
      "min": 1,
      "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
      "short": "Identity of the terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.3",
        "identity": "v2"
      }, {
        "map": "./codeSystem",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding.system",
      "condition": [ "ele-1" ],
      "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding.version",
      "min": 0,
      "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
      "short": "Version of the system - if relevant",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.7",
        "identity": "v2"
      }, {
        "map": "./codeSystemVersion",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding.version",
      "condition": [ "ele-1" ],
      "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.version"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding.code",
      "requirements": "Need to refer to a particular code in the system.",
      "min": 1,
      "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
      "short": "Symbol in syntax defined by the system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.1",
        "identity": "v2"
      }, {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding.code",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding.display",
      "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
      "min": 0,
      "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
      "short": "Representation defined by the system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.2 - but note this is not well followed",
        "identity": "v2"
      }, {
        "map": "CV.displayName",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding.display",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.coding.userSelected",
      "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
      "min": 0,
      "definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
      "short": "If this coding was chosen directly by the user",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Sometimes implied by being first",
        "identity": "v2"
      }, {
        "map": "CD.codingRationale",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.coding.userSelected",
      "condition": [ "ele-1" ],
      "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.userSelected"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueCodeableConcept.text",
      "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min": 0,
      "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.extension:legalStatus.value[x]:valueCodeableConcept.text",
      "condition": [ "ele-1" ],
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
      "short": "Place of Birth for patient",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace"
      } ],
      "sliceName": "birthPlace",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.extension:birthPlace",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:birthPlace.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.extension:birthPlace.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/birthPlace",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:birthPlace.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "nl-streetname-if-official-and-other-line-parts",
        "human": "Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value",
        "xpath": "not(.[f:extension[@url='http://fhir.nl/fhir/StructureDefinition/nl-core-address-official'][f:valueBoolean/@value='true']][f:line[empty(f:extension[@url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName'])][f:extension[@url=('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber','http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix','http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator')]]])",
        "severity": "error",
        "expression": "(extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not()))",
        "requirements": "This constraint checks conformance against the Dutch BRP constraints on address parts. However: when you only send postalCode + houseNumber which is enough for certain cases this may still be a valid address"
      } ],
      "path": "Patient.extension.valueAddress",
      "min": 0,
      "definition": "This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the HCIM AddressInformation (v1.0, 2017). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.\r\n\r\nTo have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.\r\n\r\n**Separate address parts**\r\n\r\nThe first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.\r\n\r\n**Custom address types**\r\n\r\nThe second addition is that the HCIM defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the HCIM concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The HCIM code itself should also be included using the AddressType extension.\r\n\r\n         | HCIM                              | .ext:AddressType | .ext:official | .use | .type    |\r\n\r\n         |-----------------------------------|------------------|---------------|------|----------|\r\n\r\n         | Postal Address/Postadres          | PST              |               |      | postal   |\r\n\r\n         | Primary Home/Officieel adres      | HP               | true          | home |          |\r\n\r\n         | Visit Address/Woon-/verblijfadres | PHYS             |               | home | physical |\r\n\r\n         | Temporary Address/Tijdelijk adres | TMP              |               | temp |          |\r\n\r\n         | Work Place/Werkadres              | WP               |               | work |          |\r\n\r\n         | Vacation Home/Vakantie adres      | HV               |               | temp |          |\r\n\r\n If Address.type is \"both\" then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.\r\n\r\nNOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.",
      "short": "Address information",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "XAD",
        "identity": "v2"
      }, {
        "map": "AD",
        "identity": "rim"
      }, {
        "map": "Address",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.1",
        "comment": "AddressInformation",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "Address",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address"
      } ],
      "sliceName": "valueAddress",
      "alias": [ "AdresInformatie" ],
      "max": "1",
      "id": "Patient.extension:birthPlace.valueAddress:valueAddress",
      "condition": [ "ele-1", "nl-streetname-if-official-and-other-line-parts" ],
      "comment": "Note: address is for postal addresses, not physical locations.",
      "example": [ {
        "label": "Example of a Vacation Home address",
        "valueAddress": {
          "use": "temp",
          "city": "Amsterdam",
          "line": [ "Binnenkant 12A Hoog" ],
          "_line": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Binnenkant"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "12"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix",
              "valueString": "A"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
              "valueString": "Hoog"
            } ]
          } ],
          "state": "NH",
          "country": "NLD",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "HV",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Vakantie adres"
              } ]
            }
          } ],
          "postalCode": "1000AA"
        }
      }, {
        "label": "Example of a Primary Home address",
        "valueAddress": {
          "use": "home",
          "city": "Amsterdam",
          "line": [ "Binnenkant to 10" ],
          "_line": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Binnenkant"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
              "valueString": "to"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "10"
            } ]
          } ],
          "state": "NH",
          "country": "NLD",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "HP",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Officieel adres"
              } ]
            }
          }, {
            "url": "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official",
            "valueBoolean": true
          } ],
          "postalCode": "1001AA"
        }
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.",
      "short": "Place of Birth for patient",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace"
      } ],
      "sliceName": "birthPlace",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.extension:birthPlace",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:birthPlace.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.extension:birthPlace.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/birthPlace",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.extension:birthPlace.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.extension.valueAddress",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Address"
      } ],
      "sliceName": "valueAddress",
      "max": "1",
      "id": "Patient.extension:birthPlace.valueAddress:valueAddress",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.modifierExtension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "The Burgerservicenummer or BSN, as one of the possible patient identification numbers, should at least be sent unless there is a reason not to. Reasons for not sending the burgerservicenummer include but are not limited to, research and apps without a contract for processing data (Dutch: bewerkingsovereenkomst).",
      "short": "PatientIdentificationNumber",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
        "identity": "v2"
      }, {
        "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",
        "identity": "rim"
      }, {
        "map": "Identifier",
        "identity": "servd"
      }, {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      }, {
        "map": "NL-CM:0.1.7",
        "comment": "PatientIdentificationNumber",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.7",
        "comment": "PatientIdentificationNumber",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.7",
        "comment": "PatientIdentificationNumber",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "NL-CM:0.0.6",
        "comment": "IdentificationNumber",
        "identity": "hcim-basicelements-v1.0-2017EN"
      }, {
        "map": "peri23-dataelement-40007",
        "comment": "Identificaties kind",
        "identity": "gebz-peri-v2.3"
      }, {
        "map": "peri23-dataelement-40011",
        "comment": "Lokale identificaties kind",
        "identity": "gebz-peri-v2.3"
      }, {
        "map": "peri23-dataelement-40015",
        "comment": "Identificatie kind PRN formaat",
        "identity": "gebz-peri-v2.3"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Identifier"
      } ],
      "alias": [ "Identificatienummer" ],
      "max": "*",
      "id": "Patient.identifier",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "An identifier for this patient.",
      "short": "BSN",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
        "identity": "v2"
      }, {
        "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",
        "identity": "rim"
      }, {
        "map": "Identifier",
        "identity": "servd"
      }, {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      }, {
        "map": "peri23-dataelement-40010",
        "comment": "BSN kind",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "BSN",
      "alias": [ "BSN" ],
      "max": "1",
      "id": "Patient.identifier:BSN",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.identifier:BSN.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.identifier.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.identifier:BSN.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.use",
      "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
      "min": 0,
      "definition": "The purpose of this identifier.",
      "isModifier": true,
      "short": "usual | official | temp | secondary (If known)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierUse"
        } ],
        "description": "Identifies the purpose for this identifier, if known .",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-use"
        }
      },
      "max": "1",
      "id": "Patient.identifier:BSN.use",
      "condition": [ "ele-1" ],
      "comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.use"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 0,
      "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
      "short": "Description of identifier",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-type"
        }
      },
      "max": "1",
      "id": "Patient.identifier:BSN.type",
      "condition": [ "ele-1" ],
      "comment": "This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. \n\nWhere the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.type"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.system",
      "requirements": "There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
      "min": 1,
      "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
      "short": "The namespace for the identifier value",
      "fixedUri": "http://fhir.nl/fhir/NamingSystem/bsn",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX.4 / EI-2-4",
        "identity": "v2"
      }, {
        "map": "II.root or Role.id.root",
        "identity": "rim"
      }, {
        "map": "./IdentifierType",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Patient.identifier:BSN.system",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "Burgerservicenummer is the Dutch person identification number which is also allowed for use in healthcare.",
      "short": "BSN (Burgerservicenummer (Dutch person identification number))",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX.1 / EI.1",
        "identity": "v2"
      }, {
        "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)",
        "identity": "rim"
      }, {
        "map": "./Value",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "BSN" ],
      "max": "1",
      "id": "Patient.identifier:BSN.value",
      "condition": [ "ele-1" ],
      "comment": "The official format according to the 'Logisch Ontwerp BSN 1.4.pdf' is N8..9 and SHALL conform to an 11-proof algorithm. In order to check if the number is 11-proof the number, if N8, SHALL be prefixed with a leading zero. The expected format in FHIR is N9 with leading zero applied to any N8 bsn.",
      "example": [ {
        "label": "General",
        "valueString": "123456"
      }, {
        "label": "Example of a burgerservicenummer",
        "valueString": "123456782"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)",
        "severity": "error",
        "expression": "start.empty() or end.empty() or (start <= end)"
      } ],
      "path": "Patient.identifier.period",
      "min": 0,
      "definition": "Time period during which identifier is/was valid for use.",
      "short": "Time period when id is/was valid for use",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "CX.7 + CX.8",
        "identity": "v2"
      }, {
        "map": "Role.effectiveTime or implied by context",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.identifier:BSN.period",
      "condition": [ "ele-1" ],
      "comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"
      } ],
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "CX.4 / (CX.4,CX.9,CX.10)",
        "identity": "v2"
      }, {
        "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper",
        "identity": "rim"
      }, {
        "map": "./IdentifierIssuingAuthority",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
      } ],
      "max": "1",
      "id": "Patient.identifier:BSN.assigner",
      "condition": [ "ele-1" ],
      "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.assigner"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.active",
      "requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
      "min": 0,
      "definition": "This field determines the status of the 'patient' record in the context of the organization that owns the record. Note that the record is not the medical record, but rather the actual patient 'resource'. Obviously when the patient 'resource' is not active, then by extension his medical record might also be inactive. Patient.active='false' may be used discourage use of the record, but that it is kept beause there is (medical) data attached to it. Another use case is a patient moving to a different GP practice. Patient.active would be 'false' in the system of the previous GP.",
      "isModifier": true,
      "short": "Whether this patient's record is in active use",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "statusCode",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "status",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "defaultValueBoolean": true,
      "max": "1",
      "id": "Patient.active",
      "condition": [ "ele-1" ],
      "comment": "Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient\n\nThis element is labeled as a modifier because when the patient record is marked as not active it is not expected to be used/referenced without being changed back to active.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.active"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "nl-core-humanname-1",
        "human": "if you specify a prefix for an own name then an own name is also expected",
        "xpath": "not(f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-own-prefix']) or f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-own-name']",
        "severity": "error",
        "expression": "name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()"
      }, {
        "key": "nl-core-humanname-2",
        "human": "if you specify a voorvoegsel for a partner name then a partner name is also expected",
        "xpath": "not(f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix']) or f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-partner-name']",
        "severity": "error",
        "expression": "name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()"
      } ],
      "path": "Patient.name",
      "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
      "min": 0,
      "definition": "A human's name with the ability to identify parts and usage.",
      "short": "NameInformation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN",
        "identity": "v2"
      }, {
        "map": "EN (actually, PN)",
        "identity": "rim"
      }, {
        "map": "ProviderName",
        "identity": "servd"
      }, {
        "map": "PID-5, PID-9",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": ".patient.name",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.6",
        "comment": "NameInformation",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.6",
        "comment": "NameInformation",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.1",
        "comment": "NameInformation",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "02",
        "comment": "Naam",
        "identity": "BRP"
      }, {
        "map": "NL-CM:0.1.6",
        "comment": "NameInformation",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.6",
        "comment": "NameInformation",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.6",
        "comment": "NameInformation",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v3.1-2017EN"
      }, {
        "map": "peri23-dataelement-82051",
        "comment": "Naamgegevens kind",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "HumanName",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-humanname"
      } ],
      "alias": [ "Naamgegevens" ],
      "max": "*",
      "id": "Patient.name",
      "condition": [ "ele-1" ],
      "comment": "Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.\r\n\r\nA Dutch HumanName is a proper FHIR HumanName. Systems that do not understand any of the extensions, will be able to render and work with a Dutch name. Dutch names make certain name parts seaprately communicable. These parts are required for use in true Dutch systems when dealing with Dutch names, but may not have value for international systems when information gets sent abroad.\r\n\r\nTo have true compatibility an implementer SHOULD use the core HumanName parts as intended. To have names work for Dutch context, the implementer SHOULD in addition use the extension elements.\r\n\r\nThe extension elements cover birth name (NL: eigennaam / geslachtsnaam) and partner/spouse name. Both may have a prefix (NL: voorvoegsel). When a person marries, he or she may keep their own name, assume the partner name, append the partner name to their own name, or the other way around.\r\n\r\nFor this reason, there are extensions for marking each part for what it is. \r\n\r\nExample: miss Irma Jongeneel marries mister de Haas and assumes the name Irma Jongeneel-de Haas\r\nfamily = \"Jongeneel-de Haas\"\r\ngiven = \"Irma\"\r\nhumanname-own-name = \"Jongeneel\"\r\nhumanname-partner-prefix = \"de \"\r\nhumanname-partner-name = \"Haas\"",
      "example": [ {
        "label": "Structured HumanName (preferred above unstructured)",
        "valueHumanName": {
          "use": "official",
          "given": [ "Irma", "I." ],
          "_given": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
              "valueCode": "CL"
            } ]
          }, {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
              "valueCode": "IN"
            } ]
          } ],
          "family": "Jongeneel-de Haas",
          "_family": {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
              "valueString": "Jongeneel"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix",
              "valueString": "de"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/humanname-partner-name",
              "valueString": "Haas"
            } ]
          },
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
            "valueCode": "NL4"
          } ]
        }
      }, {
        "label": "Unstructured HumanName",
        "valueHumanName": {
          "use": "official",
          "text": "Irma Jongeneel-de Haas"
        }
      } ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.name"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.name.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.extension",
      "min": 0,
      "definition": "A code that represents the preferred display order of the components of this human name.",
      "short": "Preferred display order of name parts",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.34",
        "comment": "NameUsage. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.34",
        "comment": "NameUsage. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.7",
        "comment": "NameUsage. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
      } ],
      "sliceName": "humannameAssemblyOrder",
      "binding": {
        "strength": "required",
        "description": "Human Name Assembly Order",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
              "reference": "http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/name-assembly-order"
        }
      },
      "alias": [ "extensions", "user content", "Voorkeursvolgorde van de naamdelen." ],
      "max": "1",
      "id": "Patient.name.extension:humannameAssemblyOrder",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.extension:humannameAssemblyOrder.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.name.extension:humannameAssemblyOrder.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.extension:humannameAssemblyOrder.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.extension.valueCode",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "sliceName": "valueCode",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "HumanNameAssemblyOrder"
