## Profile Comparison between https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Patient.BirthDateRequired vs https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Patient.BirthDateRequired

Left: | PIXm Patient Profile example for additional Manager constraints (https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Patient.BirthDateRequired)
Right: | PIXm Patient Profile example for additional Manager constraints (https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Patient.BirthDateRequired)

### Messages

Error | StructureDefinition.version | Values for version differ: '3.0.4' vs '3.0.5-current'
Information | StructureDefinition.date | Values for date differ: '2024-02-22T13:08:07-06:00' vs '2025-11-04T19:41:46+00:00'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Patient' vs 'https://profiles.ihe.net/ITI/PDQm/StructureDefinition/IHE.PDQm.Patient'
Information | Patient.implicitRules | Element maximum cardinalities differ: '1' vs '0'
Information | Patient.language | Example/preferred bindings differ at Patient.language using binding from PIXmPatientBirthDateRequired
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'
Warning | Patient.identifier | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Patient.identifier | Element minimum cardinalities differ: '0' vs '1'
Warning | Patient.active | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | Patient.name | Element minimum cardinalities differ: '1' vs '0'
Warning | Patient.gender | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | Patient.communication.language | Example/preferred bindings differ at Patient.communication.language using binding from PIXmPatientBirthDateRequired
Warning | Patient.managingOrganization | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | Patient.link | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.definition | Values for definition differ: 'The type of link between this patient resource and another patient resource.' vs 'The type of link between this patient resource and another patient resource. When this Patient Resource has been subsumed by another, the type SHALL be replaced-by.'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Patient | https://profiles.ihe.net/ITI/PDQm/StructureDefinition/IHE.PDQm.Patient | Values Differ
copyright |  |
date | 2024-02-22T13:08:07-06:00 | 2025-11-04T19:41:46+00:00 | Values Differ
description | Example Profile StructureDefinition for describing additional Patient resource constraints (requiring birthDate) by the Patient Identifier Cross-reference Manager for performing its cross-referencing function. - requiring name and birthDate - mustSupport for identifier, birthDate, name, telecom, gender birthDate, address and managingOrganization | Example Profile StructureDefinition for describing additional Patient resource constraints (requiring birthDate) by the Patient Identifier Cross-reference Manager for performing its cross-referencing function. - requiring name and birthDate - mustSupport for identifier, birthDate, name, telecom, gender birthDate, address and managingOrganization | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
kind | resource |
name | PIXmPatientBirthDateRequired |
publisher | IHE IT Infrastructure Technical Committee |
purpose |  |
status | active |
title | PIXm Patient Profile example for additional Manager constraints |
type | Patient |
url | https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Patient.BirthDateRequired |
version | 3.0.4 | 3.0.5-current | 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..* | PIXmPatient | Information about an individual or animal receiving health care services | C | 0..* | PDQmPatient | 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..0 |  | A set of rules under which this content was created | Element maximum cardinalities differ: '1' vs '0'
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 PIXmPatientBirthDateRequired
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..0 |  | Extension | ?! | 0..0 |  | Extension |
identifier | S Σ | 0..* | Identifier | An identifier for this patient | Σ | 1..* | Identifier | An identifier for this patient | Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '0' vs '1'
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
use |  |  |  |  | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | Added 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. | Added this element
system |  |  |  |  | Σ | 1..1 | uri | Assigning Authority ID or other identifiation namespace Example General: http://www.acme.com/identifiers/patient | Added this element
value |  |  |  |  | Σ | 1..1 | string | The value that is unique Example General: 123456 | Added this element
period |  |  |  |  | Σ | 0..1 | Period | Time period when id is/was valid for use | Added this element
assigner |  |  |  |  | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | Added this element
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use | ?!S Σ C | 0..1 | boolean | Whether this patient's record is in active use | Elements differ in definition for mustSupport: 'false' vs 'true'
name | S Σ | 1..* | HumanName | A name associated with the patient | S Σ C | 0..* | HumanName | A name associated with the patient | Element minimum cardinalities differ: '1' vs '0'
telecom | S Σ | 0..* | ContactPoint | A contact detail for the individual | S Σ | 0..* | ContactPoint | A contact detail for the individual |
gender | S 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. | Elements differ in definition for mustSupport: 'true' vs 'false'
birthDate | S Σ | 1..1 | date | The date of birth for the individual | S Σ | 1..1 | date | The date of birth for the individual |
deceased[x] | ?!Σ | 0..1 | boolean, dateTime | 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 | S Σ | 0..* | Address | An address for the individual |
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 | 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 |  | 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
|  | 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
| Example/preferred bindings differ at Patient.communication.language using binding from PIXmPatientBirthDateRequired
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 | S 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 | Elements differ in definition for mustSupport: 'true' vs 'false'
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | ?!S Σ C | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person | Elements differ in definition for mustSupport: 'false' vs 'true'
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