## Profile Comparison between http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient vs http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient

Left: | RTPBC Patient (http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient)
Right: | RTPBC Patient (http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '2.0.0'
Information | StructureDefinition.date | Values for date differ: '2020-05-23T00:00:00-05:00' vs '2025-12-02T00:00:00-05:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Pharmacy' vs 'HL7 International / Pharmacy'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Patient' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'
Information | Patient.language | Example/preferred bindings differ at Patient.language using binding from RtpbcPatient
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. 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.' vs 'An Extension'
Information | Patient.name | Element maximum cardinalities differ: '1' vs '2147483647'
Information | StructureDefinition.short | Values for short differ: 'usual | official | temp | nickname | anonymous | old | maiden' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden'
Information | StructureDefinition.comment | Values 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'.'
Information | StructureDefinition.short | Values for short differ: 'Patient family name' vs 'Family name (often called 'Surname')'
Information | Patient.name.family | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Patient given name(s)' vs 'Given names (not always 'first'). Includes middle names'
Information | StructureDefinition.definition | Values for definition differ: 'One or more given names of the patient' vs 'Given name.'
Information | Patient.name.given | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Parts that come after the name' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name'
Information | StructureDefinition.short | Values for short differ: 'Time period when name was/is in use' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use'
Information | StructureDefinition.short | Values for short differ: 'A contact detail for the individual' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual'
Information | StructureDefinition.short | Values for short differ: 'Patient gender' vs 'male | female | other | unknown'
Information | StructureDefinition.definition | Values for definition differ: 'The patient's administrative gender (male, female, other, unknown)' vs 'Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.'
Warning | Patient.gender | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Patient.gender | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Patient birth date' vs 'The date of birth for the individual'
Information | Patient.birthDate | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Indicates if the individual is deceased or not' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not'
Information | StructureDefinition.short | Values for short differ: 'Patient address' vs 'An address for the individual'
Information | StructureDefinition.definition | Values for definition differ: 'The patient's home address' vs 'An address for the individual.'
Information | Patient.address | Element maximum cardinalities differ: '1' vs '2147483647'
Information | StructureDefinition.short | Values for short differ: 'home | work | temp | old | billing - purpose of this address' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address'
Information | StructureDefinition.short | Values for short differ: 'Postal code for area' vs 'US Zip Codes'
Warning | Patient.address.country | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Time period when address was/is in use' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use'
Information | StructureDefinition.short | Values for short differ: 'A language 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'
Warning | Patient.communication.language | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | Values Differ
copyright |  |
date | 2020-05-23T00:00:00-05:00 | 2025-12-02T00:00:00-05:00 | Values Differ
description | This profile constrains the Patient resource for carrying the limited patient information required in the consumer real-time pharmacy benefit check (RTPBC) process. The profile differs from the US Core Patient profile in certain respects. It does not contain the us-core-race, us-core-ethnicity or us-core-birthsex extensions, and the Patient.communication.language and Patient.telecom elements are not set to Must Support; these variances reflects that clients in the exchange will typically be mobile consumer applications that do not posess this information, and that the information is not pertinent to this use case. The RTPBC profile further constrains certain US Core and base elements in a manner that is compatible with the the US Core profile (e.g., tightening element cardinality and further limiting allowed terminology). | This profile constrains the Patient resource for carrying the limited patient information required in the consumer real-time pharmacy benefit check (RTPBC) process. The RTPBC profile further constrains certain US Core and base elements in a manner that is compatible with the the US Core profile (e.g., tightening element cardinality and further limiting allowed terminology). | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | RtpbcPatient |
publisher | HL7 International - Pharmacy | HL7 International / Pharmacy | Values Differ
purpose |  |
status | active |
title | RTPBC Patient |
type | Patient |
url | http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient |
version | 1.0.0 | 2.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Patient |  | 0..* | Patient | Information about an individual or animal receiving health care services |  | 0..* | USCorePatientProfile | Information about an individual or animal receiving health care services |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Patient.language using binding from RtpbcPatient
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S Σ | 1..* | Identifier | An identifier for this patient | S Σ | 1..* | Identifier | An identifier for this patient |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | Σ | 0..1 | CodeableConcept | Description 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 | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456 | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456 |
period | Σ | 0..1 | Period | Time period when id is/was valid for use | Σ | 0..1 | Period | Time period when id is/was valid for use |
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use |
