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

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

Messages

InformationStructureDefinition.commentValues for comment differ: 'Applications can assume that a name is current unless it explicitly says that it is temporary or old.' vs 'The [United States Core Data for Interoperability (USCDI)](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi) Patient Demographics/Information Data Element, *Name to Use*, is represented by the code 'usual', and, *Previous Name*, by the code 'old'.'
InformationStructureDefinition.commentValues for comment differ: 'The definition of Address states that 'address is intended to describe postal addresses, not physical locations'. However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](location.html#) resource).' vs 'The definition of Address states that 'address is intended to describe postal addresses, not physical locations'. However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Patient
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        .descriptionThe US Core Patient Profile inherits from the FHIR [Patient](https://hl7.org/fhir/R4/patient.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Patient Demographics/Information* Data Class. It sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.The US Core Patient Profile inherits from the FHIR [Patient](https://hl7.org/fhir/R4/patient.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the [U.S. Core Data for Interoperability (USCDI)](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi) *Patient Demographics/Information* Data Class. It sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
        • Values Differ
        .experimentalfalse
          .fhirVersion4.0.1
            .jurisdiction
              ..jurisdiction[0]urn:iso:std:iso:3166#US
                .kindresource
                  .nameUSCorePatientProfile
                    .publisherHL7 International / Cross-Group Projects
                      .purpose
                        .statusactive
                          .titleUS Core Patient Profile
                            .typePatient
                              .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-patient

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                .. Patient 0..*PatientInformation about an individual or animal receiving health care services
                                0..*PatientInformation about an individual or animal receiving health care services
                                  ... 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: ?? (preferred): A human language.

                                        Additional BindingsPurpose
                                        ??Max Binding
                                        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 SΣ1..*IdentifierAn identifier for this patient
                                                  SΣ1..*IdentifierAn identifier for this patient
                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                      Slice: Unordered, Open by value:url
                                                      0..*ExtensionAdditional content defined by implementations
                                                      Slice: Unordered, Open by value:url
                                                        .... use ?!Σ0..1codeusual | official | temp | secondary | old (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 SΣ1..1uriThe namespace for the identifier value
                                                            Example General: http://www.acme.com/identifiers/patient
                                                            SΣ1..1uriThe namespace for the identifier value
                                                            Example General: http://www.acme.com/identifiers/patient
                                                              .... value SΣ1..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 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.
                                                                      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.
                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                          .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                          Slice: Unordered, Open by value:url
                                                                          0..*ExtensionAdditional content defined by implementations
                                                                          Slice: Unordered, Open by value:url
                                                                            .... use ?!Σ0..1code𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | 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 SΣC0..1stringFamily name (often called 'Surname')SΣC0..1stringFamily name (often called 'Surname')
                                                                                  .... given SΣC0..*stringGiven names (not always 'first'). Includes middle names
                                                                                  This repeating element order: Given Names appear in the correct order for presenting the name
                                                                                  SΣC0..*stringGiven names (not always 'first'). Includes middle names
                                                                                  This repeating element order: Given Names appear in the correct order for presenting the name
                                                                                    .... prefix Σ0..*stringParts that come before the name
                                                                                    This repeating element order: Prefixes appear in the correct order for presenting 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..*string𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name
                                                                                      This repeating element order: Suffixes appear in the correct order for presenting 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..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in useΣ0..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use
                                                                                          ... telecom Σ0..*ContactPoint𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual
                                                                                          Σ0..*ContactPoint𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual
                                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                              Slice: Unordered, Open by value:url
                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                              Slice: Unordered, Open by value:url
                                                                                                .... system SΣC1..1codephone | fax | email | pager | url | sms | other
                                                                                                Binding: ?? (required): Telecommunications form for contact point.

                                                                                                SΣC1..1codephone | fax | email | pager | url | sms | other
                                                                                                Binding: ?? (required): Telecommunications form for contact point.

