US Core Implementation Guide
4.1.0 - CI Build

US Core Implementation Guide, published by HL7 International - US Realm Steering Committee. This is not an authorized publication; it is the continuous build for version 4.1.0). 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

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.

The official URL for this extension is:

http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity

Status: active
Extension maintained by: HL7 International - US Realm Steering Committee

Context of Use

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

  • Patient
  • RelatedPerson
  • Person
  • Practitioner

US Core Ethnicity Extension

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 text description of ethnicity

Example can be found in Patient-example

Usage info

Usage:

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

Mandatory: 4 elements (4 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 4 elements
Prohibited: 1 element

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionUS Core ethnicity Extension
... extension:ombCategory S0..1ExtensionHispanic or Latino|Not Hispanic or Latino
.... url 1..1uri"ombCategory"
.... value[x] 1..1CodingValue of extension
Binding: OMB Ethnicity Categories (required)
... extension:detailed 0..*ExtensionExtended ethnicity codes
.... url 1..1uri"detailed"
.... value[x] 1..1CodingValue of extension
Binding: Detailed ethnicity (required)
... extension:text S1..1Extensionethnicity Text
.... url 1..1uri"text"
.... value[x] 1..1stringValue of extension
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionUS Core ethnicity Extension
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... extension:ombCategory S0..1ExtensionHispanic or Latino|Not Hispanic or Latino
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1uriidentifies the meaning of the extension
..... value[x] 0..1Value of extension
...... valueBase64Binarybase64Binary
...... valueBooleanboolean
...... valueCanonicalcanonical(Any)
...... valueCodecode
...... valueDatedate
...... valueDateTimedateTime
...... valueDecimaldecimal
...... valueIdid
...... valueInstantinstant
...... valueIntegerinteger
...... valueMarkdownmarkdown
...... valueOidoid
...... valuePositiveIntpositiveInt
...... valueStringstring
...... valueTimetime
...... valueUnsignedIntunsignedInt
...... valueUriuri
...... valueUrlurl
...... valueUuiduuid
...... valueAddressAddress
...... valueAgeAge
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueContactPointContactPoint
...... valueCountCount
...... valueDistanceDistance
...... valueDurationDuration
...... valueHumanNameHumanName
...... valueIdentifierIdentifier
...... valueMoneyMoney
...... valuePeriodPeriod
...... valueQuantityQuantity
...... valueRangeRange
...... valueRatioRatio
...... valueReferenceReference(Any)
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueTimingTiming
...... valueContactDetailContactDetail
...... valueContributorContributor
...... valueDataRequirementDataRequirement
...... valueExpressionExpression
...... valueParameterDefinitionParameterDefinition
...... valueRelatedArtifactRelatedArtifact
...... valueTriggerDefinitionTriggerDefinition
...... valueUsageContextUsageContext
...... valueDosageDosage
...... valueMetaMeta
.... url 1..1uri"ombCategory"
.... value[x] 1..1CodingValue of extension
Binding: OMB Ethnicity Categories (required)
... extension:detailed 0..*ExtensionExtended ethnicity codes
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1uriidentifies the meaning of the extension
..... value[x] 0..1Value of extension
...... valueBase64Binarybase64Binary
...... valueBooleanboolean
...... valueCanonicalcanonical(Any)
...... valueCodecode
...... valueDatedate
...... valueDateTimedateTime
...... valueDecimaldecimal
...... valueIdid
...... valueInstantinstant
...... valueIntegerinteger
...... valueMarkdownmarkdown
...... valueOidoid
...... valuePositiveIntpositiveInt
...... valueStringstring
...... valueTimetime
...... valueUnsignedIntunsignedInt
...... valueUriuri
...... valueUrlurl
...... valueUuiduuid
...... valueAddressAddress
...... valueAgeAge
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueContactPointContactPoint
...... valueCountCount
...... valueDistanceDistance
...... valueDurationDuration
...... valueHumanNameHumanName
...... valueIdentifierIdentifier
...... valueMoneyMoney
...... valuePeriodPeriod
...... valueQuantityQuantity
...... valueRangeRange
...... valueRatioRatio
...... valueReferenceReference(Any)
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueTimingTiming
...... valueContactDetailContactDetail
...... valueContributorContributor
...... valueDataRequirementDataRequirement
...... valueExpressionExpression
...... valueParameterDefinitionParameterDefinition
...... valueRelatedArtifactRelatedArtifact
...... valueTriggerDefinitionTriggerDefinition
...... valueUsageContextUsageContext
...... valueDosageDosage
...... valueMetaMeta
.... url 1..1uri"detailed"
.... value[x] 1..1CodingValue of extension
Binding: Detailed ethnicity (required)
... extension:text S1..1Extensionethnicity Text
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1uriidentifies the meaning of the extension
..... value[x] 0..1Value of extension
...... valueBase64Binarybase64Binary
...... valueBooleanboolean
...... valueCanonicalcanonical(Any)
...... valueCodecode
...... valueDatedate
...... valueDateTimedateTime
...... valueDecimaldecimal
...... valueIdid
...... valueInstantinstant
...... valueIntegerinteger
...... valueMarkdownmarkdown
...... valueOidoid
...... valuePositiveIntpositiveInt
...... valueStringstring
...... valueTimetime
...... valueUnsignedIntunsignedInt
...... valueUriuri
...... valueUrlurl
...... valueUuiduuid
...... valueAddressAddress
...... valueAgeAge
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueContactPointContactPoint
...... valueCountCount
...... valueDistanceDistance
...... valueDurationDuration
...... valueHumanNameHumanName
...... valueIdentifierIdentifier
...... valueMoneyMoney
...... valuePeriodPeriod
...... valueQuantityQuantity
...... valueRangeRange
...... valueRatioRatio
...... valueReferenceReference(Any)
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueTimingTiming
...... valueContactDetailContactDetail
...... valueContributorContributor
...... valueDataRequirementDataRequirement
...... valueExpressionExpression
...... valueParameterDefinitionParameterDefinition
...... valueRelatedArtifactRelatedArtifact
...... valueTriggerDefinitionTriggerDefinition
...... valueUsageContextUsageContext
...... valueDosageDosage
...... valueMetaMeta
.... url 1..1uri"text"
.... value[x] 1..1stringValue of extension
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"

