{
  "description": "Australian realm Patient profile",
  "_filename": "StructureDefinition-au-patient.json",
  "package_name": "hl7.fhir.au.base",
  "date": "2017-09-06T16:30:54+10:00",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2018-03-03T10:37:06.434+11:00"
  },
  "publisher": "Health Level Seven Australia (Patient Administration WG)",
  "fhirVersion": "3.0.1",
  "name": "AUBasePatient",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/v3/cda",
    "name": "CDA (R2)",
    "identity": "cda"
  }, {
    "uri": "http://hl7.org/fhir/w5",
    "name": "W5 Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://loinc.org",
    "name": "LOINC code for the element",
    "identity": "loinc"
  } ],
  "abstract": false,
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "AU Base Patient",
  "package_version": "0.9.3",
  "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)",
        "source": "DomainResource",
        "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)",
        "source": "DomainResource",
        "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))",
        "source": "DomainResource",
        "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))]))",
        "source": "DomainResource",
        "severity": "error",
        "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
      }, {
        "key": "inv-pat-0",
        "human": "If there is a birth time its date shall be the birth date",
        "severity": "error",
        "expression": "birthDate.extension.where(url='http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString()"
      } ],
      "path": "Patient",
      "min": 0,
      "definition": "Demographics and other administrative information about an individual receiving care or other health-related services.",
      "short": "A patient in an Australian healthcare context",
      "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"
      } ],
      "alias": [ "SubjectOfCare Client Resident" ],
      "max": "*",
      "id": "Patient",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient"
      }
    }, {
      "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",
      "type": [ {
        "code": "id"
      } ],
      "max": "1",
      "id": "Patient.id",
      "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
    }, {
      "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",
      "type": [ {
        "code": "Meta"
      } ],
      "max": "1",
      "id": "Patient.meta",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "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",
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Patient.implicitRules",
      "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
    }, {
      "path": "Patient.language",
      "min": 0,
      "definition": "The base language in which the resource is written.",
      "short": "Language of the resource content",
      "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",
      "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"
      }
    }, {
      "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": "Act.text?",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "alias": [ "narrative", "html", "xhtml", "display" ],
      "max": "1",
      "id": "Patient.text",
      "condition": [ "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": "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"
      }
    }, {
      "path": "Patient.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.extension",
      "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",
        "source": "Element",
        "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')])",
        "source": "Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Patient birth place",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace"
      } ],
      "sliceName": "birthPlace",
      "max": "1",
      "id": "Patient.extension:birthPlace",
      "condition": [ "ele-1" ],
      "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",
        "source": "Element",
        "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')])",
        "source": "Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Patient indigenous status",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/indigenous-status"
      } ],
      "sliceName": "indigenousStatus",
      "max": "1",
      "id": "Patient.extension:indigenousStatus",
      "condition": [ "ele-1" ],
      "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",
        "source": "Element",
        "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')])",
        "source": "Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Patient Close the Gap registration",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/close-the-gap-registration"
      } ],
      "sliceName": "closeTheGapRegistration",
      "max": "1",
      "id": "Patient.extension:closeTheGapRegistration",
      "condition": [ "ele-1" ],
      "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",
        "source": "Element",
        "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')])",
        "source": "Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Patient mother's maiden name",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"
      } ],
      "sliceName": "mothersMaidenName",
      "max": "1",
      "id": "Patient.extension:mothersMaidenName",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.modifierExtension",
      "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"
      }
    }, {
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "An identifier for this patient.",
      "short": "An identifier for this patient",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        }, {
          "path": "type",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "*",
      "id": "Patient.identifier",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier",
      "requirements": "Identifier as assigned and available via Health Identifiers service",
      "min": 0,
      "definition": "National identifier for the patient",
      "short": "National Individual Health Identifier",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "ihiNumber",
      "max": "1",
      "id": "Patient.identifier:ihiNumber",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:ihiNumber.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.identifier:ihiNumber.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "IHI Number Status",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/ihi-status"
      } ],
      "sliceName": "ihiStatus",
      "max": "1",
      "id": "Patient.identifier:ihiNumber.extension:ihiStatus",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.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.identifier:ihiNumber.extension:ihiStatus.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.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"
      } ],
      "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:ihiNumber.extension:ihiStatus.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "short": "identifies the meaning of the extension",
      "fixedUri": "http://hl7.org.au/fhir/StructureDefinition/ihi-status",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.identifier:ihiNumber.extension:ihiStatus.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "path": "Patient.identifier.extension.valueCoding",
      "min": 1,
      "definition": "IHI number status associated with an IHI identifier.",
      "short": "IHI Number Status Code",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "valueCoding",
      "binding": {
        "strength": "required",
        "description": "IHI Number Status",
        "valueSetReference": {
          "reference": "https://healthterminologies.gov.au/fhir/ValueSet/ihi-status-1"
        }
      },
      "max": "1",
      "id": "Patient.identifier:ihiNumber.extension:ihiStatus.valueCoding:valueCoding",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Patient.identifier.extension",
      "min": 0,
      "definition": "IHI value record status associated with an IHI identifier",
      "short": "IHI Number Record Status",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/ihi-record-status"
      } ],
      "sliceName": "ihiRecordStatus",
      "max": "1",
      "id": "Patient.identifier:ihiNumber.extension:ihiRecordStatus",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.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.identifier:ihiNumber.extension:ihiRecordStatus.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.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"
      } ],
      "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:ihiNumber.extension:ihiRecordStatus.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "short": "identifies the meaning of the extension",
      "fixedUri": "http://hl7.org.au/fhir/StructureDefinition/ihi-record-status",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.identifier:ihiNumber.extension:ihiRecordStatus.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "path": "Patient.identifier.extension.valueCoding",
      "min": 1,
      "definition": "Coded IHI Record Status.",
      "short": "IHI Record Status Code",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "sliceName": "valueCoding",
      "binding": {
        "strength": "required",
        "description": "IHI Record Status",
        "valueSetReference": {
          "reference": "https://healthterminologies.gov.au/fhir/ValueSet/ihi-record-status-1"
        }
      },
      "max": "1",
      "id": "Patient.identifier:ihiNumber.extension:ihiRecordStatus.valueCoding:valueCoding",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "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": "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:ihiNumber.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "definition": "Coded identifier type for IHI",
      "short": "Coded identifier type for IHI",
      "mapping": [ {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:ihiNumber.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:ihiNumber.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:ihiNumber.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "ihi",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "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": "1",
      "id": "Patient.identifier:ihiNumber.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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.identifier:ihiNumber.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:ihiNumber.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "Required system",
      "fixedUri": "http://hl7.org/fhir/v2/0203",
      "mapping": [ {
        "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.identifier:ihiNumber.type.coding.system",
      "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
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:ihiNumber.type.coding.version",
      "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
    }, {
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "NI",
      "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": "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.identifier:ihiNumber.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:ihiNumber.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:ihiNumber.type.coding.userSelected",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "definition": "ihi",
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "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",
      "fixedString": "IHI",
      "id": "Patient.identifier:ihiNumber.type.text",
      "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.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": "This namespace is used for qualified identifiers to represent Individual Healthcare Identifier (IHI) numbers. An example of the syntax of an IHI represented as a qualified identifer using this namespace is: http://ns.electronichealth.net.au/id/hi/ihi/1.0/8003600000000000",
      "short": "national namespace for ihi",
      "fixedUri": "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
      "mapping": [ {
        "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:ihiNumber.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "inv-ihi-0",
        "human": "IHI shall be an exactly 16 digit number",
        "severity": "error",
        "expression": "matches('^([0-9]{16})$')"
      }, {
        "key": "inv-ihi-1",
        "human": "IHI prefix is 800360",
        "severity": "error",
        "expression": "startsWith('800360')"
      }, {
        "key": "inv-ihi-2",
        "human": "IHI shall pass the Luhn algorithm check",
        "severity": "error",
