Profile Comparison between http://fhir.org/guides/argonaut/StructureDefinition/argo-patient vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient

Left:Argonaut Patient Profile (http://fhir.org/guides/argonaut/StructureDefinition/argo-patient)
Right:US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://fhir.org/guides/argonaut/StructureDefinition/argo-patient' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
InformationStructureDefinition.nameValues for name differ: 'Argonaut Patient Profile' vs 'USCorePatientProfile'
InformationStructureDefinition.statusValues for status differ: 'draft' vs 'active'
InformationStructureDefinition.dateValues for date differ: '2016-10-18T00:00:00+11:00' vs '2023-10-17'
InformationStructureDefinition.publisherValues for publisher differ: 'Argonaut Project' vs 'HL7 International / Cross-Group Projects'
InformationStructureDefinition.jurisdictionAdded the item 'urn:iso:std:iso:3166#US'
WarningStructureDefinition.fhirVersionValues for fhirVersion differ: '1.0.2' vs '4.0.1'
InformationStructureDefinition.shortValues for short differ: 'Argonaut Patient Profile' vs 'Information about an individual or animal receiving health care services'
InformationStructureDefinition.definitionValues for definition differ: 'Demographics and other administrative information about an individual or animal receiving care or other health-related services.' vs '\-'
InformationPatientStructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.contained.empty())
InformationPatientStructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
InformationPatientStructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
InformationPatientStructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.meta.security.empty())
InformationPatientStructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (text.`div`.exists())
InformationStructureDefinition.commentValues for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.' vs 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.'
InformationStructureDefinition.definitionValues for definition differ: 'The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.' vs 'The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.'
InformationStructureDefinition.definitionValues for definition differ: 'A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.' vs 'A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.'
InformationStructureDefinition.commentValues for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.'
InformationStructureDefinition.commentValues for comment differ: 'Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).' vs 'Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).'
InformationStructureDefinition.definitionValues for definition differ: 'A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.' vs 'A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.'
InformationStructureDefinition.commentValues for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.' vs 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
InformationStructureDefinition.commentValues for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.shortValues for short differ: 'xml:id (or equivalent in JSON)' vs 'Unique id for inter-element referencing'
InformationStructureDefinition.definitionValues for definition differ: 'unique id for the element within a resource (for internal references).' vs 'Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.'
InformationStructureDefinition.shortValues for short differ: 'Additional Content defined by implementations' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.shortValues for short differ: 'usual | official | temp | secondary (If known)' vs 'usual | official | temp | secondary | old (If known)'
InformationStructureDefinition.commentValues for comment differ: 'This is labeled as 'Is Modifier' because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.' vs 'Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.'
InformationStructureDefinition.shortValues for short differ: 'The namespace for the identifier' vs 'The namespace for the identifier value'
InformationStructureDefinition.definitionValues for definition differ: 'Establishes the namespace in which set of possible id values is unique.' vs 'Establishes the namespace for the value - that is, a URL that describes a set values that are unique.'
InformationStructureDefinition.requirementsValues for requirements differ: 'There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers.' vs 'There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.'
InformationStructureDefinition.definitionValues for definition differ: 'The portion of the identifier typically displayed to the user and which is unique within the context of the system.' vs 'The portion of the identifier typically relevant to the user and which is unique within the context of the system.'
InformationStructureDefinition.commentValues for comment differ: 'If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.' vs 'If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.'
InformationStructureDefinition.commentValues for comment differ: 'The reference may be just a text description of the assigner.' vs 'The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.'
InformationStructureDefinition.definitionValues for definition differ: 'Whether this patient record is in active use.' vs 'Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.'
InformationStructureDefinition.commentValues for comment differ: 'Default is true. If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.' vs 'If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.'
InformationPatient.nameStructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible ((family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
InformationStructureDefinition.shortValues for short differ: 'xml:id (or equivalent in JSON)' vs 'Unique id for inter-element referencing'
InformationStructureDefinition.definitionValues for definition differ: 'unique id for the element within a resource (for internal references).' vs 'Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.'
InformationStructureDefinition.shortValues for short differ: 'Additional Content defined by implementations' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.shortValues for short differ: 'usual | official | temp | nickname | anonymous | old | maiden' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden'
InformationStructureDefinition.commentValues for comment differ: 'This is labeled as 'Is Modifier' because applications should not mistake a temporary or old name etc.for a current/permanent one. Applications can assume that a name is current unless it explicitly says that it is temporary or old.' vs 'Applications can assume that a name is current unless it explicitly says that it is temporary or old.'
InformationStructureDefinition.definitionValues for definition differ: 'A full text representation of the name.' vs 'Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.'
InformationStructureDefinition.commentValues for comment differ: 'Can provide both a text representation and structured parts.' vs 'Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.'
InformationStructureDefinition.commentValues for comment differ: 'For family name, hyphenated names such as 'Smith-Jones' are a single name, but names with spaces such as 'Smith Jones' are broken into multiple parts.' vs 'Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).'
InformationPatient.name.familyElement minimum cardinalities differ: '1' vs '0'
InformationPatient.name.familyElement maximum cardinalities differ: '2147483647' vs '1'
InformationStructureDefinition.commentValues for comment differ: 'If only initials are recorded, they may be used in place of the full name. Not called 'first name' since given names do not always come first.' vs 'If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called 'first name' since given names do not always come first.'
InformationPatient.name.givenElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Parts that come after the name' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name'
