AU Base Implementation Guide
5.0.1-ci-build - CI Build Australia flag

AU Base Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 5.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-base/ and changes regularly. See the Directory of published versions

Extension: Ethnicity

Official URL: http://hl7.org.au/fhir/StructureDefinition/ethnicity Version: 5.0.1-ci-build
Standards status: Trial-use Maturity Level: 0 Computable Name: Ethnicity

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This extension applies to the Patient resource and is used to represent ethnic identity (see Australian Bureau of Statistics for further information). This extension is to support the provision of healthcare services to patients with specific cultural identities. This extension provides further information about a person’s cultural values and practices which can be significant in determining service type, support required and possible needs.

The words ‘ethnicity’ and ‘ethnic’ are associated with many different meanings, but for the purpose of this extension ethnicity refers to the shared identity or similarity of a group of people on the basis of one or more distinguishing sociological characteristics, such as language, shared history, religion, cultural traditions or geographic origin etc. This extension supports Australian Aboriginal and Torres Strait Islander peoples as well as ethnicities originating from outside of Australia.

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

  • Element ID Patient

There is concern on the appropriateness of the Australian Standard Classification of Cultural and Ethnic Groups (ASCCEG) 2019 and the more specific ancestry coding index. Feedback is sought on the suitability of these coding standards in supporting targeted provision of culturally appropriate healthcare services.

This extension is not suitable for use when an ethnic identity is comprised of an unstructured string of potentially multiple composites (e.g. 'Of Malaysian and German descent but associates more as a Malay'). Feedback is sought on how to support an unstructured string, including the possibility of a string alternative to cater for narrative or composite text statements.

Usage Notes

Usage:

Changes since version 5.0.0:

  • New Content

    • Formal Views of Extension Content

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

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* Extension Ethnicity
    ... url 1..1 uri "http://hl7.org.au/fhir/StructureDefinition/ethnicity"
    ... value[x] 1..1 CodeableConcept Coded ethnicity

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Constraints

    IdGradePath(s)DetailsRequirements
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()