US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701
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Active as of 2025-06-20 |
Mappings for the Patient resource profile.
Scroll down for the Raw FHIR, CDW & SDA mappings (if any).
Note that the CDW, SDA and VPR XML mappings are derived from a look-up based on the VistA source.
key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
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272 | for review | V2F | PATIENT - INTEGRATION CONTROL NUMBER (2-991.01) | source value | Patient.identifier | .value | .system=urn:oid:2.16.840.1.113883.4.349 .type.coding.code=#MR .type.coding.system=http://terminology.hl7.org/CodeSystem/v2-0203 |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
273 | for review | V2F | PATIENT - NAME (2-.01) | source value | Patient.name | .text | .family=LAST .given=FIRST & MIDDLE .suffix=SUFFIX |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
274 | for review | V2F | PATIENT - PHONE NUMBER [RESIDENCE] (2-.131) | source value | Patient.telecom[va-home] | .value | .system=#phone .use=#home |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
275 | for review | V2F | PATIENT - PHONE NUMBER [WORK] (2-.132) | source value | Patient.telecom[va-work] | .value | .system=#phone .use=#work |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
276 | for review | V2F | PATIENT - PHONE NUMBER [CELLULAR] (2-.134) | source value | Patient.telecom[va-mobile] | .value | .system=#phone .use=#mobile |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
284 | for review | V2F | PATIENT - DATE OF BIRTH (2-.03) | source value | Patient.birthDate | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||||
285 | for review | V2F | PATIENT - DATE OF DEATH (2-.351) | source value | not null | Patient.deceasedDateTime | removed "true" based on Validator testing 6/30/23 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
286 | for review | V2F | PATIENT - STREET ADDRESS [LINE 1] (2-.111) | source value | Patient.address[va-home] | .line | .use=#home .type=#postal |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
287 | for review | V2F | PATIENT - STREET ADDRESS [LINE 2] (2-.112) | source value | Patient.address[va-home] | .line | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||||
288 | for review | V2F | PATIENT - STREET ADDRESS [LINE 3] (2-.113) | source value | Patient.address[va-home] | .line | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||||
289 | for review | V2F | PATIENT - CITY (2-.114) | source value | Patient.address[va-home] | .city | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||||
290 | for review | V2F | PATIENT - STATE (2-.115) | source value | Patient.address[va-home] | .state | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||||
291 | for review | V2F | PATIENT - ZIP+4 (2-.1112) | source value | Patient.address[va-home] | .postalCode | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||||
292 | for review | V2F | PATIENT - COUNTRY (2-.1173) | source value | Patient.address[va-home] | .country | confirm association with .111 etc. | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
293 | for review | V2F | PATIENT - TEMPORARY ADDRESS START DATE (2-.1217) | source value | Patient.address[va-home] | .period.start | need other addresses, including temp; not just range | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
294 | for review | V2F | PATIENT - TEMPORARY ADDRESS END DATE (2-.1218) | source value | Patient.address[va-home] | .period.end | need other addresses, including temp; not just range | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
295 | for review | V2F | PATIENT - LANGUAGE DATE/TIME > LANGUAGE DATE/TIME - PREFERRED LANGUAGE (2-7 > 2.07-.02) | source value | Patient.communication.language | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||||
296 | for review | V2F | fixed value | Patient.managingOrganization | .display | Veterans Health Administration | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||||
555 | for review | V2F | PATIENT - SEX (2-.02) | terminologyMaps | Patient.gender | VF_adminGender | Map VA sex to FHIR gender; both are vague. For now. | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
1808 | for review | V2F | PATIENT - SELF IDENTIFIED GENDER (2-.024) | terminologyMaps | Patient.extension[http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity] | .valueCodeableConcept | VF_genderIdentity | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |||
575 | for review | V2F | PATIENT - ETHNICITY INFORMATION (2-6) | terminologyMaps | Patient.extension[http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity] | .extension[ombCategory].valueCoding.code | VF_ethnicityCategory | .extension[text].valueString={} | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||
576 | for review | V2F | PATIENT - RACE INFORMATION (2-2) | terminologyMaps | Patient.extension[http://hl7.org/fhir/us/core/StructureDefinition/us-core-race] | .extension[ombCategory].valueCoding.code | VF_raceCategory | .extension[text].valueString={} | Do we collect any detailed race data? | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | |
1597 | for review | V2F | PATIENT - MARITAL STATUS (2-.05) | terminologyMaps | Patient.maritalStatus | VF_MaritalStatus | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 | ||||
1598 | for review | V2F | PATIENT - RELIGIOUS PREFERENCE (2-.08) | terminologyMaps | Patient.extension[http://hl7.org/fhir/StructureDefinition/patient-religion] | .valueCodeableConcept | VF_Religion | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | 5.0.1 |
No Mappings Found
No Mappings Found
Name | RIM Mapping | CDA (R2) | FiveWs Pattern Mapping | HL7 v2 Mapping | LOINC code for the element![]() |
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Patient[classCode=PAT] |
ClinicalDocument.recordTarget.patientRole |
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Act.text? |
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N/A |
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n/a |
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n/a |
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n/a |
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N/A |
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N/A |
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n/a |
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n/a |
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./codeSystem |
C*E.3 |
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./codeSystemVersion |
C*E.7 |