        "expression": "(((select(substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(1,1).toInteger())+(select(substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(3,1).toInteger())+(select(substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(5,1).toInteger())+(select(substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(7,1).toInteger())+(select(substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(9,1).toInteger())+(select(substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(11,1).toInteger())+(select(substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(13,1).toInteger())+(select(substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(15,1).toInteger()))mod 10=0)"
      } ],
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "The 16 digit unique identifier for consumers of healthcare services",
      "short": "Individual Health Identifier number",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:ihiNumber.value",
      "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).",
      "maxLength": 16,
      "example": [ {
        "label": "General",
        "valueString": "123456"
      }, {
        "label": "IHI number",
        "valueString": "8003608166690503"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "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": "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:ihiNumber.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "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:ihiNumber.assigner",
      "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
    }, {
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "Medicare Number assigned  to a patient.  This includes temporary and full Medicare card numbers.",
      "short": "Medicare Number",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "medicareNumber",
      "max": "*",
      "id": "Patient.identifier:medicareNumber",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:medicareNumber.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "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:medicareNumber.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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": "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:medicareNumber.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "definition": "Medicare Number assigned  to a patient",
      "short": "Description of identifier",
      "mapping": [ {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:medicareNumber.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:medicareNumber.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:medicareNumber.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "Medicare Number assigned  to a patient",
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "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": "1",
      "id": "Patient.identifier:medicareNumber.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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.identifier:medicareNumber.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:medicareNumber.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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",
      "fixedUri": "http://hl7.org/fhir/v2/0203",
      "mapping": [ {
        "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.identifier:medicareNumber.type.coding.system",
      "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
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:medicareNumber.type.coding.version",
      "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
    }, {
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "MC",
      "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": "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.identifier:medicareNumber.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:medicareNumber.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:medicareNumber.type.coding.userSelected",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "definition": "Medicare Number descriptive text",
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "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",
      "fixedString": "Medicare Number",
      "id": "Patient.identifier:medicareNumber.type.text",
      "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.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": "national namespace for medicare",
      "fixedUri": "http://ns.electronichealth.net.au/id/medicare-number",
      "mapping": [ {
        "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:medicareNumber.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "10 digit Medicare number with optional 11th digit individual reference number (IRN)",
      "short": "Medicare Number value including optional individual reference number",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:medicareNumber.value",
      "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).",
      "maxLength": 11,
      "example": [ {
        "label": "General",
        "valueString": "123456"
      }, {
        "label": "Medicare number",
        "valueString": "32788511952"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.period",
      "min": 1,
      "definition": "Time period during which identifier is/was valid for use.",
      "short": "Medicare validity period",
      "mapping": [ {
        "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:medicareNumber.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.period.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:medicareNumber.period.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.period.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"
      } ],
      "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:medicareNumber.period.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.period.start",
      "min": 0,
      "definition": "The start of the period. The boundary is inclusive.",
      "short": "Starting time with inclusive boundary",
      "mapping": [ {
        "map": "DR.1",
        "identity": "v2"
      }, {
        "map": "./low",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Patient.identifier:medicareNumber.period.start",
      "condition": [ "per-1" ],
      "comment": "If the low element is missing, the meaning is that the low boundary is not known.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Period.start"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.period.end",
      "min": 1,
      "definition": "Expiry date for medicare number. This is typically month and year only but may incude day date part when this is a temporary medicare number.",
      "short": "Medicare Expiry Date",
      "mapping": [ {
        "map": "DR.2",
        "identity": "v2"
      }, {
        "map": "./high",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing",
      "max": "1",
      "id": "Patient.identifier:medicareNumber.period.end",
      "condition": [ "per-1" ],
      "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Period.end"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "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:medicareNumber.assigner",
      "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": "inv-dva-number-unspecified",
        "human": "DVA Number identifier type text must be 'DVA Number' when colour is not specified",
        "severity": "error",
        "expression": "type.coding.empty() implies type.text = 'DVA Number'"
      }, {
        "key": "inv-dva-number-gold",
        "human": "DVA Number identifier type text must be 'DVA Number (Gold)' when colour coding is DVG",
        "severity": "error",
        "expression": "type.coding.code='DVG' implies type.text = 'DVA Number (Gold)'"
      }, {
        "key": "inv-dva-number-white",
        "human": "DVA Number identifier type text must be 'DVA Number (White)' when colour coding is DVW",
        "severity": "error",
        "expression": "type.coding.code='DVW' implies type.text = 'DVA Number (White)'"
      }, {
        "key": "inv-dva-number-orange",
        "human": "DVA Number identifier type text must be 'DVA Number (Orange)' when colour coding is DVO",
        "severity": "error",
        "expression": "type.coding.code='DVO' implies type.text = 'DVA Number (Orange)'"
      }, {
        "key": "inv-dva-number-lilac",
        "human": "DVA Number identifier type text must be 'DVA Number (Lilac)' when colour coding is DVL",
        "severity": "error",
        "expression": "type.coding.code='DVL' implies type.text = 'DVA Number (Lilac)'"
      }, {
        "key": "inv-dva-number-text",
        "human": "DVA Number identifier type text must be one of 'DVA Number', 'DVA Number (Gold)',  'DVA Number (White), 'DVA Number (Orange), 'DVA Number (Lilac)'",
        "severity": "error",
        "expression": "type.text = 'DVA Number' or type.text = 'DVA Number (Gold)' or type.text = 'DVA Number (White)' or type.text = 'DVA Number (Orange)' or type.text = 'DVA Number (Lilac)'"
      } ],
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "Department of Veterans' Affairs number",
      "short": "DVA Number",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "dvaNumber",
      "max": "1",
      "id": "Patient.identifier:dvaNumber",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:dvaNumber.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "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:dvaNumber.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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": "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:dvaNumber.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "definition": "DVA colour identifer type",
      "short": "Description of identifier",
      "mapping": [ {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:dvaNumber.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:dvaNumber.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:dvaNumber.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "inv-dva-number-coding",
        "human": "DVA colour coding must be DVL, DVW, DVO or DVG",
        "severity": "error",
        "expression": "code='DVL' or code='DVW' or code='DVO' or code='DVG'"
      } ],
      "path": "Patient.identifier.type.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": "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": "1",
      "id": "Patient.identifier:dvaNumber.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "definition": "DVA colour coding",
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "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.identifier:dvaNumber.type.text",
      "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.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": "DVA Number assigned uri",
      "short": "DVA number identifier system",
      "fixedUri": "http://ns.electronichealth.net.au/id/dva",
      "mapping": [ {
        "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:dvaNumber.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "Up to 9 digit value in the form AAXXNNNN[A]",
      "short": "DVA number value",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:dvaNumber.value",
      "comment": "Reference: http://meteor.aihw.gov.au/content/index.phtml/itemId/339127",
      "maxLength": 9,
      "example": [ {
        "label": "General",
        "valueString": "123456"
      }, {
        "label": "DVA number",
        "valueString": "NBUR9080"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "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": "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:dvaNumber.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "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:dvaNumber.assigner",
      "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
    }, {
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number",
      "short": "Health Care Card Identifier",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "healthcareCard",
      "max": "1",
      "id": "Patient.identifier:healthcareCard",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:healthcareCard.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "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:healthcareCard.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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": "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:healthcareCard.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number",
      "short": "Health Care Card Identifier Type",
      "mapping": [ {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:healthcareCard.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:healthcareCard.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:healthcareCard.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "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": "1",
      "id": "Patient.identifier:healthcareCard.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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.identifier:healthcareCard.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:healthcareCard.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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",
