Clinical Document Architecture
2.0.1 - active

Clinical Document Architecture, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.0.1). This version is based on the current content of https://github.com/HL7/CDA-core-2.0/ and changes regularly. See the Directory of published versions

Logical Model: CDAR2.Patient - XML Profile

Active as of 2023-10-03

XML representation of the Patient logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Patient"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>A LivingSubject as a recipient of health care services from a healthcare provider.</p>
      <p>The patient is the player; the provider is the scoper.</p>
    </div>
  </text>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/logical-target">
    <valueBoolean>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="not-applicable"/>
      </extension>
    </valueBoolean>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
    <valueUri value="urn:hl7-org:v3"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
    <valueUri value="patient"/>
  </extension>
  <url value="http://hl7.org/cda/stds/core/StructureDefinition/Patient"/>
  <version value="2.0.1"/>
  <name value="CDAR2.Patient"/>
  <title value="Patient (CDA Class)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-10-03T20:44:04+00:00"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structdoc"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="structdog@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="A LivingSubject as a recipient of health care services from a healthcare provider.
The patient is the player; the provider is the scoper."/>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="http://hl7.org/cda/stds/core/StructureDefinition/Patient"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="Patient">
      <path value="Patient"/>
      <short value="Base for all types and resources"/>
      <definition
                  value="Base definition for all types defined in FHIR type system."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Patient.classCode">
      <path value="Patient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.classCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element id="Patient.determinerCode">
      <path value="Patient.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.determinerCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element id="Patient.templateId">
      <path value="Patient.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.templateId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Patient.id">
      <path value="Patient.id"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Patient.name">
      <path value="Patient.name"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.name"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </type>
    </element>
    <element id="Patient.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="desc"/>
      </extension>
      <path value="Patient.sdtcDesc"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDesc"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Patient.administrativeGenderCode">
      <path value="Patient.administrativeGenderCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.administrativeGenderCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-AdministrativeGender"/>
      </binding>
    </element>
    <element id="Patient.birthTime">
      <path value="Patient.birthTime"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.birthTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="Patient.sdtcDeceasedInd">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="deceasedInd"/>
      </extension>
      <path value="Patient.sdtcDeceasedInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDeceasedInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Patient.sdtcDeceasedTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="deceasedTime"/>
      </extension>
      <path value="Patient.sdtcDeceasedTime"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcDeceasedTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="Patient.sdtcMultipleBirthInd">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="multipleBirthInd"/>
      </extension>
      <path value="Patient.sdtcMultipleBirthInd"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcMultipleBirthInd"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Patient.sdtcMultipleBirthOrderNumber">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="multipleBirthOrderNumber"/>
      </extension>
      <path value="Patient.sdtcMultipleBirthOrderNumber"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.sdtcMultipleBirthOrderNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/INT-POS"/>
      </type>
    </element>
    <element id="Patient.maritalStatusCode">
      <path value="Patient.maritalStatusCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.maritalStatusCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-MaritalStatus"/>
      </binding>
    </element>
    <element id="Patient.religiousAffiliationCode">
      <path value="Patient.religiousAffiliationCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.religiousAffiliationCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"/>
      </binding>
    </element>
    <element id="Patient.raceCode">
      <path value="Patient.raceCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.raceCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Race"/>
      </binding>
    </element>
    <element id="Patient.sdtcRaceCode">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="raceCode"/>
      </extension>
      <path value="Patient.sdtcRaceCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.sdtcRaceCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Race"/>
      </binding>
    </element>
    <element id="Patient.ethnicGroupCode">
      <path value="Patient.ethnicGroupCode"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.ethnicGroupCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"/>
      </binding>
    </element>
