Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient vs http://hl7.org/fhir/us/identity-matching/StructureDefinition/IDI-Patient-L1

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Patient
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	2023-10-17	2024-10-25T16:13:35+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) *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.	(Level 1 weighting) The goal of this profile is to describe a data-minimized version of Patient used to convey information about the patient for Identity Matching utilizing the $match operation, and prescribe a minimum set of data elements which meet a combined 'weighted level' of at least 10 and using attributes that are consistent with an identity that has been verified by the match requestor	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCorePatientProfile	IDIPatientL1	Values Differ
publisher	HL7 International / Cross-Group Projects	HL7 International / Patient Administration	Values Differ
purpose
status	active
title	US Core Patient Profile	IDI Patient L1	Values Differ
type	Patient
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient	http://hl7.org/fhir/us/identity-matching/StructureDefinition/IDI-Patient-L1	Values Differ
version	7.0.0	2.0.0-ballot	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	C	0..*	Patient	Patient information to be supplied to $match operation conforming to Level 1 weighting of information idi-L1: Requestors asserting compliance with this Invariant level are also thereby indicating that all included demographics are consistent with an identity verification event performed as part of a documented process that is compliant with this IG. Combined weighted values of included elements must have a minimum value of 10 (see Patient Weighted Elements table). Note that the logic for computing weights is somewhat imperfect, particularly considering that it does not confirm that exactly the expected coded type is the one that exists in a match request; this is acceptable because it will not in itself lead to mismatches, though it may give requestors an overly-optimistic sense of their input quality.
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
versionId					Σ	0..1	id	Version specific identifier	Added this element
lastUpdated					Σ	0..1	instant	When the resource version last changed	Added this element
source					Σ	0..1	uri	Identifies where the resource comes from	Added this element
Slices for profile					Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by pattern:$this	Added this element
security					Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Added this element
tag					Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Added this element
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		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations
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..*	Identifier	An identifier for this patient	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
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	usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known .	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known .
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.	Σ	1..1	CodeableConcept	Description of identifier Binding: ?? (extensible)	Element minimum cardinalities differ: '0' vs '1'
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
value	SΣ	1..1	string	The value that is unique within the system. Example General: 123456	Σ	1..1	string	The value that is unique Example General: 123456	Elements differ in definition for mustSupport: 'true' vs 'false'
period	Σ	0..1	Period	Time period when id is/was valid for use	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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 us-core-6: At least name.given and/or name.family are present or, if neither is available, the Data Absent Reason Extension is present.	ΣC	0..*	HumanName	A name associated with the patient idi-2: Either the given or family name SHALL be present	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' 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
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..*	ContactPoint	A contact detail for the individual
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	SΣ	1..1	code	male | female | other | unknown Binding: ?? (required)	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' Element minimum cardinalities differ: '1' vs '0'
birthDate	SΣ	0..1	date	The date of birth for the individual	Σ	0..1	date	The date of birth for the individual	Elements differ in definition for mustSupport: 'true' vs 'false'
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
address	SΣ	0..*	Address	An address for the individual	Σ	0..*	Address	An address for the individual	Elements differ in definition for mustSupport: 'true' vs 'false'
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: home | work | temp | old | billing - purpose of this address Binding: ?? (required): The use of an address. Example General: home					Removed this element
type	Σ	0..1	code	postal | physical | both Binding: ?? (required): The type of an address (physical / postal). Example General: both					Removed this element
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132					Removed this element
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 General: 49 MEADOW ST					Removed this element
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon Example General: EVERYTOWN					Removed this element
district	Σ	0..1	string	District name (aka county) Example General: Madison					Removed this element
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: ?? (extensible): Two Letter USPS alphabetic codes. Example General: OK					Removed this element
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132 Example General: 74047					Removed this element
country	Σ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)					Removed this element
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"}					Removed this element
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 pat-1: SHALL at least contain a contact's details or a reference to an organization	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
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)		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	Elements differ in definition for mustSupport: 'true' vs 'false'
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	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
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
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