        } ],
        "description": "A code that represents the preferred display order of the components of a human name",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/name-assembly-order"
        }
      },
      "max": "1",
      "id": "Patient.name.extension:humannameAssemblyOrder.value[x]:valueCode",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.use",
      "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
      "min": 0,
      "definition": "Identifies the purpose for this name.",
      "isModifier": true,
      "short": "usual | official | temp | nickname | anonymous | old | maiden",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.7, but often indicated by which field contains the name",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./NamePurpose",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "NameUse"
        } ],
        "description": "The use of a human name",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/name-use"
        }
      },
      "max": "1",
      "id": "Patient.name.use",
      "condition": [ "ele-1" ],
      "comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.use"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "A full text representation of the name.",
      "short": "Text representation of the full name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "implied by XPN.11",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.name.text",
      "condition": [ "ele-1" ],
      "comment": "Can provide both a text representation and structured parts.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family",
      "min": 0,
      "definition": "The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.",
      "short": "Surname",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.1/FN.1",
        "identity": "v2"
      }, {
        "map": "./part[partType = FAM]",
        "identity": "rim"
      }, {
        "map": "./FamilyName",
        "identity": "servd"
      }, {
        "map": "peri23-dataelement-82053",
        "comment": "Achternaam",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "surname", "Achternaam" ],
      "max": "1",
      "id": "Patient.name.family",
      "condition": [ "ele-1" ],
      "comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.family"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.name.family.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension",
      "min": 0,
      "definition": "The prefix portion (e.g. voorvoegsel) inclusive of the space between the prefix and the surname, if applicable, of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.",
      "short": "PrefixOwnName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.2",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (VV, R)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.38",
        "comment": "Prefix",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.38",
        "comment": "Prefix",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.11",
        "comment": "Prefix",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "peri23-dataelement-82054",
        "comment": "Voorvoegsel",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
      } ],
      "sliceName": "humannameOwnPrefix",
      "alias": [ "extensions", "user content", "VoorvoegselGeslachtsnaam" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnPrefix",
      "condition": [ "ele-1" ],
      "comment": "An example of a voorvoegsel is the \"van\" in \"Ludwig van Beethoven\". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnPrefix.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.name.family.extension:humannameOwnPrefix.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnPrefix.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnPrefix.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension",
      "min": 0,
      "definition": "The person’s official last name.",
      "short": "OwnName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.3",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (BR)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.24",
        "comment": "LastName",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.24",
        "comment": "LastName",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.10",
        "comment": "LastName",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-own-name"
      } ],
      "sliceName": "humannameOwnName",
      "alias": [ "extensions", "user content", "Geslachtsnaam" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnName",
      "condition": [ "ele-1" ],
      "comment": "The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's \"maiden name\".",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnName.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.name.family.extension:humannameOwnName.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnName.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.name.family.extension:humannameOwnName.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension",
      "min": 0,
      "definition": "Voorvoegsel derived from person's partner's surname inclusive of the space between the prefix and the surname, if applicable.",
      "short": "PrefixSurname",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.4",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (VV, SP)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.39",
        "comment": "PartnerPrefix",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.39",
        "comment": "PartnerPrefix",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.9",
        "comment": "PartnerPrefix",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "peri23-dataelement-82054",
        "comment": "Voorvoegsel",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"
      } ],
      "sliceName": "humannamePartnerPrefix",
      "alias": [ "extensions", "user content", "VoorvoegselGeslachtsnaamPartner" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerPrefix",
      "condition": [ "ele-1" ],
      "comment": "An example of a voorvoegsel is the \"van\" in \"Ludwig van Beethoven\". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerPrefix.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.name.family.extension:humannamePartnerPrefix.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerPrefix.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerPrefix.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension",
      "min": 0,
      "definition": "Partner’s official last name.",
      "short": "LastNamePartner",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.5",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (SP)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.25",
        "comment": "PartnerLastName",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.25",
        "comment": "PartnerLastName",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.8",
        "comment": "PartnerLastName",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-partner-name"
      } ],
      "sliceName": "humannamePartnerName",
      "alias": [ "extensions", "user content", "GeslachtsnaamPartner" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerName",
      "condition": [ "ele-1" ],
      "comment": "The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's \"maiden name\".",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerName.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.name.family.extension:humannamePartnerName.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-partner-name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerName.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.name.family.extension:humannamePartnerName.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.name.family.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.family.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.given",
      "min": 0,
      "definition": "Note that in order to mark the type of a given name, that you use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include call me name (Dutch: roepnaam) and initials. Each initial is expected to be delimited by a dot.",
      "short": "Given",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.2 + XPN.3",
        "identity": "v2"
      }, {
        "map": "./part[partType = GIV]",
        "identity": "rim"
      }, {
        "map": "./GivenNames",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.26",
        "comment": "FirstNames. Qualifier 'BR'",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.35",
        "comment": "Initials. Qualifier 'IN'",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.27",
        "comment": "GivenName. Qualifier 'CL'",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "02.10",
        "comment": "Voornamen",
        "identity": "BRP"
      }, {
        "map": "NL-CM:0.1.26",
        "comment": "FirstNames. Qualifier 'BR'",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.35",
        "comment": "Initials. Qualifier 'IN'",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.27",
        "comment": "GivenName. Qualifier 'CL'",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.4",
        "comment": "FirstNames. Qualifier 'BR'",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "NL-CM:20.4.5",
        "comment": "Initials. Qualifier 'IN'",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "NL-CM:20.4.6",
        "comment": "GivenName. Qualifier 'CL'",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "peri23-dataelement-82353",
        "comment": "Voornamen",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "first name", "middle name", "Voornamen", "Initialen", "Roepnaam" ],
      "max": "*",
      "id": "Patient.name.given",
      "condition": [ "ele-1" ],
      "comment": "To be conformant to the Zib for NameInformation, at least the following qualifiers SHALL be supported: BR, IN and CL. The qualifier 'BR' maps to the Zib concept FirstNames, 'IN' maps to Initials and 'CL' to GivenName.",
      "orderMeaning": "Given Names appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.given"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.given.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.given.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.given.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.name.given.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.given.extension",
      "min": 0,
      "definition": "A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.",
      "isModifier": false,
      "short": "LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ENXP.qualifier",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
      } ],
      "sliceName": "iso21090EnQualifier",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.name.given.extension:iso21090EnQualifier",
      "condition": [ "ele-1" ],
      "comment": "Used to indicate additional information about the name part and how it should be used.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.given.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.given.extension:iso21090EnQualifier.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.given.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.name.given.extension:iso21090EnQualifier.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.given.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.given.extension:iso21090EnQualifier.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.given.extension.valueCode",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "sliceName": "valueCode",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EntityNamePartQualifier"
        } ],
        "description": "A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/name-part-qualifier"
        }
      },
      "max": "1",
      "id": "Patient.name.given.extension:iso21090EnQualifier.value[x]:valueCode",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.name.given.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name.given.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.prefix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.",
      "short": "Parts that come before the name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.5",
        "identity": "v2"
      }, {
        "map": "./part[partType = PFX]",
        "identity": "rim"
      }, {
        "map": "./TitleCode",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.name.prefix",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "orderMeaning": "Prefixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.prefix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.name.suffix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.",
      "short": "Parts that come after the name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN/4",
        "identity": "v2"
      }, {
        "map": "./part[partType = SFX]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.name.suffix",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "orderMeaning": "Suffixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.suffix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)",
        "severity": "error",
        "expression": "start.empty() or end.empty() or (start <= end)"
      } ],
      "path": "Patient.name.period",
      "requirements": "Allows names to be placed in historical context.",
      "min": 0,
      "definition": "Indicates the period of time when this name was valid for the named person.",
      "short": "Time period when name was/is in use",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "XPN.13 + XPN.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.name.period",
      "condition": [ "ele-1" ],
      "comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "cpt-2",
        "human": "A system is required if a value is provided.",
        "xpath": "not(exists(f:value)) or exists(f:system)",
        "severity": "error",
        "expression": "value.empty() or system.exists()"
      } ],
      "path": "Patient.telecom",
      "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
      "min": 0,
      "definition": "A contact detail for the individual. Note that there is no support for multiple use values like 'mobile business'.",
      "short": "ContactInformation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XTN",
        "identity": "v2"
      }, {
        "map": "TEL",
        "identity": "rim"
      }, {
        "map": "ContactPoint",
        "identity": "servd"
      }, {
        "map": "PID-13, PID-14, PID-40",
        "identity": "v2"
      }, {
        "map": "telecom",
        "identity": "rim"
      }, {
        "map": ".telecom",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.5",
        "comment": "ContactInformation",
        "identity": "hcim-contactinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.5",
        "comment": "ContactInformation",
        "identity": "hcim-contactinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.6.1",
        "comment": "ContactInformation",
        "identity": "hcim-contactinformation-v1.0-2017EN"
      }, {
        "map": "NL-CM:0.1.5",
        "comment": "ContactInformation",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.5",
        "comment": "ContactInformation",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.5",
        "comment": "ContactInformation",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "NL-CM:1.1.12",
        "comment": "TelephoneEmail::ContactInformation",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.12",
        "comment": "TelephoneEmail::ContactInformation",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.12",
        "comment": "ContactInformation",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "ContactPoint",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-contactpoint"
      } ],
      "alias": [ "Contactgegevens" ],
      "max": "*",
      "id": "Patient.telecom",
      "condition": [ "ele-1" ],
      "comment": "A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
      "example": [ {
        "label": "Mobile business phone number. Note: the mobile nature stems from the number being an 06-* number.",
        "valueContactPoint": {
          "use": "work",
          "value": "+31611234567",
          "system": "phone"
        }
      }, {
        "label": "Mobile phone number undetermined private/business. Note: the mobile nature stems from the number being an 06-* number.",
        "valueContactPoint": {
          "use": "mobile",
          "value": "+31611234567",
          "system": "phone"
        }
      }, {
        "label": "Primary Home Land Line",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "LL",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Land Line"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Land Line",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "LL",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Land Line"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Land Line",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "LL",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Land Line"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Home Fax",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "fax",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "FAX",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Fax"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Fax",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "fax",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "FAX",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Fax"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Fax",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "fax",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "FAX",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Fax"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Home Mobile Phone",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "MC",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Mobile Phone"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Mobile Phone",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "MC",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Mobile Phone"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Mobile Phone",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "MC",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Mobile Phone"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Home Pager",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "pager",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "PG",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Pager"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Pager",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "pager",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "PG",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Pager"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Pager",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "pager",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "PG",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Pager"
              } ]
            }
          } ]
        }
      }, {
        "label": "Private email address",
        "valueContactPoint": {
          "use": "home",
          "value": "giesput@myweb.nl",
          "system": "email"
        }
      }, {
        "label": "Work email address",
        "valueContactPoint": {
          "use": "work",
          "value": "example@workplace.nl",
          "system": "email"
        }
      } ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.telecom"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender",
      "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.",
      "min": 0,
      "definition": "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
      "short": "Gender",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "PID-8",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
        "identity": "rim"
      }, {
        "map": ".patient.administrativeGenderCode",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.9",
        "comment": "Gender. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/GeslachtCodelijst-to-Administrative-gender",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.9",
        "comment": "Gender. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/GeslachtCodelijst-to-Administrative-gender",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.9",
        "comment": "Gender. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/GeslachtCodelijst-to-AdministrativeGender",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "peri23-dataelement-40040",
        "comment": "Geslacht (administratief)",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The gender of a person used for administrative purposes.",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "GeslachtCodelijst-to-AdministrativeGender",
              "reference": "http://nictiz.nl/fhir/ConceptMap/GeslachtCodelijst-to-AdministrativeGender"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
        }
      },
      "alias": [ "Geslacht" ],
      "max": "1",
      "id": "Patient.gender",
      "condition": [ "ele-1" ],
      "comment": "The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a \"hard\" error.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.gender"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.gender.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.gender.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.gender.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.gender.extension",
      "min": 0,
      "definition": "Patient’s administrative gender.",
      "short": "Gender",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
      } ],
      "sliceName": "GeslachtCodelijst",
      "alias": [ "extensions", "user content", "Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.", "Geslacht" ],
      "max": "1",
      "id": "Patient.gender.extension:GeslachtCodelijst",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.gender.extension:GeslachtCodelijst.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.gender.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.gender.extension:GeslachtCodelijst.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/code-specification",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.gender.extension:GeslachtCodelijst.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender.extension.valueCodeableConcept",
      "min": 1,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "GeslachtCodelijst",
        "valueSetReference": {
          "display": "GeslachtCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1--20171231000000"
        }
      },
      "max": "1",
      "id": "Patient.gender.extension:GeslachtCodelijst.value[x]:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.gender.extension",
      "min": 0,
      "definition": "Optional Extension Element - found in all resources.",
      "short": "Optional Extensions Element",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "peri23-dataelement-40041",
        "comment": "Geslacht (medische observatie)",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/bc-patient-birthSex"
      } ],
      "sliceName": "birthSex",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.gender.extension:birthSex",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.gender.extension:birthSex.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.gender.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.gender.extension:birthSex.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/bc-patient-birthSex",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.gender.extension:birthSex.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.gender.extension.valueCodeableConcept",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "GenderMedisch",