InformationStructureDefinition.shortValues for short differ: 'Time period when name was/is in use' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use'
InformationStructureDefinition.shortValues for short differ: 'A contact detail for the individual' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual'
InformationStructureDefinition.commentValues for comment differ: 'A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address may not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).' vs 'A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).'
InformationStructureDefinition.commentValues for comment differ: 'The gender may not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though the vast majority of systems and contexts only support M and F. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific gender aspect of interest (anatomical, chromosonal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosonal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overrideable error, not a 'hard' error.' vs 'The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a 'hard' error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.'
InformationStructureDefinition.requirementsValues for requirements differ: 'Needed for identification of the individual, in combination with (at least) name and birth date. Gender of individual drives many clinical processes.' vs 'Needed for identification of the individual, in combination with (at least) name and birth date.'
InformationStructureDefinition.commentValues for comment differ: 'At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension 'patient-birthTime' available that should be used where Time is required (such as in maternaty/infant care systems).' vs 'At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension 'patient-birthTime' available that should be used where Time is required (such as in maternity/infant care systems).'
InformationStructureDefinition.shortValues for short differ: 'Indicates if the individual is deceased or not' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not'
InformationStructureDefinition.commentValues for comment differ: 'If there's no value in the instance it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.' vs 'If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.'
InformationStructureDefinition.shortValues for short differ: 'Addresses for the individual' vs 'An address for the individual'
InformationStructureDefinition.definitionValues for definition differ: 'Addresses for the individual.' vs 'An address for the individual.'
WarningPatient.addressElements differ in definition for mustSupport: 'false' vs 'true'
InformationStructureDefinition.definitionValues for definition differ: 'Indicates whether the patient is part of a multiple or indicates the actual birth order.' vs 'Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).'
InformationStructureDefinition.shortValues for short differ: 'xml:id (or equivalent in JSON)' vs 'Unique id for inter-element referencing'
InformationStructureDefinition.definitionValues for definition differ: 'unique id for the element within a resource (for internal references).' vs 'Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.'
InformationStructureDefinition.shortValues for short differ: 'Additional Content defined by implementations' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.shortValues for short differ: 'Extensions that cannot be ignored' vs 'Extensions that cannot be ignored even if unrecognized'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
ErrorPatient.contact.relationshipUnable to resolve left value set http://hl7.org/fhir/ValueSet/patient-contact-relationship at Patient.contact.relationship
InformationStructureDefinition.shortValues for short differ: 'A list of Languages which may be used to communicate with the patient about his or her health' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health'
InformationStructureDefinition.definitionValues for definition differ: 'Languages which may be used to communicate with the patient about his or her health.' vs 'A language which may be used to communicate with the patient about his or her health.'
InformationStructureDefinition.commentValues for comment differ: 'If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.' vs 'If no language is specified, this *implies* that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.'
InformationStructureDefinition.requirementsValues for requirements differ: 'If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.' vs 'If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.'
WarningPatient.communicationElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'xml:id (or equivalent in JSON)' vs 'Unique id for inter-element referencing'
InformationStructureDefinition.definitionValues for definition differ: 'unique id for the element within a resource (for internal references).' vs 'Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.'
InformationStructureDefinition.shortValues for short differ: 'Additional Content defined by implementations' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.shortValues for short differ: 'Extensions that cannot be ignored' vs 'Extensions that cannot be ignored even if unrecognized'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'There are multiple usecases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.' vs 'There are multiple use cases: * Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and * Distribution of patient information across multiple servers.'
InformationStructureDefinition.shortValues for short differ: 'xml:id (or equivalent in JSON)' vs 'Unique id for inter-element referencing'
InformationStructureDefinition.definitionValues for definition differ: 'unique id for the element within a resource (for internal references).' vs 'Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.'
InformationStructureDefinition.shortValues for short differ: 'Additional Content defined by implementations' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.shortValues for short differ: 'Extensions that cannot be ignored' vs 'Extensions that cannot be ignored even if unrecognized'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.shortValues for short differ: 'The other patient resource that the link refers to' vs 'The other patient or related person resource that the link refers to'
InformationStructureDefinition.shortValues for short differ: 'replace | refer | seealso - type of link' vs 'replaced-by | replaces | refer | seealso'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Patient
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
      • Added the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
      .date2016-10-18T00:00:00+11:002023-10-17
      • Values Differ
      .descriptionThe US Core Patient Profile meets the U.S. Core Data for Interoperability (USCDI) v3 'Patient Demographics' requirements. This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.
      • Added the item 'The US Core Patient Profile meets the U.S. Core Data for Interoperability (USCDI) v3 'Patient Demographics' requirements. This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.'
      .experimentalfalse
      • Added the item 'false'
      .fhirVersion1.0.24.0.1
      • Values Differ
      .jurisdiction
        ..jurisdiction[0]urn:iso:std:iso:3166#US
        • Added the item 'urn:iso:std:iso:3166#US'
        .kindresource
          .nameArgonaut Patient ProfileUSCorePatientProfile
          • Values Differ
          .publisherArgonaut ProjectHL7 International / Cross-Group Projects
          • Values Differ
          .purpose
            .statusdraftactive
            • Values Differ
            .titleUS Core Patient Profile
            • Added the item 'US Core Patient Profile'
            .typePatient
              .urlhttp://fhir.org/guides/argonaut/StructureDefinition/argo-patienthttp://hl7.org/fhir/us/core/StructureDefinition/us-core-patient
              • Values Differ
              .version7.0.0-ballot
              • Added the item '7.0.0-ballot'