      "fixedUri": "http://hl7.org/fhir/v2/0203",
      "mapping": [ {
        "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.identifier:healthcareCard.type.coding.system",
      "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
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:healthcareCard.type.coding.version",
      "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
    }, {
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "HC",
      "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": "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.identifier:healthcareCard.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:healthcareCard.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:healthcareCard.type.coding.userSelected",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "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": "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",
      "fixedString": "Health Care Card Number",
      "id": "Patient.identifier:healthcareCard.type.text",
      "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.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": "namespace for CRN values",
      "short": "namespace for Centrelink CRN identifiers",
      "fixedUri": "http://ns.electronichealth.net.au/id/centrelink-customer-reference-number",
      "mapping": [ {
        "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:healthcareCard.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "10 character identifier NNNNNNNNNA",
      "short": "Centrelink Customer Reference Number (CRN)",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:healthcareCard.value",
      "comment": "A personal identifier assigned by Centrelink for the purposes of identifying people (and organisations) eligible for specific services.",
      "maxLength": 10,
      "example": [ {
        "label": "General",
        "valueString": "123456"
      }, {
        "label": "DHS CRN",
        "valueString": "307111942H"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "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": "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:healthcareCard.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "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:healthcareCard.assigner",
      "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
    }, {
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number",
      "short": "Pensioner Concession Card Identifier",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "pensionerConcessionCard",
      "max": "1",
      "id": "Patient.identifier:pensionerConcessionCard",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:pensionerConcessionCard.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "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:pensionerConcessionCard.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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": "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:pensionerConcessionCard.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number",
      "short": "Pensioner Concession Card Identifier Type",
      "mapping": [ {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:pensionerConcessionCard.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:pensionerConcessionCard.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:pensionerConcessionCard.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "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": "1",
      "id": "Patient.identifier:pensionerConcessionCard.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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.identifier:pensionerConcessionCard.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:pensionerConcessionCard.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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",
      "fixedUri": "http://hl7.org/fhir/v2/0203",
      "mapping": [ {
        "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.identifier:pensionerConcessionCard.type.coding.system",
      "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
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:pensionerConcessionCard.type.coding.version",
      "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
    }, {
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "PEN",
      "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": "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.identifier:pensionerConcessionCard.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:pensionerConcessionCard.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:pensionerConcessionCard.type.coding.userSelected",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "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": "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",
      "fixedString": "Pensioner Concession Card Number",
      "id": "Patient.identifier:pensionerConcessionCard.type.text",
      "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.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": "namespace for CRN values",
      "short": "namespace for Centrelink CRN identifiers",
      "fixedUri": "http://ns.electronichealth.net.au/id/centrelink-customer-reference-number",
      "mapping": [ {
        "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:pensionerConcessionCard.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "10 character identifier NNNNNNNNNA",
      "short": "Centrelink Customer Reference Number (CRN)",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:pensionerConcessionCard.value",
      "comment": "A personal identifier assigned by Centrelink for the purposes of identifying people (and organisations) eligible for specific services.",
      "maxLength": 10,
      "example": [ {
        "label": "General",
        "valueString": "123456"
      }, {
        "label": "DHS CRN",
        "valueString": "307111942H"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "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": "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:pensionerConcessionCard.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "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:pensionerConcessionCard.assigner",
      "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
    }, {
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number",
      "short": "Commonwealth Seniors Health Card Identifier",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "commonwealthSeniorsHealthCard",
      "max": "1",
      "id": "Patient.identifier:commonwealthSeniorsHealthCard",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:commonwealthSeniorsHealthCard.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "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:commonwealthSeniorsHealthCard.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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": "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:commonwealthSeniorsHealthCard.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number",
      "short": "Commonwealth Seniors Health Card Identifier Type",
      "mapping": [ {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:commonwealthSeniorsHealthCard.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:commonwealthSeniorsHealthCard.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "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": "1",
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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.identifier:commonwealthSeniorsHealthCard.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:commonwealthSeniorsHealthCard.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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",
      "fixedUri": "http://hl7.org.au/fhir/v2/0203",
      "mapping": [ {
        "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.identifier:commonwealthSeniorsHealthCard.type.coding.system",
      "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
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:commonwealthSeniorsHealthCard.type.coding.version",
      "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
    }, {
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "SEN",
      "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": "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.identifier:commonwealthSeniorsHealthCard.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:commonwealthSeniorsHealthCard.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:commonwealthSeniorsHealthCard.type.coding.userSelected",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "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": "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",
      "fixedString": "Commonwealth Seniors Health Card",
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type.text",
      "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.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": "namespace for CRN values",
      "short": "namespace for Centrelink CRN identifiers",
      "fixedUri": "http://ns.electronichealth.net.au/id/centrelink-customer-reference-number",
      "mapping": [ {
        "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:commonwealthSeniorsHealthCard.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "10 character identifier NNNNNNNNNA",
      "short": "Centrelink Customer Reference Number (CRN)",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.value",
      "comment": "A personal identifier assigned by Centrelink for the purposes of identifying people (and organisations) eligible for specific services.",
      "maxLength": 10,
      "example": [ {
        "label": "General",
        "valueString": "123456"
      }, {
        "label": "DHS CRN",
        "valueString": "307111942H"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "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": "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:commonwealthSeniorsHealthCard.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "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:commonwealthSeniorsHealthCard.assigner",
      "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
    }, {
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "An assigned medical record number.",
      "short": "Medical Record Number",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "medicalRecordNumber",
      "max": "*",
      "id": "Patient.identifier:medicalRecordNumber",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:medicalRecordNumber.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "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:medicalRecordNumber.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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": "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:medicalRecordNumber.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "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": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:medicalRecordNumber.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:medicalRecordNumber.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:medicalRecordNumber.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "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": "1",
      "id": "Patient.identifier:medicalRecordNumber.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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.identifier:medicalRecordNumber.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:medicalRecordNumber.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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",
      "fixedUri": "http://hl7.org/fhir/v2/0203",
      "mapping": [ {
        "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.identifier:medicalRecordNumber.type.coding.system",
      "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
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:medicalRecordNumber.type.coding.version",
      "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
    }, {
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "MR",
      "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": "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.identifier:medicalRecordNumber.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:medicalRecordNumber.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:medicalRecordNumber.type.coding.userSelected",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "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": "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",
      "fixedString": "Medical Record Number",
      "id": "Patient.identifier:medicalRecordNumber.type.text",