name | S Σ | 1..1 | HumanName | A name associated with the patient | S Σ C | 1..* | HumanName | A name associated with the patient | Element maximum cardinalities differ: '1' vs '2147483647'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
use | ?!Σ | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. | ?!Σ | 0..1 | code | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. |
text | Σ | 0..1 | string | Text representation of the full name | Σ | 0..1 | string | Text representation of the full name |
family | S Σ | 1..1 | string | Patient family name | S Σ C | 0..1 | string | Family name (often called 'Surname') | Element minimum cardinalities differ: '1' vs '0'
given | S Σ | 1..* | string | Patient given name(s) This repeating element order: Given Names appear in the correct order for presenting the name | S Σ C | 0..* | string | Given 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 | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name |
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name | Σ | 0..* | string | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name |
period | Σ | 0..1 | Period | Time period when name was/is in use | Σ | 0..1 | Period | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use |
telecom | Σ | 0..* | ContactPoint | A contact detail for the individual | Σ | 0..* | ContactPoint | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual |
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
system |  |  |  |  | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point. | Added this element
value |  |  |  |  | S Σ | 1..1 | string | The actual contact point details | Added this element
use |  |  |  |  | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required) | Added this element
rank |  |  |  |  | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) | Added this element
period |  |  |  |  | Σ | 0..1 | Period | Time period when the contact point was/is in use | Added this element
gender | S Σ | 1..1 | code | Patient gender Binding: ?? (required): Administrative gender | Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
birthDate | S Σ | 1..1 | date | Patient birth date | S Σ | 0..1 | date | The date of birth for the individual | Element minimum cardinalities differ: '1' vs '0'
deceased[x] | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not | ?!Σ | 0..1 | boolean, dateTime | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not |
address | S Σ | 0..1 | Address | Patient address | S Σ | 0..* | Address | An address for the individual | Element maximum cardinalities differ: '1' vs '2147483647'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home | ?!Σ | 0..1 | code | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home |
type | Σ | 0..1 | code | postal | physical | both Binding: ?? (required): The type of an address (physical / postal). Example General: both | Σ | 0..1 | code | postal | physical | both Binding: ?? (required): The type of an address (physical / postal). Example General: both |
text | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 | Σ | 0..1 | string | Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132 |
line | S Σ | 0..* | string | Street 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 | S Σ | 0..* | string | Street 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 US Core: 49 MEADOW ST |
city | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon Example US Core: EVERYTOWN |
district | Σ | 0..1 | string | District name (aka county) Example General: Madison | Σ | 0..1 | string | District name (aka county) Example General: Madison |
state | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ?? (extensible): RTPBC Two Letter State and Province Codes | S Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ?? (extensible): RTPBC Two Letter State and Province Codes Example US Core: OK |
postalCode | S Σ | 0..1 | string | Postal code for area Example General: 9132 | S Σ | 0..1 | string | US Zip Codes Example General: 9132 Example US Core: 74047 |
country | S Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) Binding: ?? (extensible): ISO 3166 2-character country codes | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) Binding: ?? (extensible): ISO 3166 2-character country codes | Elements differ in definition for mustSupport: 'true' vs 'false'
period | S Σ | 0..1 | Period | Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | S Σ | 0..1 | Period | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} |
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: ?? (extensible): The domestic partnership status of a person. |
multipleBirth[x] |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |  | 0..1 | boolean, integer | Whether patient is part of a multiple birth |
photo |  | 0..* | Attachment | Image of the patient |  | 0..* | Attachment | Image of the patient |
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1 | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
relationship |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. |  | 0..* | CodeableConcept | The kind of relationship Binding: ?? (extensible): The nature of the relationship between a patient and a contact person for that patient. |
name |  | 0..1 | HumanName | A name associated with the contact person |  | 0..1 | HumanName | A name associated with the contact person |
telecom |  | 0..* | ContactPoint | A contact detail for the person |  | 0..* | ContactPoint | A contact detail for the person |
address |  | 0..1 | Address | Address for the contact person |  | 0..1 | Address | Address for the contact person |
gender |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |  | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact | C | 0..1 | Reference(Organization) | Organization that is associated with the contact |
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient |
communication | S | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health | S | 0..* | BackboneElement | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (extensible) | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (extensible) | Elements differ in definition for mustSupport: 'false' vs 'true'
preferred |  | 0..1 | boolean | Language preference indicator |  | 0..1 | boolean | Language 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 | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record | Σ | 0..1 | Reference(Organization) | Organization that is the custodian of the patient record |
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to |
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: ?? (required): The type of link between this patient resource and another patient resource. |
Documentation for this format