AU Base Implementation Guide
6.0.0-draft - Draft

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## Extension: Ethnicity

Official URL: http://hl7.org.au/fhir/StructureDefinition/ethnicity | Version: 6.0.0-draft
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

Usages:

- Examples for this Extension: Patient/example4

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.

- Differential Table
- Snapshot Table
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Ethnicity
url |  | 1..1 | uri | "http://hl7.org.au/fhir/StructureDefinition/ethnicity"
value[x] |  | 1..1 | CodeableConcept | Coded ethnicity
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Ethnicity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org.au/fhir/StructureDefinition/ethnicity"
value[x] |  | 1..1 | CodeableConcept | Coded ethnicity
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: 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.

Maturity: 0

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Ethnicity
url |  | 1..1 | uri | "http://hl7.org.au/fhir/StructureDefinition/ethnicity"
value[x] |  | 1..1 | CodeableConcept | Coded ethnicity
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Ethnicity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org.au/fhir/StructureDefinition/ethnicity"
value[x] |  | 1..1 | CodeableConcept | Coded ethnicity
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |