Interoperable Digital Identity and Patient Matching
3.0.0-current - STU 3 United States of America flag

Interoperable Digital Identity and Patient Matching, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 3.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-identity-matching-ig/ and changes regularly. See the Directory of published versions

: FAST Dual Citizen Example

Page standards status: Informative

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{
  "resourceType" : "Patient",
  "id" : "FastDualCitizenExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/identity-matching/StructureDefinition/fast-identity-patient"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Patient FastDualCitizenExample</b></p><a name=\"FastDualCitizenExample\"> </a><a name=\"hcFastDualCitizenExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-fast-identity-patient.html\">FAST Identity Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jordan Alexander Rivera (official) Other, DoB: 1988-07-21 ( Golden Record Identifier\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Golden Record Identifier/GB-GRI-4471-9920-3388\u00a0(use:\u00a0official,\u00a0)</li><li>Credential Service Provider Identifier/CLEAR-99201-JAR\u00a0(use:\u00a0secondary,\u00a0)</li><li>Credential Service Provider Identifier/IDME-44817-JAR\u00a0(use:\u00a0secondary,\u00a0)</li></ul></td></tr></table></div>"
  },
  "identifier" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/identity-matching/StructureDefinition/identity-jurisdiction",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:iso:std:iso:3166",
                "code" : "US",
                "display" : "United States of America"
              }
            ]
          }
        }
      ],
      "use" : "usual",
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type",
            "code" : "GRI"
          },
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MR",
            "display" : "Medical Record Number"
          }
        ]
      },
      "system" : "https://hospital.example.org/mrn",
      "value" : "MRN-556677",
      "assigner" : {
        "display" : "Example Health System"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/identity-matching/StructureDefinition/identity-jurisdiction",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:iso:std:iso:3166",
                "code" : "GB",
                "display" : "United Kingdom of Great Britain and Northern Ireland"
              }
            ]
          }
        }
      ],
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type",
            "code" : "GRI"
          }
        ]
      },
      "system" : "https://fast.hl7.org/identity/golden-record/gb",
      "value" : "GB-GRI-4471-9920-3388",
      "assigner" : {
        "display" : "NHS England Identity Authority"
      }
    },
    {
      "extension" : [
        {
          "extension" : [
            {
              "url" : "identityAssuranceLevel",
              "valueCoding" : {
                "system" : "http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-assurance-level",
                "code" : "IAL2",
                "display" : "Identity Assurance Level 2"
              }
            },
            {
              "url" : "authenticatorAssuranceLevel",
              "valueCoding" : {
                "system" : "http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-assurance-level",
                "code" : "AAL2",
                "display" : "Authenticator Assurance Level 2"
              }
            },
            {
              "url" : "verificationDate",
              "valueDateTime" : "2026-03-14"
            },
            {
              "url" : "verificationEvidence",
              "valueString" : "Government-issued photo ID + liveness selfie match"
            }
          ],
          "url" : "http://hl7.org/fhir/us/identity-matching/StructureDefinition/csp-assurance"
        }
      ],
      "use" : "secondary",
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type",
            "code" : "CSPID"
          }
        ]
      },
      "system" : "https://clearme.com/identity",
      "value" : "CLEAR-99201-JAR",
      "assigner" : {
        "display" : "CLEAR"
      }
    },
    {
      "extension" : [
        {
          "extension" : [
            {
              "url" : "identityAssuranceLevel",
              "valueCoding" : {
                "system" : "http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-assurance-level",
                "code" : "IAL2",
                "display" : "Identity Assurance Level 2"
              }
            },
            {
              "url" : "verificationDate",
              "valueDateTime" : "2025-11-02"
            }
          ],
          "url" : "http://hl7.org/fhir/us/identity-matching/StructureDefinition/csp-assurance"
        }
      ],
      "use" : "secondary",
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type",
            "code" : "CSPID"
          }
        ]
      },
      "system" : "https://id.me/identity",
      "value" : "IDME-44817-JAR",
      "assigner" : {
        "display" : "ID.me"
      }
    }
  ],
  "name" : [
    {
      "use" : "official",
      "family" : "Rivera",
      "given" : [
        "Jordan",
        "Alexander"
      ]
    }
  ],
  "gender" : "other",
  "birthDate" : "1988-07-21"
}