        "valueSetReference": {
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.110--20140121091710"
        }
      },
      "max": "1",
      "id": "Patient.gender.extension:birthSex.valueCodeableConcept:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.gender.value",
      "min": 0,
      "definition": "Primitive value for code",
      "short": "Primitive value for code",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:token"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:token"
          } ]
        },
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex",
          "valueString": "[^\\s]+([\\s]?[^\\s]+)*"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.gender.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.birthDate",
      "requirements": "Age of the individual drives many clinical processes.",
      "min": 0,
      "definition": "The date of birth for the individual.",
      "short": "Patients date of birth. The date of birth is mandatory for a patient. An incomplete date, e.g. only year or only year + month, is permitted.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "PID-7",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime",
        "identity": "rim"
      }, {
        "map": ".patient.birthTime",
        "identity": "cda"
      }, {
        "map": "21112-8",
        "identity": "loinc"
      }, {
        "map": "NL-CM:0.1.10",
        "comment": "DateOfBirth",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.10",
        "comment": "DateOfBirth",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.10",
        "comment": "DateOfBirth",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "peri23-dataelement-80702",
        "comment": "Geboortedatum",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "alias": [ "Geboortedatum" ],
      "max": "1",
      "id": "Patient.birthDate",
      "condition": [ "ele-1" ],
      "comment": "At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternaty/infant care systems).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.birthDate"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.birthDate.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.birthDate.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.birthDate.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.birthDate.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.birthDate.extension",
      "min": 0,
      "definition": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively.",
      "short": "Time of day of birth",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "peri23-dataelement-40050",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
      } ],
      "sliceName": "birthTime",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.birthDate.extension:birthTime",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.birthDate.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.birthDate.extension:birthTime.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.birthDate.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.birthDate.extension:birthTime.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.birthDate.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.birthDate.extension:birthTime.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.birthDate.extension.valueDateTime",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "valueDateTime",
      "max": "1",
      "id": "Patient.birthDate.extension:birthTime.valueDateTime:valueDateTime",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.birthDate.value",
      "min": 0,
      "definition": "Primitive value for date",
      "short": "Primitive value for date",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:gYear OR xsd:gYearMonth OR xsd:date"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:gYear OR xsd:gYearMonth OR xsd:date"
          } ]
        },
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex",
          "valueString": "-?[0-9]{4}(-(0[1-9]|1[0-2])(-(0[0-9]|[1-2][0-9]|3[0-1]))?)?"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.birthDate.value",
      "base": {
        "max": "1",
        "min": 0,
        "path": "date.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.deceased[x]",
      "requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.",
      "min": 0,
      "definition": "Indicates if the individual is deceased or not.",
      "isModifier": true,
      "short": "DeathIndicator/DateOfDeath",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "PID-30  (bool) and PID-29 (datetime)",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.32",
        "comment": "DeathIndicator",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.32",
        "comment": "DeathIndicator",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.32",
        "comment": "DeathIndicator",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "NL-CM:0.1.33",
        "comment": "DateOfDeath",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.33",
        "comment": "DateOfDeath",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.33",
        "comment": "DateOfDeath",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "peri23-dataelement-40280",
        "comment": "Perinatale sterfte?",
        "identity": "gebz-peri-v2.3"
      }, {
        "map": "peri23-dataelement-40300",
        "comment": "Datum/tijd vaststelling perinatale sterfte",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "boolean"
      }, {
        "code": "dateTime"
      } ],
      "alias": [ "Overlijdensindicator/DatumOverlijden" ],
      "max": "1",
      "id": "Patient.deceased[x]",
      "condition": [ "ele-1" ],
      "comment": "If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.\n\nThis element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.deceased[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "nl-streetname-if-official-and-other-line-parts",
        "human": "Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value",
        "xpath": "not(.[f:extension[@url='http://fhir.nl/fhir/StructureDefinition/nl-core-address-official'][f:valueBoolean/@value='true']][f:line[empty(f:extension[@url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName'])][f:extension[@url=('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber','http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix','http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator')]]])",
        "severity": "error",
        "expression": "(extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not()))",
        "requirements": "This constraint checks conformance against the Dutch BRP constraints on address parts. However: when you only send postalCode + houseNumber which is enough for certain cases this may still be a valid address"
      } ],
      "path": "Patient.address",
      "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
      "min": 0,
      "definition": "This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the HCIM AddressInformation (v1.0, 2017). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.\r\n\r\nTo have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.\r\n\r\n**Separate address parts**\r\n\r\nThe first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.\r\n\r\n**Custom address types**\r\n\r\nThe second addition is that the HCIM defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the HCIM concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The HCIM code itself should also be included using the AddressType extension.\r\n\r\n         | HCIM                              | .ext:AddressType | .ext:official | .use | .type    |\r\n\r\n         |-----------------------------------|------------------|---------------|------|----------|\r\n\r\n         | Postal Address/Postadres          | PST              |               |      | postal   |\r\n\r\n         | Primary Home/Officieel adres      | HP               | true          | home |          |\r\n\r\n         | Visit Address/Woon-/verblijfadres | PHYS             |               | home | physical |\r\n\r\n         | Temporary Address/Tijdelijk adres | TMP              |               | temp |          |\r\n\r\n         | Work Place/Werkadres              | WP               |               | work |          |\r\n\r\n         | Vacation Home/Vakantie adres      | HV               |               | temp |          |\r\n\r\n If Address.type is \"both\" then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.\r\n\r\nNOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.",
      "short": "AddressInformation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD",
        "identity": "v2"
      }, {
        "map": "AD",
        "identity": "rim"
      }, {
        "map": "Address",
        "identity": "servd"
      }, {
        "map": "PID-11",
        "identity": "v2"
      }, {
        "map": "addr",
        "identity": "rim"
      }, {
        "map": ".addr",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.1",
        "comment": "AddressInformation",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "NL-CM:1.1.17",
        "comment": "AddressInformation",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.17",
        "comment": "Address",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.17",
        "comment": "AddressInformation",
        "identity": "hcim-payer-v3.1-2017EN"
      }, {
        "map": "peri32-dataelement-1379",
        "comment": "Adresgegevens (tbv hielprik)",
        "identity": "gebz-peri-v3.2"
      } ],
      "type": [ {
        "code": "Address",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address"
      } ],
      "alias": [ "AdresInformatie", "Adresgegevens" ],
      "max": "*",
      "id": "Patient.address",
      "condition": [ "ele-1", "nl-streetname-if-official-and-other-line-parts" ],
      "comment": "Note: address is for postal addresses, not physical locations.",
      "example": [ {
        "label": "Example of a Vacation Home address",
        "valueAddress": {
          "use": "temp",
          "city": "Amsterdam",
          "line": [ "Binnenkant 12A Hoog" ],
          "_line": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Binnenkant"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "12"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix",
              "valueString": "A"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
              "valueString": "Hoog"
            } ]
          } ],
          "state": "NH",
          "country": "NLD",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "HV",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Vakantie adres"
              } ]
            }
          } ],
          "postalCode": "1000AA"
        }
      }, {
        "label": "Example of a Primary Home address",
        "valueAddress": {
          "use": "home",
          "city": "Amsterdam",
          "line": [ "Binnenkant to 10" ],
          "_line": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Binnenkant"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
              "valueString": "to"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "10"
            } ]
          } ],
          "state": "NH",
          "country": "NLD",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "HP",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Officieel adres"
              } ]
            }
          }, {
            "url": "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official",
            "valueBoolean": true
          } ],
          "postalCode": "1001AA"
        }
      } ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.address"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.address.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.extension",
      "min": 0,
      "definition": "Optional Extension Element - found in all resources.",
      "short": "Optional Extensions Element",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType"
      } ],
      "sliceName": "AddressType",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.address.extension:AddressType",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.extension:AddressType.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.address.extension:AddressType.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.extension:AddressType.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.extension.valueCodeableConcept",
      "min": 0,
      "definition": "The type of address in question, such as a home address or mailing address.",
      "short": "AddressType",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "AdresSoortCodelijst",
        "valueSetReference": {
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.3--20171231000000"
        }
      },
      "alias": [ "AdresSoort" ],
      "max": "1",
      "id": "Patient.address.extension:AddressType.value[x]:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "This extension can be used to include the HCIM AddressType code. See the documentation on the root level for mapping these codes to the various elements of this datatype.\r\n\r\nNOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.extension",
      "min": 0,
      "definition": "Mark an address as an 'officially registered' address. In Dutch context that means it is registered in the Basisregistratie persoonsgegevens (BRP)",
      "short": "Mark an address as an 'officially registered' address.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official"
      } ],
      "sliceName": "official",
      "alias": [ "extensions", "user content", "Markeer een adres als een 'officieel geregistreerd adres." ],
      "max": "1",
      "id": "Patient.address.extension:official",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.use",
      "requirements": "Allows an appropriate address to be chosen from a list of many.",
      "min": 0,
      "definition": "Purpose of this address",
      "isModifier": true,
      "short": "home | work | temp | old - purpose of this address",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.7",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./AddressPurpose",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse",
        "identity": "hcim-address-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The use of an address",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "AdresSoortCodelijst-to-AddressUse",
              "reference": "http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/address-use"
        }
      },
      "max": "1",
      "id": "Patient.address.use",
      "condition": [ "ele-1" ],
      "comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
      "example": [ {
        "label": "General",
        "valueCode": "home"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.use"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.type",
      "min": 0,
      "definition": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
      "short": "postal | physical | both",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.18",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "address type parameter",
        "identity": "vcard"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType",
        "identity": "hcim-address-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The type of an address (physical / postal)",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "AdresSoortCodelijst-to-AddressType",
              "reference": "http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/address-type"
        }
      },
      "max": "1",
      "id": "Patient.address.type",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "General",
        "valueCode": "both"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.type"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "A full text representation of the address.",
      "short": "Text representation of the address",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      }, {
        "map": "address label parameter",
        "identity": "vcard"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.address.text",
      "condition": [ "ele-1" ],
      "comment": "Can provide both a text representation and parts.",
      "example": [ {
        "label": "General",
        "valueString": "137 Nowhere Street, Erewhon 9132"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line",
      "requirements": "home | work | temp | old - purpose of this address.",
      "min": 0,
      "definition": "This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.",
      "short": "Street name, number, direction & P.O. Box etc.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = AL]",
        "identity": "rim"
      }, {
        "map": "street",
        "identity": "vcard"
      }, {
        "map": "./StreetAddress (newline delimitted)",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.address.line",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "General",
        "valueString": "137 Nowhere Street"
      } ],
      "orderMeaning": "The order in which lines should appear in an address label",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Address.line"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.address.line.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.10 Straatnaam",
      "min": 0,
      "definition": "Street name. If the address is a P.O. Box then the Dutch word \"Postbus\" shall be communicated. If the address is an answer number (mailing address where the receiver pays postage) then the Dutch word \"Antwoordnummer\" shall be communicated.",
      "short": "streetName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=STR]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.12",
        "comment": "Street",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.12",
        "comment": "Street",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.2",
        "comment": "Street",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.10",
        "comment": "Straatnaam",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"
      } ],
      "sliceName": "streetName",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.address.line.extension:streetName",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:streetName.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.address.line.extension:streetName.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:streetName.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.address.line.extension:streetName.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.20 Huisnummer",
      "min": 0,
      "definition": "The element houseNumber shall contain the house number. The house number may contains non-numeric parts that further determine the address, e.g. \"23a\", but only if the source system cannot discretely communicate those. House letter shall, if possible, be communicated through the element buildingNumberSuffix. Information such as \"to\" (house boats that do not have their own house number, but are across (tegenover) a house with a house number or \"3 hoog achter\" are not part of this attribute. This type of information is conveyed elsewhere in the Address datatype.",
      "short": "houseNumber",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=BNR]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.13",
        "comment": "HouseNumber",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.13",
        "comment": "HouseNumber",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.12",
        "comment": "HouseNumber",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.20",
        "comment": "Huisnummer",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"
      } ],
      "sliceName": "houseNumber",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.address.line.extension:houseNumber",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:houseNumber.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.address.line.extension:houseNumber.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:houseNumber.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.address.line.extension:houseNumber.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.30 Huisletter\r\n11.40 Huisnummertoevoeging\r\n12.10 Locatieomschrijving",
      "min": 0,
      "definition": "HouseNumberLetter\r\n- A letter following the house number as assigned by the municipal authorities.\r\n\r\nHouseNumberAddition\r\n- The letters or signs needed to locate the mailbox, in addition to the house number and letter.",
      "short": "buildingNumberSuffix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=BNS]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.40",
        "comment": "HouseNumberLetter",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.41",
        "comment": "HouseNumberAddition",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.40",
        "comment": "HouseNumberLetter",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.41",
        "comment": "HouseNumberAddition",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.11",
        "comment": "HouseNumberLetter",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "NL-CM:20.5.10",
        "comment": "HouseNumberAddition",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.30",
        "comment": "Huisletter",
        "identity": "BRP"
      }, {
        "map": "11.40",
        "comment": "Huisnummertoevoeging",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"
      } ],
      "sliceName": "buildingNumbersuffix",
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.address.line.extension:buildingNumbersuffix",
      "condition": [ "ele-1" ],
      "comment": "Export\r\n\r\n- If a house letter as well as a house number addition is known: house letter first, followed by a space and finally the house letter suffix.\r\n- If only a house letter is known send just that. No trailing space is required.\r\n- If only a house letter suffix is known, communicate that with a leading space.\r\n\r\nImport\r\n\r\n- If the value of buildingNumberSuffix contains no space, then the whole value is considered to be the house letter\r\n- If the value of buildingNumberSuffix contains a space, then everything before the first space is considered to be the house letter, and the everything trailing the first space is considered to be the house number suffix",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:buildingNumbersuffix.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.address.line.extension:buildingNumbersuffix.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:buildingNumbersuffix.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.address.line.extension:buildingNumbersuffix.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension",
      "min": 0,
      "definition": "Extra information such as the building name, building number, entrance, route number.",
      "short": "unitID",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=UNID]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.28",
        "comment": "AdditionalInformation",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.28",
        "comment": "AdditionalInformation",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.7",
        "comment": "AdditionalInformation",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"
      } ],
