US Core Implementation Guide
7.0.0-ballot - Ballot United States of America flag

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 7.0.0-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: USCoreJurisdictionExtension - XML Profile

Page standards status: Trial-use Maturity Level: 3

XML representation of the us-core-jurisdiction extension.

Raw xml | Download



<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="us-core-jurisdiction"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-jurisdiction-definitions.html#Extension" title="An extension to communicate the US state or local jurisdiction for an element.">Extension</a><a name="Extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">US State or local jurisdiction<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <span style="text-decoration:line-through">extension</span><a name="Extension.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-jurisdiction-definitions.html#Extension.url">url</a><a name="Extension.url"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="color: darkgreen">&quot;http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction&quot;</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-us-core-jurisdiction-definitions.html#Extension.value[x]">value[x]</a><a name="Extension.value_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Value of extension</span><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-us-core-usps-state.html">USPS Two Letter Alphabetic Codes</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>): Target US State or local jurisdiction.<br/><br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cgp"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction"/>
  <version value="7.0.0-ballot"/>
  <name value="USCoreJurisdictionExtension"/>
  <title value="US Core Jurisdiction Extension"/>
  <status value="active"/>
  <date value="2022-11-16"/>
  <publisher value="HL7 International / Cross-Group Projects"/>
  <contact>
    <name value="HL7 International / Cross-Group Projects"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cgp"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="cgp@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="An extension to communicate the US state or local jurisdiction for individual and entity identifiers. For example, a practitioner's state or local jurisdiction for a license."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="complex-type"/>
  <abstract value="false"/>
  <context>
    <type value="element"/>
    <expression value="Patient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Patient.contact.organization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Patient.generalPractitioner.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Patient.managingOrganization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Patient.link.other.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Practitioner.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Practitioner.qualification.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Practitioner.qualification.issuer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="PractitionerRole.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="PractitionerRole.practitioner.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="PractitionerRole.organization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="PractitionerRole.location.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="PractitionerRole.healthcareService.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="PractitionerRole.endpoint.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="RelatedPerson.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="RelatedPerson.patient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Person.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Person.managingOrganization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Person.link.target.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Group.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Group.managingEntity.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Group.characteristic.value[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Group.member.entity.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Organization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Organization.partOf.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Organization.endpoint.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="OrganizationAffiliation.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="OrganizationAffiliation.organization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="OrganizationAffiliation.participatingOrganization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="OrganizationAffiliation.network.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="OrganizationAffiliation.location.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="OrganizationAffiliation.healthcareService.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="OrganizationAffiliation.endpoint.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="HealthcareService.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="HealthcareService.providedBy.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="HealthcareService.location.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="HealthcareService.coverageArea.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="HealthcareService.endpoint.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Endpoint.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Endpoint.managingOrganization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Location.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Location.managingOrganization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Location.partOf.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Location.endpoint.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Substance.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Substance.instance.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Substance.ingredient.substance[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="BiologicallyDerivedProduct.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="BiologicallyDerivedProduct.request.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="BiologicallyDerivedProduct.parent.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="BiologicallyDerivedProduct.collection.collector.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="BiologicallyDerivedProduct.collection.source.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="BiologicallyDerivedProduct.processing.additive.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Device.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Device.definition.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Device.version.component"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Device.patient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Device.owner.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Device.location.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Device.parent.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.accessionIdentifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.subject.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.parent.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.request.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.collection.collector.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.processing.additive.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.container.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Specimen.container.additive[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="BodyStructure.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="BodyStructure.patient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Coverage.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Coverage.policyHolder.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Coverage.subscriber.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Coverage.beneficiary.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Coverage.payor.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Coverage.contract.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.patient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.enterer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.insurer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.provider.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.related.claim.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.related.reference"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.prescription.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.originalPrescription.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.payee.party.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.referral.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.facility.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.careTeam.provider.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.supportingInfo.value[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.diagnosis.diagnosis[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.procedure.procedure[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.procedure.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.insurance.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.insurance.coverage.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.insurance.claimResponse.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.accident.location[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.item.location[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.item.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.item.encounter.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.item.detail.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Claim.item.detail.subDetail.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Invoice.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Invoice.subject.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Invoice.recipient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Invoice.participant.actor.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Invoice.issuer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Invoice.account.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Invoice.lineItem.chargeItem[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.instantiatesCanonical.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.subject.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.authority.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.domain.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.site.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.author.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.topic[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.contentDefinition.publisher.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.topic[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.offer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.offer.party.reference.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.offer.topic.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.offer.answer.value[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.asset.typeReference.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.asset.context.reference.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.asset.valuedItem.entity[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.asset.valuedItem.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="Contract.term.asset.valuedItem.responsible.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.asset.valuedItem.recipient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.action.subject.reference.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.action.context.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.action.requester.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.action.performer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.term.action.reasonReference.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.supportingInfo.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.relevantHistory.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.signer.party.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.friendly.content[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.legal.content[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.rule.content[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Contract.legallyBinding[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.patient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.enterer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.insurer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.provider.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.related.claim.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.related.reference"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.prescription.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.originalPrescription.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.payee.party.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.referral.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.facility.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.claim.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.claimResponse.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.careTeam.provider.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="ExplanationOfBenefit.supportingInfo.value[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="ExplanationOfBenefit.diagnosis.diagnosis[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="ExplanationOfBenefit.procedure.procedure[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.procedure.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.insurance.coverage.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.accident.location[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.item.location[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.item.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.item.encounter.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.item.detail.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression
                value="ExplanationOfBenefit.item.detail.subDetail.udi.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.addItem.provider.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.addItem.location[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="ExplanationOfBenefit.payment.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.ownedBy.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.administeredBy.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.coverageArea.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.endpoint.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.network.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.coverage.network.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.plan.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.plan.coverageArea.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="InsurancePlan.plan.network.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="DeviceMetric.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="DeviceMetric.source.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="DeviceMetric.parent.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.patient.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.performer.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.organization.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.source[x].identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.verification.verifiedWith.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.provision.actor.reference.identifier"/>
  </context>
  <context>
    <type value="element"/>
    <expression value="Consent.provision.data.reference.identifier"/>
  </context>
  <type value="Extension"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Extension">
      <path value="Extension"/>
      <short value="US State or local jurisdiction"/>
      <definition
                  value="An extension to communicate the US state or local jurisdiction for an element."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <condition value="ele-1"/>
      <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())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
    </element>
    <element id="Extension.id">
      <path value="Extension.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <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())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Extension.url">
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comment
               value="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."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="uri"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <fixedUri
                value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <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())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Target US State or local jurisdiction."/>
        <valueSet
                  value="http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Extension">
      <path value="Extension"/>
      <short value="US State or local jurisdiction"/>
      <definition
                  value="An extension to communicate the US state or local jurisdiction for an element."/>
      <min value="0"/>
      <max value="*"/>
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension"/>
      <max value="0"/>
    </element>
    <element id="Extension.url">
      <path value="Extension.url"/>
      <fixedUri
                value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction"/>
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]"/>
      <min value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="extensible"/>
        <description value="Target US State or local jurisdiction."/>
        <valueSet
                  value="http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state"/>
      </binding>
    </element>
  </differential>
</StructureDefinition>