      "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.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": "Medical record number system url",
      "mapping": [ {
        "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:medicalRecordNumber.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
      "short": "Medical record number value",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:medicalRecordNumber.value",
      "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).",
      "example": [ {
        "label": "General",
        "valueString": "123456"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "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": "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:medicalRecordNumber.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 1,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Medical record number assigning entity",
      "mapping": [ {
        "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:medicalRecordNumber.assigner",
      "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
    }, {
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "An insurer's member number ",
      "short": "Private Health Insurance Member Number",
      "mapping": [ {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "sliceName": "insurerNumber",
      "max": "*",
      "id": "Patient.identifier:insurerNumber",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "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:insurerNumber.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "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:insurerNumber.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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": "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:insurerNumber.use",
      "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
    }, {
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 1,
      "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": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "max": "1",
      "id": "Patient.identifier:insurerNumber.type",
      "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
    }, {
      "path": "Patient.identifier.type.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:insurerNumber.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:insurerNumber.type.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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": "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": "1",
      "id": "Patient.identifier:insurerNumber.type.coding",
      "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
    }, {
      "path": "Patient.identifier.type.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.identifier:insurerNumber.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.type.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"
      } ],
      "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:insurerNumber.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.type.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",
      "fixedUri": "http://hl7.org/fhir/v2/0203",
      "mapping": [ {
        "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.identifier:insurerNumber.type.coding.system",
      "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
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:insurerNumber.type.coding.version",
      "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
    }, {
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "MB",
      "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": "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.identifier:insurerNumber.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:insurerNumber.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.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": "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.identifier:insurerNumber.type.coding.userSelected",
      "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
    }, {
      "path": "Patient.identifier.type.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": 1,
      "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": "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",
      "fixedString": "Private Health Insurance Member Number",
      "id": "Patient.identifier:insurerNumber.type.text",
      "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.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": 0,
      "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",
      "mapping": [ {
        "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:insurerNumber.system",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.value",
      "min": 1,
      "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
      "short": "Private health insurer member number",
      "mapping": [ {
        "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"
      } ],
      "max": "1",
      "id": "Patient.identifier:insurerNumber.value",
      "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).",
      "example": [ {
        "label": "General",
        "valueString": "123456"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "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": "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:insurerNumber.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.assigner",
      "min": 1,
      "definition": "Organization that issued/manages the identifier.",
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "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:insurerNumber.assigner",
      "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
    }, {
      "path": "Patient.identifier.assigner.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:insurerNumber.assigner.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.identifier.assigner.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"
      } ],
      "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:insurerNumber.assigner.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.identifier.assigner.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"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.identifier:insurerNumber.assigner.reference",
      "condition": [ "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
    }, {
      "path": "Patient.identifier.assigner.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": ".identifier",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "1",
      "id": "Patient.identifier:insurerNumber.assigner.identifier",
      "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
    }, {
      "path": "Patient.identifier.assigner.display",
      "min": 1,
      "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"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.identifier:insurerNumber.assigner.display",
      "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
    }, {
      "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": "Whether this patient record is in active use.",
      "isModifier": true,
      "short": "Whether this patient's record is in active use",
      "mapping": [ {
        "map": "statusCode",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "status",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "defaultValueBoolean": true,
      "max": "1",
      "id": "Patient.active",
      "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
    }, {
      "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 name associated with the individual.",
      "short": "A name associated with the patient",
      "mapping": [ {
        "map": "PID-5, PID-9",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": ".patient.name",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "HumanName"
      } ],
      "max": "*",
      "id": "Patient.name",
      "comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.name"
      },
      "isSummary": true
    }, {
      "path": "Patient.telecom",
      "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
      "min": 0,
      "definition": "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
      "short": "A contact detail for the individual",
      "mapping": [ {
        "map": "PID-13, PID-14, PID-40",
        "identity": "v2"
      }, {
        "map": "telecom",
        "identity": "rim"
      }, {
        "map": ".telecom",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "ContactPoint"
      } ],
      "max": "*",
      "id": "Patient.telecom",
      "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).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.telecom"
      },
      "isSummary": true
    }, {
      "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": "male | female | other | unknown",
      "mapping": [ {
        "map": "PID-8",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
        "identity": "rim"
      }, {
        "map": ".patient.administrativeGenderCode",
        "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.gender",
      "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
    }, {
      "path": "Patient.birthDate",
      "requirements": "Age of the individual drives many clinical processes. May include accuracy indicator and specific birth time.",
      "min": 0,
      "definition": "The date of birth for the individual.",
      "short": "Date of birth extended for time and accuracy indicator",
      "mapping": [ {
        "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"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "Patient.birthDate",
      "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
    }, {
      "path": "Patient.birthDate.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.birthDate.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.birthDate.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.birthDate.extension",
      "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",
        "source": "Element",
        "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')])",
        "source": "Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.birthDate.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Birth Date Accuracy Indicator",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator"
      } ],
      "sliceName": "accuracyIndicator",
      "max": "1",
      "id": "Patient.birthDate.extension:accuracyIndicator",
      "condition": [ "ele-1" ],
      "comment": "In some circumstances, systems may only date or datetime data that has unknown or estimated parts.  This coding establises the acuraccy of the day, month and year parts.",
      "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",
        "source": "Element",
        "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')])",
        "source": "Extension",
        "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": "Birth Time",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
      } ],
      "sliceName": "birthTime",
      "max": "1",
      "id": "Patient.birthDate.extension:birthTime",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.birthDate.value",
      "min": 0,
      "definition": "The actual value",
      "short": "Primitive value for date",
      "type": [ {
        "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"
      }
    }, {
      "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. Deceased date accuracy indicator is optional.",
      "isModifier": true,
      "short": "Indicates if the individual is deceased or not",
      "mapping": [ {
        "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"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "type": [ {
        "code": "boolean"
      }, {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Patient.deceased[x]",
      "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
    }, {
      "path": "Patient.deceasedBoolean",
      "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": "Boolean indicator if the individual is deceased or not.",
      "isModifier": true,
      "short": "Deceased Indicator",
      "mapping": [ {
        "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"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "sliceName": "deceasedBoolean",
      "max": "1",
      "id": "Patient.deceasedBoolean:deceasedBoolean",
      "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
    }, {
      "path": "Patient.deceasedDateTime",
      "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": "Indivdual deceased date-time with optional accuracy indicator.",
      "isModifier": true,
      "short": "Deceased Date Time",
      "mapping": [ {
        "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"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "deceasedDateTime",
      "max": "1",
      "id": "Patient.deceasedDateTime:deceasedDateTime",
      "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
    }, {