      "sliceName": "unitID",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.address.line.extension:unitID",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:unitID.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.address.line.extension:unitID.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:unitID.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.address.line.extension:unitID.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.50 Aanduiding bij huisnummer",
      "min": 0,
      "definition": "HouseNumberIndication - The indication used for addresses that do not consist of the usual street name and house number.",
      "short": "additionalLocator",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=ADL]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.42",
        "comment": "HouseNumberIndication",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.42",
        "comment": "HouseNumberIndication",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.9",
        "comment": "HouseNumberIndication",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.50",
        "comment": "Aanduiding bij huisnummer",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"
      } ],
      "sliceName": "additionalLocator",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.address.line.extension:additionalLocator",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:additionalLocator.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.address.line.extension:additionalLocator.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.extension:additionalLocator.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.address.line.extension:additionalLocator.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.address.line.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.line.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.city",
      "requirements": "Basisregistratie Persoonsgegevens 11.70 Woonplaatsnaam",
      "min": 0,
      "definition": "The name of the city, town, village or other community or delivery center.",
      "short": "Name of city, town etc.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.3",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CTY]",
        "identity": "rim"
      }, {
        "map": "locality",
        "identity": "vcard"
      }, {
        "map": "./Jurisdiction",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.14",
        "comment": "Place of residence",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.14",
        "comment": "Place of residence",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.3",
        "comment": "PlaceOfResidence",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.70",
        "comment": "Woonplaatsnaam",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Municpality", "Municipality", "woonplaats" ],
      "max": "1",
      "id": "Patient.address.city",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "General",
        "valueString": "Erewhon"
      }, {
        "label": "Example city",
        "valueString": "Den Haag"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.city"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.district",
      "requirements": "Basisregistratie Persoonsgegevens 09.10 Gemeente van inschrijving",
      "min": 0,
      "definition": "The name of the administrative area (county).",
      "short": "District name (aka county)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.9",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CNT | CPA]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.16",
        "comment": "Municipality",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.16",
        "comment": "Municipality",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.4",
        "comment": "Municipality",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "09.10",
        "comment": "Gemeente van inschrijving",
        "identity": "BRP"
      }, {
        "map": "peri32-dataelement-1387",
        "comment": "Gemeente",
        "identity": "gebz-peri-v3.2"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "County", "Gemeente" ],
      "max": "1",
      "id": "Patient.address.district",
      "condition": [ "ele-1" ],
      "comment": "District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. In a Dutch address this element is used for the population of a \"gemeente\"",
      "example": [ {
        "label": "General",
        "valueString": "Madison"
      }, {
        "label": "Example district",
        "valueString": "Wateringen"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.district"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.state",
      "requirements": "Some (Dutch) cities have the same name in multiple provinces. Dutch examples include Bergen (Noord-Holland / Limburg) and  Geesteren (Gelderland / Overijssel).",
      "min": 0,
      "definition": "Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes). For Dutch addresses this element should contain the \"provincie\" code",
      "short": "Sub-unit of country (abbreviations ok).",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.4",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = STA]",
        "identity": "rim"
      }, {
        "map": "region",
        "identity": "vcard"
      }, {
        "map": "./Region",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Province", "Territory", "Provincie" ],
      "max": "1",
      "id": "Patient.address.state",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "Example province",
        "valueString": "ZH"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.state"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "nl-postal-code-pattern",
        "human": "Dutch postal code pattern 'nnnnAA'",
        "xpath": "not(../f:country[lower-case(@value)=('nl','nld','nederland')]) or matches(@value,'^\\d{4}[A-Z]{2}$')",
        "severity": "error",
        "expression": "(country in 'nl' | 'nld' | 'nederland').not() or matches('^\\\\d{4}[A-Z]{2}$')"
      } ],
      "path": "Patient.address.postalCode",
      "min": 0,
      "definition": "A postal code designating a region defined by the postal service.",
      "short": "Postal code for area",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.5",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = ZIP]",
        "identity": "rim"
      }, {
        "map": "code",
        "identity": "vcard"
      }, {
        "map": "./PostalIdentificationCode",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.15",
        "comment": "Postcode",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.15",
        "comment": "Postcode",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.6",
        "comment": "Postcode",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.60",
        "comment": "Postcode",
        "identity": "BRP"
      }, {
        "map": "peri32-dataelement-1385",
        "comment": "Postcode",
        "identity": "gebz-peri-v3.2"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Zip", "Postcode" ],
      "max": "1",
      "id": "Patient.address.postalCode",
      "condition": [ "ele-1", "nl-postal-code-pattern" ],
      "comment": "Dutch postal codes have pattern '\\d{4}[A-Z]{2}' so they do not have spaces. Systems can easily render postal codes with a space if necessary.",
      "example": [ {
        "label": "General",
        "valueString": "9132"
      }, {
        "label": "Example postcode",
        "valueString": "9132AG"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.postalCode"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country",
      "min": 0,
      "definition": "Country in which the address is located.",
      "short": "Country",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.6",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CNT]",
        "identity": "rim"
      }, {
        "map": "country",
        "identity": "vcard"
      }, {
        "map": "./Country",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.17",
        "comment": "Country",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.17",
        "comment": "Country",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.5",
        "comment": "Country",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Land" ],
      "max": "1",
      "id": "Patient.address.country",
      "condition": [ "ele-1" ],
      "comment": "The FHIR datatype does not properly support coding the country using a CodeableConcept or Coding datatype. If the sender supports coded countries, it SHALL send the coded value using the code-specification extension under Address.country.",
      "example": [ {
        "label": "Example country",
        "valueString": "NLD"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.country"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.country.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.country.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.address.country.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.country.extension",
      "min": 0,
      "definition": "Defines a more specific coded value for a code or string. Especially useful for FHIR's required ValueSets. These extensions are primarily used on codes bound to a required value set, where you would like to use a more specific code than the codes in the bounded value set.",
      "short": "CountryGBACode | CountryISOCode",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
      } ],
      "sliceName": "countryCode",
      "alias": [ "extensions", "user content", "Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet." ],
      "max": "1",
      "id": "Patient.address.country.extension:countryCode",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.country.extension:countryCode.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.country.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.address.country.extension:countryCode.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/code-specification",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.country.extension:countryCode.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.valueCodeableConcept",
      "min": 1,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "CountryGBACode | CountryISOCode",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "alias": [ "LandGBACodelijst", "LandISOCodelijst" ],
      "max": "1",
      "id": "Patient.address.country.extension:countryCode.value[x]:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.valueCodeableConcept.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.country.extension:countryCode.value[x]:valueCodeableConcept.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.country.extension.valueCodeableConcept.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.address.country.extension:countryCode.value[x]:valueCodeableConcept.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.valueCodeableConcept.coding",
      "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min": 1,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "type": [ {
        "code": "Coding"
      } ],
      "max": "*",
      "id": "Patient.address.country.extension:countryCode.valueCodeableConcept:valueCodeableConcept.coding",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.valueCodeableConcept.coding",
      "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "countryGBACodelist",
      "binding": {
        "strength": "extensible",
        "description": "LandGBACodelijst",
        "valueSetReference": {
          "display": "LandGBACodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.1--20171231000000"
        }
      },
      "max": "*",
      "id": "Patient.address.country.extension:countryCode.value[x]:valueCodeableConcept.coding:countryGBACodelist",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "patternCoding": {
        "system": "urn:oid:2.16.840.1.113883.2.4.4.16.34"
      },
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.valueCodeableConcept.coding",
      "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "countryISOCodelist",
      "binding": {
        "strength": "extensible",
        "description": "LandISOCodelijst",
        "valueSetReference": {
          "display": "LandISOCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.2--20171231000000"
        }
      },
      "max": "*",
      "id": "Patient.address.country.extension:countryCode.value[x]:valueCodeableConcept.coding:countryISOCodelist",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "patternCoding": {
        "system": "urn:iso:std:iso:3166"
      },
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.address.country.extension.valueCodeableConcept.text",
      "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min": 0,
      "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.address.country.extension:countryCode.value[x]:valueCodeableConcept.text",
      "condition": [ "ele-1" ],
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "path": "Patient.address.country.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.country.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)",
        "severity": "error",
        "expression": "start.empty() or end.empty() or (start <= end)"
      } ],
      "path": "Patient.address.period",
      "requirements": "Allows addresses to be placed in historical context.",
      "min": 0,
      "definition": "Time period when address was/is in use.",
      "short": "Time period when address was/is in use",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "XAD.12 / XAD.13 + XAD.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.address.period",
      "condition": [ "ele-1" ],
      "comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
      "example": [ {
        "label": "General",
        "valuePeriod": {
          "end": "2010-07-01",
          "start": "2010-03-23"
        }
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.maritalStatus",
      "requirements": "Most, if not all systems capture it.",
      "min": 0,
      "definition": "This field contains a patient's most recent marital (civil) status. A person’s marital status according to the terms and definition in the Dutch civil code.",
      "short": "MaritalStatus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "PID-16",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN]/maritalStatusCode",
        "identity": "rim"
      }, {
        "map": ".patient.maritalStatusCode",
        "identity": "cda"
      }, {
        "map": "NL-CM:7.9.2",
        "comment": "MaritalStatus",
        "identity": "hcim-maritalstatus-v1.2.1-2015EN"
      }, {
        "map": "NL-CM:7.9.2",
        "comment": "MaritalStatus",
        "identity": "hcim-maritalstatus-v3.0-2016EN"
      }, {
        "map": "NL-CM:7.9.2",
        "comment": "MaritalStatus",
        "identity": "hcim-maritalstatus-v3.0-2017EN"
      }, {
        "map": "NL-CM:7.13.7",
        "comment": "FamilySituation",
        "identity": "hcim-familysituation-v1.0-2015EN"
      }, {
        "map": "NL-CM:7.13.7",
        "comment": "FamilySituation",
        "identity": "hcim-familysituation-v3.0-2016EN"
      }, {
        "map": "NL-CM:7.13.7",
        "comment": "FamilySituation",
        "identity": "hcim-familysituation-v3.0-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "description": "The domestic partnership status of a person.",
        "valueSetReference": {
          "display": "BurgerlijkeStaatCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.9.1--20171231000000"
        }
      },
      "alias": [ "BurgerlijkeStaat" ],
      "max": "1",
      "id": "Patient.maritalStatus",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.maritalStatus"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.multipleBirth[x]",
      "requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
      "min": 0,
      "definition": "Indicates whether the patient is part of a multiple (bool) or indicates the actual birth order (integer).",
      "short": "MultipleBirthIndicator",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "PID-24 (bool), PID-25 (integer)",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.31",
        "comment": "MultipleBirthIndicator",
        "identity": "hcim-patient-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.31",
        "comment": "MultipleBirthIndicator",
        "identity": "hcim-patient-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.31",
        "comment": "MultipleBirthIndicator",
        "identity": "hcim-patient-v3.1-2017EN"
      }, {
        "map": "peri23-dataelement-40025",
        "comment": "Rangnummer kind",
        "identity": "gebz-peri-v2.3"
      } ],
      "type": [ {
        "code": "boolean"
      }, {
        "code": "integer"
      } ],
      "alias": [ "Meerlingindicator" ],
      "max": "1",
      "id": "Patient.multipleBirth[x]",
      "condition": [ "ele-1" ],
      "comment": "Where the valueInteger is provided, the number is the birth number in the sequence.\nE.g. The middle birth in tripplets would be valueInteger=2 and the third born would have valueInteger=3\nIf a bool value was provided for this tripplets examle, then all 3 patient records would have valueBool=true (the ordering is not indicated).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.multipleBirth[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "att-1",
        "human": "It the Attachment has data, it SHALL have a contentType",
        "xpath": "not(exists(f:data)) or exists(f:contentType)",
        "severity": "error",
        "expression": "data.empty() or contentType.exists()"
      } ],
      "path": "Patient.photo",
      "requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
      "min": 0,
      "definition": "Image of the patient.",
      "short": "Image of the patient",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ED/RP",
        "identity": "v2"
      }, {
        "map": "ED",
        "identity": "rim"
      }, {
        "map": "OBX-5 - needs a profile",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Attachment"
      } ],
      "max": "*",
      "id": "Patient.photo",
      "condition": [ "ele-1" ],
      "comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Attachment\".",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.photo"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "pat-1",
        "human": "SHALL at least contain a contact's details or a reference to an organization",
        "xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)",
        "severity": "error",
        "expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()"
      } ],
      "path": "Patient.contact",
      "requirements": "Need to track people you can contact about the patient.",
      "min": 0,
      "definition": "Contacts are related persons in some way, but not all related persons are contacts. The HCIM ContactPerson is designed to deal with both related persons and contacts. An HCIM ContactPerson who is a contact, is expected to have an NL-CM:3.1.2 Role primary contact ('Eerste relatie/contactpersoon') or secondary contact ('Tweede relatie/contactpersoon'). See Patient.contact.relationship in slice 'role'.",
      "short": "ContactPerson",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:3.1.1",
        "comment": "Contact",
        "identity": "hcim-contactperson-v1.2-2015EN"
      }, {
        "map": "NL-CM:3.1.1",
        "comment": "Contact",
        "identity": "hcim-contactperson-v3.0-2016EN"
      }, {
        "map": "NL-CM:3.1.1",
        "comment": "Contact",
        "identity": "hcim-contactperson-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Contact"
      } ],
      "alias": [ "Contactpersoon" ],
      "max": "*",
      "id": "Patient.contact",
      "condition": [ "ele-1" ],
      "comment": "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.contact.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.relationship",
      "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
      "min": 0,
      "definition": "The nature of the relationship between the patient and the contact person.",
      "short": "The kind of relationship",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "NK1-7, NK1-3",
        "identity": "v2"
      }, {
        "map": "code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ContactRelationship"
        } ],
        "description": "The nature of the relationship between a patient and a contact person for that patient.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/v2-0131"
        }
      },
      "max": "*",
      "id": "Patient.contact.relationship",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.relationship"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.relationship",
      "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
      "min": 0,
      "definition": "The nature of the relationship between the patient and the contact person.",
      "short": "Relationship",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "NK1-7, NK1-3",
        "identity": "v2"
      }, {
        "map": "code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:3.1.3",
        "comment": "Relationship",
        "identity": "hcim-contactperson-v1.2-2015EN"
      }, {
        "map": "NL-CM:3.1.3",
        "comment": "Relationship",
        "identity": "hcim-contactperson-v3.0-2016EN"
      }, {
        "map": "NL-CM:3.1.3",
        "comment": "Relationship",
        "identity": "hcim-contactperson-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "relationship",
      "binding": {
        "strength": "required",
        "description": "The nature of the relationship between a patient and a contact person for that patient.",
        "valueSetReference": {
          "display": "RelatieCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.1--20171231000000"
        }
      },
      "alias": [ "Relatie" ],
      "max": "*",
      "id": "Patient.contact.relationship:relationship",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.relationship"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.relationship",
      "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
      "min": 0,
      "definition": "Expectation is to have at least one of primary contact ('Eerste relatie/contactpersoon') or secondary contact ('Tweede relatie/contactpersoon')",
      "short": "Role",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "NK1-7, NK1-3",
        "identity": "v2"
      }, {
        "map": "code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:3.1.2",
        "comment": "Role",
        "identity": "hcim-contactperson-v1.2-2015EN"
      }, {
        "map": "NL-CM:3.1.2",
        "comment": "Role",
        "identity": "hcim-contactperson-v3.0-2016EN"
      }, {
        "map": "NL-CM:3.1.2",
        "comment": "Role",
        "identity": "hcim-contactperson-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "role",
      "binding": {
        "strength": "required",
        "description": "The nature of the relationship between a patient and a contact person for that patient.",
        "valueSetReference": {
          "display": "RolCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.3.1.2--20171231000000"
        }
      },
      "alias": [ "Rol" ],
      "max": "*",
      "id": "Patient.contact.relationship:role",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.relationship"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "nl-core-humanname-1",
        "human": "if you specify a prefix for an own name then an own name is also expected",
        "xpath": "not(f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-own-prefix']) or f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-own-name']",
        "severity": "error",
        "expression": "name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-own-name').empty().not()"
      }, {
        "key": "nl-core-humanname-2",
        "human": "if you specify a voorvoegsel for a partner name then a partner name is also expected",
