# US Core RelatedPerson Profile - US Core Implementation Guide v9.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Core RelatedPerson Profile**

## Resource Profile: US Core RelatedPerson Profile 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson | *Version*:9.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](changes-between-versions.md#us-core-maturity-levels): 4 | *Computable Name*:USCoreRelatedPersonProfile |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.2.42.58 | | |

 
The US Core RelatedPerson Profile inherits from the FHIR [RelatedPerson](https://hl7.org/fhir/R4/relatedperson.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the RelatedPerson resource to record, search, and fetch basic administrative information about persons with a legal or familial relationship to a 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. 

**Example Usage Scenarios:**

The following are example usage scenarios for this profile:

* Query for a related person that supports the patient.
* Query for a person related to the patient by name.

### Mandatory and Must Support Data Elements

The following data elements must always be present ([Mandatory](must-support.md) definition) or must be supported if the data is present in the sending system ([Must Support](must-support.md) definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The [Formal Views](#profile) below provides the formal summary, definitions, and terminology requirements.

**Each RelatedPerson Must Have:**

1. an active flag
1. a patient

**Each RelatedPerson Must Support:**

1. the relationship to the patient
1. the name of the related person
1. the telecom of the related person
1. the address of the related person1

1 see guidance below

### Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

* 1 For `RelatedPerson.address.state`, this profile uses USPS Two Letter Alphabetic Codes for US states. When encoding addresses outside the US, systems **SHOULD** use the [ISO 3166 subdivision codes](https://www.iso.org/iso-3166-country-codes.html).[§](requirements.md#CONF-0889)

**Usages:**

* Refer to this Profile: [US Core ADI DocumentReference Profile](StructureDefinition-us-core-adi-documentreference.md), [US Core AllergyIntolerance Profile](StructureDefinition-us-core-allergyintolerance.md), [US Core Average Blood Pressure Profile](StructureDefinition-us-core-average-blood-pressure.md), [US Core Care Experience Preference Profile](StructureDefinition-us-core-care-experience-preference.md)... Show 25 more, [US Core CarePlan Profile](StructureDefinition-us-core-careplan.md), [US Core CareTeam Profile](StructureDefinition-us-core-careteam.md), [US Core Condition Encounter Diagnosis Profile](StructureDefinition-us-core-condition-encounter-diagnosis.md), [US Core Condition Problems and Health Concerns Profile](StructureDefinition-us-core-condition-problems-health-concerns.md), [US Core Coverage Profile](StructureDefinition-us-core-coverage.md), [US Core DocumentReference Profile](StructureDefinition-us-core-documentreference.md), [US Core Encounter Profile](StructureDefinition-us-core-encounter.md), [US Core FamilyMemberHistory Recorder Extension](StructureDefinition-us-core-familymemberhistory-recorder.md), [US Core Goal Profile](StructureDefinition-us-core-goal.md), [US Core MedicationDispense Profile](StructureDefinition-us-core-medicationdispense.md), [US Core MedicationRequest Profile](StructureDefinition-us-core-medicationrequest.md), [US Core Observation ADI Documentation Profile](StructureDefinition-us-core-observation-adi-documentation.md), [US Core Observation Clinical Result Profile](StructureDefinition-us-core-observation-clinical-result.md), [US Core Observation Occupation Profile](StructureDefinition-us-core-observation-occupation.md), [US Core Observation Pregnancy Intent Profile](StructureDefinition-us-core-observation-pregnancyintent.md), [US Core Observation Pregnancy Status Profile](StructureDefinition-us-core-observation-pregnancystatus.md), [US Core Observation Screening Assessment Profile](StructureDefinition-us-core-observation-screening-assessment.md), [US Core Procedure Profile](StructureDefinition-us-core-procedure.md), [US Core Provenance Profile](StructureDefinition-us-core-provenance.md), [US Core QuestionnaireResponse Profile](StructureDefinition-us-core-questionnaireresponse.md), [US Core ServiceRequest Profile](StructureDefinition-us-core-servicerequest.md), [US Core Simple Observation Profile](StructureDefinition-us-core-simple-observation.md), [US Core Smoking Status Observation Profile](StructureDefinition-us-core-smokingstatus.md), [US Core Treatment Intervention Preference Profile](StructureDefinition-us-core-treatment-intervention-preference.md) and [US Core Vital Signs Profile](StructureDefinition-us-core-vital-signs.md)
* Examples for this Profile: [RelatedPerson/shaw-niece](RelatedPerson-shaw-niece.md)
* CapabilityStatements using this Profile: [US Core Client CapabilityStatement](CapabilityStatement-us-core-client.md) and [US Core Server CapabilityStatement](CapabilityStatement-us-core-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.core|current/StructureDefinition/us-core-relatedperson)

**Changes since version 8.0.1:**

* The resource metadata has changed (copyright)

* The data elements list has changed

* One or more text definitions, invariants or bindings have changed

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-core-relatedperson.csv), [Excel](StructureDefinition-us-core-relatedperson.xlsx), [Schematron](StructureDefinition-us-core-relatedperson.sch) 

### Notes:

-------

**Quick Start**  

-------

Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the [US Core Server CapabilityStatement](CapabilityStatement-us-core-server.md) for a complete list of supported RESTful interactions for this IG.