      "path": "Patient.deceasedDateTime.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.deceasedDateTime:deceasedDateTime.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Patient.deceasedDateTime.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.deceasedDateTime:deceasedDateTime.extension",
      "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",
        "source": "Element",
        "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')])",
        "source": "Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.deceasedDateTime.extension",
      "min": 0,
      "definition": "An Extension",
      "short": "Deceased Date Accuracy Indicator",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator"
      } ],
      "sliceName": "accuracyIndicator",
      "max": "1",
      "id": "Patient.deceasedDateTime:deceasedDateTime.extension:accuracyIndicator",
      "condition": [ "ele-1" ],
      "comment": "In some circumstances, systems may only date or datetime data that has unknown or estimated parts.  This coding establises the acuraccy of the day, month and year parts.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.deceasedDateTime.value",
      "min": 0,
      "definition": "The actual value",
      "short": "Primitive value for dateTime",
      "type": [ {
        "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])(T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9](\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.deceasedDateTime:deceasedDateTime.value",
      "base": {
        "max": "1",
        "min": 0,
        "path": "dateTime.value"
      }
    }, {
      "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": "Addresses for the individual.",
      "short": "Addresses for the individual",
      "mapping": [ {
        "map": "PID-11",
        "identity": "v2"
      }, {
        "map": "addr",
        "identity": "rim"
      }, {
        "map": ".addr",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Address"
      } ],
      "max": "*",
      "id": "Patient.address",
      "comment": "Patient may have multiple addresses with different uses or applicable periods.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.address"
      },
      "isSummary": true
    }, {
      "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.",
      "short": "Marital (civil) status of a patient",
      "mapping": [ {
        "map": "PID-16",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN]/maritalStatusCode",
        "identity": "rim"
      }, {
        "map": ".patient.maritalStatusCode",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MaritalStatus"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "The domestic partnership status of a person.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/marital-status"
        }
      },
      "max": "1",
      "id": "Patient.maritalStatus",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.maritalStatus"
      }
    }, {
      "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": "Whether patient is part of a multiple birth",
      "mapping": [ {
        "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"
      } ],
      "type": [ {
        "code": "boolean"
      }, {
        "code": "integer"
      } ],
      "max": "1",
      "id": "Patient.multipleBirth[x]",
      "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]"
      }
    }, {
      "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": "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",
      "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",
        "source": "Element",
        "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": "A contact party (e.g. guardian, partner, friend) for the patient.",
      "short": "A contact party (e.g. guardian, partner, friend) for the patient",
      "mapping": [ {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Contact"
      } ],
      "max": "*",
      "id": "Patient.contact",
      "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"
      }
    }, {
      "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",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.contact.modifierExtension",
      "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
    }, {
      "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": "NK1-7, NK1-3",
        "identity": "v2"
      }, {
        "map": "code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "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",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.relationship"
      }
    }, {
      "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 name associated with the contact person.",
      "short": "A name associated with the contact person",
      "mapping": [ {
        "map": "NK1-2",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "HumanName"
      } ],
      "max": "1",
      "id": "Patient.contact.name",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.name"
      }
    }, {
      "path": "Patient.contact.telecom",
      "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
      "min": 0,
      "definition": "A contact detail for the person, e.g. a telephone number or an email address.",
      "short": "A contact detail for the person",
      "mapping": [ {
        "map": "NK1-5, NK1-6, NK1-40",
        "identity": "v2"
      }, {
        "map": "telecom",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "ContactPoint"
      } ],
      "max": "*",
      "id": "Patient.contact.telecom",
      "comment": "Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.telecom"
      }
    }, {
      "path": "Patient.contact.address",
      "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
      "min": 0,
      "definition": "Address for the contact person.",
      "short": "Address for the contact person",
      "mapping": [ {
        "map": "NK1-4",
        "identity": "v2"
      }, {
        "map": "addr",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Address"
      } ],
      "max": "1",
      "id": "Patient.contact.address",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.address"
      }
    }, {
      "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": "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",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.gender"
      }
    }, {
      "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": "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.au/fhir/StructureDefinition/au-organisation"
      } ],
      "max": "1",
      "id": "Patient.contact.organization",
      "condition": [ "pat-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.organization"
      }
    }, {
      "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": "effectiveTime",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.contact.period",
      "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",
        "source": "Element",
        "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": "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",
      "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
    }, {
      "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",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.animal.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.animal.modifierExtension",
      "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
    }, {
      "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": "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",
      "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
    }, {
      "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": "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",
      "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
    }, {
      "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": "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",
      "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",
        "source": "Element",
        "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": "LanguageCommunication",
        "identity": "rim"
      }, {
        "map": "patient.languageCommunication",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "max": "*",
      "id": "Patient.communication",
      "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"
      }
    }, {
      "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",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.communication.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.communication.modifierExtension",
      "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
    }, {
      "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 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": "The language which can be used to communicate with the patient about his or her health",
      "mapping": [ {
        "map": "PID-15, LAN-2",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code",
        "identity": "rim"
      }, {
        "map": ".languageCode",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSetReference": {
          "reference": "https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-1"
        }
      },
      "max": "1",
      "id": "Patient.communication.language",
      "comment": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.communication.language"
      }
    }, {
      "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": "PID-15",
        "identity": "v2"
      }, {
        "map": "preferenceInd",
        "identity": "rim"
      }, {
        "map": ".preferenceInd",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Patient.communication.preferred",
      "comment": "This language is specifically identified for communicating healthcare information.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.communication.preferred"
      }
    }, {
      "path": "Patient.generalPractitioner",
      "min": 0,
      "definition": "Patient's nominated care provider.",
      "short": "Usual GP practice or practitioner",
      "mapping": [ {
        "map": "PD1-4",
        "identity": "v2"
      }, {
        "map": "subjectOf.CareEvent.performer.AssignedEntity",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-practitioner"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-organisation"
      } ],
      "alias": [ "careProvider" ],
      "max": "*",
      "id": "Patient.generalPractitioner",
      "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"
      }
    }, {
      "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": "Patient managing organisation",
      "mapping": [ {
        "map": "scoper",
        "identity": "rim"
      }, {
        "map": ".providerOrganization",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-organisation"
      } ],
      "max": "1",
      "id": "Patient.managingOrganization",
      "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",
        "source": "Element",
        "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": "outboundLink",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "max": "*",
      "id": "Patient.link",
      "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
    }, {
      "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",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.link.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "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"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.link.modifierExtension",
      "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
    }, {
      "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": "PID-3, MRG-1",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-patient"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-relatedperson"
      } ],
      "max": "1",
      "id": "Patient.link.other",
      "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
    }, {
      "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": "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",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.link.type"
      },
      "isSummary": true
    } ]
  },
  "status": "draft",
  "id": "a2c60266-cc1c-468e-9c19-0a9dcbf4e010",
  "kind": "resource",
  "url": "http://hl7.org.au/fhir/StructureDefinition/au-patient",
  "version": "0.1",
  "differential": {
    "element": [ {
      "id": "Patient",
      "path": "Patient",
      "short": "A patient in an Australian healthcare context",
      "constraint": [ {
        "key": "inv-pat-0",
        "human": "If there is a birth time its date shall be the birth date",
        "severity": "error",
        "expression": "birthDate.extension.where(url='http://hl7.org/fhir/StructureDefinition/patient-birthTime').exists() implies birthDate.extension('http://hl7.org/fhir/StructureDefinition/patient-birthTime').value.toString().substring(0,10) = birthDate.toString()"
      } ],
      "definition": "Demographics and other administrative information about an individual receiving care or other health-related services."
