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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Patient	http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-deidentified-patient	Values Differ
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	2026-03-26T14:18:44+00:00	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 Patient profile represents an Anonymized Patient	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCorePatientProfile	DAPLAnonymizedPatient	Values Differ
publisher	HL7 International / Cross-Group Projects
purpose
status	active
title	US Core Patient Profile	DAPL Anonymized Patient	Values Differ
type	Patient
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient	http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-anonymized-patient	Values Differ
version	9.0.0-ballot	0.1.0	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..*	DAPLDeIdentifiedPatient	DAPL Anonymized Patient
id	Σ	0..1	id	Logical id of this artifact	SΣ	0..1	id	The patient identifier generated by DARTS anonymization service	Elements differ in definition for mustSupport: 'false' vs 'true'
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..0		Cannot include any text in the resource as part of the deidentified data. This profile does not constrain the narrative in regard to content, language, or traceability to data elements	Element maximum cardinalities differ: '1' vs '0'
contained		0..*	Resource	Contained, inline Resources		0..0		Cannot include any contained resources in the resource as part of the deidentified data.	Element maximum cardinalities differ: '2147483647' vs '0'
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		4..*	Extension	Extension Slice: Unordered, Open by value:url	Element minimum cardinalities differ: '0' vs '4'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	An identifier for this patient	Σ	0..0		Cannot include any identifier in the resource as part of the deidentified data.	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0' Element maximum cardinalities differ: '2147483647' vs '0' Element minimum cardinalities conflict: '1..2147483647' vs '0..0': No instances can be valid against both profiles
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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient					Removed this element
value	SΣ	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	SΣC	1..*	HumanName	A name associated with the patient Constraints: us-core-6	Σ	0..0		Cannot include any name in the resource as part of the deidentified data.	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0' Element maximum cardinalities differ: '2147483647' vs '0' Element minimum cardinalities conflict: '1..2147483647' vs '0..0': No instances can be valid against both profiles
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	SΣC	0..1	string	Family name (often called 'Surname')					Removed this element
given	SΣC	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..0		Cannot include any telecom information in the resource as part of the deidentified data.	Element maximum cardinalities differ: '2147483647' 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
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point.					Removed this element
value	SΣ	1..1	string	The actual contact point details					Removed this element
use	?!SΣ	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	SΣ	0..1	date	The date of birth for the individual	Σ	0..0		Cannot include any date of birth information in the resource as part of the deidentified data.	Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '1' vs '0'
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 Slice: Unordered, Closed by type:$this
address	SΣ	0..*	Address	An address for the individual	SΣ	1..1	Address	Included only to support zip code	Element minimum cardinalities differ: '0' vs '1' Element maximum cardinalities differ: '2147483647' vs '1'
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..0		Text cannot be included in the profile Example General: 137 Nowhere Street, Erewhon 9132	Element maximum cardinalities differ: '1' vs '0'
line	SΣ	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 names cannot be included in the profile 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	SΣ	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	SΣ	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)	Elements differ in definition for mustSupport: 'true' vs 'false'
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132 Example US Core: 74047	SΣ	0..0		ZipCode must be included in the profile Example General: 9132	Element maximum cardinalities differ: '1' vs '0'
id						0..1	string	xml:id (or equivalent in JSON)	Added this element
Slices for extension						0..*	Extension	Extension Slice: Unordered, Open by value:url	Added this element
value						0..1	string	Primitive value for string Max Length:1048576	Added this element
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)
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..0		Cannot include information in deidentified resources Binding: ?? (extensible): The domestic partnership status of a person.	Element maximum cardinalities differ: '1' vs '0'
multipleBirth[x]		0..1	boolean, integer	Whether patient is part of a multiple birth		0..0		Cannot include information in deidentified resources	Element maximum cardinalities differ: '1' vs '0'
photo		0..*	Attachment	Image of the patient		0..0		Cannot include information in deidentified resources	Element maximum cardinalities differ: '2147483647' vs '0'
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient	C	0..0		Cannot include information in deidentified resources	Element maximum cardinalities differ: '2147483647' vs '0'
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)	S	1..1	CodeableConcept	Language must be included in the profile Binding: ?? (extensible): The set of languages that the patient uses
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..0		Cannot include information in deidentified resources	Element maximum cardinalities differ: '2147483647' vs '0'
managingOrganization	Σ	0..1	Reference(Organization)	Organization that is the custodian of the patient record	Σ	0..0		Cannot include information in deidentified resources	Element maximum cardinalities differ: '1' vs '0'
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person	?!Σ	0..0		Cannot include information in deidentified resources	Element maximum cardinalities differ: '2147483647' vs '0'
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