        "xpath": "not(f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix']) or f:extension[@url='http://hl7.org/fhir/StructureDefinition/humanname-partner-name']",
        "severity": "error",
        "expression": "name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix').empty().not() implies name.family.extension('http://hl7.org/fhir/StructureDefinition/humanname-partner-name').empty().not()"
      } ],
      "path": "Patient.contact.name",
      "requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
      "min": 0,
      "definition": "A human's name with the ability to identify parts and usage.",
      "short": "NameInformation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN",
        "identity": "v2"
      }, {
        "map": "EN (actually, PN)",
        "identity": "rim"
      }, {
        "map": "ProviderName",
        "identity": "servd"
      }, {
        "map": "NK1-2",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.6",
        "comment": "NameInformation",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.6",
        "comment": "NameInformation",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.1",
        "comment": "NameInformation",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "02",
        "comment": "Naam",
        "identity": "BRP"
      }, {
        "map": "NL-CM:3.1.4",
        "comment": "NameInformation",
        "identity": "hcim-contactperson-v1.2-2015EN"
      }, {
        "map": "NL-CM:3.1.4",
        "comment": "NameInformation",
        "identity": "hcim-contactperson-v3.0-2016EN"
      }, {
        "map": "NL-CM:3.1.4",
        "comment": "NameInformation",
        "identity": "hcim-contactperson-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "HumanName",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-humanname"
      } ],
      "alias": [ "Naamgegevens" ],
      "max": "1",
      "id": "Patient.contact.name",
      "condition": [ "ele-1" ],
      "comment": "Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.\r\n\r\nA Dutch HumanName is a proper FHIR HumanName. Systems that do not understand any of the extensions, will be able to render and work with a Dutch name. Dutch names make certain name parts seaprately communicable. These parts are required for use in true Dutch systems when dealing with Dutch names, but may not have value for international systems when information gets sent abroad.\r\n\r\nTo have true compatibility an implementer SHOULD use the core HumanName parts as intended. To have names work for Dutch context, the implementer SHOULD in addition use the extension elements.\r\n\r\nThe extension elements cover birth name (NL: eigennaam / geslachtsnaam) and partner/spouse name. Both may have a prefix (NL: voorvoegsel). When a person marries, he or she may keep their own name, assume the partner name, append the partner name to their own name, or the other way around.\r\n\r\nFor this reason, there are extensions for marking each part for what it is. \r\n\r\nExample: miss Irma Jongeneel marries mister de Haas and assumes the name Irma Jongeneel-de Haas\r\nfamily = \"Jongeneel-de Haas\"\r\ngiven = \"Irma\"\r\nhumanname-own-name = \"Jongeneel\"\r\nhumanname-partner-prefix = \"de \"\r\nhumanname-partner-name = \"Haas\"",
      "example": [ {
        "label": "Structured HumanName (preferred above unstructured)",
        "valueHumanName": {
          "use": "official",
          "given": [ "Irma", "I." ],
          "_given": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
              "valueCode": "CL"
            } ]
          }, {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
              "valueCode": "IN"
            } ]
          } ],
          "family": "Jongeneel-de Haas",
          "_family": {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
              "valueString": "Jongeneel"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix",
              "valueString": "de"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/humanname-partner-name",
              "valueString": "Haas"
            } ]
          },
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
            "valueCode": "NL4"
          } ]
        }
      }, {
        "label": "Unstructured HumanName",
        "valueHumanName": {
          "use": "official",
          "text": "Irma Jongeneel-de Haas"
        }
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.name"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.name.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.extension",
      "min": 0,
      "definition": "A code that represents the preferred display order of the components of this human name.",
      "short": "Preferred display order of name parts",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.34",
        "comment": "NameUsage. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.34",
        "comment": "NameUsage. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.7",
        "comment": "NameUsage. Use FHIR Core ConceptMap for HCIM mapping: http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order"
      } ],
      "sliceName": "humannameAssemblyOrder",
      "binding": {
        "strength": "required",
        "description": "Human Name Assembly Order",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "NaamgebruikCodelijst-to-HumanNameAssemblyOrder",
              "reference": "http://nictiz.nl/fhir/ConceptMap/NaamgebruikCodelijst-to-HumanNameAssemblyOrder"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/name-assembly-order"
        }
      },
      "alias": [ "extensions", "user content", "Voorkeursvolgorde van de naamdelen." ],
      "max": "1",
      "id": "Patient.contact.name.extension:humannameAssemblyOrder",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.extension:humannameAssemblyOrder.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.name.extension:humannameAssemblyOrder.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-assembly-order",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.extension:humannameAssemblyOrder.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.extension.valueCode",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "sliceName": "valueCode",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "HumanNameAssemblyOrder"
        } ],
        "description": "A code that represents the preferred display order of the components of a human name",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/name-assembly-order"
        }
      },
      "max": "1",
      "id": "Patient.contact.name.extension:humannameAssemblyOrder.value[x]:valueCode",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.use",
      "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
      "min": 0,
      "definition": "Identifies the purpose for this name.",
      "isModifier": true,
      "short": "usual | official | temp | nickname | anonymous | old | maiden",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.7, but often indicated by which field contains the name",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./NamePurpose",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "NameUse"
        } ],
        "description": "The use of a human name",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/name-use"
        }
      },
      "max": "1",
      "id": "Patient.contact.name.use",
      "condition": [ "ele-1" ],
      "comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.use"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "A full text representation of the name.",
      "short": "Text representation of the full name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "implied by XPN.11",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.5",
        "comment": "PayerName",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.contact.name.text",
      "condition": [ "ele-1" ],
      "comment": "Can provide both a text representation and structured parts.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family",
      "min": 0,
      "definition": "The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.",
      "short": "Surname",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.1/FN.1",
        "identity": "v2"
      }, {
        "map": "./part[partType = FAM]",
        "identity": "rim"
      }, {
        "map": "./FamilyName",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "surname", "Achternaam" ],
      "max": "1",
      "id": "Patient.contact.name.family",
      "condition": [ "ele-1" ],
      "comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.family"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.name.family.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension",
      "min": 0,
      "definition": "The prefix portion (e.g. voorvoegsel) inclusive of the space between the prefix and the surname, if applicable, of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse.",
      "short": "PrefixOwnName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.2",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (VV, R)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.38",
        "comment": "Prefix",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.38",
        "comment": "Prefix",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.11",
        "comment": "Prefix",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix"
      } ],
      "sliceName": "humannameOwnPrefix",
      "alias": [ "extensions", "user content", "VoorvoegselGeslachtsnaam" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnPrefix",
      "condition": [ "ele-1" ],
      "comment": "An example of a voorvoegsel is the \"van\" in \"Ludwig van Beethoven\". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to specify it as a separate sub-component.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnPrefix.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.name.family.extension:humannameOwnPrefix.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnPrefix.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnPrefix.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension",
      "min": 0,
      "definition": "The person’s official last name.",
      "short": "OwnName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.3",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (BR)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.24",
        "comment": "LastName",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.24",
        "comment": "LastName",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.10",
        "comment": "LastName",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-own-name"
      } ],
      "sliceName": "humannameOwnName",
      "alias": [ "extensions", "user content", "Geslachtsnaam" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnName",
      "condition": [ "ele-1" ],
      "comment": "The portion of the family name that is derived from the person's own surname, as distinguished from any portion that is derived from the surname of the person's partner or spouse. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's \"maiden name\".",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnName.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.name.family.extension:humannameOwnName.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-own-name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnName.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannameOwnName.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension",
      "min": 0,
      "definition": "Voorvoegsel derived from person's partner's surname inclusive of the space between the prefix and the surname, if applicable.",
      "short": "PrefixSurname",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.4",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (VV, SP)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.39",
        "comment": "PartnerPrefix",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.39",
        "comment": "PartnerPrefix",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.9",
        "comment": "PartnerPrefix",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix"
      } ],
      "sliceName": "humannamePartnerPrefix",
      "alias": [ "extensions", "user content", "VoorvoegselGeslachtsnaamPartner" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerPrefix",
      "condition": [ "ele-1" ],
      "comment": "An example of a voorvoegsel is the \"van\" in \"Ludwig van Beethoven\". Since the voorvoegsel doesn't sort completely alphabetically, it is reasonable to identify it as a separate sub-component.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerPrefix.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.name.family.extension:humannamePartnerPrefix.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-partner-prefix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerPrefix.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerPrefix.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension",
      "min": 0,
      "definition": "Partner’s official last name.",
      "short": "LastNamePartner",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "FN.5",
        "identity": "v2"
      }, {
        "map": "ENXP where Qualifiers = (SP)",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.25",
        "comment": "PartnerLastName",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.25",
        "comment": "PartnerLastName",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.8",
        "comment": "PartnerLastName",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/humanname-partner-name"
      } ],
      "sliceName": "humannamePartnerName",
      "alias": [ "extensions", "user content", "GeslachtsnaamPartner" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerName",
      "condition": [ "ele-1" ],
      "comment": "The portion of the family name that is derived from the person's partner's surname, as distinguished from any portion that is derived from the surname of the person's own name. If the person's surname has legally changed to become (or incorporate) the surname of the person's partner or spouse, this is the person's surname immediately prior to such change. Often this is the person's \"maiden name\".",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerName.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.name.family.extension:humannamePartnerName.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/humanname-partner-name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerName.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.name.family.extension:humannamePartnerName.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.contact.name.family.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.given",
      "min": 0,
      "definition": "Note that in order to mark the type of a given name, that you use the FHIR standard extension for ISO 21090 EN Qualifiers. Examples include call me name (Dutch: roepnaam) and initials. Each initial is expected to be delimited by a dot.",
      "short": "Given",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.2 + XPN.3",
        "identity": "v2"
      }, {
        "map": "./part[partType = GIV]",
        "identity": "rim"
      }, {
        "map": "./GivenNames",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.26",
        "comment": "FirstNames. Qualifier 'BR'",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.35",
        "comment": "Initials. Qualifier 'IN'",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.27",
        "comment": "GivenName. Qualifier 'CL'",
        "identity": "hcim-nameinformation-v2.0.1-2015EN"
      }, {
        "map": "02.10",
        "comment": "Voornamen",
        "identity": "BRP"
      }, {
        "map": "NL-CM:0.1.26",
        "comment": "FirstNames. Qualifier 'BR'",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.35",
        "comment": "Initials. Qualifier 'IN'",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.27",
        "comment": "GivenName. Qualifier 'CL'",
        "identity": "hcim-nameinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.4.4",
        "comment": "FirstNames. Qualifier 'BR'",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "NL-CM:20.4.5",
        "comment": "Initials. Qualifier 'IN'",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      }, {
        "map": "NL-CM:20.4.6",
        "comment": "GivenName. Qualifier 'CL'",
        "identity": "hcim-nameinformation-v1.0.1-2017EN"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "first name", "middle name", "Voornamen", "Initialen", "Roepnaam" ],
      "max": "*",
      "id": "Patient.contact.name.given",
      "condition": [ "ele-1" ],
      "comment": "To be conformant to the Zib for NameInformation, at least the following qualifiers SHALL be supported: BR, IN and CL. The qualifier 'BR' maps to the Zib concept FirstNames, 'IN' maps to Initials and 'CL' to GivenName.",
      "orderMeaning": "Given Names appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.given"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.given.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.given.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.given.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.name.given.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.given.extension",
      "min": 0,
      "definition": "A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type.",
      "isModifier": false,
      "short": "LS | AC | NB | PR | HON | BR | AD | SP | MID | CL | IN | VV",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ENXP.qualifier",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier"
      } ],
      "sliceName": "iso21090EnQualifier",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.contact.name.given.extension:iso21090EnQualifier",
      "condition": [ "ele-1" ],
      "comment": "Used to indicate additional information about the name part and how it should be used.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.given.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.given.extension:iso21090EnQualifier.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.given.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.name.given.extension:iso21090EnQualifier.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.given.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.given.extension:iso21090EnQualifier.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.given.extension.valueCode",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "sliceName": "valueCode",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EntityNamePartQualifier"
        } ],
        "description": "A set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/name-part-qualifier"
        }
      },
      "max": "1",
      "id": "Patient.contact.name.given.extension:iso21090EnQualifier.value[x]:valueCode",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.contact.name.given.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.given.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.prefix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.",
      "short": "Parts that come before the name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN.5",
        "identity": "v2"
      }, {
        "map": "./part[partType = PFX]",
        "identity": "rim"
      }, {
        "map": "./TitleCode",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.contact.name.prefix",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "orderMeaning": "Prefixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.prefix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.suffix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.",
      "short": "Parts that come after the name",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XPN/4",
        "identity": "v2"
      }, {
        "map": "./part[partType = SFX]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.contact.name.suffix",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "orderMeaning": "Suffixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.suffix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)",
        "severity": "error",
        "expression": "start.empty() or end.empty() or (start <= end)"
      } ],
      "path": "Patient.contact.name.period",
      "requirements": "Allows names to be placed in historical context.",
      "min": 0,
      "definition": "Indicates the period of time when this name was valid for the named person.",
      "short": "Time period when name was/is in use",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "XPN.13 + XPN.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.contact.name.period",
      "condition": [ "ele-1" ],
      "comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "cpt-2",
        "human": "A system is required if a value is provided.",
        "xpath": "not(exists(f:value)) or exists(f:system)",
        "severity": "error",
        "expression": "value.empty() or system.exists()"
      } ],
      "path": "Patient.contact.telecom",
      "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
      "min": 0,
      "definition": "Contact information includes a person's telephone numbers and email addresses. This datatype defines a common basis for expressing all contact information around the world, but adds extensions to express Dutch contacts specifically, according to the HCIM ContactInformation (v1.0, 2017). A Dutch ContactPoint still is a proper FHIR ContactPoint, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype. The table below explains how the HCIM concepts are mapped to the various FHIR elements. The HCIM code itself should also be included using the TelecomType extension.\r\n\r\n         | HCIM                                               | .ext:TelecomType | .system | .use   |\r\n         |----------------------------------------------------|------------------|---------|--------|\r\n         | Primary Home Land Line                             | LL               | phone   | home   |\r\n         | Temporary Land Line                                | LL               | phone   | temp   |\r\n         | Primary Work Land Line                             | LL               | phone   | work   |\r\n         |                                                    |                  |         |        |\r\n         | Primary Home Fax                                   | FAX              | fax     | home   |\r\n         | Temporary Fax                                      | FAX              | fax     | temp   |\r\n         | Primary Work Fax                                   | FAX              | fax     | work   |\r\n         |                                                    |                  |         |        |\r\n         | Primary Home Mobile Phone                          | MC               | phone   | home   |\r\n         | Temporary Mobile Phone                             | MC               | phone   | temp   |\r\n         | Primary Work Mobile Phone                          | MC               | phone   | work   |\r\n         |                                                    |                  |         |        |\r\n         | Primary Home Pager                                 | PG               | pager   | home   |\r\n         | Temporary Pager                                    | PG               | pager   | temp   |\r\n         | Primary Work Pager                                 | PG               | pager   | work   |\r\n         |                                                    |                  |         |        |\r\n         | Private email address                              |                  | email   | home   |\r\n         | Work email address                                 |                  | email   | work   |\r\n         |                                                    |                  |         |        |\r\n         | Mobile phone number undetermined private/business  |                  | phone   | mobile |",