doco Documentation for this format

This structure is derived from Extension

Summary

Mandatory: 4 elements (4 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 4 elements
Prohibited: 1 element

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionUS Core ethnicity Extension
... extension:ombCategory S0..1ExtensionHispanic or Latino|Not Hispanic or Latino
.... url 1..1uri"ombCategory"
.... value[x] 1..1CodingValue of extension
Binding: OMB Ethnicity Categories (required)
... extension:detailed 0..*ExtensionExtended ethnicity codes
.... url 1..1uri"detailed"
.... value[x] 1..1CodingValue of extension
Binding: Detailed ethnicity (required)
... extension:text S1..1Extensionethnicity Text
.... url 1..1uri"text"
.... value[x] 1..1stringValue of extension
... url 1..1uri"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..1ExtensionUS Core ethnicity Extension
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... extension:ombCategory S0..1ExtensionHispanic or Latino|Not Hispanic or Latino
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1uriidentifies the meaning of the extension
..... value[x] 0..1Value of extension
...... valueBase64Binarybase64Binary
...... valueBooleanboolean
...... valueCanonicalcanonical(Any)
...... valueCodecode
...... valueDatedate
...... valueDateTimedateTime
...... valueDecimaldecimal
...... valueIdid
...... valueInstantinstant
...... valueIntegerinteger
...... valueMarkdownmarkdown
...... valueOidoid
...... valuePositiveIntpositiveInt
...... valueStringstring
...... valueTimetime
...... valueUnsignedIntunsignedInt
...... valueUriuri
...... valueUrlurl
...... valueUuiduuid
...... valueAddressAddress
...... valueAgeAge
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueContactPointContactPoint
...... valueCountCount
...... valueDistanceDistance
...... valueDurationDuration
...... valueHumanNameHumanName
...... valueIdentifierIdentifier
...... valueMoneyMoney
...... valuePeriodPeriod
...... valueQuantityQuantity
...... valueRangeRange
...... valueRatioRatio
...... valueReferenceReference(Any)
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueTimingTiming
...... valueContactDetailContactDetail
...... valueContributorContributor
...... valueDataRequirementDataRequirement
...... valueExpressionExpression
...... valueParameterDefinitionParameterDefinition
...... valueRelatedArtifactRelatedArtifact
...... valueTriggerDefinitionTriggerDefinition
...... valueUsageContextUsageContext
...... valueDosageDosage
...... valueMetaMeta
.... url 1..1uri"ombCategory"
.... value[x] 1..1CodingValue of extension
Binding: OMB Ethnicity Categories (required)
... extension:detailed 0..*ExtensionExtended ethnicity codes
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1uriidentifies the meaning of the extension
..... value[x] 0..1Value of extension
...... valueBase64Binarybase64Binary
...... valueBooleanboolean
...... valueCanonicalcanonical(Any)
...... valueCodecode
...... valueDatedate
...... valueDateTimedateTime
...... valueDecimaldecimal
...... valueIdid
...... valueInstantinstant
...... valueIntegerinteger
...... valueMarkdownmarkdown
...... valueOidoid
...... valuePositiveIntpositiveInt
...... valueStringstring