              Structure

              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
              .. Patient 0..*PatientArgonaut Patient Profile
              0..*PatientInformation about an individual or animal receiving health care services
              • StructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.contained.empty())
              • StructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
              • StructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
              • StructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (contained.meta.security.empty())
              • StructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible (text.`div`.exists())
              ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                  ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                    ... language 0..1codeLanguage of the resource content
                    Binding: ?? (required): A human language.

                    0..1codeLanguage of the resource content
                    Binding: ?? (preferred): A human language.

                    Additional BindingsPurpose
                    ??Max Binding
                      ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                        ... contained 0..*ResourceContained, inline Resources
                        0..*ResourceContained, inline Resources
                          ... Slices for extension 0..*ExtensionExtension
                          Slice: Unordered, Open by value:url
                          0..*ExtensionExtension
                          Slice: Unordered, Open by value:url
                            ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                            ?!0..*ExtensionExtensions that cannot be ignored
                              ... identifier S1..*IdentifierAn identifier for this patient
                              SΣ1..*IdentifierAn identifier for this patient
                                .... id 0..1idxml:id (or equivalent in JSON)0..1stringUnique id for inter-element referencing
                                  .... extension 0..*ExtensionAdditional Content defined by implementations
                                  0..*ExtensionAdditional content defined by implementations
                                  Slice: Unordered, Open by value:url
                                    .... use ?!Σ0..1codeusual | official | temp | secondary (If known)
                                    Binding: ?? (required): Identifies the purpose for this identifier, if known .

                                    ?!Σ0..1codeusual | official | temp | secondary | old (If known)
                                    Binding: ?? (required): Identifies the purpose for this identifier, if known .

                                      .... type Σ0..1CodeableConceptDescription of identifier
                                      Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                      Σ0..1CodeableConceptDescription of identifier
                                      Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                        .... system S1..1uriThe namespace for the identifier
                                        Example General: http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
                                        SΣ1..1uriThe namespace for the identifier value
                                        Example General: http://www.acme.com/identifiers/patient
                                          .... value S1..1stringThe value that is unique within the system.
                                          Example General: 123456
                                          SΣ1..1stringThe value that is unique within the system.
                                          Example General: 123456
                                            .... period Σ0..1PeriodTime period when id is/was valid for useΣ0..1PeriodTime period when id is/was valid for use
                                              .... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)Σ0..1Reference(Organization)Organization that issued id (may be just text)
                                                ... active ?!Σ0..1booleanWhether this patient's record is in active use?!Σ0..1booleanWhether this patient's record is in active use
                                                  ... name S1..*HumanNameA name associated with the patient
                                                  SΣC1..*HumanNameA name associated with the patient
                                                  us-core-6: At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.
                                                  • StructureDefinition USCorePatientProfile has added constraint that is not found in Argonaut Patient Profile and it is uncertain whether they are compatible ((family.exists() or given.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                                                  .... id 0..1idxml:id (or equivalent in JSON)0..1stringUnique id for inter-element referencing
                                                    .... extension 0..*ExtensionAdditional Content defined by implementations
                                                    0..*ExtensionAdditional content defined by implementations
                                                    Slice: Unordered, Open by value:url
                                                      .... use ?!Σ0..1codeusual | official | temp | nickname | anonymous | old | maiden
                                                      Binding: ?? (required): The use of a human name

                                                      ?!Σ0..1code𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden
                                                      Binding: ?? (required): The use of a human name.