                                                                                                  .... value SΣ1..1stringThe actual contact point detailsSΣ1..1stringThe actual contact point details
                                                                                                    .... use ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
                                                                                                    Binding: ?? (required)
                                                                                                    ?!SΣ0..1codehome | work | temp | old | mobile - purpose of this contact point
                                                                                                    Binding: ?? (required)
                                                                                                      .... rank Σ0..1positiveIntSpecify preferred order of use (1 = highest)Σ0..1positiveIntSpecify preferred order of use (1 = highest)
                                                                                                        .... period Σ0..1PeriodTime period when the contact point was/is in useΣ0..1PeriodTime period when the contact point was/is in use
                                                                                                          ... gender SΣ1..1codemale | female | other | unknown
                                                                                                          Binding: ?? (required)
                                                                                                          SΣ1..1codemale | female | other | unknown
                                                                                                          Binding: ?? (required)
                                                                                                            ... birthDate SΣ0..1dateThe date of birth for the individualSΣ0..1dateThe date of birth for the individual
                                                                                                              ... deceased[x] ?!Σ0..1boolean, dateTime𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not?!Σ0..1boolean, dateTime𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not
                                                                                                                ... address SΣ0..*AddressAn address for the individual
                                                                                                                SΣ0..*AddressAn address for the individual
                                                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                    .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                    Slice: Unordered, Open by value:url
                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                    Slice: Unordered, Open by value:url
                                                                                                                      .... use ?!Σ0..1code𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address
                                                                                                                      Binding: ?? (required): The use of an address.


                                                                                                                      Example General: home
                                                                                                                      ?!Σ0..1code𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address
                                                                                                                      Binding: ?? (required): The use of an address.


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


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


                                                                                                                        Example General: both
                                                                                                                          .... text Σ0..1stringText representation of the address
                                                                                                                          Example General: 137 Nowhere Street, Erewhon 9132
                                                                                                                          Σ0..1stringText representation of the address
                                                                                                                          Example General: 137 Nowhere Street, Erewhon 9132
                                                                                                                            .... 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
                                                                                                                            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
                                                                                                                              .... city SΣ0..1stringName of city, town etc.
                                                                                                                              Example General: Erewhon
                                                                                                                              Example General: EVERYTOWN
                                                                                                                              SΣ0..1stringName of city, town etc.
                                                                                                                              Example General: Erewhon
                                                                                                                              Example General: EVERYTOWN
                                                                                                                                .... district Σ0..1stringDistrict name (aka county)
                                                                                                                                Example General: Madison
                                                                                                                                Σ0..1stringDistrict name (aka county)
                                                                                                                                Example General: Madison
                                                                                                                                  .... state SΣ0..1stringSub-unit of country (abbreviations ok)
                                                                                                                                  Binding: ?? (extensible): Two Letter USPS alphabetic codes.


                                                                                                                                  Example General: OK
                                                                                                                                  SΣ0..1stringSub-unit of country (abbreviations ok)
                                                                                                                                  Binding: ?? (extensible): Two Letter USPS alphabetic codes.


                                                                                                                                  Example General: OK
                                                                                                                                    .... postalCode SΣ0..1stringUS Zip Codes
                                                                                                                                    Example General: 9132
                                                                                                                                    Example General: 74047
                                                                                                                                    SΣ0..1stringUS Zip Codes
                                                                                                                                    Example General: 9132
                                                                                                                                    Example General: 74047
                                                                                                                                      .... country Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)Σ0..1stringCountry (e.g. can be ISO 3166 2 or 3 letter code)
                                                                                                                                        .... period Σ0..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use
                                                                                                                                        Example General: {"start":"2010-03-23","end":"2010-07-01"}
                                                                                                                                        Σ0..1Period𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use
                                                                                                                                        Example General: {"start":"2010-03-23","end":"2010-07-01"}
                                                                                                                                          ... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
                                                                                                                                          Binding: ?? (extensible): 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..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                      ?!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.


                                                                                                                                                          .... 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
                                                                                                                                                                      ... communication 0..*BackboneElement𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language 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
                                                                                                                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                            ?!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: ?? (extensible)
                                                                                                                                                                              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
                                                                                                                                                                                  ... generalPractitioner 0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
                                                                                                                                                                                  0..*Reference(Organization | Practitioner | PractitionerRole)Patient's nominated primary care provider
                                                                                                                                                                                    ... 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 ?!Σ0..*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..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                            ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                              .... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers toΣ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
                                                                                                                                                                                                .... type Σ1..1codereplaced-by | replaces | refer | seealso
                                                                                                                                                                                                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.


                                                                                                                                                                                                  doco Documentation for this format