US Core Implementation Guide
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US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

Extension: US Core Ethnicity Extension

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity Version: 8.0.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreEthnicityExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.25

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the CDC ethnicity and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.

Complies with 2015 Edition Common Clinical Data Set for patient race.

Context of Use

This extension may be used on the following element(s):

  • Element ID Patient
  • Element ID RelatedPerson
  • Element ID Person
  • Element ID Practitioner
  • Element ID FamilyMemberHistory

Profile specific implementation guidance

  • This Complex Extension for ethnicity allows one or more ethnicity codes of which:

    • Must Support one code from OMB Ethnicity Categories
    • May include additional ethnicity codes from CDC Ethnicity Codes
    • Must include a text description of ethnicity

  • An ethnicity search parameter has been defined for this extension. However, there are no ethnicity search requirements for the Client or Server.

Usage info

Usage:

Changes since version 7.0.0:

  • No changes

    • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Complex Extension: Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the CDC ethnicity and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.

    Maturity: 3

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension US Core ethnicity Extension
    ... Slices for extension 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:ombCategory S 0..1 Extension Hispanic or Latino|Not Hispanic or Latino
    ..... url 1..1 uri "ombCategory"
    ..... value[x] 1..1 Coding Value of extension
    Binding: OMB Ethnicity Categories (required)
    .... extension:detailed 0..* Extension Extended ethnicity codes
    ..... url 1..1 uri "detailed"
    ..... value[x] 1..1 Coding Value of extension
    Binding: Detailed ethnicity (required)
    .... extension:text S 1..1 Extension ethnicity Text
    ..... url 1..1 uri "text"
    ..... value[x] 1..1 string Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
    ... value[x] 0..0

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension US Core ethnicity Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... Slices for extension 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:ombCategory S 0..1 Extension Hispanic or Latino|Not Hispanic or Latino
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "ombCategory"
    ..... value[x] 1..1 Coding Value of extension
    Binding: OMB Ethnicity Categories (required)
    .... extension:detailed 0..* Extension Extended ethnicity codes
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "detailed"
    ..... value[x] 1..1 Coding Value of extension
    Binding: Detailed ethnicity (required)
    .... extension:text S 1..1 Extension ethnicity Text
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "text"
    ..... value[x] 1..1 string Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Complex Extension: Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the CDC ethnicity and Ethnicity Code Set Version 1.0 which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.

    Maturity: 3

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension US Core ethnicity Extension
    ... Slices for extension 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:ombCategory S 0..1 Extension Hispanic or Latino|Not Hispanic or Latino
    ..... url 1..1 uri "ombCategory"
    ..... value[x] 1..1 Coding Value of extension
    Binding: OMB Ethnicity Categories (required)
    .... extension:detailed 0..* Extension Extended ethnicity codes
    ..... url 1..1 uri "detailed"
    ..... value[x] 1..1 Coding Value of extension
    Binding: Detailed ethnicity (required)
    .... extension:text S 1..1 Extension ethnicity Text
    ..... url 1..1 uri "text"
    ..... value[x] 1..1 string Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
    ... value[x] 0..0

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension US Core ethnicity Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... Slices for extension 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:ombCategory S 0..1 Extension Hispanic or Latino|Not Hispanic or Latino
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "ombCategory"
    ..... value[x] 1..1 Coding Value of extension
    Binding: OMB Ethnicity Categories (required)
    .... extension:detailed 0..* Extension Extended ethnicity codes
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "detailed"
    ..... value[x] 1..1 Coding Value of extension
    Binding: Detailed ethnicity (required)
    .... extension:text S 1..1 Extension ethnicity Text
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... url 1..1 uri "text"
    ..... value[x] 1..1 string Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    PathConformanceValueSetURI
    Extension.extension:ombCategory.value[x]requiredOmbEthnicityCategories
    http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category
    from this IG
    Extension.extension:detailed.value[x]requiredDetailedEthnicity
    http://hl7.org/fhir/us/core/ValueSet/detailed-ethnicity
    from this IG