    }, {
      "id": "Patient.extension",
      "path": "Patient.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.extension:birthPlace",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/birthPlace"
      } ],
      "short": "Patient birth place",
      "sliceName": "birthPlace"
    }, {
      "id": "Patient.extension:indigenousStatus",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/indigenous-status"
      } ],
      "short": "Patient indigenous status",
      "sliceName": "indigenousStatus"
    }, {
      "id": "Patient.extension:closeTheGapRegistration",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/close-the-gap-registration"
      } ],
      "short": "Patient Close the Gap registration",
      "sliceName": "closeTheGapRegistration"
    }, {
      "id": "Patient.extension:mothersMaidenName",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName"
      } ],
      "short": "Patient mother's maiden name",
      "sliceName": "mothersMaidenName"
    }, {
      "id": "Patient.identifier",
      "path": "Patient.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        }, {
          "path": "type",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.identifier:ihiNumber",
      "max": "1",
      "path": "Patient.identifier",
      "short": "National Individual Health Identifier",
      "sliceName": "ihiNumber",
      "definition": "National identifier for the patient",
      "requirements": "Identifier as assigned and available via Health Identifiers service"
    }, {
      "id": "Patient.identifier:ihiNumber.extension",
      "path": "Patient.identifier.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.identifier:ihiNumber.extension:ihiStatus",
      "max": "1",
      "min": 0,
      "path": "Patient.identifier.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/ihi-status"
      } ],
      "short": "IHI Number Status",
      "sliceName": "ihiStatus"
    }, {
      "id": "Patient.identifier:ihiNumber.extension:ihiRecordStatus",
      "max": "1",
      "min": 0,
      "path": "Patient.identifier.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/ihi-record-status"
      } ],
      "short": "IHI Number Record Status",
      "sliceName": "ihiRecordStatus",
      "definition": "IHI value record status associated with an IHI identifier"
    }, {
      "id": "Patient.identifier:ihiNumber.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "short": "Coded identifier type for IHI",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "definition": "Coded identifier type for IHI"
    }, {
      "id": "Patient.identifier:ihiNumber.type.coding",
      "max": "1",
      "path": "Patient.identifier.type.coding",
      "definition": "ihi"
    }, {
      "id": "Patient.identifier:ihiNumber.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "short": "Required system",
      "fixedUri": "http://hl7.org/fhir/v2/0203"
    }, {
      "id": "Patient.identifier:ihiNumber.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "NI"
    }, {
      "id": "Patient.identifier:ihiNumber.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "definition": "ihi",
      "fixedString": "IHI"
    }, {
      "id": "Patient.identifier:ihiNumber.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "national namespace for ihi",
      "fixedUri": "http://ns.electronichealth.net.au/id/hi/ihi/1.0",
      "definition": "This namespace is used for qualified identifiers to represent Individual Healthcare Identifier (IHI) numbers. An example of the syntax of an IHI represented as a qualified identifer using this namespace is: http://ns.electronichealth.net.au/id/hi/ihi/1.0/8003600000000000"
    }, {
      "id": "Patient.identifier:ihiNumber.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "Individual Health Identifier number",
      "example": [ {
        "label": "IHI number",
        "valueString": "8003608166690503"
      } ],
      "maxLength": 16,
      "constraint": [ {
        "key": "inv-ihi-0",
        "human": "IHI shall be an exactly 16 digit number",
        "severity": "error",
        "expression": "matches('^([0-9]{16})$')"
      }, {
        "key": "inv-ihi-1",
        "human": "IHI prefix is 800360",
        "severity": "error",
        "expression": "startsWith('800360')"
      }, {
        "key": "inv-ihi-2",
        "human": "IHI shall pass the Luhn algorithm check",
        "severity": "error",
        "expression": "(((select(substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(1,1).toInteger())+(select(substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(3,1).toInteger())+(select(substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(5,1).toInteger())+(select(substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(7,1).toInteger())+(select(substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(9,1).toInteger())+(select(substring(10,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(11,1).toInteger())+(select(substring(12,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(13,1).toInteger())+(select(substring(14,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(substring(15,1).toInteger()))mod 10=0)"
      } ],
      "definition": "The 16 digit unique identifier for consumers of healthcare services"
    }, {
      "id": "Patient.identifier:medicareNumber",
      "path": "Patient.identifier",
      "short": "Medicare Number",
      "sliceName": "medicareNumber",
      "definition": "Medicare Number assigned  to a patient.  This includes temporary and full Medicare card numbers."
    }, {
      "id": "Patient.identifier:medicareNumber.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "definition": "Medicare Number assigned  to a patient"
    }, {
      "id": "Patient.identifier:medicareNumber.type.coding",
      "max": "1",
      "path": "Patient.identifier.type.coding",
      "definition": "Medicare Number assigned  to a patient"
    }, {
      "id": "Patient.identifier:medicareNumber.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://hl7.org/fhir/v2/0203"
    }, {
      "id": "Patient.identifier:medicareNumber.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "MC"
    }, {
      "id": "Patient.identifier:medicareNumber.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "definition": "Medicare Number descriptive text",
      "fixedString": "Medicare Number"
    }, {
      "id": "Patient.identifier:medicareNumber.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "national namespace for medicare",
      "fixedUri": "http://ns.electronichealth.net.au/id/medicare-number"
    }, {
      "id": "Patient.identifier:medicareNumber.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "Medicare Number value including optional individual reference number",
      "example": [ {
        "label": "Medicare number",
        "valueString": "32788511952"
      } ],
      "maxLength": 11,
      "definition": "10 digit Medicare number with optional 11th digit individual reference number (IRN)"
    }, {
      "id": "Patient.identifier:medicareNumber.period",
      "min": 1,
      "path": "Patient.identifier.period",
      "short": "Medicare validity period"
    }, {
      "id": "Patient.identifier:medicareNumber.period.end",
      "min": 1,
      "path": "Patient.identifier.period.end",
      "short": "Medicare Expiry Date",
      "definition": "Expiry date for medicare number. This is typically month and year only but may incude day date part when this is a temporary medicare number."