* See the [Scopes Format](scopes.md#scopes-format) section for a description of the SMART scopes syntax.
* See the [Search Syntax](general-guidance.md#search-syntax) section for a description of the US Core search syntax.
* See the [General Requirements](general-requirements.md) section for additional rules and expectations when a Server requires status parameters.
* See the [General Guidance](general-guidance.md) section for additional guidance on searching for multiple patients.

#### US Core Scopes

Servers providing access to related person data **SHALL** support these [US Core SMART Scopes](scopes.md#smart-scopes):

* [resource level scopes](http://hl7.org/fhir/smart-app-launch/STU2.2/scopes-and-launch-context.html#scopes-for-requesting-clinical-data): `<patient|user|system>/RelatedPerson.rs` [§](requirements.md#CONF-0153)

-------

#### Mandatory Search Parameters:

The following search parameters and search parameter combinations **SHALL** be supported:

1. **SHALL** support both read RelatedPerson by `id` **AND** RelatedPerson search using the [_id](SearchParameter-us-core-relatedperson-id.md) search parameter`GET [base]/RelatedPerson?_id=[id]' or 'GET [base]/RelatedPerson/[id]`Examples:
> 
1. GET [base]/RelatedPerson/shaw-niece
1. GET [base]/RelatedPerson?_id=shaw-niece

**Implementation Notes**: Fetches a US Core RelatedPerson Profile resource or a search Bundle containing a US Core RelatedPerson Profile resource matching the id (see [Parameters for all resources](http://hl7.org/fhir/R4/search.html#all)).

#### Optional Search Parameters:

The following search parameters and search parameter combinations **SHOULD** be supported

1. **SHOULD** support searching for a patient by a server defined search that matches any of the string fields in the HumanName, including family, given, prefix, suffix, and/or text using the [name](SearchParameter-us-core-relatedperson-name.md) search parameter`GET [base]/RelatedPerson?name=[name]`Example:
> 
1. GET [base]/RelatedPerson?name=Mary Shaw

**Implementation Notes**: Fetches a bundle of all US Core RelatedPerson Profile resources matching the name ( see [how to search by string](http://hl7.org/fhir/R4/search.html#string)).
1. **SHOULD** support searching for all relatedpersons for a patient using the [patient](SearchParameter-us-core-relatedperson-patient.md) search parameter`GET [base]/RelatedPerson?patient={Patient/}[id]`Example:
> 
1. GET [base]/RelatedPerson?patient=Patient/1137192

**Implementation Notes**: Fetches a bundle of all US Core RelatedPerson Profile resources for the specified patient ( see [how to search by reference](http://hl7.org/fhir/R4/search.html#reference)).
1. **SHOULD** support searching using the combination of the [patient](SearchParameter-us-core-relatedperson-patient.md) and [name](SearchParameter-us-core-relatedperson-name.md) search parameters`GET [base]/RelatedPerson?patient={Patient/}[id]&name=[name]`Example:
> 
1. GET [base]/RelatedPerson?patient=Patient/1137192&name=van%20Putten

**Implementation Notes**: Fetches a bundle of all US Core RelatedPerson Profile resources for the specified patient that may match any of the string fields in the name element (including family, give, prefix, suffix, suffix, and/or text) ( see [how to search by reference](http://hl7.org/fhir/R4/search.html#reference) and [how to search by string](http://hl7.org/fhir/R4/search.html#string)).



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-relatedperson",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 4
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.42.58"
  }],
  "version" : "9.0.0",
  "name" : "USCoreRelatedPersonProfile",
  "title" : "US Core RelatedPerson Profile",
  "status" : "active",
  "date" : "2023-10-17",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [{
    "name" : "HL7 International / Cross-Group Projects",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    },
    {
      "system" : "email",
      "value" : "cgp@lists.HL7.org"
    }]
  }],
  "description" : "The US Core RelatedPerson Profile inherits from the FHIR [RelatedPerson](https://hl7.org/fhir/R4/relatedperson.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the RelatedPerson resource to record, search, and fetch basic administrative information about persons with a legal or familial relationship to a 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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "RelatedPerson",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "RelatedPerson",
      "path" : "RelatedPerson",
      "constraint" : [{
        "key" : "us-core-14",
        "severity" : "error",
        "human" : "Either a name or a relationship SHALL be provided (or both)",
        "expression" : "name.exists() or relationship.exists()"
      }]
    },
    {
      "id" : "RelatedPerson.active",
      "path" : "RelatedPerson.active",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "RelatedPerson.patient",
      "path" : "RelatedPerson.patient",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "RelatedPerson.relationship",
      "path" : "RelatedPerson.relationship",
      "condition" : ["us-core-14"],
      "mustSupport" : true,
      "binding" : {
        "strength" : "preferred",
        "description" : "Personal And Legal Relationship Role Type",
        "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1"
      }
    },
    {
      "id" : "RelatedPerson.name",
      "path" : "RelatedPerson.name",
      "condition" : ["us-core-14"],
      "mustSupport" : true
    },
    {
      "id" : "RelatedPerson.telecom",
      "path" : "RelatedPerson.telecom",
      "mustSupport" : true
    },
    {
      "id" : "RelatedPerson.address",
      "path" : "RelatedPerson.address",
      "mustSupport" : true
    }]
  }
}

```
