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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<Patient xmlns="http://hl7.org/fhir">
  <id value="FastDualCitizenExample"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/identity-matching/StructureDefinition/fast-identity-patient"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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 (use: usual, ))</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 (use: official, )</li><li>Credential Service Provider Identifier/CLEAR-99201-JAR (use: secondary, )</li><li>Credential Service Provider Identifier/IDME-44817-JAR (use: secondary, )</li></ul></td></tr></table></div>
  </text>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/identity-matching/StructureDefinition/identity-jurisdiction">
      <valueCodeableConcept>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <use value="usual"/>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type"/>
        <code value="GRI"/>
      </coding>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MR"/>
        <display value="Medical Record Number"/>
      </coding>
    </type>
    <system value="https://hospital.example.org/mrn"/>
    <value value="MRN-556677"/>
    <assigner>
      <display value="Example Health System"/>
    </assigner>
  </identifier>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/identity-matching/StructureDefinition/identity-jurisdiction">
      <valueCodeableConcept>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="GB"/>
          <display
                   value="United Kingdom of Great Britain and Northern Ireland"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <use value="official"/>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type"/>
        <code value="GRI"/>
      </coding>
    </type>
    <system value="https://fast.hl7.org/identity/golden-record/gb"/>
    <value value="GB-GRI-4471-9920-3388"/>
    <assigner>
      <display value="NHS England Identity Authority"/>
    </assigner>
  </identifier>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/identity-matching/StructureDefinition/csp-assurance">
      <extension url="identityAssuranceLevel">
        <valueCoding>
          <system
                  value="http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-assurance-level"/>
          <code value="IAL2"/>
          <display value="Identity Assurance Level 2"/>
        </valueCoding>
      </extension>
      <extension url="authenticatorAssuranceLevel">
        <valueCoding>
          <system
                  value="http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-assurance-level"/>
          <code value="AAL2"/>
          <display value="Authenticator Assurance Level 2"/>
        </valueCoding>
      </extension>
      <extension url="verificationDate">
        <valueDateTime value="2026-03-14"/>
      </extension>
      <extension url="verificationEvidence">
        <valueString
                     value="Government-issued photo ID + liveness selfie match"/>
      </extension>
    </extension>
    <use value="secondary"/>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type"/>
        <code value="CSPID"/>
      </coding>
    </type>
    <system value="https://clearme.com/identity"/>
    <value value="CLEAR-99201-JAR"/>
    <assigner>
      <display value="CLEAR"/>
    </assigner>
  </identifier>
  <identifier>
    <extension
               url="http://hl7.org/fhir/us/identity-matching/StructureDefinition/csp-assurance">
      <extension url="identityAssuranceLevel">
        <valueCoding>
          <system
                  value="http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-assurance-level"/>
          <code value="IAL2"/>
          <display value="Identity Assurance Level 2"/>
        </valueCoding>
      </extension>
      <extension url="verificationDate">
        <valueDateTime value="2025-11-02"/>
      </extension>
    </extension>
    <use value="secondary"/>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/identity-matching/CodeSystem/fast-identity-identifier-type"/>
        <code value="CSPID"/>
      </coding>
    </type>
    <system value="https://id.me/identity"/>
    <value value="IDME-44817-JAR"/>
    <assigner>
      <display value="ID.me"/>
    </assigner>
  </identifier>
  <name>
    <use value="official"/>
    <family value="Rivera"/>
    <given value="Jordan"/>
    <given value="Alexander"/>
  </name>
  <gender value="other"/>
  <birthDate value="1988-07-21"/>
</Patient>