    }, {
      "id": "Patient.identifier:dvaNumber",
      "max": "1",
      "path": "Patient.identifier",
      "short": "DVA Number",
      "sliceName": "dvaNumber",
      "constraint": [ {
        "key": "inv-dva-number-unspecified",
        "human": "DVA Number identifier type text must be 'DVA Number' when colour is not specified",
        "severity": "error",
        "expression": "type.coding.empty() implies type.text = 'DVA Number'"
      }, {
        "key": "inv-dva-number-gold",
        "human": "DVA Number identifier type text must be 'DVA Number (Gold)' when colour coding is DVG",
        "severity": "error",
        "expression": "type.coding.code='DVG' implies type.text = 'DVA Number (Gold)'"
      }, {
        "key": "inv-dva-number-white",
        "human": "DVA Number identifier type text must be 'DVA Number (White)' when colour coding is DVW",
        "severity": "error",
        "expression": "type.coding.code='DVW' implies type.text = 'DVA Number (White)'"
      }, {
        "key": "inv-dva-number-orange",
        "human": "DVA Number identifier type text must be 'DVA Number (Orange)' when colour coding is DVO",
        "severity": "error",
        "expression": "type.coding.code='DVO' implies type.text = 'DVA Number (Orange)'"
      }, {
        "key": "inv-dva-number-lilac",
        "human": "DVA Number identifier type text must be 'DVA Number (Lilac)' when colour coding is DVL",
        "severity": "error",
        "expression": "type.coding.code='DVL' implies type.text = 'DVA Number (Lilac)'"
      }, {
        "key": "inv-dva-number-text",
        "human": "DVA Number identifier type text must be one of 'DVA Number', 'DVA Number (Gold)',  'DVA Number (White), 'DVA Number (Orange), 'DVA Number (Lilac)'",
        "severity": "error",
        "expression": "type.text = 'DVA Number' or type.text = 'DVA Number (Gold)' or type.text = 'DVA Number (White)' or type.text = 'DVA Number (Orange)' or type.text = 'DVA Number (Lilac)'"
      } ],
      "definition": "Department of Veterans' Affairs number"
    }, {
      "id": "Patient.identifier:dvaNumber.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "definition": "DVA colour identifer type"
    }, {
      "id": "Patient.identifier:dvaNumber.type.coding",
      "max": "1",
      "path": "Patient.identifier.type.coding",
      "constraint": [ {
        "key": "inv-dva-number-coding",
        "human": "DVA colour coding must be DVL, DVW, DVO or DVG",
        "severity": "error",
        "expression": "code='DVL' or code='DVW' or code='DVO' or code='DVG'"
      } ]
    }, {
      "id": "Patient.identifier:dvaNumber.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "definition": "DVA colour coding"
    }, {
      "id": "Patient.identifier:dvaNumber.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "DVA number identifier system",
      "fixedUri": "http://ns.electronichealth.net.au/id/dva",
      "definition": "DVA Number assigned uri"
    }, {
      "id": "Patient.identifier:dvaNumber.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "DVA number value",
      "comment": "Reference: http://meteor.aihw.gov.au/content/index.phtml/itemId/339127",
      "example": [ {
        "label": "DVA number",
        "valueString": "NBUR9080"
      } ],
      "maxLength": 9,
      "definition": "Up to 9 digit value in the form AAXXNNNN[A]"
    }, {
      "id": "Patient.identifier:healthcareCard",
      "max": "1",
      "path": "Patient.identifier",
      "short": "Health Care Card Identifier",
      "sliceName": "healthcareCard",
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number"
    }, {
      "id": "Patient.identifier:healthcareCard.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "short": "Health Care Card Identifier Type",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number"
    }, {
      "id": "Patient.identifier:healthcareCard.type.coding",
      "max": "1",
      "path": "Patient.identifier.type.coding"
    }, {
      "id": "Patient.identifier:healthcareCard.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://hl7.org/fhir/v2/0203"
    }, {
      "id": "Patient.identifier:healthcareCard.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "HC"
    }, {
      "id": "Patient.identifier:healthcareCard.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "fixedString": "Health Care Card Number"
    }, {
      "id": "Patient.identifier:healthcareCard.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "namespace for Centrelink CRN identifiers",
      "fixedUri": "http://ns.electronichealth.net.au/id/centrelink-customer-reference-number",
      "definition": "namespace for CRN values"
    }, {
      "id": "Patient.identifier:healthcareCard.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "Centrelink Customer Reference Number (CRN)",
      "comment": "A personal identifier assigned by Centrelink for the purposes of identifying people (and organisations) eligible for specific services.",
      "example": [ {
        "label": "DHS CRN",
        "valueString": "307111942H"
      } ],
      "maxLength": 10,
      "definition": "10 character identifier NNNNNNNNNA"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard",
      "max": "1",
      "path": "Patient.identifier",
      "short": "Pensioner Concession Card Identifier",
      "sliceName": "pensionerConcessionCard",
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "short": "Pensioner Concession Card Identifier Type",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard.type.coding",
      "max": "1",
      "path": "Patient.identifier.type.coding"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://hl7.org/fhir/v2/0203"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "PEN"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "fixedString": "Pensioner Concession Card Number"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "namespace for Centrelink CRN identifiers",
      "fixedUri": "http://ns.electronichealth.net.au/id/centrelink-customer-reference-number",
      "definition": "namespace for CRN values"
    }, {
      "id": "Patient.identifier:pensionerConcessionCard.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "Centrelink Customer Reference Number (CRN)",
      "comment": "A personal identifier assigned by Centrelink for the purposes of identifying people (and organisations) eligible for specific services.",
      "example": [ {
        "label": "DHS CRN",
        "valueString": "307111942H"
      } ],
      "maxLength": 10,
      "definition": "10 character identifier NNNNNNNNNA"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard",
      "max": "1",
      "path": "Patient.identifier",
      "short": "Commonwealth Seniors Health Card Identifier",
      "sliceName": "commonwealthSeniorsHealthCard",
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "short": "Commonwealth Seniors Health Card Identifier Type",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      },
      "definition": "Concesion Card Number assigned to a person by Centrelink, this can be Health Card Card, Pensioner Concession Card or Commonwealth Seniors Health Card Number"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type.coding",
      "max": "1",
      "path": "Patient.identifier.type.coding"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://hl7.org.au/fhir/v2/0203"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "SEN"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "fixedString": "Commonwealth Seniors Health Card"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "namespace for Centrelink CRN identifiers",
      "fixedUri": "http://ns.electronichealth.net.au/id/centrelink-customer-reference-number",
      "definition": "namespace for CRN values"
    }, {
      "id": "Patient.identifier:commonwealthSeniorsHealthCard.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "Centrelink Customer Reference Number (CRN)",
      "comment": "A personal identifier assigned by Centrelink for the purposes of identifying people (and organisations) eligible for specific services.",
      "example": [ {
        "label": "DHS CRN",
        "valueString": "307111942H"
      } ],
      "maxLength": 10,
      "definition": "10 character identifier NNNNNNNNNA"
    }, {
      "id": "Patient.identifier:medicalRecordNumber",
      "path": "Patient.identifier",
      "short": "Medical Record Number",
      "sliceName": "medicalRecordNumber",
      "definition": "An assigned medical record number."
