Based on this Zulip chat: https://chat.fhir.org/#narrow/stream/179280-fhir.2Finfrastructure-wg/topic/Jurisdiction

Limit the context to individual and entity identifier elements to align with the original request and extension definition

identifier element for 

• Patient N
• Practitioner   3
• PractitionerRole   2
• RelatedPerson   2
• Person   2
• Group   1
• Organization   3
• OrganizationAffiliation   0
• HealthcareService   2
• Endpoint   2
• Location   3
• Substance   2
• BiologicallyDerivedProduct   0
• Device   2
• Specimen   2
• BodyStructure   1
• Coverage   2

• Claim   2
• Invoice   0
• Contract   1
• ExplanationOfBenefit   2
• InsurancePlan  

• DeviceMetric   1
• Consent

Original request:

"In the US, some practitioner Identifiers require that we specify the state, in addition to the identifier. We have no idea what the system will be - but need to indicate the state that issued it. For example, each DME provider in the US must have a state license for the state in which they will provide/sell DME. An ambulance that furnishes services in 1 state may drive over state lines to pick up and transport the patient to another state."