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./code |
C*E.1 |
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CV.displayName |
C*E.2 - but note this is not well followed |
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CD.codingRationale |
Sometimes implied by being first |
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n/a |
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n/a |
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N/A |
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N/A |
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n/a |
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N/A |
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N/A |
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N/A |
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N/A |
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n/a |
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n/a |
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n/a |
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N/A |
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N/A |
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n/a |
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n/a |
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./codeSystem |
C*E.3 |
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./codeSystemVersion |
C*E.7 |
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./code |
C*E.1 |
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CV.displayName |
C*E.2 - but note this is not well followed |
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CD.codingRationale |
Sometimes implied by being first |
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n/a |
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n/a |
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N/A |
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N/A |
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n/a |
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N/A |
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N/A |
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N/A |
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N/A |
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player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender |
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n/a |
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N/A |
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N/A |
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n/a |
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N/A |
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N/A |
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N/A |
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id |
.id |
FiveWs.identifier |
PID-3 |
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n/a |
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n/a |
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Role.code or implied by context |
N/A |
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Role.code or implied by context |
CX.5 |
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n/a |
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n/a |
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n/a |
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n/a |
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./codeSystem |
C*E.3 |
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./codeSystemVersion |
C*E.7 |
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./code |
C*E.1 |
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CV.displayName |
C*E.2 - but note this is not well followed |
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CD.codingRationale |
Sometimes implied by being first |
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this |
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II.root or Role.id.root |
CX.4 / EI-2-4 |
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
CX.1 / EI.1 |
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Role.effectiveTime or implied by context |
CX.7 + CX.8 |
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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statusCode |
n/a |
FiveWs.status |
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name |
.patient.name |
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n/a |
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n/a |
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unique(./use) |
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./formatted |
implied by XPN.11 |
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./part[partType = FAM] |
XPN.1/FN.1 |
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./part[partType = GIV] |
XPN.2 + XPN.3 |
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./part[partType = PFX] |
XPN.5 |
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./part[partType = SFX] |
XPN/4 |
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./usablePeriod[type="IVL<TS>"] |
XPN.13 + XPN.14 |
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telecom |
.telecom |
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n/a |
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n/a |
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./scheme |
XTN.3 |
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./url |
XTN.1 (or XTN.12) |
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unique(./use) |
XTN.2 - but often indicated by field |
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n/a |
n/a |
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./usablePeriod[type="IVL<TS>"] |
N/A |
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telecom |
.telecom |
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n/a |
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n/a |
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./scheme |
XTN.3 |
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./url |
XTN.1 (or XTN.12) |
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unique(./use) |
XTN.2 - but often indicated by field |
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n/a |
n/a |
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./usablePeriod[type="IVL<TS>"] |
N/A |
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telecom |
.telecom |
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n/a |
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n/a |
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./scheme |
XTN.3 |
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./url |
XTN.1 (or XTN.12) |
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unique(./use) |
XTN.2 - but often indicated by field |
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n/a |
n/a |
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./usablePeriod[type="IVL<TS>"] |
N/A |
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telecom |
.telecom |
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n/a |
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n/a |
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./scheme |
XTN.3 |
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./url |
XTN.1 (or XTN.12) |
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unique(./use) |
XTN.2 - but often indicated by field |
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n/a |
n/a |
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./usablePeriod[type="IVL<TS>"] |
N/A |
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player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender |
.patient.administrativeGenderCode |
PID-8 |
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player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime |
.patient.birthTime |
PID-7 |
21112-8 | |
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n/a |
PID-30 (bool) and PID-29 (datetime) |
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n/a |
PID-30 (bool) and PID-29 (datetime) |
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addr |
.addr |
PID-11 |
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n/a |
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n/a |
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unique(./use) |
XAD.7 |
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unique(./use) |
XAD.18 |
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./formatted |
XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 |
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AD.part[parttype = AL] |
XAD.1 and XAD.2 have different meanings for a company address than for a person address) |
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AD.part[parttype = CTY] |
XAD.3 |
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AD.part[parttype = CNT | CPA] |
XAD.9 |
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AD.part[parttype = STA] |
XAD.4 |
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AD.part[parttype = ZIP] |
XAD.5 |
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AD.part[parttype = CNT] |
XAD.6 |
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./usablePeriod[type="IVL<TS>"] |
XAD.12 / XAD.13 + XAD.14 |
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addr |
.addr |
PID-11 |
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n/a |
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n/a |
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unique(./use) |
XAD.7 |
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unique(./use) |
XAD.18 |
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./formatted |
XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6 |
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AD.part[parttype = AL] |
XAD.1 and XAD.2 have different meanings for a company address than for a person address) |
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AD.part[parttype = CTY] |
XAD.3 |
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AD.part[parttype = CNT | CPA] |
XAD.9 |
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AD.part[parttype = STA] |
XAD.4 |
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AD.part[parttype = ZIP] |
XAD.5 |
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AD.part[parttype = CNT] |
XAD.6 |
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./usablePeriod[type="IVL<TS>"] |
XAD.12 / XAD.13 + XAD.14 |
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n/a |
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n/a |
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./low |
DR.1 |
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./high |
DR.2 |
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player[classCode=PSN]/maritalStatusCode |
.patient.maritalStatusCode |
PID-16 |
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n/a |
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player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc |
n/a |
OBX-5 - needs a profile |
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player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON] |
n/a |
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n/a |
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n/a |
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N/A |
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code |
n/a |
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name |
n/a |
NK1-2 |
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telecom |
n/a |
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addr |
n/a |
NK1-4 |
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player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender |
n/a |
NK1-15 |
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scoper |
n/a |
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effectiveTime |
n/a |
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LanguageCommunication |
patient.languageCommunication |
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n/a |
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n/a |
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N/A |
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player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code |
.languageCode |
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preferenceInd |
.preferenceInd |
PID-15 |
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subjectOf.CareEvent.performer.AssignedEntity |
n/a |
PD1-4 |
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scoper |
.providerOrganization |
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n/a |
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n/a |
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![]() ![]() ![]() ![]() |
N/A |
||||
![]() ![]() ![]() ![]() |
N/A |
||||
![]() ![]() ![]() ![]() |
.identifier |
||||
![]() ![]() ![]() ![]() |
N/A |
||||
![]() ![]() ![]() |
outboundLink |
n/a |
|||
![]() ![]() ![]() ![]() |
n/a |
||||
![]() ![]() ![]() ![]() |
n/a |
||||
![]() ![]() ![]() ![]() |
N/A |
||||
![]() ![]() ![]() ![]() |
id |
n/a |
|
||
![]() ![]() ![]() ![]() |
typeCode |
n/a |
|||
![]() |