    }, {
      "id": "Patient.identifier:medicalRecordNumber.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      }
    }, {
      "id": "Patient.identifier:medicalRecordNumber.type.coding",
      "max": "1",
      "min": 1,
      "path": "Patient.identifier.type.coding"
    }, {
      "id": "Patient.identifier:medicalRecordNumber.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://hl7.org/fhir/v2/0203"
    }, {
      "id": "Patient.identifier:medicalRecordNumber.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "MR"
    }, {
      "id": "Patient.identifier:medicalRecordNumber.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "fixedString": "Medical Record Number"
    }, {
      "id": "Patient.identifier:medicalRecordNumber.system",
      "min": 1,
      "path": "Patient.identifier.system",
      "short": "Medical record number system url"
    }, {
      "id": "Patient.identifier:medicalRecordNumber.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "Medical record number value"
    }, {
      "id": "Patient.identifier:medicalRecordNumber.assigner",
      "min": 1,
      "path": "Patient.identifier.assigner",
      "short": "Medical record number assigning entity"
    }, {
      "id": "Patient.identifier:insurerNumber",
      "path": "Patient.identifier",
      "short": "Private Health Insurance Member Number",
      "sliceName": "insurerNumber",
      "definition": "An insurer's member number "
    }, {
      "id": "Patient.identifier:insurerNumber.type",
      "min": 1,
      "path": "Patient.identifier.type",
      "binding": {
        "strength": "required",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "Local Identifier Types",
        "valueSetReference": {
          "reference": "http://hl7.org.au/fhir/ValueSet/au-hl7v2-0203"
        }
      }
    }, {
      "id": "Patient.identifier:insurerNumber.type.coding",
      "max": "1",
      "min": 1,
      "path": "Patient.identifier.type.coding"
    }, {
      "id": "Patient.identifier:insurerNumber.type.coding.system",
      "min": 1,
      "path": "Patient.identifier.type.coding.system",
      "fixedUri": "http://hl7.org/fhir/v2/0203"
    }, {
      "id": "Patient.identifier:insurerNumber.type.coding.code",
      "min": 1,
      "path": "Patient.identifier.type.coding.code",
      "fixedCode": "MB"
    }, {
      "id": "Patient.identifier:insurerNumber.type.text",
      "min": 1,
      "path": "Patient.identifier.type.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "fixedString": "Private Health Insurance Member Number"
    }, {
      "id": "Patient.identifier:insurerNumber.value",
      "min": 1,
      "path": "Patient.identifier.value",
      "short": "Private health insurer member number"
    }, {
      "id": "Patient.identifier:insurerNumber.assigner",
      "min": 1,
      "path": "Patient.identifier.assigner"
    }, {
      "id": "Patient.identifier:insurerNumber.assigner.display",
      "min": 1,
      "path": "Patient.identifier.assigner.display",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ]
    }, {
      "id": "Patient.birthDate",
      "path": "Patient.birthDate",
      "short": "Date of birth extended for time and accuracy indicator",
      "requirements": "Age of the individual drives many clinical processes. May include accuracy indicator and specific birth time."
    }, {
      "id": "Patient.birthDate.extension",
      "path": "Patient.birthDate.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.birthDate.extension:accuracyIndicator",
      "max": "1",
      "min": 0,
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator"
      } ],
      "short": "Birth Date Accuracy Indicator",
      "comment": "In some circumstances, systems may only date or datetime data that has unknown or estimated parts.  This coding establises the acuraccy of the day, month and year parts.",
      "sliceName": "accuracyIndicator"
    }, {
      "id": "Patient.birthDate.extension:birthTime",
      "max": "1",
      "min": 0,
      "path": "Patient.birthDate.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/StructureDefinition/patient-birthTime"
      } ],
      "short": "Birth Time",
      "sliceName": "birthTime",
      "definition": "The time of day that the Patient was born. This includes the date to ensure that the timezone information can be communicated effectively."
    }, {
      "id": "Patient.deceased[x]",
      "max": "1",
      "min": 0,
      "path": "Patient.deceased[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "definition": "Indicates if the individual is deceased or not. Deceased date accuracy indicator is optional."
    }, {
      "id": "Patient.deceased[x]:deceasedBoolean",
      "path": "Patient.deceased[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "short": "Deceased Indicator",
      "sliceName": "deceasedBoolean",
      "definition": "Boolean indicator if the individual is deceased or not."
    }, {
      "id": "Patient.deceased[x]:deceasedDateTime",
      "path": "Patient.deceased[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Deceased Date Time",
      "sliceName": "deceasedDateTime",
      "definition": "Indivdual deceased date-time with optional accuracy indicator."
    }, {
      "id": "Patient.deceased[x]:deceasedDateTime.extension",
      "path": "Patient.deceased[x].extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Patient.deceased[x]:deceasedDateTime.extension:accuracyIndicator",
      "max": "1",
      "min": 0,
      "path": "Patient.deceased[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org.au/fhir/StructureDefinition/date-accuracy-indicator"
      } ],
      "short": "Deceased Date Accuracy Indicator",
      "comment": "In some circumstances, systems may only date or datetime data that has unknown or estimated parts.  This coding establises the acuraccy of the day, month and year parts.",
      "sliceName": "accuracyIndicator"
    }, {
      "id": "Patient.contact.organization",
      "path": "Patient.contact.organization",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-organisation"
      } ]
    }, {
      "id": "Patient.communication",
      "path": "Patient.communication"
    }, {
      "id": "Patient.communication.language",
      "path": "Patient.communication.language",
      "binding": {
        "strength": "extensible",
        "valueSetReference": {
          "reference": "https://healthterminologies.gov.au/fhir/ValueSet/common-languages-australia-1"
        }
      }
    }, {
      "id": "Patient.generalPractitioner",
      "path": "Patient.generalPractitioner",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-practitioner"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-organisation"
      } ],
      "short": "Usual GP practice or practitioner"
    }, {
      "id": "Patient.managingOrganization",
      "path": "Patient.managingOrganization",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-organisation"
      } ],
      "short": "Patient managing organisation"
    }, {
      "id": "Patient.link.other",
      "path": "Patient.link.other",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-patient"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org.au/fhir/StructureDefinition/au-relatedperson"
      } ]
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "use": "work",
      "value": "http://hl7.org.au/fhir",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient"
}