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

Left: | US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
Right: | RTPBC Patient - Non-PHI (http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient-non-phi)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient' vs 'http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient-non-phi'
Error | StructureDefinition.version | Values for version differ: '9.0.0-ballot' vs '2.0.0'
Information | StructureDefinition.name | Values for name differ: 'USCorePatientProfile' vs 'RtpbcPatientNonPHI'
Information | StructureDefinition.title | Values for title differ: 'US Core Patient Profile' vs 'RTPBC Patient - Non-PHI'
Information | StructureDefinition.date | Values for date differ: '2025-04-22' vs '2025-12-11T00:00:00-05:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Pharmacy'
Information | StructureDefinition.short | Values for short differ: 'Extension' vs 'Additional content defined by implementations'
Information | StructureDefinition.definition | Values for definition differ: 'An Extension' vs '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.'
Warning | Patient.identifier | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Patient.identifier | Element minimum cardinalities differ: '1' vs '0'
Warning | Patient.name | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Patient.name | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual' vs 'A contact detail for the individual'
Warning | Patient.birthDate | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not' vs 'Indicates if the individual is deceased or not'
Information | StructureDefinition.comment | Values for comment differ: 'Patient may have multiple addresses with different uses or applicable periods.' vs 'Only city, state, country and/or postal code are allowed. Postal code is recommended'
Warning | Patient.address | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address' vs 'home | work | temp | old | billing - purpose of this address'
Warning | Patient.address.line | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Patient.address.line | Element maximum cardinalities differ: '2147483647' vs '0'
Warning | Patient.address.city | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Patient.address.state | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'US Zip Codes' vs 'Postal code for area'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use' vs 'Time period when address was/is in use'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language 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'
Warning | Patient.communication.language | Elements differ in definition for mustSupport: 'true' vs 'false'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Patient |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |  | Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date | 2025-04-22 | 2025-12-11T00:00:00-05:00 | Values Differ
description | 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. | This profile provides minimal, non-persoanlly-identifiable patient characteristics for submission in an RTPBC request to data sources that can provide benefit or price information without receiving patient details. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCorePatientProfile | RtpbcPatientNonPHI | Values Differ
publisher | HL7 International / Cross-Group Projects | HL7 International / Pharmacy | Values Differ
purpose |  |
status | active |
title | US Core Patient Profile | RTPBC Patient - Non-PHI | Values Differ
type | Patient |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient-non-phi | Values Differ
version | 9.0.0-ballot | 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..* | Patient | Information about an individual or animal receiving health care services |
id | Σ | 0..1 | id | 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
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 |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations |
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 | Σ | 0..* | Identifier | An identifier for this patient | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |  |  |  |  | Removed this element
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. |  |  |  |  | Removed this element
system | S Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |  |  |  |  | Removed this element
value | S Σ | 1..1 | string | The value that is unique within the system. Example General: 123456 |  |  |  |  | Removed this element
period | Σ | 0..1 | Period | Time period when id is/was valid for use |  |  |  |  | Removed this element
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |  |  |  |  | Removed this element
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 C | 1..* | HumanName | A name associated with the patient Constraints: us-core-6 | Σ | 0..* | HumanName | A name associated with the patient | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
use | ?!Σ | 0..1 | code | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. |  |  |  |  | Removed this element
text | Σ | 0..1 | string | Text representation of the full name |  |  |  |  | Removed this element
family | S Σ C | 0..1 | string | Family name (often called 'Surname') |  |  |  |  | Removed this element
given | 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 |  |  |  |  | Removed this element
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name |  |  |  |  | Removed this element
suffix | 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 |  |  |  |  | Removed this element
period | Σ | 0..1 | Period | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when name was/is in use |  |  |  |  | Removed this element
telecom | Σ | 0..* | ContactPoint | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A contact detail for the individual | Σ | 0..* | ContactPoint | A contact detail for the individual |
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point. |  |  |  |  | Removed this element
value | S Σ | 1..1 | string | The actual contact point details |  |  |  |  | Removed this element
use | ?!S Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required) |  |  |  |  | Removed this element
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest) |  |  |  |  | Removed this element
period | Σ | 0..1 | Period | Time period when the contact point was/is in use |  |  |  |  | Removed this element
gender | Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. | Σ | 0..1 | code | male | female | other | unknown Binding: ?? (required): The gender of a person used for administrative purposes. |
birthDate | S Σ | 0..1 | date | The date of birth for the individual | Σ | 0..1 | date | The date of birth for the individual | Elements differ in definition for mustSupport: 'true' vs 'false'
deceased[x] | ?!Σ | 0..1 | boolean, dateTime | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Indicates if the individual is deceased or not | ?!Σ | 0..1 | boolean, dateTime | Indicates if the individual is deceased or not |
address | S Σ | 0..* | Address | An address for the individual | Σ | 0..* | Address | An address for the individual | Elements differ in definition for mustSupport: 'true' vs 'false'
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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home | ?!Σ | 0..1 | code | 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 Example US Core: 49 MEADOW ST | Σ | 0..0 |  | 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 | Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '2147483647' vs '0'
city | S Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon Example US Core: EVERYTOWN | Σ | 0..1 | string | Name of city, town etc. Example General: Erewhon | Elements differ in definition for mustSupport: 'true' vs 'false'
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): Two Letter USPS alphabetic codes. Example US Core: OK | Σ | 0..1 | string | Sub-unit of country (abbreviations ok) Binding: ?? (extensible): RTPBC Two Letter State and Province Codes | Elements differ in definition for mustSupport: 'true' vs 'false'
postalCode | S Σ | 0..1 | string | US Zip Codes Example General: 9132 Example US Core: 74047 | S Σ | 0..1 | string | Postal code for area Example General: 9132 |
country | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) | Σ | 0..1 | string | Country (e.g. can be ISO 3166 2 or 3 letter code) Binding: ?? (extensible): ISO 3166 2-character country codes |
period | Σ | 0..1 | Period | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"} | Σ | 0..1 | Period | 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 | 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 |  | 0..* | BackboneElement | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A language which may be used to communicate with the patient about his or her health |  | 0..* | BackboneElement | 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 | S | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (extensible) |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Elements differ in definition for mustSupport: 'true' vs 'false'
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