Profile Comparison between https://profiles.ihe.net/ITI/PDQm/StructureDefinition/IHE.PDQm.Patient vs https://profiles.ihe.net/ITI/PDQm/StructureDefinition/IHE.PDQm.Patient

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient	http://hl7.org/fhir/StructureDefinition/Patient	Values Differ
copyright
date	2023-11-16T14:59:39-06:00	2024-02-23T14:40:59-06:00	Values Differ
description	The PDQm Patient Profile, based on the IPA Patient Profile - when any element in FHIR Core Patient are known, and when authorized to return the element, then all elements that are core to FHIR Patient should be returned - forbids modifier extensions and implicit rules - so that all uses do not need to be concerned with changes to the meaning of the core elements of the Patient resource - adds the `patient-mothersMaidenName` extension as an extension available to hold the mother's maiden name Following the IPA Patient Profile, `Patient.identifier` is required. Including business identifiers in `Patient.identifier` is important for allowing the Patient resource to maintain identity outside of the context of the FHIR server on which it resides. This would be the case when the resource is copied to another server, saved to a file, migrated to a new FHIR server, etc. `Patient.identifier` is typically be populated with an identifier assigned by an assigning authority in the local patient identifier domain. Populating with identifiers issued by jurisdictional authorities, such as the patient's national identifier, drivers license number, jurisdictional healthcare identifier, etc., is also typical when policy allows for those identifiers to be disclosed to the client system. When no existing business identifier exists, the Patient Demographics Supplier may construct one in one of the following ways: **Option 1**: Populate `Patient.identifier.value` with the full URL for the Patient resource as it would be accessed by the client when doing a READ request. In this case, the corresponding value for `Patient.identifier.system` shall be `urn:ietf:rfc:3986`. **Option 2**: Populate `Patient.identifier.value` with a [Universally Unique Identifier](https://en.wikipedia.org/wiki/Universally_unique_identifier), including the `urn:uuid:` prefix. In this case, the corresponding value for `Patient.identifier.system` shall be `urn:ietf:rfc:3986`. The UUID should be persisted within the FHIR resource so that subsequent accesses return the same identifier, but it is not required in environments where doing so is not possible.	#### Overview The PDQm Patient Profile establiashes the following base requirements: - when any element in FHIR Core Patient are known, and when authorized to return the element, then all elements that are core to FHIR Patient SHOULD be returned - forbids modifier extensions and implicit rules - so that all uses do not need to be concerned with changes to the meaning of the core elements of the Patient resource - adds the `patient-mothersMaidenName` extension as an extension available to hold the mother's maiden name #### Use of Business Identifiers To facilitate working with and matching resources across specifications and servers, `Patient.identifier` is REQUIRED. Including business identifiers in `Patient.identifier` is important for allowing the Patient resource to maintain identity outside of the context of the FHIR server on which it resides. This would be the case when the resource is copied to another server, saved to a file, migrated to a new FHIR server, etc. `Patient.identifier` is typically populated with an identifier assigned by an assigning authority in the local patient identifier domain. Populating with identifiers issued by jurisdictional authorities, such as the patient's national identifier, drivers license number, jurisdictional healthcare identifier, etc., is also typical when policy allows for those identifiers to be disclosed to the client system. When no existing business identifier exists, the Patient Demographics Supplier might construct one in one of the following ways: **Option 1**: Populate `Patient.identifier.value` with the full URL for the Patient resource as it would be accessed by the client when doing a READ request. In this case, the corresponding value for `Patient.identifier.system` SHALL be `urn:ietf:rfc:3986`. **Option 2**: Populate `Patient.identifier.value` with a [Universally Unique Identifier](https://en.wikipedia.org/wiki/Universally_unique_identifier), including the `urn:uuid:` prefix. In this case, the corresponding value for `Patient.identifier.system` SHALL be `urn:ietf:rfc:3986`. The UUID SHOULD be persisted within the FHIR resource so that subsequent accesses return the same identifier, but it is not REQUIRED in environments where doing so is not possible. #### Handling of Patient.link When multiple Patient Resources are used to represent the same Patient, Patient.link SHALL be used to describe the relationship between the resources. When returning Patient Resources, the Patient Demographics SHALL ensure that: * No more that one Patient Resource referencing a Patient Identity contains `active=true` * When returning multiple Patient Resources for the same Patient, `Patient.link` SHALL be used to describe the relationship between each Patient Resource * When one Patient Resource has become subsumed by another, the subsumed Patient SHALL use `Patient.link` to point at the surviving Patinet Resource and `Patient.link.type` SHALL be `replaced-by`. Patient Demographics Consumers SHOULD be able to traverse Patient.link and use Patient.active to determine if a given Patient is currently active in the system.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001
kind	resource
name	PDQmPatient
publisher	IHE IT Infrastructure Technical Committee
purpose
status	active
title	PDQm Patient Profile
type	Patient
url	https://profiles.ihe.net/ITI/PDQm/StructureDefinition/IHE.PDQm.Patient
version	3.0.0-comment	3.0.0	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..*	IPAPatient	Information about an individual or animal receiving health care services	C	0..*	Patient	Information about an individual or animal receiving health care services iti-pdqm-linkstatus: If Patient.link is present, then Patient.active SHALL be present
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
implicitRules	?!Σ	0..0			?!Σ	0..0
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	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..0			?!	0..0
identifier	SΣC	1..*	Identifier	An identifier for this patient	Σ	1..*	Identifier	An identifier for this patient	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	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	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.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Σ	1..1	uri	Assigning Authority ID or other identifiation namespace Example General: http://www.acme.com/identifiers/patient	Element minimum cardinalities differ: '0' vs '1'
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	?!SΣC	0..1	boolean	Whether this patient's record is in active use	?!SΣC	0..1	boolean	Whether this patient's record is in active use
name	SΣC	0..*	HumanName	A name associated with the patient	SΣC	0..*	HumanName	A name associated with the patient iti-pdqm-patname: Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present.
telecom	Σ	0..*	ContactPoint	A contact detail for the individual	SΣ	0..*	ContactPoint	A contact detail for the individual	Elements differ in definition for mustSupport: 'false' vs 'true'
gender	SΣ	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.	Elements differ in definition for mustSupport: 'true' vs 'false'
birthDate	SΣ	0..1	date	The date of birth for the individual	SΣ	0..1	date	The date of birth for the individual
deceased[x]	?!Σ	0..1	boolean, dateTime	Indicates if the individual is deceased or not	?!Σ	0..1	boolean, dateTime	Indicates if the individual is deceased or not
address	Σ	0..*	Address	An address for the individual	SΣ	0..*	Address	An address for the individual	Elements differ in definition for mustSupport: 'false' vs 'true'
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	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		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		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
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	?!SΣC	0..*	BackboneElement	Link to another patient resource that concerns the same actual person	?!SΣC	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