                                                        .... text Σ0..1stringText representation of the full nameΣ0..1stringText representation of the full name
                                                          .... family S1..*stringFamily name (often called 'Surname')
                                                          SΣC0..1stringFamily name (often called 'Surname')
                                                          • Element minimum cardinalities differ: '1' vs '0'
                                                          • Element maximum cardinalities differ: '2147483647' vs '1'
                                                          .... given S1..*stringGiven names (not always 'first'). Includes middle names
                                                          SΣC0..*stringGiven names (not always 'first'). Includes middle names
                                                          This repeating element order: Given Names appear in the correct order for presenting the name
                                                          • Element minimum cardinalities differ: '1' vs '0'
                                                          .... prefix Σ0..*stringParts that come before the name
                                                          Σ0..*stringParts that come before the name
                                                          This repeating element order: Prefixes appear in the correct order for presenting the name
                                                            .... suffix Σ0..*stringParts that come after the name
                                                            Σ0..*string𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name
                                                            This repeating element order: Suffixes appear in the correct order for presenting the name
                                                              .... period Σ0..1PeriodTime period when name was/is in useΣ0..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use
                                                                ... telecom Σ0..*ContactPointA contact detail for the individual
                                                                Σ0..*ContactPoint𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual
                                                                  .... id 0..1stringUnique id for inter-element referencing
                                                                  • Added this element
                                                                  .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                  Slice: Unordered, Open by value:url
                                                                  • Added this element
                                                                  .... system SΣC1..1codephone | fax | email | pager | url | sms | other
                                                                  Binding: ?? (required): Telecommunications form for contact point.

                                                                  • Added this element
                                                                  .... value SΣ1..1stringThe actual contact point details
                                                                  • Added this element
                                                                  .... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
                                                                  Binding: ?? (required)
                                                                  • Added this element
                                                                  .... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)
                                                                  • Added this element
                                                                  .... period Σ0..1PeriodTime period when the contact point was/is in use
                                                                  • Added this element
                                                                  ... gender S1..1codemale | female | other | unknown
                                                                  Binding: ?? (required)
                                                                  SΣ1..1codemale | female | other | unknown
                                                                  Binding: ?? (required)
                                                                    ... birthDate S0..1dateThe date of birth for the individualSΣ0..1dateThe date of birth for the individual
                                                                      ... deceased[x] ?!Σ0..1boolean, dateTimeIndicates if the individual is deceased or not?!Σ0..1boolean, dateTime𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not
                                                                        ... address Σ0..*AddressAddresses for the individual
                                                                        SΣ0..*AddressAn address for the individual
                                                                        • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                        .... id 0..1stringUnique id for inter-element referencing
                                                                        • Added this element
                                                                        .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                        Slice: Unordered, Open by value:url
                                                                        • Added this element
                                                                        .... use ?!Σ0..1code𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address
                                                                        Binding: ?? (required): The use of an address.


                                                                        Example General: home
                                                                        • Added this element
                                                                        .... type Σ0..1codepostal | physical | both
                                                                        Binding: ?? (required): The type of an address (physical / postal).


                                                                        Example General: both
                                                                        • Added this element
                                                                        .... text Σ0..1stringText representation of the address
                                                                        Example General: 137 Nowhere Street, Erewhon 9132
                                                                        • Added this element
                                                                        .... line SΣ0..*stringStreet name, number, direction & P.O. Box etc.
                                                                        This repeating element order: The order in which lines should appear in an address label
                                                                        Example General: 137 Nowhere Street
                                                                        Example General: 49 MEADOW ST
                                                                        • Added this element
                                                                        .... city SΣ0..1stringName of city, town etc.
                                                                        Example General: Erewhon
                                                                        Example General: EVERYTOWN
                                                                        • Added this element
                                                                        .... district Σ0..1stringDistrict name (aka county)
                                                                        Example General: Madison
                                                                        • Added this element
                                                                        .... state SΣ0..1stringSub-unit of country (abbreviations ok)
                                                                        Binding: ?? (extensible): Two Letter USPS alphabetic codes.