...... valueTimetime
...... valueUnsignedIntunsignedInt
...... valueUriuri
...... valueUrlurl
...... valueUuiduuid
...... valueAddressAddress
...... valueAgeAge
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueContactPointContactPoint
...... valueCountCount
...... valueDistanceDistance
...... valueDurationDuration
...... valueHumanNameHumanName
...... valueIdentifierIdentifier
...... valueMoneyMoney
...... valuePeriodPeriod
...... valueQuantityQuantity
...... valueRangeRange
...... valueRatioRatio
...... valueReferenceReference(Any)
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueTimingTiming
...... valueContactDetailContactDetail
...... valueContributorContributor
...... valueDataRequirementDataRequirement
...... valueExpressionExpression
...... valueParameterDefinitionParameterDefinition
...... valueRelatedArtifactRelatedArtifact
...... valueTriggerDefinitionTriggerDefinition
...... valueUsageContextUsageContext
...... valueDosageDosage
...... valueMetaMeta
.... url 1..1uri"detailed"
.... value[x] 1..1CodingValue of extension
Binding: Detailed ethnicity (required)
... extension:text S1..1Extensionethnicity Text
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1uriidentifies the meaning of the extension
..... value[x] 0..1Value of extension
...... valueBase64Binarybase64Binary
...... valueBooleanboolean
...... valueCanonicalcanonical(Any)
...... valueCodecode
...... valueDatedate
...... valueDateTimedateTime
...... valueDecimaldecimal
...... valueIdid
...... valueInstantinstant
...... valueIntegerinteger
...... valueMarkdownmarkdown
...... valueOidoid
...... valuePositiveIntpositiveInt
...... valueStringstring
...... valueTimetime
...... valueUnsignedIntunsignedInt
...... valueUriuri
...... valueUrlurl
...... valueUuiduuid
...... valueAddressAddress
...... valueAgeAge
...... valueAnnotationAnnotation
...... valueAttachmentAttachment
...... valueCodeableConceptCodeableConcept
...... valueCodingCoding
...... valueContactPointContactPoint
...... valueCountCount
...... valueDistanceDistance
...... valueDurationDuration
...... valueHumanNameHumanName
...... valueIdentifierIdentifier
...... valueMoneyMoney
...... valuePeriodPeriod
...... valueQuantityQuantity
...... valueRangeRange
...... valueRatioRatio
...... valueReferenceReference(Any)
...... valueSampledDataSampledData
...... valueSignatureSignature
...... valueTimingTiming
...... valueContactDetailContactDetail
...... valueContributorContributor
...... valueDataRequirementDataRequirement
...... valueExpressionExpression
...... valueParameterDefinitionParameterDefinition
...... valueRelatedArtifactRelatedArtifact
...... valueTriggerDefinitionTriggerDefinition
...... valueUsageContextUsageContext
...... valueDosageDosage
...... valueMetaMeta
.... url 1..1uri"text"
.... value[x] 1..1stringValue of extension
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.extension:ombCategory.value[x]requiredOmbEthnicityCategories
Extension.extension:detailed.value[x]requiredDetailedEthnicity

Notes:

  • See the General Guidance section for additional rules and expectations when a server requires status parameters.

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