      "short": "ContactInformation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XTN",
        "identity": "v2"
      }, {
        "map": "TEL",
        "identity": "rim"
      }, {
        "map": "ContactPoint",
        "identity": "servd"
      }, {
        "map": "NK1-5, NK1-6, NK1-40",
        "identity": "v2"
      }, {
        "map": "telecom",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.5",
        "comment": "ContactInformation",
        "identity": "hcim-contactinformation-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.5",
        "comment": "ContactInformation",
        "identity": "hcim-contactinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.6.1",
        "comment": "ContactInformation",
        "identity": "hcim-contactinformation-v1.0-2017EN"
      }, {
        "map": "NL-CM:3.1.6",
        "comment": "TelephoneEmail::ContactInformation",
        "identity": "hcim-contactperson-v1.2-2015EN"
      }, {
        "map": "NL-CM:3.1.6",
        "comment": "TelephoneEmail::ContactInformation",
        "identity": "hcim-contactperson-v3.0-2016EN"
      }, {
        "map": "NL-CM:3.1.6",
        "comment": "ContactInformation",
        "identity": "hcim-contactperson-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "ContactPoint",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-contactpoint"
      } ],
      "alias": [ "Contactgegevens" ],
      "max": "*",
      "id": "Patient.contact.telecom",
      "condition": [ "ele-1" ],
      "comment": "Telecommunication data details (phone/email) is physically modeled in the HCIM Patient, which is why the telecommunication mappings appear to be coming from the HCIM Patient instead of the HCIM ContactPerson",
      "example": [ {
        "label": "Mobile business phone number. Note: the mobile nature stems from the number being an 06-* number.",
        "valueContactPoint": {
          "use": "work",
          "value": "+31611234567",
          "system": "phone"
        }
      }, {
        "label": "Mobile phone number undetermined private/business. Note: the mobile nature stems from the number being an 06-* number.",
        "valueContactPoint": {
          "use": "mobile",
          "value": "+31611234567",
          "system": "phone"
        }
      }, {
        "label": "Primary Home Land Line",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "LL",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Land Line"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Land Line",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "LL",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Land Line"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Land Line",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "LL",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Land Line"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Home Fax",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "fax",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "FAX",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Fax"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Fax",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "fax",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "FAX",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Fax"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Fax",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "fax",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "FAX",
                "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1",
                "display": "Fax"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Home Mobile Phone",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "MC",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Mobile Phone"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Mobile Phone",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "MC",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Mobile Phone"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Mobile Phone",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "phone",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "MC",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Mobile Phone"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Home Pager",
        "valueContactPoint": {
          "use": "home",
          "value": "...",
          "system": "pager",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "PG",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Pager"
              } ]
            }
          } ]
        }
      }, {
        "label": "Temporary Pager",
        "valueContactPoint": {
          "use": "temp",
          "value": "...",
          "system": "pager",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "PG",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Pager"
              } ]
            }
          } ]
        }
      }, {
        "label": "Primary Work Pager",
        "valueContactPoint": {
          "use": "work",
          "value": "...",
          "system": "pager",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-ContactInformation-TelecomType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "PG",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Pager"
              } ]
            }
          } ]
        }
      }, {
        "label": "Private email address",
        "valueContactPoint": {
          "use": "home",
          "value": "giesput@myweb.nl",
          "system": "email"
        }
      }, {
        "label": "Work email address",
        "valueContactPoint": {
          "use": "work",
          "value": "example@workplace.nl",
          "system": "email"
        }
      } ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.telecom"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "nl-streetname-if-official-and-other-line-parts",
        "human": "Address.streetName in an official address SHALL have a value if one of houseNumber|buildingNumberSuffix|additionalLocator has a value",
        "xpath": "not(.[f:extension[@url='http://fhir.nl/fhir/StructureDefinition/nl-core-address-official'][f:valueBoolean/@value='true']][f:line[empty(f:extension[@url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName'])][f:extension[@url=('http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber','http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix','http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator')]]])",
        "severity": "error",
        "expression": "(extension.where(url = 'http://fhir.nl/fhir/StructureDefinition/nl-core-address-official').where(value = true)).empty() or (line.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName').empty().not() and (line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix').empty().not() or line.extension.where(url='http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator').empty().not()))",
        "requirements": "This constraint checks conformance against the Dutch BRP constraints on address parts. However: when you only send postalCode + houseNumber which is enough for certain cases this may still be a valid address"
      } ],
      "path": "Patient.contact.address",
      "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
      "min": 0,
      "definition": "This datatype defines a common basis for expressing all addresses around the world, but adds extensions to express Dutch addresses specifically, according to the HCIM AddressInformation (v1.0, 2017). A Dutch Address still is a proper FHIR Address, which means that systems that cannot interpret the extensions will still be able to render and work with this datatype.\r\n\r\nTo have true compatibility an implementer SHOULD use the core Address parts as intended. To have addresses work for Dutch context, the implementer SHOULD in addition use the extension elements.\r\n\r\n**Separate address parts**\r\n\r\nThe first addition is that Dutch addresses make certain address parts separately communicable. These parts are required for use in true Dutch systems when dealing with Dutch addresses, but may not have value for international systems when information gets sent abroad.\r\n\r\n**Custom address types**\r\n\r\nThe second addition is that the HCIM defines its own ValueSet for address types, which can only be partially expressed using the FHIR Address datatype and requires a mapping to multiple elements. The table below explains how the HCIM concepts are mapped to the various FHIR elements (see the ConceptMaps http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse and http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType as well). The HCIM code itself should also be included using the AddressType extension.\r\n\r\n         | HCIM                              | .ext:AddressType | .ext:official | .use | .type    |\r\n\r\n         |-----------------------------------|------------------|---------------|------|----------|\r\n\r\n         | Postal Address/Postadres          | PST              |               |      | postal   |\r\n\r\n         | Primary Home/Officieel adres      | HP               | true          | home |          |\r\n\r\n         | Visit Address/Woon-/verblijfadres | PHYS             |               | home | physical |\r\n\r\n         | Temporary Address/Tijdelijk adres | TMP              |               | temp |          |\r\n\r\n         | Work Place/Werkadres              | WP               |               | work |          |\r\n\r\n         | Vacation Home/Vakantie adres      | HV               |               | temp |          |\r\n\r\n If Address.type is \"both\" then this is to be understood as a dual purpose address (postal and physical). Systems that support importing it like this are encouraged to do so, otherwise they may need to import this as two separate addresses.\r\n\r\nNOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.",
      "short": "AddressInformation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD",
        "identity": "v2"
      }, {
        "map": "AD",
        "identity": "rim"
      }, {
        "map": "Address",
        "identity": "servd"
      }, {
        "map": "NK1-4",
        "identity": "v2"
      }, {
        "map": "addr",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.4",
        "comment": "AddressInformation",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.1",
        "comment": "AddressInformation",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "NL-CM:3.1.5",
        "comment": "AddressInformation",
        "identity": "hcim-contactperson-v1.2-2015EN"
      }, {
        "map": "NL-CM:3.1.5",
        "comment": "AddressInformation",
        "identity": "hcim-contactperson-v3.0-2016EN"
      }, {
        "map": "NL-CM:3.1.5",
        "comment": "AddressInformation",
        "identity": "hcim-contactperson-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "Address",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address"
      } ],
      "alias": [ "AdresInformatie", "Adresgegevens" ],
      "max": "1",
      "id": "Patient.contact.address",
      "condition": [ "ele-1", "nl-streetname-if-official-and-other-line-parts" ],
      "comment": "Note: address is for postal addresses, not physical locations.",
      "example": [ {
        "label": "Example of a Vacation Home address",
        "valueAddress": {
          "use": "temp",
          "city": "Amsterdam",
          "line": [ "Binnenkant 12A Hoog" ],
          "_line": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Binnenkant"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "12"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix",
              "valueString": "A"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
              "valueString": "Hoog"
            } ]
          } ],
          "state": "NH",
          "country": "NLD",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "HV",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Vakantie adres"
              } ]
            }
          } ],
          "postalCode": "1000AA"
        }
      }, {
        "label": "Example of a Primary Home address",
        "valueAddress": {
          "use": "home",
          "city": "Amsterdam",
          "line": [ "Binnenkant to 10" ],
          "_line": [ {
            "extension": [ {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
              "valueString": "Binnenkant"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
              "valueString": "to"
            }, {
              "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
              "valueString": "10"
            } ]
          } ],
          "state": "NH",
          "country": "NLD",
          "extension": [ {
            "url": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "HP",
                "system": "http://hl7.org/fhir/v3/AddressUse",
                "display": "Officieel adres"
              } ]
            }
          }, {
            "url": "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official",
            "valueBoolean": true
          } ],
          "postalCode": "1001AA"
        }
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.address"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.address.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.extension",
      "min": 0,
      "definition": "Optional Extension Element - found in all resources.",
      "short": "Optional Extensions Element",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType"
      } ],
      "sliceName": "AddressType",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.contact.address.extension:AddressType",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.extension:AddressType.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.address.extension:AddressType.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-AddressInformation-AddressType",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.extension:AddressType.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.extension.valueCodeableConcept",
      "min": 0,
      "definition": "The type of address in question, such as a home address or mailing address.",
      "short": "AddressType",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "AdresSoortCodelijst",
        "valueSetReference": {
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.3--20171231000000"
        }
      },
      "alias": [ "AdresSoort" ],
      "max": "1",
      "id": "Patient.contact.address.extension:AddressType.value[x]:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "This extension can be used to include the HCIM AddressType code. See the documentation on the root level for mapping these codes to the various elements of this datatype.\r\n\r\nNOTE: FHIR core defines the AD-use extension to further specify the postal address type. However, the ValueSet used in that extension doesn't completely match the HCIM ValueSet. Therefore, a custom extension has been made. This doesn't preclude the use of the AD-use extension.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.extension",
      "min": 0,
      "definition": "Mark an address as an 'officially registered' address. In Dutch context that means it is registered in the Basisregistratie persoonsgegevens (BRP)",
      "short": "Mark an address as an 'officially registered' address.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address-official"
      } ],
      "sliceName": "official",
      "alias": [ "extensions", "user content", "Markeer een adres als een 'officieel geregistreerd adres." ],
      "max": "1",
      "id": "Patient.contact.address.extension:official",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.use",
      "requirements": "Allows an appropriate address to be chosen from a list of many.",
      "min": 0,
      "definition": "Purpose of this address",
      "isModifier": true,
      "short": "home | work | temp | old - purpose of this address",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.7",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./AddressPurpose",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse",
        "identity": "hcim-address-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The use of an address",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "AdresSoortCodelijst-to-AddressUse",
              "reference": "http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressUse"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/address-use"
        }
      },
      "max": "1",
      "id": "Patient.contact.address.use",
      "condition": [ "ele-1" ],
      "comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one. Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
      "example": [ {
        "label": "General",
        "valueCode": "home"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.use"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.type",
      "min": 0,
      "definition": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
      "short": "postal | physical | both",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.18",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "address type parameter",
        "identity": "vcard"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.11",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType",
        "identity": "hcim-address-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.8",
        "comment": "AddressType. See for details the ConceptMap http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The type of an address (physical / postal)",
        "valueSetReference": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
            "valueReference": {
              "display": "AdresSoortCodelijst-to-AddressType",
              "reference": "http://nictiz.nl/fhir/ConceptMap/AdresSoortCodelijst-to-AddressType"
            }
          } ],
          "reference": "http://hl7.org/fhir/ValueSet/address-type"
        }
      },
      "max": "1",
      "id": "Patient.contact.address.type",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "General",
        "valueCode": "both"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.type"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "A full text representation of the address.",
      "short": "Text representation of the address",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      }, {
        "map": "address label parameter",
        "identity": "vcard"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.contact.address.text",
      "condition": [ "ele-1" ],
      "comment": "Can provide both a text representation and parts.",
      "example": [ {
        "label": "General",
        "valueString": "137 Nowhere Street, Erewhon 9132"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line",
      "requirements": "home | work | temp | old - purpose of this address.",
      "min": 0,
      "definition": "This component contains the house number, apartment number, street name, street direction,  P.O. Box number, delivery hints, and similar address information.",
      "short": "Street name, number, direction & P.O. Box etc.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = AL]",
        "identity": "rim"
      }, {
        "map": "street",
        "identity": "vcard"
      }, {
        "map": "./StreetAddress (newline delimitted)",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.contact.address.line",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "General",
        "valueString": "137 Nowhere Street"
      } ],
      "orderMeaning": "The order in which lines should appear in an address label",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Address.line"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.address.line.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.10 Straatnaam",
      "min": 0,
      "definition": "Street name. If the address is a P.O. Box then the Dutch word \"Postbus\" shall be communicated. If the address is an answer number (mailing address where the receiver pays postage) then the Dutch word \"Antwoordnummer\" shall be communicated.",
      "short": "streetName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=STR]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.12",
        "comment": "Street",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.12",
        "comment": "Street",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.2",
        "comment": "Street",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.10",
        "comment": "Straatnaam",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"
      } ],
      "sliceName": "streetName",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:streetName",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:streetName.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.address.line.extension:streetName.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:streetName.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.address.line.extension:streetName.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.20 Huisnummer",
      "min": 0,
      "definition": "The element houseNumber shall contain the house number. The house number may contains non-numeric parts that further determine the address, e.g. \"23a\", but only if the source system cannot discretely communicate those. House letter shall, if possible, be communicated through the element buildingNumberSuffix. Information such as \"to\" (house boats that do not have their own house number, but are across (tegenover) a house with a house number or \"3 hoog achter\" are not part of this attribute. This type of information is conveyed elsewhere in the Address datatype.",
      "short": "houseNumber",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=BNR]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.13",
        "comment": "HouseNumber",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.13",
        "comment": "HouseNumber",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.12",
        "comment": "HouseNumber",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.20",
        "comment": "Huisnummer",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"
      } ],
      "sliceName": "houseNumber",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:houseNumber",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:houseNumber.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.address.line.extension:houseNumber.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:houseNumber.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.address.line.extension:houseNumber.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.30 Huisletter\r\n11.40 Huisnummertoevoeging\r\n12.10 Locatieomschrijving",
      "min": 0,
      "definition": "HouseNumberLetter\r\n- A letter following the house number as assigned by the municipal authorities.\r\n\r\nHouseNumberAddition\r\n- The letters or signs needed to locate the mailbox, in addition to the house number and letter.",
      "short": "buildingNumberSuffix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=BNS]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.40",
        "comment": "HouseNumberLetter",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.41",
        "comment": "HouseNumberAddition",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.40",
        "comment": "HouseNumberLetter",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:0.1.41",
        "comment": "HouseNumberAddition",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.11",