                                                                        Example General: OK
                                                                        • Added this element
                                                                        .... postalCode SΣ0..1stringUS Zip Codes
                                                                        Example General: 9132
                                                                        Example General: 74047
                                                                        • Added this element
                                                                        .... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                                        • Added this element
                                                                        .... period Σ0..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use
                                                                        Example General: {"start":"2010-03-23","end":"2010-07-01"}
                                                                        • Added this element
                                                                        ... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
                                                                        Binding: ?? (required): The domestic partnership status of a person.

                                                                        0..1CodeableConceptMarital (civil) status of a patient
                                                                        Binding: ?? (extensible): The domestic partnership status of a person.

                                                                          ... multipleBirth[x] 0..1boolean, integerWhether patient is part of a multiple birth0..1boolean, integerWhether patient is part of a multiple birth
                                                                            ... photo 0..*AttachmentImage of the patient
                                                                            0..*AttachmentImage of the patient
                                                                              ... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
                                                                              pat-1: SHALL at least contain a contact's details or a reference to an organization
                                                                              C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
                                                                              pat-1: SHALL at least contain a contact's details or a reference to an organization
                                                                                .... id 0..1idxml:id (or equivalent in JSON)0..1stringUnique id for inter-element referencing
                                                                                  .... extension 0..*ExtensionAdditional Content defined by implementations
                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                    .... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                      .... relationship 0..*CodeableConceptThe kind of relationship
                                                                                      Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.


                                                                                      0..*CodeableConceptThe kind of relationship
                                                                                      Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient.


                                                                                      • Unable to resolve left value set http://hl7.org/fhir/ValueSet/patient-contact-relationship at Patient.contact.relationship
                                                                                      .... name 0..1HumanNameA name associated with the contact person0..1HumanNameA name associated with the contact person
                                                                                        .... telecom 0..*ContactPointA contact detail for the person
                                                                                        0..*ContactPointA contact detail for the person
                                                                                          .... address 0..1AddressAddress for the contact person0..1AddressAddress for the contact person
                                                                                            .... gender 0..1codemale | female | other | unknown
                                                                                            Binding: ?? (required): The gender of a person used for administrative purposes.

                                                                                            0..1codemale | female | other | unknown
                                                                                            Binding: ?? (required): The gender of a person used for administrative purposes.

                                                                                              .... organization C0..1Reference(Organization)Organization that is associated with the contactC0..1Reference(Organization)Organization that is associated with the contact
                                                                                                .... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
                                                                                                  ... animal ?!0..0
                                                                                                  • Removed this element
                                                                                                  ... communication S0..*BackboneElementA list of Languages which may be used to communicate with the patient about his or her health
                                                                                                  0..*BackboneElement𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health
                                                                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                                  .... id 0..1idxml:id (or equivalent in JSON)0..1stringUnique id for inter-element referencing
                                                                                                    .... extension 0..*ExtensionAdditional Content defined by implementations
                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                      .... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                        .... language S1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
                                                                                                        Binding: ?? (required)
                                                                                                        S1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
                                                                                                        Binding: ?? (extensible)
                                                                                                          .... preferred 0..1booleanLanguage preference indicator0..1booleanLanguage preference indicator
                                                                                                            ... careProvider 0..*Reference(Organization | Practitioner)Patient's nominated primary care provider
                                                                                                            • Removed this element
                                                                                                            ... managingOrganization Σ0..1Reference(Organization)Organization that is the custodian of the patient recordΣ0..1Reference(Organization)Organization that is the custodian of the patient record
                                                                                                              ... link ?!0..*BackboneElementLink to another patient resource that concerns the same actual person
                                                                                                              ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
                                                                                                                .... id 0..1idxml:id (or equivalent in JSON)0..1stringUnique id for inter-element referencing
                                                                                                                  .... extension 0..*ExtensionAdditional Content defined by implementations
                                                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                                                    .... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                                                                                    ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                      .... other ?!1..1Reference(Patient)The other patient resource that the link refers toΣ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
                                                                                                                        .... type ?!1..1codereplace | refer | seealso - type of link
                                                                                                                        Binding: ?? (required): The type of link between this patient resource and another patient resource.

                                                                                                                        Σ1..1codereplaced-by | replaces | refer | seealso
                                                                                                                        Binding: ?? (required): The type of link between this patient resource and another patient resource.

                                                                                                                          ... generalPractitioner 0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
                                                                                                                          • Added this element

                                                                                                                          doco Documentation for this format