    <element id="Patient.sdtcEthnicGroupCode">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="ethnicGroupCode"/>
      </extension>
      <path value="Patient.sdtcEthnicGroupCode"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.sdtcEthnicGroupCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"/>
      </binding>
    </element>
    <element id="Patient.guardian">
      <path value="Patient.guardian"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.guardian"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Guardian"/>
      </type>
    </element>
    <element id="Patient.birthplace">
      <path value="Patient.birthplace"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Patient.birthplace"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Birthplace"/>
      </type>
    </element>
    <element id="Patient.languageCommunication">
      <path value="Patient.languageCommunication"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Patient.languageCommunication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="Patient">
      <path value="Patient"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="Patient.classCode">
      <path value="Patient.classCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="PSN"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityClassLivingSubject"/>
      </binding>
    </element>
    <element id="Patient.determinerCode">
      <path value="Patient.determinerCode"/>
      <representation value="xmlAttr"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
        <profile
                 value="http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"/>
      </type>
      <fixedCode value="INSTANCE"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-EntityDeterminer"/>
      </binding>
    </element>
    <element id="Patient.templateId">
      <path value="Patient.templateId"/>
      <definition
                  value="When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Patient.id">
      <path value="Patient.id"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/II"/>
      </type>
    </element>
    <element id="Patient.name">
      <path value="Patient.name"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/PN"/>
      </type>
    </element>
    <element id="Patient.sdtcDesc">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="desc"/>
      </extension>
      <path value="Patient.sdtcDesc"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/ED"/>
      </type>
    </element>
    <element id="Patient.administrativeGenderCode">
      <path value="Patient.administrativeGenderCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-AdministrativeGender"/>
      </binding>
    </element>
    <element id="Patient.birthTime">
      <path value="Patient.birthTime"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="Patient.sdtcDeceasedInd">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="deceasedInd"/>
      </extension>
      <path value="Patient.sdtcDeceasedInd"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Patient.sdtcDeceasedTime">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="deceasedTime"/>
      </extension>
      <path value="Patient.sdtcDeceasedTime"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/TS"/>
      </type>
    </element>
    <element id="Patient.sdtcMultipleBirthInd">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="multipleBirthInd"/>
      </extension>
      <path value="Patient.sdtcMultipleBirthInd"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/BL"/>
      </type>
    </element>
    <element id="Patient.sdtcMultipleBirthOrderNumber">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="multipleBirthOrderNumber"/>
      </extension>
      <path value="Patient.sdtcMultipleBirthOrderNumber"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/INT-POS"/>
      </type>
    </element>
    <element id="Patient.maritalStatusCode">
      <path value="Patient.maritalStatusCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-MaritalStatus"/>
      </binding>
    </element>
    <element id="Patient.religiousAffiliationCode">
      <path value="Patient.religiousAffiliationCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet
                  value="http://terminology.hl7.org/ValueSet/v3-ReligiousAffiliation"/>
      </binding>
    </element>
    <element id="Patient.raceCode">
      <path value="Patient.raceCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Race"/>
      </binding>
    </element>
    <element id="Patient.sdtcRaceCode">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="raceCode"/>
      </extension>
      <path value="Patient.sdtcRaceCode"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Race"/>
      </binding>
    </element>
    <element id="Patient.ethnicGroupCode">
      <path value="Patient.ethnicGroupCode"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"/>
      </binding>
    </element>
    <element id="Patient.sdtcEthnicGroupCode">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-namespace">
        <valueUri value="urn:hl7-org:sdtc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-xml-name">
        <valueString value="ethnicGroupCode"/>
      </extension>
      <path value="Patient.sdtcEthnicGroupCode"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="http://hl7.org/cda/stds/core/StructureDefinition/CE"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-Ethnicity"/>
      </binding>
    </element>
    <element id="Patient.guardian">
      <path value="Patient.guardian"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Guardian"/>
      </type>
    </element>
    <element id="Patient.birthplace">
      <path value="Patient.birthplace"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/Birthplace"/>
      </type>
    </element>
    <element id="Patient.languageCommunication">
      <path value="Patient.languageCommunication"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.org/cda/stds/core/StructureDefinition/LanguageCommunication"/>
      </type>
    </element>
  </differential>
</StructureDefinition>