        "comment": "HouseNumberLetter",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "NL-CM:20.5.10",
        "comment": "HouseNumberAddition",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.30",
        "comment": "Huisletter",
        "identity": "BRP"
      }, {
        "map": "11.40",
        "comment": "Huisnummertoevoeging",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix"
      } ],
      "sliceName": "buildingNumbersuffix",
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.address.line.extension:buildingNumbersuffix",
      "condition": [ "ele-1" ],
      "comment": "Export\r\n\r\n- If a house letter as well as a house number addition is known: house letter first, followed by a space and finally the house letter suffix.\r\n- If only a house letter is known send just that. No trailing space is required.\r\n- If only a house letter suffix is known, communicate that with a leading space.\r\n\r\nImport\r\n\r\n- If the value of buildingNumberSuffix contains no space, then the whole value is considered to be the house letter\r\n- If the value of buildingNumberSuffix contains a space, then everything before the first space is considered to be the house letter, and the everything trailing the first space is considered to be the house number suffix",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:buildingNumbersuffix.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.address.line.extension:buildingNumbersuffix.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-buildingNumberSuffix",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:buildingNumbersuffix.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.address.line.extension:buildingNumbersuffix.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension",
      "min": 0,
      "definition": "Extra information such as the building name, building number, entrance, route number.",
      "short": "unitID",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=UNID]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.28",
        "comment": "AdditionalInformation",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.28",
        "comment": "AdditionalInformation",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.7",
        "comment": "AdditionalInformation",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID"
      } ],
      "sliceName": "unitID",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:unitID",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:unitID.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.address.line.extension:unitID.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:unitID.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.address.line.extension:unitID.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension",
      "requirements": "Basisregistratie Persoonsgegevens 11.50 Aanduiding bij huisnummer",
      "min": 0,
      "definition": "HouseNumberIndication - The indication used for addresses that do not consist of the usual street name and house number.",
      "short": "additionalLocator",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ADXP[partType=ADL]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.42",
        "comment": "HouseNumberIndication",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.42",
        "comment": "HouseNumberIndication",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.9",
        "comment": "HouseNumberIndication",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.50",
        "comment": "Aanduiding bij huisnummer",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator"
      } ],
      "sliceName": "additionalLocator",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:additionalLocator",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:additionalLocator.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.line.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "0",
      "id": "Patient.contact.address.line.extension:additionalLocator.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-additionalLocator",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.extension:additionalLocator.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.line.extension.valueString",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "max": "1",
      "id": "Patient.contact.address.line.extension:additionalLocator.value[x]:valueString",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.contact.address.line.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.line.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.city",
      "requirements": "Basisregistratie Persoonsgegevens 11.70 Woonplaatsnaam",
      "min": 0,
      "definition": "The name of the city, town, village or other community or delivery center.",
      "short": "Name of city, town etc.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.3",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CTY]",
        "identity": "rim"
      }, {
        "map": "locality",
        "identity": "vcard"
      }, {
        "map": "./Jurisdiction",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.14",
        "comment": "Place of residence",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.14",
        "comment": "Place of residence",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.3",
        "comment": "PlaceOfResidence",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.70",
        "comment": "Woonplaatsnaam",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Municpality", "Municipality", "woonplaats" ],
      "max": "1",
      "id": "Patient.contact.address.city",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "General",
        "valueString": "Erewhon"
      }, {
        "label": "Example city",
        "valueString": "Den Haag"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.city"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.district",
      "requirements": "Basisregistratie Persoonsgegevens 09.10 Gemeente van inschrijving",
      "min": 0,
      "definition": "The name of the administrative area (county).",
      "short": "District name (aka county)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.9",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CNT | CPA]",
        "identity": "rim"
      }, {
        "map": "NL-CM:0.1.16",
        "comment": "Municipality",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.16",
        "comment": "Municipality",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.4",
        "comment": "Municipality",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "09.10",
        "comment": "Gemeente van inschrijving",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "County", "Gemeente" ],
      "max": "1",
      "id": "Patient.contact.address.district",
      "condition": [ "ele-1" ],
      "comment": "District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead. In a Dutch address this element is used for the population of a \"gemeente\"",
      "example": [ {
        "label": "General",
        "valueString": "Madison"
      }, {
        "label": "Example district",
        "valueString": "Wateringen"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.district"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.state",
      "requirements": "Some (Dutch) cities have the same name in multiple provinces. Dutch examples include Bergen (Noord-Holland / Limburg) and  Geesteren (Gelderland / Overijssel).",
      "min": 0,
      "definition": "Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes). For Dutch addresses this element should contain the \"provincie\" code",
      "short": "Sub-unit of country (abbreviations ok).",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.4",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = STA]",
        "identity": "rim"
      }, {
        "map": "region",
        "identity": "vcard"
      }, {
        "map": "./Region",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Province", "Territory", "Provincie" ],
      "max": "1",
      "id": "Patient.contact.address.state",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "example": [ {
        "label": "Example province",
        "valueString": "ZH"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.state"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "nl-postal-code-pattern",
        "human": "Dutch postal code pattern 'nnnnAA'",
        "xpath": "not(../f:country[lower-case(@value)=('nl','nld','nederland')]) or matches(@value,'^\\d{4}[A-Z]{2}$')",
        "severity": "error",
        "expression": "(country in 'nl' | 'nld' | 'nederland').not() or matches('^\\\\d{4}[A-Z]{2}$')"
      } ],
      "path": "Patient.contact.address.postalCode",
      "min": 0,
      "definition": "A postal code designating a region defined by the postal service.",
      "short": "Postal code for area",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.5",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = ZIP]",
        "identity": "rim"
      }, {
        "map": "code",
        "identity": "vcard"
      }, {
        "map": "./PostalIdentificationCode",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.15",
        "comment": "Postcode",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.15",
        "comment": "Postcode",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.6",
        "comment": "Postcode",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      }, {
        "map": "11.60",
        "comment": "Postcode",
        "identity": "BRP"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Zip", "Postcode" ],
      "max": "1",
      "id": "Patient.contact.address.postalCode",
      "condition": [ "ele-1", "nl-postal-code-pattern" ],
      "comment": "Dutch postal codes have pattern '\\d{4}[A-Z]{2}' so they do not have spaces. Systems can easily render postal codes with a space if necessary.",
      "example": [ {
        "label": "General",
        "valueString": "9132"
      }, {
        "label": "Example postcode",
        "valueString": "9132AG"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.postalCode"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country",
      "min": 0,
      "definition": "Country in which the address is located.",
      "short": "Country",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD.6",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CNT]",
        "identity": "rim"
      }, {
        "map": "country",
        "identity": "vcard"
      }, {
        "map": "./Country",
        "identity": "servd"
      }, {
        "map": "NL-CM:0.1.17",
        "comment": "Country",
        "identity": "hcim-address-v2.0.1-2015EN"
      }, {
        "map": "NL-CM:0.1.17",
        "comment": "Country",
        "identity": "hcim-addressinformation-v3.0-2016EN"
      }, {
        "map": "NL-CM:20.5.5",
        "comment": "Country",
        "identity": "hcim-addressinformation-v1.0-2017EN"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Land" ],
      "max": "1",
      "id": "Patient.contact.address.country",
      "condition": [ "ele-1" ],
      "comment": "The FHIR datatype does not properly support coding the country using a CodeableConcept or Coding datatype. If the sender supports coded countries, it SHALL send the coded value using the code-specification extension under Address.country.",
      "example": [ {
        "label": "Example country",
        "valueString": "NLD"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.country"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.country.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.country.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.address.country.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.country.extension",
      "min": 0,
      "definition": "Defines a more specific coded value for a code or string. Especially useful for FHIR's required ValueSets. These extensions are primarily used on codes bound to a required value set, where you would like to use a more specific code than the codes in the bounded value set.",
      "short": "CountryGBACode | CountryISOCode",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
      } ],
      "sliceName": "countryCode",
      "alias": [ "extensions", "user content", "Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet." ],
      "max": "1",
      "id": "Patient.contact.address.country.extension:countryCode",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.country.extension:countryCode.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.country.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.address.country.extension:countryCode.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/code-specification",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.country.extension:countryCode.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.valueCodeableConcept",
      "min": 1,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "CountryGBACode | CountryISOCode",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "alias": [ "LandGBACodelijst", "LandISOCodelijst" ],
      "max": "1",
      "id": "Patient.contact.address.country.extension:countryCode.value[x]:valueCodeableConcept",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.valueCodeableConcept.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.country.extension:countryCode.value[x]:valueCodeableConcept.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.address.country.extension.valueCodeableConcept.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.address.country.extension:countryCode.value[x]:valueCodeableConcept.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.valueCodeableConcept.coding",
      "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min": 1,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "type": [ {
        "code": "Coding"
      } ],
      "max": "*",
      "id": "Patient.contact.address.country.extension:countryCode.valueCodeableConcept:valueCodeableConcept.coding",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.valueCodeableConcept.coding",
      "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "countryGBACodelist",
      "binding": {
        "strength": "extensible",
        "description": "LandGBACodelijst",
        "valueSetReference": {
          "display": "LandGBACodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.1--20171231000000"
        }
      },
      "max": "*",
      "id": "Patient.contact.address.country.extension:countryCode.value[x]:valueCodeableConcept.coding:countryGBACodelist",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "patternCoding": {
        "system": "urn:oid:2.16.840.1.113883.2.4.4.16.34"
      },
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.valueCodeableConcept.coding",
      "requirements": "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "countryISOCodelist",
      "binding": {
        "strength": "extensible",
        "description": "LandISOCodelijst",
        "valueSetReference": {
          "display": "LandISOCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.5.2--20171231000000"
        }
      },
      "max": "*",
      "id": "Patient.contact.address.country.extension:countryCode.value[x]:valueCodeableConcept.coding:countryISOCodelist",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "patternCoding": {
        "system": "urn:iso:std:iso:3166"
      },
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address.country.extension.valueCodeableConcept.text",
      "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min": 0,
      "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.contact.address.country.extension:countryCode.value[x]:valueCodeableConcept.text",
      "condition": [ "ele-1" ],
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "path": "Patient.contact.address.country.value",
      "min": 0,
      "definition": "Primitive value for string",
      "short": "Primitive value for string",
      "type": [ {
        "_code": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
            "valueString": "string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
            "valueString": "xsd:string"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
            "valueString": "xsd:string"
          } ]
        }
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.address.country.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)",
        "severity": "error",
        "expression": "start.empty() or end.empty() or (start <= end)"
      } ],
      "path": "Patient.contact.address.period",
      "requirements": "Allows addresses to be placed in historical context.",
      "min": 0,
      "definition": "Time period when address was/is in use.",
      "short": "Time period when address was/is in use",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "XAD.12 / XAD.13 + XAD.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.contact.address.period",
      "condition": [ "ele-1" ],
      "comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
      "example": [ {
        "label": "General",
        "valuePeriod": {
          "end": "2010-07-01",
          "start": "2010-03-23"
        }
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.contact.gender",
      "requirements": "Needed to address the person correctly.",
      "min": 0,
      "definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
      "short": "male | female | other | unknown",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "NK1-15",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AdministrativeGender"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "The gender of a person used for administrative purposes.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender"
        }
      },
      "max": "1",
      "id": "Patient.contact.gender",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.gender"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"
      } ],
      "path": "Patient.contact.organization",
      "requirements": "For guardians or business related contacts, the organization is relevant.",
      "min": 0,
      "definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
      "short": "Organization that is associated with the contact",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41",
        "identity": "v2"
      }, {
        "map": "scoper",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
      } ],
      "max": "1",
      "id": "Patient.contact.organization",
      "condition": [ "ele-1", "pat-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.organization"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)",
        "severity": "error",
        "expression": "start.empty() or end.empty() or (start <= end)"
      } ],
      "path": "Patient.contact.period",
      "min": 0,
      "definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.",
      "short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "effectiveTime",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.contact.period",
      "condition": [ "ele-1" ],
      "comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.period"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.animal",
      "requirements": "Many clinical systems are extended to care for animal patients as well as human.",
      "min": 0,
      "definition": "This patient is known to be an animal.",
      "isModifier": true,
      "short": "This patient is known to be an animal (non-human)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "player[classCode=ANM]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Animal"
      } ],
      "max": "1",
      "id": "Patient.animal",
      "condition": [ "ele-1" ],
      "comment": "The animal element is labeled \"Is Modifier\" since patients may be non-human. Systems SHALL either handle patient details appropriately (e.g. inform users patient is not human) or reject declared animal records.   The absense of the animal element does not imply that the patient is a human. If a system requires such a positive assertion that the patient is human, an extension will be required.  (Do not use a species of homo-sapiens in animal species, as this would incorrectly infer that the patient is an animal).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.animal"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.animal.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.animal.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.animal.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.animal.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.animal.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.animal.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.animal.species",
      "requirements": "Need to know what kind of animal.",
      "min": 1,
      "definition": "Identifies the high level taxonomic categorization of the kind of animal.",
      "short": "E.g. Dog, Cow",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "PID-35",
        "identity": "v2"
      }, {
        "map": "code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AnimalSpecies"
        } ],
        "description": "The species of an animal.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/animal-species"
        }
      },
      "max": "1",
      "id": "Patient.animal.species",
      "condition": [ "ele-1" ],
      "comment": "If the patient is non-human, at least a species SHALL be specified. Species SHALL be a widely recognised taxonomic classification.  It may or may not be Linnaean taxonomy and may or may not be at the level of species. If the level is finer than species--such as a breed code--the code system used SHALL allow inference of the species.  (The common example is that the word \"Hereford\" does not allow inference of the species Bos taurus, because there is a Hereford pig breed, but the SNOMED CT code for \"Hereford Cattle Breed\" does.).",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.animal.species"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.animal.breed",
      "requirements": "May need to know the specific kind within the species.",
      "min": 0,
      "definition": "Identifies the detailed categorization of the kind of animal.",
      "short": "E.g. Poodle, Angus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "PID-37",
        "identity": "v2"
      }, {
        "map": "playedRole[classCode=GEN]/scoper[classCode=ANM, determinerCode=KIND]/code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AnimalBreed"
        } ],
        "description": "The breed of an animal.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/animal-breeds"
        }
      },
      "max": "1",
      "id": "Patient.animal.breed",
      "condition": [ "ele-1" ],
      "comment": "Breed MAY be used to provide further taxonomic or non-taxonomic classification.  It may involve local or proprietary designation--such as commercial strain--and/or additional information such as production type.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.animal.breed"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.animal.genderStatus",
      "requirements": "Gender status can affect housing and animal behavior.",
      "min": 0,
      "definition": "Indicates the current state of the animal's reproductive organs.",
      "short": "E.g. Neutered, Intact",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "genderStatusCode",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AnimalGenderStatus"
        } ],
        "description": "The state of the animal's reproductive organs.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/animal-genderstatus"
        }
      },
      "max": "1",
      "id": "Patient.animal.genderStatus",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.animal.genderStatus"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication",
