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	2022-09-30	2023-06-02T03:00:33+00:00	Values Differ
description	The US Core Patient Profile meets the U.S. Core Data for Interoperability (USCDI) v3 'Patient Demographics' requirements. This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.	(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 WG	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	6.1.0-snapshot1	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L 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.	Elements differ in short: 'Information about an individual or animal receiving health care services' vs 'Patient information to be supplied to $match operation conforming to Level 1 weighting of information' Elements differ in definition: '\-' vs 'Demographics and other administrative information about an individual which can be utilized within the $match operation meeting a minimum combined weighting higher than previous levels.'
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by pattern:$this	Elements differ in comments: 'It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.' vs 'meta.profile is required as a matter of convenience of receiving systems. The meta.profile SHALL be used by the Server to hint/assert/declare that this instance conforms to the stated profiles (with business versions). meta.profile does not capture any business logic, processing directives, or semantics (for example, inpatient or outpatient). '
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
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".	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".
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	Elements differ in short: 'Extension' vs 'Additional content defined by implementations' Elements differ in definition: 'An Extension' vs 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	(USCDI) An identifier for this patient	Σ	0..*	Identifier	An identifier for this patient	Elements differ in short: '(USCDI) An identifier for this patient' vs '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	(USCDI) 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 short: '(USCDI) The namespace for the identifier value' vs 'The namespace for the identifier value' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
value	SΣ	1..1	string	(USCDI) 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 short: '(USCDI) The value that is unique within the system.' vs 'The value that is unique' 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	(USCDI) 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 short: '(USCDI) A name associated with the patient' vs 'A name associated with the 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	(USCDI) usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name.	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name.	Elements differ in short: '(USCDI) usual | official | temp | nickname | anonymous | old | maiden' vs 'usual | official | temp | nickname | anonymous | old | maiden'
text	Σ	0..1	string	Text representation of the full name	Σ	0..1	string	Text representation of the full name
family	SΣC	0..1	string	(USCDI) Family name (often called 'Surname')	Σ	0..1	string	Family name (often called 'Surname')	Elements differ in short: '(USCDI) Family name (often called 'Surname')' vs 'Family name (often called 'Surname')' Elements differ in definition for mustSupport: 'true' vs 'false'
given	SΣC	0..*	string	(USCDI) Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name	Σ	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	Elements differ in short: '(USCDI) Given names (not always 'first'). Includes middle names' vs 'Given names (not always 'first'). Includes middle names' Elements differ in definition for mustSupport: 'true' vs 'false'
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	(USCDI) Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name	Elements differ in short: '(USCDI) Parts that come after the name' vs 'Parts that come after the name'
period	Σ	0..1	Period	(USCDI) Time period when name was/is in use	Σ	0..1	Period	Time period when name was/is in use	Elements differ in short: '(USCDI) Time period when name was/is in use' vs 'Time period when name was/is in use'
telecom	Σ	0..*	ContactPoint	(USCDI) A contact detail for the individual	Σ	0..*	ContactPoint	A contact detail for the individual	Elements differ in short: '(USCDI) A contact detail for the individual' vs 'A contact detail for the individual'
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
system	SΣC	1..1	code	(USCDI) phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point.	ΣC	0..1	code	phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point.	Elements differ in short: '(USCDI) phone | fax | email | pager | url | sms | other' vs 'phone | fax | email | pager | url | sms | other' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
value	SΣ	1..1	string	(USCDI) The actual contact point details	Σ	0..1	string	The actual contact point details	Elements differ in short: '(USCDI) The actual contact point details' vs 'The actual contact point details' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
use	?!SΣ	0..1	code	(USCDI) home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required)	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required): Use of contact point.	Elements differ in short: '(USCDI) home | work | temp | old | mobile - purpose of this contact point' vs 'home | work | temp | old | mobile - purpose of this contact point' Elements differ in definition for mustSupport: 'true' vs 'false'
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	Σ	0..1	Period	Time period when the contact point was/is in use	Σ	0..1	Period	Time period when the contact point was/is in use
gender	SΣ	1..1	code	(USCDI) 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 short: '(USCDI) male | female | other | unknown' vs 'male | female | other | unknown' Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
birthDate	SΣ	0..1	date	(USCDI) The date of birth for the individual	Σ	0..1	date	The date of birth for the individual	Elements differ in short: '(USCDI) The date of birth for the individual' vs 'The date of birth for the individual' Elements differ in definition for mustSupport: 'true' vs 'false'
deceased[x]	?!Σ	0..1	boolean, dateTime	(USCDI) Indicates if the individual is deceased or not	?!Σ	0..1	boolean, dateTime	Indicates if the individual is deceased or not	Elements differ in short: '(USCDI) Indicates if the individual is deceased or not' vs 'Indicates if the individual is deceased or not'
address	SΣ	0..*	Address	(USCDI) An address for the individual	Σ	0..*	Address	An address for the individual	Elements differ in short: '(USCDI) An address for the individual' vs 'An address for the individual' Elements differ in definition for mustSupport: 'true' vs 'false'
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	(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	Elements differ in short: '(USCDI) home | work | temp | old | billing - purpose of this address' vs 'home | work | temp | old | billing - purpose of this address'
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..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..*	string	(USCDI) 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	Σ	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	Elements differ in short: '(USCDI) Street name, number, direction & P.O. Box etc.' vs 'Street name, number, direction & P.O. Box etc.' Elements differ in definition for mustSupport: 'true' vs 'false'
city	SΣ	0..1	string	(USCDI) Name of city, town etc. Example General: Erewhon	Σ	0..1	string	Name of city, town etc. Example General: Erewhon	Elements differ in short: '(USCDI) Name of city, town etc.' vs 'Name of city, town etc.' 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	(USCDI) Sub-unit of country (abbreviations ok) Binding: ?? (extensible): Two Letter USPS alphabetic codes.	Σ	0..1	string	Sub-unit of country (abbreviations ok)	Elements differ in short: '(USCDI) Sub-unit of country (abbreviations ok)' vs 'Sub-unit of country (abbreviations ok)' Elements differ in definition for mustSupport: 'true' vs 'false'
postalCode	SΣ	0..1	string	(USCDI) US Zip Codes Example General: 9132	Σ	0..1	string	Postal code for area Example General: 9132	Elements differ in short: '(USCDI) US Zip Codes' vs 'Postal code for area' Elements differ in definition for mustSupport: 'true' vs 'false'
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	(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"}	Elements differ in short: '(USCDI) Time period when address was/is in use' vs 'Time period when address was/is in use'
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	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient
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	(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	Elements differ in short: '(USCDI) A language which may be used to communicate with the patient about his or her health' vs '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	(USCDI) 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 short: '(USCDI) The language which can be used to communicate with the patient about his or her health' vs 'The language which can be used to communicate with the patient about his or her health' 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