      "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.",
      "min": 0,
      "definition": "Languages which may be used to communicate with the patient about his or her health.",
      "short": "A list of Languages which may be used to communicate with the patient about his or her health",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "LanguageCommunication",
        "identity": "rim"
      }, {
        "map": "patient.languageCommunication",
        "identity": "cda"
      }, {
        "map": "NL-CM:7.12.1",
        "comment": "LanguageProficiency",
        "identity": "hcim-languageproficiency-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "alias": [ "Taalvaardigheid" ],
      "max": "*",
      "id": "Patient.communication",
      "condition": [ "ele-1" ],
      "comment": "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.communication"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.communication.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension",
      "min": 0,
      "definition": "Proficiency level of the communication.",
      "short": "Proficiency level of the communication",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:7.12.6",
        "comment": "LanguageControlListening",
        "identity": "hcim-languageproficiency-v3.1-2017EN"
      }, {
        "map": "NL-CM:7.12.7",
        "comment": "LanguageControlSpeaking",
        "identity": "hcim-languageproficiency-v3.1-2017EN"
      }, {
        "map": "NL-CM:7.12.8",
        "comment": "LanguageControlReading",
        "identity": "hcim-languageproficiency-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/patient-proficiency"
      } ],
      "sliceName": "languageProficiency",
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.communication.extension:languageProficiency",
      "condition": [ "ele-1" ],
      "comment": "The HCIM concepts LanguageControlListening, LanguageControlReading, LanguageControlSpeaking are captuperd using a mocked offical HL7 core extension from the R4 FHIR specification. Each of these three concepts is encoded as a copy of the extension, typed using the code in the type slice according to the following mapping:\r\n* LanguaneControlListening maps to code 'RSP' (Received spoken)\r\n* LanguageControlReading maps to code 'RWR' (Received written)\r\n* LanguageControlSpeaking maps to code 'ESP' (Expressed spoken)",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.communication.extension:languageProficiency.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension.extension",
      "min": 1,
      "definition": "What type of communication for the proficiency (spoken, written, etc.).",
      "short": "The proficiency type of the communication",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "sliceName": "type",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:type",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:type.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.communication.extension:languageProficiency.extension:type.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "type",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:type.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.extension.valueCoding",
      "min": 1,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "valueCoding",
      "binding": {
        "strength": "extensible",
        "description": "The proficiency type for the communication.",
        "valueSetReference": {
          "display": "TaalvaardigheidBegrijpenCodelijst",
          "reference": "http://hl7.org/fhir/ValueSet/v3-LanguageAbilityMode"
        }
      },
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:type.value[x]:valueCoding",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension.extension",
      "min": 1,
      "definition": "How well the patient can communicate this communication (good, poor, etc.).",
      "short": "The proficiency level of the communication",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "sliceName": "level",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:level",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:level.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.communication.extension:languageProficiency.extension:level.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "level",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:level.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.extension.valueCoding",
      "min": 1,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "valueCoding",
      "binding": {
        "strength": "extensible",
        "description": "The proficiency level for the communication.",
        "valueSetReference": {
          "display": "TaalvaardigheidBegrijpenCodelijst",
          "reference": "http://hl7.org/fhir/ValueSet/v3-LanguageAbilityProficiency"
        }
      },
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.extension:level.value[x]:valueCoding",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.url",
      "min": 1,
      "definition": "String of characters used to identify a name or a resource",
      "short": "Primitive Type uri",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/patient-proficiency",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.extension:languageProficiency.url",
      "condition": [ "ele-1" ],
      "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.extension.value[x]",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "base64Binary"
      }, {
        "code": "boolean"
      }, {
        "code": "code"
      }, {
        "code": "date"
      }, {
        "code": "dateTime"
      }, {
        "code": "decimal"
      }, {
        "code": "id"
      }, {
        "code": "instant"
      }, {
        "code": "integer"
      }, {
        "code": "markdown"
      }, {
        "code": "oid"
      }, {
        "code": "positiveInt"
      }, {
        "code": "string"
      }, {
        "code": "time"
      }, {
        "code": "unsignedInt"
      }, {
        "code": "uri"
      }, {
        "code": "Address"
      }, {
        "code": "Age"
      }, {
        "code": "Annotation"
      }, {
        "code": "Attachment"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Coding"
      }, {
        "code": "ContactPoint"
      }, {
        "code": "Count"
      }, {
        "code": "Distance"
      }, {
        "code": "Duration"
      }, {
        "code": "HumanName"
      }, {
        "code": "Identifier"
      }, {
        "code": "Money"
      }, {
        "code": "Period"
      }, {
        "code": "Quantity"
      }, {
        "code": "Range"
      }, {
        "code": "Ratio"
      }, {
        "code": "Reference"
      }, {
        "code": "SampledData"
      }, {
        "code": "Signature"
      }, {
        "code": "Timing"
      }, {
        "code": "Meta"
      } ],
      "max": "0",
      "id": "Patient.communication.extension:languageProficiency.value[x]",
      "condition": [ "ele-1" ],
      "comment": "A stream of bytes, base64 encoded",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension",
      "min": 0,
      "definition": "Optional Extension Element - found in all resources.",
      "short": "Comment",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "NL-CM:7.12.5",
        "comment": "Comment",
        "identity": "hcim-languageproficiency-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/Comment"
      } ],
      "sliceName": "comment",
      "alias": [ "extensions", "user content", "Toelichting" ],
      "max": "*",
      "id": "Patient.communication.extension:comment",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.communication.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.language",
      "requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
      "min": 1,
      "definition": "The language of communication. \r\n\r\nThe ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
      "short": "CommunicationLanguage",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "PID-15, LAN-2",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code",
        "identity": "rim"
      }, {
        "map": ".languageCode",
        "identity": "cda"
      }, {
        "map": "NL-CM:7.12.3",
        "comment": "CommunicationLanguage",
        "identity": "hcim-languageproficiency-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueReference": {
            "reference": "http://hl7.org/fhir/ValueSet/all-languages"
          }
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "A human language.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      "alias": [ "CommunicatieTaal" ],
      "max": "1",
      "id": "Patient.communication.language",
      "condition": [ "ele-1" ],
      "comment": "The FHIR valueset http://hl7.org/fhir/valueset-languages.html is used instead of the ZIB valueset  CommunicationLanguageCodelist. The FHIR valueset uses the codesystem urn:ietf:bcp:47 which includes the ISO-639-2 alpha codesystem used by the ZIB valueset.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.communication.language"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.communication.preferred",
      "requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
      "min": 0,
      "definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
      "short": "Language preference indicator",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "PID-15",
        "identity": "v2"
      }, {
        "map": "preferenceInd",
        "identity": "rim"
      }, {
        "map": ".preferenceInd",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Patient.communication.preferred",
      "condition": [ "ele-1" ],
      "comment": "This language is specifically identified for communicating healthcare information.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.communication.preferred"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"
      } ],
      "path": "Patient.generalPractitioner",
      "min": 0,
      "definition": "Patient's nominated care provider.",
      "short": "GeneralPractitioner",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "PD1-4",
        "identity": "v2"
      }, {
        "map": "subjectOf.CareEvent.performer.AssignedEntity",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "NL-CM:17.2.1",
        "comment": "HealthcareProvider",
        "identity": "hcim-healthcareprovider-v1.2-2015EN"
      }, {
        "map": "NL-CM:17.2.1",
        "comment": "HealthcareProvider",
        "identity": "hcim-healthcareprovider-v3.0-2016EN"
      }, {
        "map": "NL-CM:17.2.1",
        "comment": "HealthcareProvider",
        "identity": "hcim-healthcareprovider-v3.1-2017EN"
      }, {
        "map": "NL-CM:17.1.1",
        "comment": "HealthProfessional",
        "identity": "hcim-healthprofessional-v1.2.1-2015EN"
      }, {
        "map": "NL-CM:17.1.1",
        "comment": "HealthProfessional",
        "identity": "hcim-healthprofessional-v3.0-2016EN"
      }, {
        "map": "NL-CM:17.1.1",
        "comment": "HealthProfessional",
        "identity": "hcim-healthprofessional-v3.1-2017EN"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
      } ],
      "alias": [ "careProvider", "Huisarts" ],
      "max": "1",
      "id": "Patient.generalPractitioner",
      "condition": [ "ele-1" ],
      "comment": "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disablity setting, or even organization that will provide people to perform the care provider roles.\n\nIt is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.generalPractitioner"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.generalPractitioner.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.generalPractitioner.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.generalPractitioner.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.generalPractitioner.extension",
      "min": 0,
      "definition": "Optional Extension Element - found in all resources.",
      "short": "Optional Extensions Element",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
      } ],
      "sliceName": "practitionerRole",
      "alias": [ "extensions", "user content" ],
      "max": "1",
      "id": "Patient.generalPractitioner.extension:practitionerRole",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.reference",
      "min": 0,
      "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
      "short": "Literal reference, Relative, internal or absolute URL",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.generalPractitioner.reference",
      "condition": [ "ele-1", "ref-1" ],
      "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.reference"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.identifier",
      "min": 0,
      "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
      "short": "Logical reference, when literal reference is not known",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
        "identity": "v2"
      }, {
        "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",
        "identity": "rim"
      }, {
        "map": "Identifier",
        "identity": "servd"
      }, {
        "map": ".identifier",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "1",
      "id": "Patient.generalPractitioner.identifier",
      "condition": [ "ele-1" ],
      "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.identifier"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.display",
      "min": 0,
      "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
      "short": "Text alternative for the resource",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.generalPractitioner.display",
      "condition": [ "ele-1" ],
      "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.display"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"
      } ],
      "path": "Patient.managingOrganization",
      "requirements": "Need to know who recognizes this patient record, manages and updates it.",
      "min": 0,
      "definition": "Organization that is the custodian of the patient record.",
      "short": "Organization that is the custodian of the patient record",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "scoper",
        "identity": "rim"
      }, {
        "map": ".providerOrganization",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
      } ],
      "max": "1",
      "id": "Patient.managingOrganization",
      "condition": [ "ele-1" ],
      "comment": "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.managingOrganization"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.link",
      "requirements": "There are multiple usecases: \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.",
      "min": 0,
      "definition": "Link to another patient resource that concerns the same actual patient.",
      "isModifier": true,
      "short": "Link to another patient resource that concerns the same actual person",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "outboundLink",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "max": "*",
      "id": "Patient.link",
      "condition": [ "ele-1" ],
      "comment": "There is no assumption that linked patient records have mutual links. \n\nThis element is labelled as a modifier because it may not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.link"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.link.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.link.id",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.link.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.link.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.link.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.link.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "severity": "error",
        "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"
      } ],
      "path": "Patient.link.other",
      "min": 1,
      "definition": "The other patient resource that the link refers to.",
      "short": "The other patient or related person resource that the link refers to",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "PID-3, MRG-1",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
      } ],
      "max": "1",
      "id": "Patient.link.other",
      "condition": [ "ele-1" ],
      "comment": "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.link.other"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      } ],
      "path": "Patient.link.type",
      "min": 1,
      "definition": "The type of link between this patient resource and another patient resource.",
      "short": "replaced-by | replaces | refer | seealso - type of link",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "typeCode",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "LinkType"
        } ],
        "description": "The type of link between this patient resource and another patient resource.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/link-type"
        }
      },
      "max": "1",
      "id": "Patient.link.type",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings may not exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.link.type"
      },
      "isSummary": true
    } ]
  },
  "status": "draft",
  "id": "6fe2fa0f-9f10-4b58-9305-90ce24ccad0f",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/bc-Child",
  "version": "0.1.1",
  "differential": {
    "element": [ {
      "id": "Patient.extension",
      "path": "Patient.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.extension:birthPlace",
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace"
      } ],
      "sliceName": "birthPlace"
    }, {
      "id": "Patient.extension:birthPlace.valueAddress:valueAddress",
      "path": "Patient.extension.valueAddress",
      "type": [ {
        "code": "Address",
        "profile": "http://fhir.nl/fhir/StructureDefinition/nl-core-address"
      } ],
      "sliceName": "valueAddress"
    }, {
      "id": "Patient.extension:birthPlace",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace"
      } ],
      "sliceName": "birthPlace"
    }, {
      "id": "Patient.extension:birthPlace.valueAddress:valueAddress",
      "path": "Patient.extension.valueAddress",
      "sliceName": "valueAddress"
    }, {
      "id": "Patient.identifier",
      "path": "Patient.identifier",
      "mapping": [ {
        "map": "peri23-dataelement-40007",
        "comment": "Identificaties kind",
        "identity": "gebz-peri-v2.3"
      }, {
        "map": "peri23-dataelement-40011",
        "comment": "Lokale identificaties kind",
        "identity": "gebz-peri-v2.3"
      }, {
        "map": "peri23-dataelement-40015",
        "comment": "Identificatie kind PRN formaat",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.identifier:BSN",
      "path": "Patient.identifier",
      "mapping": [ {
        "map": "peri23-dataelement-40010",
        "comment": "BSN kind",
        "identity": "gebz-peri-v2.3"
      } ],
      "sliceName": "BSN"
    }, {
      "id": "Patient.name",
      "path": "Patient.name",
      "mapping": [ {
        "map": "peri23-dataelement-82051",
        "comment": "Naamgegevens kind",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.name.family",
      "path": "Patient.name.family",
      "mapping": [ {
        "map": "peri23-dataelement-82053",
        "comment": "Achternaam",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.name.family.extension",
      "path": "Patient.name.family.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.name.family.extension:humannameOwnPrefix",
      "path": "Patient.name.family.extension",
      "mapping": [ {
        "map": "peri23-dataelement-82054",
        "comment": "Voorvoegsel",
        "identity": "gebz-peri-v2.3"
      } ],
      "sliceName": "humannameOwnPrefix"
    }, {
      "id": "Patient.name.family.extension:humannamePartnerPrefix",
      "path": "Patient.name.family.extension",
      "mapping": [ {
        "map": "peri23-dataelement-82054",
        "comment": "Voorvoegsel",
        "identity": "gebz-peri-v2.3"
      } ],
      "sliceName": "humannamePartnerPrefix"
    }, {
      "id": "Patient.name.given",
      "path": "Patient.name.given",
      "mapping": [ {
        "map": "peri23-dataelement-82353",
        "comment": "Voornamen",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.gender",
      "path": "Patient.gender",
      "mapping": [ {
        "map": "peri23-dataelement-40040",
        "comment": "Geslacht (administratief)",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.gender.extension",
      "path": "Patient.gender.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.gender.extension:birthSex",
      "max": "1",
      "path": "Patient.gender.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/bc-patient-birthSex"
      } ],
      "mapping": [ {
        "map": "peri23-dataelement-40041",
        "comment": "Geslacht (medische observatie)",
        "identity": "gebz-peri-v2.3"
      } ],
      "sliceName": "birthSex"
    }, {
      "id": "Patient.gender.extension:birthSex.valueCodeableConcept:valueCodeableConcept",
      "path": "Patient.gender.extension.valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "description": "GenderMedisch",
        "valueSetReference": {
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.11.110--20140121091710"
        }
      },
      "sliceName": "valueCodeableConcept"
    }, {
      "id": "Patient.birthDate",
      "path": "Patient.birthDate",
      "mapping": [ {
        "map": "peri23-dataelement-80702",
        "comment": "Geboortedatum",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.birthDate.extension",
      "path": "Patient.birthDate.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.birthDate.extension:birthTime",
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
      } ],
      "mapping": [ {
        "map": "peri23-dataelement-40050",
        "identity": "gebz-peri-v2.3"
      } ],
      "sliceName": "birthTime"
    }, {
      "id": "Patient.birthDate.extension:birthTime.valueDateTime:valueDateTime",
      "path": "Patient.birthDate.extension.valueDateTime",
      "sliceName": "valueDateTime"
    }, {
      "id": "Patient.deceased[x]",
      "path": "Patient.deceased[x]",
      "mapping": [ {
        "map": "peri23-dataelement-40280",
        "comment": "Perinatale sterfte?",
        "identity": "gebz-peri-v2.3"
      }, {
        "map": "peri23-dataelement-40300",
        "comment": "Datum/tijd vaststelling perinatale sterfte",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.address.country.extension",
      "path": "Patient.address.country.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.address.country.extension:countryCode",
      "path": "Patient.address.country.extension",
      "sliceName": "countryCode"
    }, {
      "id": "Patient.address.country.extension:countryCode.valueCodeableConcept:valueCodeableConcept.coding",
      "path": "Patient.address.country.extension.valueCodeableConcept.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Patient.multipleBirth[x]",
      "path": "Patient.multipleBirth[x]",
      "mapping": [ {
        "map": "peri23-dataelement-40025",
        "comment": "Rangnummer kind",
        "identity": "gebz-peri-v2.3"
      } ]
    }, {
      "id": "Patient.contact.address.country.extension",
      "path": "Patient.contact.address.country.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.contact.address.country.extension:countryCode",
      "path": "Patient.contact.address.country.extension",
      "sliceName": "countryCode"
    }, {
      "id": "Patient.contact.address.country.extension:countryCode.valueCodeableConcept:valueCodeableConcept.coding",
      "path": "Patient.contact.address.country.extension.valueCodeableConcept.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "geboortezorg@nictiz.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}